1991-759 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date .T.®.�tizia:;%,e, /29 19
3
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This is to certify that work requested to be done as shown by Permit No. 91-759
has been completed. `
This structujjre��fmay be occupied as a Shed
•
LocationUpper She Avenue
ar Ave e
Owner John A. Rabine
By Order Town Board
TOWN OF QUEENSBURY
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Ck ,; v •'�, ; ,;Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY X
No. 91-759
WARREN COUNTY, NEW YORK
V
PERMISSION is hereby granted to John Rabine1-1
a,
Na
OWNER of property located at 329 Upper Sherman Avenue Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Shed N
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
Q
Same
fD
C.I
2. CONTRACTOR or BUILDER'S Name 0
Same
3. CONTRACTOR or BUILDER'S Address
W
tO
4. ARCHITECT'S Name CD
N
fD
5. ARCHITECT'S Address
A
fD
6. TYPE of Construction—(Please indicate by X) fD
(X)Wood Frame ( ) Masonry ( )Steel ( )
g
7. PLANS and Specifications
O.
No. 196 s'q ft Shed as per plot plan specifications and application
B. Proposed Use
Shed
$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 28, 1992
(If a longer period,is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury thi 8th Day of October 1991
SIGNED BY /c i``(Y'`Y / for the Town of Queensbury
Building and Z ping Inspector
TOWN OP QUEENSBURY
TOWN' OF CUFF 'SBE,fd-a r-
�` REVIEWED B. . RECEIVED
11"
���� *'FEE PAID: ! �
Iv 7 lot `-OCT 2 i 1991
PERMIT NO. : Q1' 759 -
BLDC. &'CODE DEPT.
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL. BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
* * .* *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: -(?r A 6 A b)71 2.
P.O. Address: Sa)7 cp��C 2 t. _., PHONE 7 ' /Z- 7
- . Property Location: , ,,,ev, � A! Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No,,-4
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
>d Construction of new building * CONSTRUCTION: $ 500
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property:. ft. x ft.
Other work (describe) * Existing Building Size:
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor Sq. Ft. * Front Yard ft. Rear yard ft.
• * Side Yards ft. and ft.
2nd Floor Sq. Ft. * . If on corner, setback from side street-
* ft.
Other Floors Sq. Ft.
(not cellar or basement) * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: /V4 Sq. Ft.. * Primary Building _
One Family Dwelling
Size of New Structure: IV ft. x / f ft. * Two Family Dwelling
Foundation: * _ Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) * Other
Height (grade to ridge) ft. *
If residential , no. of families: * 1 If Milo? what will use be?
Mo. of rooms (excluding baths): *
No. of bedrooms: - *,
No. of bathrooms: * Accessory Building:
Primary heating system: * Detached Garage - One/Two Car
Type of fuel : * Attached Garage One/Two Car
No. of fireplaces to be installed: * Private Storage Building
Willa woodstove be installed?: * Other
Central Air Conditioning: Yes No * _
(OVER)
. BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. -7 cPs
Will any second-'hand- or Ungraded lumber be used? If so, for what?
Foundation Wall Material : Thickness:
Depth of Foundation below grade (to bottom of footing) :
Will there be a cellar? Heated or Unheated? Floor Sq. Footage:
Will there be a basement? Will any portion be ,used as living space?
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Slop /Flat/Shed/Other Material of Roof S`
�A
Size, wood studs. y " x 1 " ; spacing 7 "- o.c. ; 'length Jr ft. . .
Joists (floor beams) : 1st Floor- " x spacing • - o.c. ; span ft.
Joists (floor beams) : 2nd Floor x • "; spacing " o.c. ; span ft.
Overlays (ceiling beams) : " x " ; spacing _ o.c. ; span ft.
Roof rafters: " x " ; spacing / o.c. ; span /e ft.
Roof trusses (pre-engineered):. spacing " o.c: ; span ft.
Exterior Wall Finish: G r9. O r, wu_ of what material ?
Interior Wall Finish: •
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so, will a Fire-Rated door,
enclosure, self-closing device- be provided?
Will a flue-lined .chimney be installed? Height above roof • ft.
Depth of chimney .foundation below grade: ft. '
Depth of _fireplace. hearth: ft. ' - in.
Water supply - Municipal or private well :
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: � PHONE
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF-MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: PHONE
DECLARATION
To the best of my knowledge and belief the statements contained• in this application, •
together with the plans and specifications submitted, are a true and complete statement of
all proposed work to be done on the. described premises and that all provisions of the
BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining 'to the proposed work shall
be complied with, whether specified or not, and that such work is authorized by the owner. • -
Signature
• ner, owner's agent., architect
contractor -
SPECIAL CONDITIONS OF THE PERMIT: .
By:
Code Enforcement Officer
1
TOWN OF QUEENSBURY
531 BAY ROAD
a QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
°'' BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED Zik
NAME 24.9J e 71/
LOCATION 3 j 4' .P4J
DATE S/-12 PERMIT#
TYPE OF STRUCTURE_ 4//1, 97 75/
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL JXFRAMING
ROUGH PLUMBING FINAL ELECTRICA SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A1 YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING K
SIDING i k
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK l;
INTERIOR TRIM/PRIVACY DOO S ?!
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT 1
OTHER FLOORS SWEEPABLE '\
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS `
BATHROOM FANS/WHOLEHOUSE FANS :11
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION i1
FIRE/DEMISE WALLS
DUMPSTER t
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O 0R__C/C_) X
COMMENTS:
C LO-0& CX)-1
ARRIVE
DEPART /G32 ,4, -:�L►�%�1��L'L�L..
INSPEf TOR
TOM OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 04, �CLI-(/ ,
LOCATION ,--37. % LJ4/YY _
DATE ��2//O/9/ PERMIT # 47/- 757
TYPE OF STRUCTURE
RECHECK APPROVED
IN/A YES NO
FOOTINGS/PIERS
, MONOLITHIC POUR FORM
" REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN\PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL \s;
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: •
' JACK STUDS/HEADERS
1 BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
' INSULATION:
FOUNDATION WALLS INTERIOR R-
' FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
' REMARKS:
R A RIDE '
DEPART lib
1' 1 ``1 SPECTOR
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TOWN OF QUEENSBUr:
RECEIVED
./ , .:2 x cc: 444 1
,�/ >_ _ _ _ . G. & CODE DEPT.
'� ;,'f,� .cam_
.),/ < < Ti F QUEENSBURY BUILDING DEPARTMENT
' ,;i, — B• ' >: ur limited examination,
r i compliance 'r our comments shall
not be co ' led as indicating the
�� plans and s.• . l'ons are in full
' compliance tl the code.
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