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91-771 I CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 This is to certify that work requested to be done as shown by Permit No. 91-771 has been completed. This structure may be occupied as a Alteration to Building 1.Nation Corinth Road Owner Stanley A. Phillips By Order Town Board TOWN OF QUEENSBURY --)// • Director of Bldg. & Code Enforcement BUILDING PERMIT -_, w k TOWN OF QUEENSBURY a No. 91-771 3N WARREN COUNTY, NEW YORK =o s { i Iv PERMISSION is her byganted to Stanley A. Phillips cm 1 OWNER of property I sated at Corinth Road Street, Road or Ave. r▪y in the Town of Queensbury,To Construct or place a Alteration to Building at the above location in accordance to application together with plot plans and other information hereto filed and n: 0- approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. .r 1. OWNER'S Address is 17 Vf Same Il cm rf a 2. CONTRACTOR or BUILDER'S Name '—I CD Pliney Tucker `< m 3. CONTRACTOR or BUILDER'S Address n RD#4 Box 425 0 Division Rd �' Queensbury, NY c-k' s 4. ARCHITECT'S Name a W c+ 5. ARCHITECT'S Address e+ 0 Q C. tC1 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( I Masonry ( ) Steel ( ) 7. PLANS and Specifications No. 384 sq ft alteration to building as per plot plan specifications and application 8. Proposed Use Remove garage Roof replace with new one $ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 6, 19 92 (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 this 6 Day/oJf ; : November 19 91 SIGNED BY j t ;. �� for the Town of Queensbury Building and Zoning Insp ctor TOWN OP QUEENSBURY �� REVIEWED BY: T �-vN1 a," - Fitotj o i�. ' FEE PAID: � � 1 � �`�1;'�� ',`.• _ �;� 1:l� ily> � - ,I 1j, m PERMIT NO. : 91 --' it . 0C1731 �c i ' '' 131111.DING m ,.._:. -- 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: S' i . ,v /e y .,4 . 0 A >, if, x P.O. Address: (,,,,-)-,•c) 7/-7 ed� �.r,a ,;> h,, ►-J � ?,,,° PHONE 7f2 5� . 7 Property Location: ' , i . , , ° ax Map No. /a6 / / / liZ7, ) Has there been any split of this property since October 1, 1988? Yes No If yes, Planning Board Review is,-necessary. •Subdivision Name, if applicable: . (J Lot No. /% THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: pit 4 .C� / �1: � 01)X '/2-5- R.D W 1) it) J 'G., /� _ NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE / Construction of new building * CONSTRUCTION: $ 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: n iP,en .a r �•.1�,97e ,1voFLv✓ irti:,* ft. x ft. t. G'�1c1* GROSS AREA OF PROPOSED STRUCTURE: e3vU Proposed building - distance from * property line: * 1st Floor R ,'/ 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: Sq. Ft. * Primary Building * One Family Dwelling Size of New Structure: ft. x 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: * If addition, what will use be? No. 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 Will a woodstove be installed?: * Other. Central Air Conditioning: Yes No * (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire •-safe,, etc. ®c� Will any second-hand or ungraded lumber be used? If so, for what? /0/,,9- 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: Sloped/Flat/Shed/Other Material of Roof Size, wood studs " x _____" ; spacing " o.c. ; length 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 ft. . Roof trusses (pre-engineered): spacing 2 y " o.c. ; span 2 y ft. Exterior Wall Finish: ,�� 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 a� 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 • Owner, owner agent; architect contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer -L' io � , � D' r 2 - ©l' �- i({ � I r UA- y I 'Sol% olN G Co DEpt MV49 Q r IURM URVMiiENt Obsed a our WM Mm ft complenco wilho comomb dd not be amstrud as ind edint 10 plans and spodkO s; Mo in Ildf Compliance ego OWL r _ �