1991-782 •
CERTIFICATE OF. COMPLIANCE .
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Aktirf-gb-f, /19 1/
This is to certify that work requested to be done as shown by Permit No. 91-782
has been completed.
This structure may be occupied as a Storage for Retail Merchandise
Location LIpncpr Flom Stoat
Owner Al Boychuk (Noble True Value)
By Order Town Board
TOWN OF QUEENSBURY
(72
Director of Bldg. 6( Code Enforcement
i
BUILDING PERMIT .�
TOWN OF QUEENSBURY
No. 91-782
WARREN COUNTY, NEW YORK 1:3
V
IV
Q1
PERMISSION is hereby granted to Noble True Value
IV
OWNER of property located at Upper Glen Street Street, Road or Ave.
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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
O
is
1. OWNER'S Address is —�
CD
Al Boychuk .�
CD
2. CONTRACTOR or BUILDER'S Name
Bell ConstructionCD
3. CONTRACTOR or BUILDER'S Address
48 West Street
Lake George NY 12845
'v
rD
4. ARCHITECT'S Name 'S
C,
ti ...i
CD
V1
5. ARCHITECT'S Address c'P
6. TYPE of Construction—(Please indicate by X) --�
(X)Wood Frame ( ) Masonry ( ) Steel ( ) r'
O
W
7. PLANS and Specifications p.
co
No. 600 sq ft Alteration to Building as per plot plan specifications
and application
8. Proposed Use
Storage
$ 24.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 7, 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 7th Day of 7 November 19 91
r J/ � �
SIGNED BY �i2 � for the Town of Queensbury
Building and Zoning Ipspector
TOWN OP QUEENSBURY
`� REVIEWED BY:. 'y �c
f
` FEE PAID• i"OWN OF ( uE. :seur
0� °wOEl1/E®
PERMIT NO. : 9/-9E
��. • V 41991
SLOG. & CORE 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: /9 jr r) — i i STZsi I�/I _ Rgait
P.O. Address: 45k0 i;f PHONE 33 7
Property Location: O ax Map No. -]ZI (1 / Z+
Has there been any split of this property since October 1, 1988? Yes No 7\.
If yes, Planning Board Review is necessary. ,
Subdivision , r J\ th:!- Rue- Vc 'tu
v sion Name, if applicable: 7• Ft Lot No.'
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
---)1 (;1‘ 661..-(r, gat— GI-IC-7-12U OrTita
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: ," $ /0
Addition to building * /
xj Alteration to building y ' ��, ioo * COMPLETE INFORMATION REQUIRED BELOW: �'
(no change to exterior dimensions) * Size of Property: ft. x ft.
Other work (describe) * Existing Building Size:
* 02_ ft. xv ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line.:
*
1st Floor eiQ Sq. Ft. * Front Yard ft. Rear yard ft.
* Side Yards 1F5 ft. and ft.
2nd Floor Sq. Ft. *. If an corner, setback from side street-
* ft.
Other Floors ' Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
Wye- : *
TOTAL FLOOR AREA: 0--e) Sq. Ft. * Primary Building - _
r o� * ' ' One Family Dwelling
Size of New Structure: SO ft. x 7Z-(a ft. * Two Family Dwelling -
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable sp e) I * Other
Height (grade to ridge) 15. " ft. *
If residential , no. of families: * If addition what will ,use be? -
No. of rooms (excl udi g baths): * S"SZ�',V ga-P-it, % IT.E:
No. of bedrooms: 0J *
No. of bathrooms: * Accessory Building:
Primary heating sy t • (ice JI4a•r f312 * Detached Garage - One/Two Car
Type of fuel: C7Pti * 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 Y.
(OVER)
- BUILDING PERMIT APPLICATION.CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: ood frame fire safe, etc.
Will any second-hand or ungraded lumber be used? If- so, for what?
AAN�
�Y
Foundation Wall Material : (. Thickness:
Depth of Foundation below grade (to bottom of footing) :
Will . there be a cellar? 40 Heated or Unheated? ,'f Z r Floor Sq. Fo.otage: Ur 8"O
Will there be a basement? 1.1 Will any portion be used as living space? J\1l0
If so, what portion? Sq. Ft: Type of Use?
Type of Roof: Sloped/Flat/Shed/Other S 1`Y0 . Material of Roof 490 0 A,l�p j��'
Size, wood studs � " x " ; spacing " o.c. ; length ft.. I
Joists (floor beams) : 1st Floor - x spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor " x "; spacing 11 'o.c. ; span ft.
Overlays_ (ceili_ng beams) : " x "; spacing " o.c. ; span ft.
Roof rafters: " x spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing ' " o.c. ; span ft.
Exterior Wall' Finish: ` �, 01 S-off -- of what material ?
Interior Wall Finish: 3Tir_ri---C4_
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? Js. 6 Height above roof ft.
Depth of chimney foundation below grade: ft.
Depth of fireplace hearth: ft. in. V
Water supply - 4unicipal &:r private well :
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: • ft. •
(A separate appli ation is necessary for any repair or new installation of septic system. )
PI-
NAME OF BUILDER & ADDRESS: i I th &CU— 1-15 t) 9 Le--6- -r PHONE 663 l t3
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: V 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 pertai .rig to the ,posed work shall
be complied with, whether specified or not, and that such wor. • au =i by/the owner.
Signatuee
�' a
Owner, owner s agent, architect
. contractor.
SPECIAL CONDITIONSH R�9 : .
By:
Code Enforcement Officer
ELECTRICAL INSPECTIONS
,, ,DUPLICATE MUNICIPAL RECORD
9/-
2 ?Permit No. ..
Owner Ar C r/n G�v 6- �Li Vikar✓
Occupant / /+
Location tit ePt!jc COLe- , / S
No. Street
Town or City State
Installation as itemized on reverse side�has been visually inspected pursuant to applicable codes.
Installed by /�� //[61/ /I f,4 Date 7 ` / i-e - - inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL 900 Haddon Ave.,Collingswood, NJ 08108
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
OUTLETS WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W.DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W.RANGE AMP. RECEPTACLE
K.W.WATER HEATER - FRAC.H.P.VENT FANS
,MOTORS H.P. I/20 1/12 1/IO Y. % % I% S'F '/. 1 1Yz 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
CF EACH SIZE
APPARATUS
TOWN OF AY EEMSBURY G'v�
`' 531 BAY ROAD
#i_ QUEENSBURY, NEW YORK 12804
lrr-1-7i .' TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTIONN
REQUEST FOR INSPPEECCTION RECEIVEED/
KANE
LOCATION
DATE 9 /47- PERNITt 9/-7 -
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
-ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
-INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C �✓
COMMENTS:
ARRIVE
DEPART
, CTOR
TOWN OF QUEENSBURY iL t
''� ►` 531 BAY ROAD
.2.011601' QUEENSBURY, NEW YORK 12804
W TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED it/7/9(
NAME Y1(1-a , / &Liu V 2' .0.e -C
LOCATION l ,z,) , .--X__ y(-
DATE Ng G� PERMIT# qi-712
TYPE OF STRUCTURE QV- j i¢Q dq
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC
INSULATION WOODSTOVE/FIREPLACE
f
REMARKS
1 APPROVAL
CHIMNEY HEIGHT/LOCATION P0/A : YES NO
B VENT/LOCATION I /
PLUMBING VENT /
ROOFING /
SIDING f /
DECK/PORCH/STEPS/RAILINGS r /
RELIEF VALVES 1
FURNACE/HOT WATER OPERATING n
BASEMENT INSULATION/DUCTWORK A
. INTERIOR TRIM/PRIVACY DOORS / i
FINISH FLOORS: I
BATH/KITCHEN WATERTIGHT /
OTHER FLOORS SWEEPABLE / k,
OTHER FLOORS CARPETED I
STAIR CLEARANCE/RAILINGS / 1
HANDICAPPED ACCESS /
SMOKE DETECTORS I ';r
BATHROOM FANS/WHOLEHOUSE/FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION .l
FIRE/DEMISE WALLS
DUMPSTER t •
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
Sa04;e1 7....,i,"4,,,ei,
ARRIVE
DEPART
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