91-660 •i
i
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date fr fi/u t 19 11
This is to certify that work requested to be done as shown by Permit No. 91-660
has been completed.
This structure may be occupied as a Alteration to Barn
Location 118 Meadowbrook RO
Owner George Sipos
By Order Town Board
TOWN OF QUEENSBURY
\j,hi
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-660
WARREN COUNTY, NEW YORK
UI
ko
I
Sipos
os
PERMISSION is hereby granted to George P tv
OWNER of property located at 118 Meadowbrook Rd Street, Road or Ave.
v'
Alteration to Barn
in the Town of Queensbury,To Construct or place a
at the above location in accordance to application together with plot plans and other information hereto filed and O
Vf
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
C')
rD
1. OWNER'S Address is 0
Same t°
2. CONTRACTOR or BUILDER'S Name ~
00
WILLIAM SCOTT WEST
CD
a
3. CONTRACTOR or BUILDER'S Address O
O
4. ARCHITECT'S Name 0'
5. ARCHITECT'S Address
a
rr.
6. TYPE of Construction— (Please indicate by X) fD
(X) Wood Frame ( ) Masonry ( ) Steel ( )
0
N
7. PLANS and Specifications
r
0
No. Replace Wall as per plot plan specifications and application co
8. Proposed Use
Alterations to Barn
$ 70.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 19, ig92
(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 19th Day of September 19 91
SIGNED BY ,fin _j for the Town of Queensbury
Building an Zoning In r
TOWN OF QUEENSBURY c f°
ellaki REVIEWED BY:
kfirES FEE PAID: , ' I,' -v N OF C 1.1 E tit: .34.
PERMIT NO. : 9 I jp 0
SEP 1 3 1991
BUILDING PERMIT APPLICATION C3G. & C®DE DEPT.
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: _ _eGe_6C a vos
P.O. Address: _ 1 i $ 4l pa coe b you K t2c PHONE '7 93- s7/8-
Property Location: (C2 (k' hgeactoci)JpvcA< + Crc , v.v Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No X
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: J O J e Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ ,300`
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. /Pr/,I6PeLtr-7,1 (
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line: xis% �rvi kicy 6);stit
1st Floor ' j% - 'Sq. Ft lacy * Front Yard ft. Rear yard ft.
r) Ji
* 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: r, - * Multiple Dwelling/No. of Units
Pier/Slab/Crawl Partial Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) * y, Other A‘!2 to
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. mad C7 69 M
Will any second-hand or ungraded lumber be used? If so, for what? A/0
Foundation Wall Material : Ow re Thickness: /0 ''y c O '�
Depth of Foundation below grade (to bottom of footing) : i;;2 "
Will there be a cellar? AJC, Heated or Unheated? U�Ra TPd Floor Sq. Footage:
Will there be a basement? pio Will any portion be used as living space? 7'
If so, what portion? Sq. Ft. Type of Use? ,‘1)<21;
Type of Roof: Sloped/Flat/Shed/Other Material of Roof _
iize, 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.
)verlays (ceiling beams) : " x " ; spacing " o.c. ; span ft.
1oof rafters: " x " ; spacing o.c. ; span ft.
;oof trusses (pre-engineered) : spacing " o.c. ; span ft.
:xterior Wall Finish: -i of f ti S,c1 ; n " of what material? a)cce✓
nterior Wall Finish: LA)
f a garage is to be attached, describe materials to be used for FIRE SEPARATION:
s there to be an opening between garage and dwelling? 4# If so, will a Fire-Rated door,
nclosure, self-closing device be provided? 43 ITT cLed
ill a flue-lined chimney be installed? A. Height above roof ft.
epth of chimney foundation below grade: ft.
epth of fireplace hearth: ft. in.
ater supply - Municipal or private well : > ce
EPTIC SYSTEM: Distance from any private well (including adjoining properties: ft.
A separate application is necessary for any repair or new installation of septic system. )
AME OF BUILDER & ADDRESS: tt`.li,a 5c , l�l� s ! �� (cr� �� .si PHONE )93 y!> YJ
AME OF PLUMBER & ADDRESS: PHONE
AME OF MASON & ADDRESS: +��57 /') easy s% c-)by PHONE 7 .? 96 Y.3
AME OF ELECTRICIAN & ADDRESS: PHONE
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
nether with the plans and specifications submitted, are a true and complete statement of
11 proposed work to be done on the described premises and that all provisions of the
JILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall
complied with, whether specified or not, and that such work is authorized by the owner.
Signature /,(1 e.[,Gw,
Owner, owner's agent, architect
contractor
'ECIAL CONDITIONS 0 HE RM :
By:
'code Enforcement Officer
TOWN OF QUEENSBURY
/10110. 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME 1/. 471
LOCATION //) % ,P
DATE/40("fr.i PERMIT#
TYPE OF STRUCTURE e0,‹ 6. 4240-J
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL 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
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREME TS
FINAL ELECTRICAL if/ 4- iC
OK TO ISSUE C/O OR C/C
COMMENTS:
Roo gapt-t 2 /L SU
CVO-i��C� �:' Tf4i2,Lt 1
ARRIVE / '
DEPART 1:f j �L
TOWN OF QUEENSBURY
► 531 BAY ROAD
A QUEENSBURY, NEW YORK 12804
T TELEPHONE (518) 745-4447
SPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 1/0 j45 67/
NAME I 1/420_s_i_ 7Fo
LOCATION Jf r� C51,1� 1(
DATE AX951q ( PERMIT# _) I r6 (co
TYPE OF STRUCTURE 'fie '
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
' N/AI YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS /
RELIEF VALVES
FURNACE/HOT WATER OPERATIN
BASEMENT INSULATION/DUCTWI'K
INTERIOR TRIM/PRIVACY DO'`S _
FINISH FLOORS:
BATH/KITCHEN WATERTIHT
OTHER FLOORS SWEEP' '+LE
OTHER FLOORS CARP ED
STAIR CLEARANCE/RA . INGS i
HANDICAPPED ACCES
SMOKE DETECTORS
BATHROOM FANS/WHJILEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING_
DOOR CLOSERS i
OTHER FIRE SE ARATION
FIRE/DEMISE W LLS
DUMPSTER
SITE PLAN/VAR ANCE REQUIREMENTS
FINAL ELECTRICAL /
OK TO ISSUE C/0 OR C/C ,/
COMMENTS:
ARRIVE
v ra
DEPART /�`� t /G/
INSP C 4R
TOWN 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 C. 'T"IN(0S
LOCATION M G��C) Co��K ,
DATE %O /1/ 9! PERMIT / 1 `� `
TYPE OF STRUCTURE IjZ JJ
RECHECK APPROVED
+N/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 PURPpSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE 1
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
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 R— a,
CEILING R—
DUCT WORK OR PIP G IN UNHEATED
SPACES
REMARKS:
e.griA-1 5 A4 o
l� - 2,4 buLD6
0 le_ v
ARRIVE /-
DEPART
INSPECTOR
TOWN OF QUEENSBURY
0+„ 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED ?-3 Q 9 1
NAME SO e S i--(S Fs)
LOCATION
\ 1 -e Q tL o W hP o K.
DATE 77 ) -!. PERMIT# Cif -( 6 0
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL 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
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
t----
_ 5 c-us SG- 9
jio_fl rv�res R '/N
ARRIVE
DEPART /0 !Co
INSP T
ec €aL-= Sqv 0S e 2RAJ 4c)0kt /3c7 : 5Ce iT Lc)e's
/ / r /Y1 eac'ow b e0 o k Roa€l /o t= //s`7 s T
at<f t4ni s 1:1 4 1... i )1.?°, I 2- VY "9.1-SzeD V 2,
9.£1 - $ 7/7
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited eISMilliikel,
compliance with our comments dad
net be construed as indicating the -P---" �_ do b!e top p/Are
Mans and specifications are in id ;j
compliance with the code. ,_f
�, rfR�c� bocirl
\ _ -
1, i,, 7-,vmedisre
��/- t
! I 1 it i ✓
/X 4 4/0 vEc r `1 _ �- r \
Yszzzt.Nc 11I II
%Lo fL/ME-804iRt. j _ -' . � .jv�ii OF t� „ s°:
IA/75R E-D.T Are
t GCS p //,i/ - �o E #�'
.32Xv Ts-TyDS o ,v /&" ec-��=,e7� j �� SEP 1G 1991
i,- �� DG. & CODE DEBT.
y /O x / Cam, 5/ocx ,- I
z/ocK .. rs / t" >'-//6 06/7/7/6,1,2 env a F 7 HIs Pt)4LI-
t
X /6' '/ ..,,-`` (ae ai-Poke) C ut,e'12.,bare/ loci//I/ 1? a Cods'
is"xao v rul;// be cal/Pry 6eaet 70 ,e7, rs cuss n s97/seAo7
i=ooTi. f
fre,,,,,. --
solar i -Fok eR,gc2,v Q #ALZ) tQp ea;e 1Al
ce/ 4 - �t, Re-ha+- TOWaCIF QUEENSBURY Poo P- ri R 0 0 ri'Y)Q
BUILDING CO E DEPT.
REVIEWED BY
DATE , :,,�_,;. FILE COPY