90-658 a
s
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date (i./Y1/ o?719 fY
This is to certify that work requested to be done as shown by Permit No. 90-658
has been completed.
This structure may be occupied as a nnP-ra r g"r a gp
Location 695 Dixon Rd
DON MAYNARD
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. 64 Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY >
No. 90-658 -
WARREN COUNTY, NEW YORK . ;
C
PERMISSION is hereby granted to DON MAYNARD
V
OWNER of property located at 695 Dixon Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a one-car garage
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
17 Honey Hollow Rd
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name
T
same
C
3. CONTRACTOR or BUILDER'S Address C
4. ARCHITECT'S Name
0
5. ARCHITECT'S Address v
C
X
C
6. TYPE of Construction— (Please indicate by X) 7
(X)Wood Frame ( I Masonry ( I Steel ( I
7. PLANS and Specifications
No. 30'x30' One-car Garage as per plot plan, specifications and
application.
8. Proposed Use
One-car Garage
25.00 September 27 91
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ca
`Q town of Queensbury before the expiration date.) rD
Dated at the Town of Queensbury this 27th Da of September 19 90
SIGNED BY for the Town of Queensbury
uilding and Z ing Inspector
•
TOWN OP QUEENSBURY
REVIEWED BY �seig ry, a
,/1 FEE PAID yr�
PERMIT NO.q00— s i �gQO
BUILDING PERMIT APPLICATION ODE DEFT°
t3LD0 & C
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.
• • • • • • • • • • • • • • • • •• • • • ♦ • • • • • • • • • • • • • • • • • • • •
The owner of this property is: LJon /�'}24 ',' 4 cL
P.O. Address / 7 ///7G' /7//ak) , TeI. 1 %,g 36-S
Property Location fr .tic D/Joh /F Tax Map No. 90 /
/
Has there been any split of this property since October 1, 1988? / rt
If yes Planning Board Review is necessary. ` yes no
,�
SUBDIVISION NAME, IF APPLICABLE )reet ' t?ots' 49,iMe. / LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: * ESC:MATED MARKET VALUE OF
Construction of a new building „ CONSTRUCTION: $ S j 0,00.00
• COMPLETE INFORMATION REQUIRED BELOW:
Addition to a building -�
• Size of property //9 4 ft x
Alteration to a building *(no change to exterior dimensions) Existing Buildings(3) Size ' ft. x �. ft.
• Proposed building - distance from property line:
Other work (Describe) • Front and y ft. Rear yard ft.
• Side yards ft. and ft.
• If on corner, setback from side street ft. % r
GROSS AREA OF PROPOSED STRUCTURE •
1st Floor go() •sq. ft. • OCCUPANCY INFORMATION
•
2nd Floor sq. ft. • Primary Building -
Other Floors sq. ft. • One Family Dwelling
(not cellar or basement • Two Family Dwelling
• Multiple Dwelling/Number of units
TOTAL FLOOR AREA ciee, sq. ft.
• Business
Size of new structure`;T; ft x ,',V ft. • Industrial •
Foundation-pier/slab/crawl/partial/full
(circle one) • Other 6/9r 9f-
•
No. of stories (habitable space)___ •
Height (grade to ridge) ft. • If addition, what will use be?
If residential, no. of families •
No. of rooms(excluding baths) • Accessory Building
No. of bedrooms • Detached Gar ONE/'TwO Car
No. of bathrooms •
Primary heating • _ _Attached Garage ONE/TWO Car
system
Type of fuel • Private storage building
No. of fireplaces to be installed • Other
Will a wood stove be installed •
•
Central Air conditioning
OV• ER
BUILDING PERMIT .APPLICATION CONTINUED -
BUILDING F4PECIFIC.ATIONS:
Tape of construction, wood frame, fire safe, etc.
Will any second-hand or upgraded 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 sq ft.
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.
Joist (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 " o.c. span 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 he 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)
FAME OF BUILDER ADDRESS TEL. NO.
FAME OF PLUMBER ADDRESS TEL. NO.
FAME OF MASON ADDRESS TEL. NO.
FAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application. together with the
tans and specifications submitted, are a true and complete statement of all proposed work to be done on
le described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
II other Laws pertaining to the proposed work shall be complied with, whether specified or not, and that
ich work is authorized by the owner.
Signature
Owner, owner's agent, architect, contractor
PECIAL CONDITIONS OF THE PERMIT:
BY
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832 '7 'Q
7 /-// (?ef edzi
BUILDING INSPECTOR'S REPORT .. e c't2tc
REQUEST FOR INSPECTION RECEIVED /c///fl2
NAME 7 //2O/r.`�.L-� -
LOCATION 6f / ,4 J A'
DATE /$ 74/) PERMIT # �9 - /
"// APPROVED
,6Agil e YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
1 ROUGH PLUMBING ` /
FRAMING x
ELECTRICAL ROUGH-IN ,
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED! F
REMARKS: /��!a_ A4( /6 C'� 0
NO tk- e K''L Ai- T1 is T fr i g.
ARRIVE 10:J6—
DEPART /vim /'�, ./,‘-'
1111 TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ,/'G��- // !
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
, TELEPHONE (518) 792-5832
40 BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /I r/f 6
41 NAME /, /r y ,41'4,-d
LOCATION Zj- ,( (rk) ‘if
DATE /Ql5j/9'G PERMIT # % 'off
APPROVED
11 �/ i'C 2 ERS �'YES NO
/'FOOTING/PI /
MONOLITHIC POUR FORMS Y
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
i PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
111111 FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
4.71D
ARRIVE cJ / 1/
DEPART ,1