89-920 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date AuguSt 9, 19 91
This is to certify that work requested to be done as shown by Permit No. P Am c)2O
has been completed.
This structure may be occupied as a n exterior alteration to business
Location Route 9 - Kendrick Road
Owner Cumberl&A Farms
By Order Town Board
TOWN OF QUEENSBURYr\d,€ a .
Director of Bldg. & Code Enforcement
A . , BUILDING PERMIT
TOWN OF QUEENSBURY
No. 89-920
WARREN COUNTY, NEW YORK "t)
P
PERMISSION is hereby granted to Cumberl and Farms
OWNER of property located at Route 9 - Kendrick Road Street, Road or Ave. i®
in the Town of Queensbury,To Construct or place all exterior alteration awl
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
Vsh Realty
777 Dedham Street
Canton, r4A 02021
17,
2. CONTRACTOR or BUILDER'S Name CD
Larry Dickerson
d
3. CONTRACTOR or BUILDER'S Address rl
t!9
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) -i
( 1 Wood Frame ( ) Masonry ( 1 Steel (
7. PLANS and Specifications
No. Exterior Alterations to Business
C,
8. Proposed Use �7
Exterior Alterations v
$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 29, 19 90
(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.) rri
--I
Dated at the Town of Queensbury t . 29th Day of November 19 89
SIGNED BY ,2 for the Town of Queensbury =,
Building and ning nspector r"
rn
1-a
V!
TOWN OF QUEENSBURY i'- :
REVIEWED BY ,on_
.. ��� FEE PAID ; 7 ".f,z�cf ,,��°
IFirriiit PERMIT NO.
j
41)Q
BUILDING PERMIT APPLICATION co_ 0 .
7
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
ILL 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.
* « * * * « a a * « « * * a « a * • • s a s * * * * s s s a * * * a a * * * * * «
the owner of this property is: JI ,91_Ty C.IL,Lfr,10e.aLv-ti,JA F K-r s
P.O. Address 2 7 JiAw Si,, (47071Da0 Y►1n. O,764/ Tel. (s/7)g - 4900
Property Location f 9 e J i c R -a Tax Map No. / /
{as there been any split of this property since October 1, 1988? /
f yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
['HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
4ATURE OF PROPOSED WORK: " ESI'iMATED MARKET VALUE OF
Construction of a new building " CONSTRUCTION: $
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
e Size of property ft x ft.
TAlteration to a building , " Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) " Front yard ft. Rear yard ft.
" Side yards ft. and ft.
" If on corner, setback from side street ft.
3ROSS AREA OF PROPOSED STRUCTURE •
1st Floor sq. " OCCUPANCY INFORMATION
•
2nd Floor sq. ft. \ • Primary Building -
• One Family Dwelling
Other Floors sq, ft.
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA sq. ft. • Multiple Dwelling/Number of units
• Business
Size of new structure ft x ft. Industrial
Foundation-pier/slab/crawl/partial/full �✓
(circle one) _— • Other
r •
No. of stories (habitable sptitc,oa \<(i' • _ __. _ ._ m
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 • WO Car
_Detached Garage ONE/TWO
of bathrooms •
Primary heating system__ •
_Attached
-Garage ONE/TWO Car
Type of fuel • _,_Private storage buildit*
No. of fireplaces to be installed • `'
• ,___Other
Will a wood stove be installed
•
Central Air conditioning
OV ER
BUILDING PERMIT APPLTC.ATIOv CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. _____ e (_G
Will any second-hand or upgraded lumber be used? If so. for what? /U
Foundation wall material ( Thickness
Depth of foundation below grade (to bottom of footing) / A
Will there be a cellar? Heated or unheated? f eit Floor sq. footage sq ft.
Will there be a basement? iji 4 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 ) 6q
Size, wood studs "x " spacing " o.c. length ft. J �
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. Ad/
Overlays (ceiling beams) "x " spacing " o.c. span ft. J) Etc)
Roof rafters "x " spacing o.c. span ft. ,1
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish of what material?
Interior wall finish #3 )
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? /J/ s If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? ;0)a Height above roof ft.
Depth of chimney foundation below gradeii1 -ft.
Depth of fireplace hearth ft. in. '3 I rl
Water supply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties t,51-/u5 ft.
(A separate application is necessary for any repair or new installation of septic system)
ysrd 64. 3 6 /-
LAME OF BUILDER o y.5 Cohy ADDRESaO `7 TEL. NO. -
TAME OF PLUMBER ADDRESS TEL. NO.
TAME OF MASON ADDRESS TEL. NO.
TAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
fans and specifications submitted, are a true and complete statement of all proposed work to be done on
,:ascribed premises and that all provisiPm".of the BUILDING CODE, THE ZONING ORDINANCE, and
11 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, ner's architect, contractor
PECIAL CONDITIONS OF THE PERMIT:
BY
TOWN OF QUEENSBURY
531 BAY ROAD
`ti ' ; QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION/ RECEIVED b�
NAME CV), 1- i4.,
LOCATION �/2/ 9 i L% /
DATE Y/0/ PERMIT# �$—�i'7c
TYPE OF STRUCTURE Y(
RECHECK /V .; 2 r,,
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/DUC7cWORK
INTERIOR TRIM/PRIVACY DO�'RS
FINISH FLOORS: �
BATH/KITCHEN WATERTLfiSH
OTHER FLOORS SWEEP LE
OTHER FLOORS CARP 1ED �s
STAIR CLEARANCE/RA / INGS
HANDICAPPED ACCE
SMOKE DETECTORS,
BATHROOM FA HOLEHOUSE FANS
ALL PLUMBING FIXTURES OPIATING
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://
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DEPART
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