89-921 .„
a I
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date t?,t'r':Z4., 19
This is to certify that work requested to be done as shown by Permit No. F» -PPA
has been completed.
This structure may be occupied as 31 exterior ax terationz
I nation Main Street & Ryan Straet
Owner Cvmberia d Farms
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT -,
x
TOWN OF QUEENSBURY
No. 89-921
a
WARREN COUNTY, NEW YORK o
1—
PERMISSION is hereby granted to Cumberl and Farms w
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OWNER of property located at Main Street « Ryan Street Street,Road or Ave. A'
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in the Town of Queensbury,To Construct or place an exterior alteration
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, MA 02021 W
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2. CONTRACTOR or BUILDER'S Name r
Larry Dickerson v
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3. CONTRACTOR or BUILDER'S Address :I
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) to
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70
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7. PLANS and Specifications
11
No. Exterior alterations to business m
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8. Proposed Use
Exterior Alterations
xi
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$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES XXXXXXXXX November 29 19 XX 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.)
m
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Dated at the Town of Queensbury t29th Day of November 19 89
72
1-1
SIGNED BY for the Town of Queensbury 7o
Building and Zoning Inspector r
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'OWN OF QUEENSBURY
REVIEWED BY
,� � 1b111 FEE PAID $ = `SOWNop
Ii PER MIT NO. L:E Ssi
BUILDING PERMIT APPLICATION NO2V "
igQE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
IL 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 a a a a a a * a a * a a * a * * a * a a a a a a a a a • a a a * a a
'he owner of this property is: IA H e A L- cCLA P��✓z. z �.)
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.0. Address 7 7 7 bed/I A-w°- S': 1,) MA . C22.0 z,1 Tel. (`I�/ 7 ) .Z S ---4 oz L1►
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roperty Location AN t) -t'. / ,s3`, Tax Map No. / /
ras there been any split of this property since October 1, 1988? / v
yes Planning Board Review is necessary. yes no Ca
UBDIVISION NAME, IF APPLICABLE LOT NO. = 4
HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
LIR�o-1 e c t<e - c (- 04°) to . -- 14.g•
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ATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF
NouP
•
Iii
Construction of a new building „ CONSTRUCTION: $
• COMPLETE INFORMATION REQUIRED BELOW: ‘e
Addition to a building
• Size of property ft x ft.
Alteration to a building • Existing Buildings(3) Size ft. x ft. 2
(no change to exterior dimensions) •
Proposed building - distance from property line: 01.
Other work (Describe) • Front yard ft. Rear yard ft.
• Side yards ft. and ft. t;
•
ROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
•
41:
1st Floor sq. ft. OCCUPANCY INFORMATION
• rill
2nd Floor sq. ft. • Primary Building -
• One Family Dwelling 3
Other Floors sq. ft.
(not cellar or basement _ • Two Family Dwelling
AD
OTAL FLOOR AREA sq. ft. • Multiple Dwelling/Number of unitsWhim
ize of new structure ft x ft.
• Business
'oundation-pier/slab/crawl/partial/full
• Industrial
(circle one) • Other
Vic r�
°ST`)• V V
to. of stories (habitable space) • ,�,
[eight (grade to ridge) ft. * If addition, what will use be?
f residential, no. of families •
to. of rooms(excluding baths) • Accessory Building
fo. of bedrooms • _Detached age O WO Car
lo. of bathrooms •
'rimary heating • At- ched , age ONE/TWO Car
system
type of fuel • Po 'ate storage ' ding
!Io. of fireplaces to be installed_ • �'.
• _Other
Will a wood stove be installed_
Central Air conditioning •
i
OVER
R
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Tape of construction, wood frame, fire safe. etc. p
Will any second-hand or upgraded lumber be used? If so, for what? 1 ri
Foundation wall material ,JJti Thickness
Depth of foundation below grade (to bottom of footing) N
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Will there be a cellar? rJ ) i Heated or unheated? 1.3/ 4 Floor sq. footage sq ft.
Will there be a basement? if\-)-3 Will any portion be used as living space?
( °'so, what portion? sq ft. Type of use?
/type of roof - sloped/flat/shed/other Material of roof i j
wood studs "x " spacing " o.c. length ft. pi fl
plo sts (floor beams) 1st floor "x " spacing "o.c. span ft. /44
, 0,ist (floor beams) 2nd floor "x " spacing "o.c. span ft. A.)/jl-
3Oterlays (ceiling beams) "x " spacing " o.c. span ft. 4 fA-
r?I Obf rafters "x " spacing o.c. span ft. ))/}"
;oof trusses (pre-engineered) spacing " o.c. span ft. 1 A
:Exterior wall finish of what material? J /1
`t terior wall finish ) / 4
; f,agarage is to be attached, describe materials to be used for FIRE SEPARATION:
i
there to be an opening between garage and dwelling? ) I ($ If so will a Fire-rated door, enclosure,
f-closing device be provided?
¢W 111 a flue-lined chimney be installed? /1 Height above roof ft.
Depth of chimney foundation below grade flitft.
Dpth of fireplace hearth ft. in..AL)J4
Miter supply - Municipal or private well ems, r` - ; a�
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties.,`,sTr< ft.
(`separate application is necessary for any repair or new installation of septic system)
' ,oy3 j, 64 3D o 2--
NKM OF BUILDER Roy.. T C s?. Q ADDRESS -.4. ® ') 7 TEL. NO.0 o4 )
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
IME OF ELECTRICIAN ADDRESS TEL. NO.
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
:he descP :-=,.emises and that all provisi&r-.of the BUILDING CODE, THE ZONING ORDINANCE, and
ill other laws pertaining to the proposed work shall be complied with, whether specifi or not, and that
;ueh work is authorized by the owner.
Signatur 6eAL
Owner, n s agen architect, contractor
iPECIAL CONDITIONS OF THE PERMIT:
BY
_
. TOWN OF QUEENS8U0Y
531 BAY ROAD
QUEENS8URY, NEW Y0RK 12804
' TELEPHONE /518\ 746-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED `
PME�
LOCATI :ST_ I','`/�� ^~~-
DATE
PE��%Tf
TYPE OF STRUCTURE
/�-n������/��AjAi-,`AC
RECHECK
` -
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
__Fuu/Imu FOUNDATION BACKFILL FRAMING
` __ROUGH PLT�BlNG FINAI-ELECTRICAL-- SEPTIC
' INSULATION
`
"E"A^^a
� APPROVAL
CHIMNEY HEIGHT/LOCA ION '
N/Al YES NO
8 VENT/LOCATION
,Lv,mInG vEw|
""",Inu ----
"E^~/ruRCrvS/ErS/xx1Ll
� RELIEF VALVES
' FURNACE/HOT WATER 0
BASEMENT INSULATION/'DUCTWbRT
INTERIOR' FINISH FLOORS:� '`
TRIM/PRIVACY7 ~"" `^
BATH/KITCHEN WATERTIGHT '
� OTHER FLOORS ' --'
� OTHER FL0ORS/CARPETED --
STAIR CLEARANCE/RAILINGS
�
� HANDICAPPED ACCESS '
. SMOKE DETECTORS �
, BATHROOM FAN3/WH0LEHUUSE FANS �
� ALL PLUMBING FIXTURES OPERATING �
GARAGE FIRE PROOFING `
\
DOOR CLOSERS -
OTHER FIRE 3-- KATION '
FIRE/DEMISE WALLS '
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
, FINAL ELECTRICAL --
' UK TO ISSUE C/O ORC/C
' COMMENTS:
- --- '
' ARRIVE
' DEPART
INSPECTOR
(it L
TOWN OF QUEENSBURY
4iiii4k 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
� h TELEPHONE (518) 745-4447
" '`'°`-`` BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAM a)A41 G i. -'V) /si'L-M'r.
LOCATION ,M (4/ IL 12.4 Ai
DATE ( (C(',( PERMIT/ ('-f F z
TYPE OF STRUCTURE 6-)c�=i-ifp , 1\-L-1-41-'tTtO/J
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ ODROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC
INSULATION WOSTOVE/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
ii 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 X
COMMENTS:
(/-
CM(IVO .
(76-A ` ci-. -L . '11eco4L I -c% '()
ARRIVE J
DEPART_ic �, /-t.--
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