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CERTIFICATE OF COMPLIANCE
MPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 41.thin ' , 19 9/
This is to certify that work requested to be done as shown by Permit No. 91-235
has been completed.
This structure may be occupied as a situhrana shad
Location Box 30, Ridge Road
Owner Jack Barrett
William Dunbar & Breeze Ann Brownell-Tenants
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
-- n
TOWN OF QUEENSBURY No. 91-235
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to WILLIAM DUNBAR & BREEZE ANN BROWNELL cn
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30 Ridge of property located at Box Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Storage Shed_
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
Jack Barrett
Box 38 Ridge Rd a c)
Queensbury NY 12804
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2. CONTRACTOR or BUILDER'S Name CD
appplicant •
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3. CONTRACTOR or BUILDER'S Address n
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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X
6. TYPE of Construction— (Please indicate by X)
(X)Wood Frame ( ) Masonry ( I Steel ( )
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7. PLANS and Specifications (CI
No. 12'x12' Storage shed as per plot plan, specifications and application.
8. Proposed Use
Storage shed
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$ 15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 25 19 92
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Q'
town of Queensbury before the expiration date.) N
•
Dated at the Town of Queensbury this 25th Day of April _19 91
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SIGNED BY ,&// I for the Town of Queensbury
B ilding and Zoning Inspector
/
TOWN OF QUEENSBURY /1 --` `'"
/ / TOWN OF Qi EEN BUR't
� REVIEWED,`/."ally RECEIVED
. FEE PAID $ `',., / 2
PERMIT .\9/-�,0 APR 2 4
V11.44-� NO. 1991
BUILDING PERMIT APPLICATION r-- -._, BLDG. & CODE 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.
• * • • • • • • • • • • • * a * * a * * a * a • * a • • a a * a * a • a * • * *
i`.
The owner of this property is: " spo\. PC .Sfgc?c_421-\ '
P.O. Address `OUct Tel. \ — 9- -S(�t
Property Location e ?d S\c` al.'Q---‘e.-rAkr.AAZ_ 1�- Tax Map No. 5 // / 3
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO. .
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
(
CZ___ — \\,- ...-4---,.e...31,:::\ '----- /..._
NATURE OF PROPOSED WORK: * ESEMATED MARKET VALUE OF
V Construction of a new building „ / CONSTRUCTION: $ � �75,no •
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
* Size of property ft x ft.
Alteration to a building , • Existing Buildings(3) Size ft..x ft.
(no change to exterior dimensions) •
Proposed buildi g - distance from property line:
. Other work (Describe) * '
Front yard /,_ AP ft. Rear yard .® ft.
* Side yards `� ft. and 10 ft.
*
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor sq. ft. * OCCUPANCY INFORMATION
*
2nd Floor sq. ft. * ' Primary Building -
Other Floors sq. ft. • One Family Dwelling
(hot cellar or base:-:ont Two Family Dwelling
_TOTAL FLOOR AREA sq. ft.
• Multiple Dwelling/Number of units
Size of new structure /02 ft x /,,, ft. • Business
Foundation-pier/slab/crawl/partied/full * Industrial
(circle one) • 2‹, Other Cc1r1 Q c * e\
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 Garage ONE/TWO Car
No. of bathrooms •
Primary heating system • ._Attached Garage ONE/TWO Car
Type of fuel • __Private storage building
No. of fireplaces to be installed •
Other .•
Will a wood stove be installed
Central Air conditioning *
' OVER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
i(T!,,pe of construction, wood frame, fire safe, etc. �.l D� g� - Q
Will any second-hand or upgraded lumber be used? If so, for what? Do
KFoundation wallterialcLL ,ps sQ7\vxGc\ Thickness
Depth of foundation below grade (to bottom of-fbo ing)
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? •
xType of roof slope flat/shed/other bk r„J Material of roof ilk QThy � A\o
/ '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. -
XExterior wall finish C)% (Ry4-Ax-kk of what material?
Interior wall finish
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? 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)
NAME OF BUILDER ADDRESS TEL. NO.
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME 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
the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
such work is authorized by the owner. �Jo
Signature - �
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION/ RECEIVEDD
NAME //a/L-1
LOC TION
U \ VØ( PERMMIT/
TYPE OF STRUCTURE SW: t S �
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL _FRAMING
ROUGH PLUMBING _FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS /L/ 4s/J,
APPROVAL
N/AI 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:
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TOWN OF Q `� N : BURY .
Bu:L_D! G • i�� ► ' S DEPT,
` �/ TOWN OF QUEENSBURY
FrE°vlE1PJED BY /,//�L� L� RECEIVED
DATE ,IngrAPS /9
APR 241991
BLDG. & CODE DEPT.
TOWN OF QUEENSBURY BUILDiNr. nFPAPTMFNT
Based on our limited exammah,, .
compliance with our comments;hall
not be construed as indicating the ty
plans and specifications are in Lull t
compliance with the code.
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TOWN OF
TOWN OF QUEENSBURY
2 RECEIVED
Z ing Ad . ,tratur APR 2 41991
BLDG. & CODE DEFT.
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