95-624 BUILDING PERMIT
VALUE $ 500 TOWN OF QUEENSBURY 95624
TAX MAP NO. 28. -2-7 No.
WARREN COUNTY, NEW YORK
DAVIDSON, CASH &
PERMISSION is hereby granted to
1475 BAY RD.
OWNER of property located at 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
R.D. #1 BOX 1475
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDERS Name
DAVIDSON, CASH
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
STORAGE SHEDS
)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
200 SQ. FT STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
STORAGE SHED
$ 15 97
PERMIT FEE PAID —THIS PERMIT EXPIRES November 13 19
(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 13 Day of November 19 95
X � �
SIGNED BY for the Town of Queensbury
Building and Zoning Intor
Department of Community Development Reviewed By: ,_\pt./
Building & Code Enforcement `zs ' in' ti spe5t6
Town o f`Queensbury i � Permit No. / D
742 Bay Road
Queensbury, New York 12804 "' Fee Paid $ 5-- &a...Li
(518) 745-4447 Building Permit Application
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 application form.
Applicant: 45/ Owner: 7-7/ l e S
Address: ?/J Pax /477,54 7,9J` Address: Si
Phone # ( ) 'YS `��5� Phone # ( )
Property Location: % /pp.' /✓ ow BA Af?74- /`t9 `� 7
Tax Map Number -�
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARK'T VALUE OF THE
New Building: CONSTRUCTION: $ %
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dweing
/ Office Other Work (describe below) Mercantile OCT lA 1995
5.9 P r 4Pprri ' , fl $A¢,e ./ Manufacturing
f�- Other
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor 'B, sq. ft . If ADDITION, what will use
2nd .Floor s ft. of new addition be? :
q' Sltee teii �u,s�.✓ctos D 5 A, ec6,
Other Floors sq. ft.
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1 , 2 car
TOTAL FLOOR AREA: 0— SQ. FT. Attached Garage 1 , 2 car
pc Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
/' FEET X FEET Other
Foundation Type: rotes ai psrrZ> Will any second-hand or ungraded
Number of Stories : / lumber be used? If so, for what?
(habitable space only) We)
Height (grade to ridge) : /y feet TYPE OF HEATIF4 SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies) "/,(4:4=
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : Z. 5,/1/ 4 044
Nape Addresss Phone
Builder:
Plumber:
Mason:
Electrician:
DECLARATION: Please sign below after you have carefully read the statement.
To the best of my knowledge 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 noted, and
that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor. wn to , owing actual location of project on premises.
Signature:
(owner, owner's agent, architect, contractor)
5r3
/�w TOWN OF QUEENSBURY
/; BUILDING & CODE ENFORCEMENT
iA � 742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447 74f'.V--07
ARRIVE: 9 5
' DEPART: 9' INS,':
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME bit ti L 0 5 /, n195I(
LOCATIO la
i A'E//
DATE 1 l //PERMIT N .i 3Cat
TYPE OF STR CTURE �({,cr7 )
FOOTINGS_ FOUNDATION 1, BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC, INSULATION
FINAL ELECTRICAL WOOD•TOVE OR FIREPLACE
- . JN/A YES NO
CHIMNEY HEIGHT/B VaNT/HE GHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAI IN .S .
/
RELIEF VALVES
FURNACE/HOT WATER OPERATI
INTERIOR TRIM/PRIVACY DOORS
• FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOOR SWEEPABLE
•
OTHER FLOO•-S CARPETED
STAIR CLEARA - 1-
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
I/
OK TO ISSUE C/O OR O
4°4(466' 7c eel 5 v/ , /4ls2 a/Z ',01 ,
cce S STl<<- bk./ k
TOWN OF QUEENSBURY
lf"' BUILDING & CODE ENFORCEMENT )4,
. j 742 BAY ROAD
)))
QUEENSBURY NY 12804
(518)745-4447
I E: V DEPART: t,Ln") INSP:
FINAL INSPECTION REPORT - RESIDER A
DATE INSPECTION REQUEST RECEIVED:
NAME . v i 6
LOCATION , 'Ik�S U�
DATE A+ �4 5 PERMIT I -UI a t/
TYPE OF STRUCTURE SA
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT B VENT EIGHT
PLUMBING VENT 11111111 I -Ela
ROOFING IIIIIIIIIIEMM
EXTERIOR FINISH ..W,
DECK PORCH STEPS RAILING in
RELIEF VALVES 111111111
FURNACE HOT WATER OPERATINe1111
INTERIOR TRIM PRIVACY DOORS-
FINISH FLOORS: WI
BATH/KITCHEN WATERTIGHT VI
OTHER FLOORS SWEEPABLE VA
ll
OTHER FLOORS CARPETED
STAIR CLEARANCE RAILINGS All
SMOKE DETECTORS 111M
BATHROOM FANS ,mai
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE RE*.
FINAL SURVEY PLOT PLAN i
OK TO ISSUE C/O OR C/C
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DESIGN AREA MOT' rc..9-✓ Sheet z of z
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Application
Zoning A inistr or
TOWN OF OUEENSBURY
y 7o
TOWN OF QtJEENSBURY
La�1'..4RI r,1L.r1 r (,,i' � rsr,ll,.1,J " . L r 01 p
III
w BUILDING PERMIT NUMBER C^
Application
livir " i NOV 71995
LLI R5-
�` 9- ' .
ti C i
1. BASIC/BUILDING PERMIT INFORMATION: zoning .•rr►ini: rator
a A A. .licant/Name & Address A_ent/Name & Addre ' ••_= �B
Cof agent
7
+
TAX MAP NUMBER:
Cr� ..,e=t '.. i`I"1tii<-i_Kc1;1re :;
iw
Cam] h7
♦ r► A i ._� 'IY\ Ellinfanall �`OG„ 1
, 1 ceii34
2. PROJECT DES PTIO
--- w..�.... ...ti... tarlot plan (2 copies)
IN •uilding plan (2)
_..... sewage disposal
MI energy code
3, PROPERTY INFORMATION: • electrical inspection
.,4 �' " NA driveway permit
F7'F F ii Tr:;_'' a p r,t? `El L) A� -I T Fu i_. :q( completed/signed
$„y Y,
,' EaPEE PAID
Front Yard �iW/iiIIIIII "0 •,21
Front ( if corner) IIIIIIIFIIIIIIIIIIIIIIIIIIIIIIIIIIIIIr411111N1
,, Side Yard (1) A',�l L `E CONSTRUCTION
��� �..+ ADDITION
Side Yard (2) �Rear Yard ALTERATION
��1� ,./t , 8 1r� 4 MtDIPIGATION
Width 1� : Li�r� N
Deith /
_IIII®
YES NO N1A PROPERTY IS IN APPROVED SUBDIVISION
Meets depth, width & square footage requirements
Preexisting, nonconforming lot with proper setbacks
Required road frontage on public road
Has required off-street parking
Permeable area is adequate /'Required: -2s- %
Building does not exceed maximum height/ Max. 35' t.
Required setbacks from stream, lake and/or travel corridor
meets requirement
Buffer zones required
Is lot in a Flood Plain Zone?
0 VLRJ
4. STAFF DETERMINATION:
As per Section(s) of the[_1 Zoning 0 Sign II Subdivision
Ordinance Ordinance Regulations
C
w
lJ
Li_
5. REVIEW REQUIRED BY ZONING BOARD OF APPEALS:
ACTION FILE NUMBER REROLUTIOP DATE
❑ Use Variance
0 Area Variance
❑ Sign Variance
❑ Other
Comments:
6. REVIEW REQUIRED BY PLANNING BOARD:
ACTION FILE NUMBER RESOLUTION DATE
Site Plan Review
❑' Subdivision
0 Planned Unit Dev.
0 Other
Comments:
REV IE'!,,ED BY STAFF DATE COry1r.1ENTS