96-593 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 28 19 98
96593
This is to certify that work requested to be done as shown by Permit No.
has been completed.
POLE BARN
. This structure may be used as a
location 1,503 BAY RD.
Owner DOUGLAS, BRIAN & MARY LOU
•
TAX MAP NO. 28 . -1-14 .1 By Order of Town Board
TOW OFF y r
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 5000 TOWN OF QUEENSBURY No 96593
TAX MAP NO. 28. -1-14. 1 WARREN COUNTY, NEW YORK
DOUGLAS BRIAN & MARY LOU
PERMISSION is hereby granted to ,
OWNER of property located at
1503 BAY RD. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a
POLE BARN
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
1503 BAY RD.
LAKE GEORGE , NY 12845
2. CONTRACTOR or BUILDER'S Name
DOUGLAS , BRIAN
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) POLE BARN
1 Wood Frame 1 1 Masonry O Steel 1 1
7. PLANS and Specifications
864NSQ FT POLE BARN AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
POLE BARN
50 October 8 19 98
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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.)
8 October 19 96
Dated at the Town of Queensbury this Day of
Oe_ • �`4^ for the Town of Queensbury
SIGNED BY
wilding and oning Inspector
Building Permit Application _
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-825611
A BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance r
A permit must be obtained before
1 of this permit: PERMIT FILE NO. %--5( 3
beginning construction. No inspections _o
>7
will be made until applicant has received piZonin g Board Action PERMIT FEE PAID$
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE P
applicants' spaces on this application
.0
MUST be completed and the signature fl Planning Board Action REVIEWED BY:I ,
of the applicant must appear on the
SPR / Subdivision /Other Building Inspector
fpplication form. Thank you. ` J
J> recreation Fee Payment ,
Applicant: �f"/AA/ Tr,/i/'��a �:/dv4 Owner: i/ / /lf/7 . >
Address: il-VteiCalAddress: s.:
Phone # 7C\�JOd2�tl -�C,`', " ?
(f�f ) 9 - ye _ t..,)oY k Phone #i (f ) ,7f ref
Property Location: /5 -J pay/4/ A,6"; 7, ' I
Tax Map Number c- S. / / l /I
Subdivision Name:
Section Block Tnt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwellinn—
Residence / Commercial Two Family Dwelling '
no change to exterior size Family Dwelling
Office
' / SEP 2
V Other Work (des ribe below) Mercantile
.OlE 0i1-1'.I/ 7 4 z?adIfie, Manufacturing ,t )` C`
Other .v . ,'1=-
GROSS AREA OF PROPOSED STRUCTURE:
If ADDITION, what will use
1st Floor sq. ft. of new addition be? :
2nd Floor sq. ft.
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: 7` SQ. FT. Attached Garage 1, 2 car
l/ Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
a Other
FEET X � 3'jp FEET
Foundation Type: P037,$ /4/ CeA4/� orr Will any second-hand or ungraded
Number of Stories: / lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : Ay feet TYPE OF HEATING SYSTEM:
Number of fireplaces a d/or woodstove (circle all which applis)
to be installed: Electric / Oil / Gas // ood
Forced Hot Air / Baseboard / Other
Person responsible fosupervision of work as regards to building
codes is: ,gi"/i ,4/ __Jvr,/.�s /.S O..> .I�'�;y"ea', Ali, ,7..1-8" 77
rNem� , Addresss/ Phone
Builder: ; r.,., ;;r , F• ',,
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; drawn to scale, showing actual location roject on premises.
Signature: C= �2 e� � 7-"`,'' ,,`"--
(owner, owner's agent,,archi , ractor)
c›LV1I (
(518) 761-8256
TOWN OF QUEENSBURY (PIO
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804il
INSPECTOR'S REPORT: ARRI•Z5 DEPART "C��INT i
REQUEST OR INSPECTI N RECEIVED: 1 p �- 11
--)
NAME '�/- 0 - OLS i
LOCATION � C
DATE / l 1`q- I E IT# .1' q 3
TYPE OF STRUCTURE: 'O)f', r1-\
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAIL
THE CONTRACTOMr
SPONSIBLE FOR
PROVIDING PROTE FRO FREEZING
FOR 48 HOURS FOLLO ING THE PLACE-
MENT OF THE CONCRE E.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBI NDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
___./.. /1/".
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
/ 714)
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR V DEPARP 5INTf
REQUEST •R INSPE TION RECEIVED: _
NAME 11b lJ Q
LOCATION
DATE T/�A
TYPE OF STRUCTURE: \ Q
RECHECK APPROVED
N/A YES NO i
OOTINGS/PIERS �//
MONOLITHIC POUR F
REINFORCEMENT IN PLA E
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
( et)
(518) 761-8256
TOWN OF QUEENSBURY .
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR��f® DEPART/4 INT J
REQUEST FOR INSPECTIION RECEIVED:ff
NAME 0OUCb1-46 .QA)
LOCATION DATE / t/-/Q
� PERMIT f
TYPE OF STRU TURE:
RECHECK APPROVE
N/A YE NO
FOOTINGS,PIERS
MONOLITHIC POUR FORM }�
REINFORCEMENT IN PLACE 1 _
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING -
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB -
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING ---
JOIST HANGERS
JACK POSTS_/MAIN BEAM
AIR INFILTRATION BARRIER —
HEATING ROUGH-IN -
INSULATION:
FOUNDATION WALLS INTERIOR R-
R-
WALLS R_
CEILING
DUCT WORK OR PIPING IN R-
UNHEATED SPACES
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TOP CHORD 2x6 SPF 1650f-1 .5E RECOMMENDED CAMBER 5/8' AT MIDSPAN BETWEEN BEARINGS.
BUT CHORD 2x8 SP SS Dense : 82 2x4 SPF #1/ff2:
WEBS 2x4 SPF *3 : W3 2x4 SPF #1/1112: THIS DESIGN TO BE USED WITH DRYWALL OR OTHER FLEXIBLE CEILING r
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MATERIAL TO BE SUPPLIED AND ATTACHED AT BOTH ENDS TO A
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TOWN OF QUEENSBURY
wDEPARTMENT OF COMMUNITY DEVELOPMENT Z w,- R `
O L),r Applioat
EUBUILDING PERMIT NUMBER 01146.
-4,111
t.J C , (0-" ' 5Ct. 3 0 ‘
A
1. BASIC/BUILDING PERMIT INFORMATION: Zee, tnr
a, Applicant/Name &Address Agent/Name & Addres. TO' a
applicant argent
CJ H
Ia W
TAX M4P NUMBER:
r'J.Itirt-'s Nnue iAddtes:; C9R. /Lit 1
0 4 \k/Z:nn� * i t, i * Pi. )et . dkitess 11
q
l SO 3 12-z.w6` 1
(1-4 —3 i'9
2. PROJECT DESCRIPTIO ,
= • • .ran (2 copies)
a buil.ing plan (2)
sewage disposal
❑energy code
3. PROPERTY INFORMATION: electrical inspection
driveway permit
SEETBAC'K.S REQUIRED ACTUAL. Zcepleted/signed
E PAID
Front Yard AT7 4SC2 ......-
Front (if corner)
Side Yard (1) /)0 lr- ID NEW CONSTRUCTION
Side Yard (2) 00 ,-(i a ADDITION
Rear Yard 0 ALTERATION
Width ` 0 MODIFICATION
Depth CISICTN
YES NO N/A
PROPERTY IS IN APPROVED SUBDIVISION
n in *
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: %
Building does not exceed maximum height/ Max. ft.
Required setbacks from stream, lake and/or travel corn'or
meets requirement
Buffer zones required
Is lot in a Flood Plain Zone?
OVER
4. STAFF DETERMINATION:
1u As per Section(s) of the Zoning ❑ Sign ❑ Subdivision
Ordinance Ordinance Regulations
0
11 )
z
u= 5. REVIEW REQUIRED BY ZONING BOARD OF APPEALS:
ACTION FILE NUMBER RESOLUTION DATE
❑ Use Variance
❑ Area Variance
❑ Sign Variance
❑ Other
Comments:
6. REVIEW REQUIRED BY PLANNING BOARD:
ACTION FILE NUMBER RESOLUTION DATE
❑ Site Plan Review
❑ Subdivision
El Planned Unit Dev.
❑ Other
Comments:
PREVIEWED BY STAFF DATE COr.ir'.'lENTS
� zS-