92-015 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date AP!/me/Let //419 �S
This is to certify that work requested to be done as shown by Permit No. 92-015
has been completed.
This structure may be occupied as a Shed
Location 578 Bay Road
Owner Edward & Elizabeth Allen
By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. & Code Enforcement
BUILDING PERMIT a
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TOWN OF QUEENSBURY A a
No. 92-015 4
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Edward & Elizabeth Allen ..
OWNER of property located at 578 Bay Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a 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. -r
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1. OWNER'S Address is •
Same a
2. CONTRACTOR or BUILDER'S Name
Same
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name 00V
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5. ARCHITECT'S Address CI.
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( I Masonry ( )Steel ( 1
7. PLANS and Specifications
No. 120 sq ft Shed as per plot plan specifications and application ,
8. Proposed Use
Shed (Storage)
$ 15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 31, 1993
(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 31st Day of January 19 92
SIGNED BY J L for the Town of Queensbury
Building and Zoning In ctor .
TOWN OP QUEENSBURY 1
` TOWN OF
t RECEIVED SBIJRY
+� REVIEWED BY: I f -1--� L,.�--
FEE PAID: a—l"
-
PERMIT w i 1992
� ice,
PERMIT NO. : BLDG. & CODE D
BUILDING PERMIT APPLICATION
a PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
Ill applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
r * * * * * * * * * * * * * * * * * * * * * * *1* * * * * * * * * * * * * * * * * * * *
Iwner of Property: EAU_ 0,,r-d. I F'. i ezci ' j- Y-) Align
.0. Address: PHONE 9 g LP-50
y '°-) F
roperty Location: ,. Tax Map No. / /
as there been any split of this property since October 1, 1988? Yes No-\
f yes, Planning Board Review is necessary.
ubdivision Name, if applicable: Lot No.
HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Ed War 1-1 IIcv-)
%TURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ ' bC 6
Addition to building *
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no chance to exterior dimensions) * Size of Property: ft. x ft.
Other work (describe) * Existing Building Size:
* i ft. x II ft.
* Proposed building - distance from
OSS AREA OF PROPOSED STRUCTURE: * property line:
*
t Floor Sq. Ft. * Front Yard ft. Rear yard ft.
* Side Yards ft. and ft.
d Floor Sq. Ft. * If on corner, setback from side street-
* ft.
her Floors Sq. Ft. *
of cellar or basement) * OCCUPANCY INFORMATION:
*
TAL FLOOR AREA: /)0 Sq. Ft. * Primary Building -
* One Family Dwelling
ze of New Structure: ib ft. x ) ft. * Two Family Dwelling
undation: * Multiple Dwelling/No. of Units
er/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
. of stories (Habitable space) * Other
ight (grade to ridge) ft. *
residential , no. of families: * If addition, what will use be?
of rooms (excluding baths):
of bedrooms: *
of bathrooms: * Accessory Building:
imary heating system: * Detached Garage - One/Two Car
He of fuel : * Attached Garage - One/Two Car
of fireplaces to be installed: * X Private Storage Building
11 a woodstove be installed?: * Other
Aral Air Conditioning: Yes No *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation W 1 Material :
y Thickness:
Depth of Foundation below grade (to bottom of footing) :
Will therebe a cellar? Heated or Unheated? Floor Sq. Footage:
Will there be a basement? 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
Size, wood studs " x " ; spacing " o.c. ; length ft.
Joists (floor beams): 1st Floor " x
spacing " o.c. ; span ft.
Joists (floor beams): 2nd Floor " x "; spacing P g 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.
Exterior Wall Finish: 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 aLY private well (including adjoining properties: ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: PHONE
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: PHONE
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
ill proposed work to be done on the described premises and that all provisions of the
3UILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall
)e complied with, whether specified or not, and that such work is authorized by the owner.
Signature
• wner, ner s ag t, architect
contractor
PECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME (*raj Y f oli ki Q..�l ,
b&
LOCATION 3 Jt SLy '
DATE /2 //6/9-2 PERMIT # 72-:8/5
TYPE OF STRUCTURE
RECHECK APPROVED
. N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE if
THE CONTRACTOR IS RESPO*ISIBL
FOR PROVIDING PROTECTIOtI FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURP4E ON SITE
FOUNDATION/WALL POUR I'-
REINFORCEMENT IN PLACE f`
FOUNDATION/DAMPROOFING,
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS ,IN PLACE
PLUMBING UNDER SLAB:
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-II
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
Lreo
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ARRIVE
DEPART ? ---
INSP CT R
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SEARS .
VINYL ,
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Y
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1 ' ' ! , i r $.// I
- ► $ 0,, t.' 4 -.> ' 1 ' .
PROTECTED BY
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THRUST-OLEUM
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HIGH-GABLE BUILDINGS IN YOUR CHOICE
OF VINYL OR RUST-OLEUM FINISH HAVE
A UMITED 5 OR 10-YEAR WARRANTY•$
F. Over 10-in.taller than our economy model for extra storage space and
easy walk-around accessibility. Rugged mid-wall and roof bracing for
added strength.Constructed of 100%galvanized steel.Rust-Oleum®pro-
tected models contain more paint and extra rust-resistant zinc—include a
5-year warranty against rusting perforation.* Vinyl-coated models have a
finish that's 5 times thicker than standard building finish and have a 10-year
warranty.` Smooth-gliding, deep track doors. Colors: walls, doors—egg-
shell;jamb,roof-coffee.Ready to assemble;pre-cut,precision drilled and
numbered parts.Hardware included.
WxDxH♦ 10x9-ft. i 10x12-ft.
Square feet 84 115
Cubic feet 499 686
Exterior WxDxH 123V4x1071/2x813/e-in. 123'/4x1453/4x813/e-n.
Interior WxDxH 118'/4x102'/4x801/e-in. 118'/4x140'/2x801/e'i%.
Wall height 62-in. 62-in.
Dooropening 551/2x60-in. 551hx60-in.
sConcrete
slab. 121x105-in. 121x1431/4-in.
Protected with Rust-Oleum Vinyl Rust-•
Catalog number 71 B 68511 N 71 B 68513 71 B 68712N 71 B 68714N
Wt.lbs. 220 230 260 ' 275
Price $279.95 5379.95 8399.95 , $499.95
NOTE: Flooring and shelving are not included. •' codes before
ordering. We recommend installation on concrete slabs or concrete footings with
wood or gravel
FILE COPY
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DATE / 7/ 9/
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TOWN OF OUEENSBURY
RECEIVED
JAN 2 1 1992 4 1111
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