91-481 rt
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 14 , 19 95
This is to certify that work requested to be done as shown by Permit No. 91-481
has been completed.
This structure may be occupied as a Pole Barn
Location Star Route Box 27
Owner Norman S. & Marie G. Nimes
By Order Town Board
TOWN OF QUEENSBURY
V\1701)--t.4.7-1-1-0-7-CA-\s�
Director of Bldg. ac Code Enforcement
BUILDING PERMIT
z
TOWN OF QUEENSBURY
No. 91-481
WARREN COUNTY, NEW YORK c
cri
PERMISSION is hereby granted to Norman S. & Marie G. Nimes
N
W
OWNER of property located at Star Route Box 27 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 to
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
0
1. OWNER'S Address is
Same
ae
x
2. CONTRACTOR or BUILDER'S Name
Same �.
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3. CONTRACTOR or BUILDER'S Address1.0
O.
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70
4. ARCHITECT'S Name
O
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OC!
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
IX Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 600 sq ft Pole Barn as per plot plan specifications and application
8. Proposed Use
Pole Barn
$ 50 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 9, 19 92
(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 9th Day of July 19 91
SIGNED BY f for the Town of Queensbury
Building and Zoning In or
TOWN OP QUEENSBURY
L.J
REVIEWED BY: CA
4112111
5,4 ...r FEE PAID: IOWN OF QUEENS3URV
�' RECEIVED
PERMIT NO. : //"1,1
JUL 51991
BUILDING PERMIT APPLICATION BLDG. & CODE DEFT„
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.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: S.YRNI/+-n/ S "q/e/L G /'t,,-- • J14/i'
P.O. Address: .Si rPGoF' gpX d 7 C,),,c-07,s1?dIe', ,.›- ic►3-o y PHONE 7701 -enc.
Property Location: .S iE- Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No X
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: /4/f��-� Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
J( Construction of new building * CONSTRUCTION: $
Addition to building *
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: ft. x ft.
Other work (describe) * Existing Building Size:
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor (r C;() Sq. Ft. * Front Yard ft. Rear yard ft.
* Side Yards ft. and ft.
2nd Floor --- .,—..._.R..__-- Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: t' CC' Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: 3 o ft. x 0.19 ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pie9Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) * ii Other y Sia 2Ac1e
Height (grade to ridge) 020 ft. * J
If residential , no. of families: * If addition, what will use be?
No. of rooms (excluding baths) : 10 *
No. of bedrooms: 0 *
No. of bathrooms: O * Accessory Building:
Primary heating system: /von/E * Detached Garage - One/Two Car
Type of fuel : * Attached Garage - One/Two Car
No. of fireplaces to be installed: * Private Storage Building
Will a woodstove be installed?: A/o * Other
Central Air Conditioning: Yes No ,../ *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. i.A/0 ht'4i). '
Will any second-hand or ungraded lumber be used? If so, for what? No
Foundation Wall Material : Thickness:
Depth of Foundation below grade (to bottom of footing) : 4 f't
Will there be a cellar? Atv Heated or Unheated? (/iv Floor Sq. Footage: 1041
Will there be a basement? yiv-,0 Will any portion be used as living space? A-V
If so, what portion? Sq. Ft. Type of Use? b,r S 7?�ec7t e'6
Type of Roof: Sloped Flat/Shed/Other Material of Roof liA F T i L
Size, wood studs /v4 " x " ; spacing " o.c. ; length ft.
Joists (floor beams) : 1st Floor /v4 " x " ; spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor A/A " x " ; spacing " o.c. ; span ft.
Overlays (ceiling beams) : " x "; spacing o.c. ; span ft.
Roof rafters: 02 " x "; spacing a 1 o.c. ; span 16 ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft. �� S/1-,^'IL)
Exterior Wall Finish: Boqtr6 av1. 4- of what material ? F;N t
Interior Wall Finish: n/A
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: iV .
Is there to be an opening between garage and dwelling? /V,4 If so, will a Fire-Rated door,
enclosure, self-closing device be provided? /l/4
Will a flue-lined chimney be installed? /V) Height above roof ft.
Depth of chimney foundation below grade: Ai4 ft.
Depth of fireplace hearth: N, ft. in.
Water supply - Municipal or private well : NaNt
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: jvvAJt ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: <t iar PHONE 7 9a -SODS
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
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 �auutthorized by t e owner.
��' /v
Signature 2-11,-04
• (Owne' owner's agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
AlC) p
-�" By:
Code Enforcement Officer
TOWN OF QUEENSBURY
531 BAY ROAD
' � QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME AL /I,M4s
LOCATION I.
DATE 2-/ / 1/I q PERMIT# , 1 ; ' *
TYPE OF STRUCTURE i7p L,(S B J f
RECHECK,
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
_INSULATION _WOODSTOVE/FIREPLACE _
REMARKS
L
APPROVAL
CHIMNEY H \
N/A YES NO
NHT OCATION
B VENT/LOCATB
PLUMBING VEIr
ROOFING .
SIDING `
DECK/PO' H/ST PS/RAILINGS
RELI ' VALVES
FUR, ICE/HOT WA R OPERATING
BA EMENT INSULA ION/DUCTWORK
ANTERIOR TRIM/P VACY 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 Y
COMMENTS: '
b� Cp. nAitsvI6-6 --
ARRIVE
DEPART )/c2.1
SP
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 y fl-L )QiYu�' li1Z.CP. ! A'YLO,4
LOCATION/ 7) /a.r/
DATE 2472193 PERMIT # q/-ge' I
TYPE OF STRUCTURE 49a1 20/4 /
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS 0,/,- v L
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
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-IN
INSULATION:
FOUNDATION WALLS INTERIOR R
FOUNDATION WALLS EXTERIOR R=
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
Oyu, F ! 11.I91 e .G ac_ O.._
MDT PrZfNe--r1C-4-t_Iv UDM PL4rEr()Get)
1)17-attbeK- I u i'12-pvG(A-(24L---11/1A%e
ARRIVE b /
DEPART 4! % A.,-41.16s.0 r
INSP CTO'
TOWN OF QUEENSBURY
531 BAY ROAD
zi QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME /V;'914 + hi
LOCATION file i=J �� , ' �e4 l ic,n - L
DATE 1/
/7 z. PERMIT# 11 (
TYPE OF STRUCTURE 1 f' Z,Z,t--
RECHECK
FI-RE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
OOTING FOUNDATION BACKFILL _FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOOD TOVE/FIREPLACE
REMARKS
APPROVAL
N/A! YES NO
CHIMNEY HEIGHT/LOCATI N
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEP:/RAIL NGS
RELIEF VALVES
FURNACE/HOT 'TER OP ATING
BASEMENT I ".JLATION/ CTWORK
INTERIOR IM/PRIVAC DOORS
FINISH F ' ORS:
BATH//ITCHEN WATE IGHT
OTHER FLOORS SWEE ABLE
OTHER FLOORS CARP TED
STAIR CLEARANCE/RAI 'INGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: ), ,
0 --6 c ,c G . k IL,/ A fV/,4AL/ 9 L
ARRIVE
DEPART &
I SP
TOWN OF QUEENSBURY
eft
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME 04 M uAzi. r 7 ah cy, ' /erne
LOCATION j a 42 - : ' 'r
DATE 4 0 NI PERMITS l-la i
TYPE OF STRUCTURE Pcted
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
,erDOTING FOUNDATION BACKFILL _FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMMARKS461 ' p _ o1,ki
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS 1
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS 1J
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE F S
ALL PLUMBING FIXTURES OP ATING
GARAGE FIRE PROOFING ,
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: jr c_).1'PL e /t/3
/_,
ARRIVE (2 :?U
�� -
DEPART J Z p3!')
INS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT ( �
EQUEST FOR INSPECTION RECEIVED
A`
AME C�e j 10C?,1. +ter S
OCATION C1?1)i c �
J C)ATE PERMIT # l —1/ f
YPE OF S RUCTURE 7O/c, ZYt')
ECHECK APPROVED
N/A YES NO
OOTINGS/PIERS l�
ONOLITHIC POUR FORM
EINFORCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE
OR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE.
ATERIALS FOR THIS PURPOSE ON SITE
OUNDATION/WALL POUR
EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING
ACKFILL APPROVAL
OUGH PLUMBING
LUMBING VENT/VENTS IN PLACE
LUMBING UNDER SLAB
RAMING:
-JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
IRES TOPPING
WALLS
CEILING
IREWALLS
EATING ROUGH-IN
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS:
IRRIVE 2=`jC_
IEPART Z. L
INSPECTOR
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JUL 51991
BLDG. & CODE DEPT.
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