91-287 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ,ice d' 19
This is to certify that work requested to be done as shown by Permit No. 91-287
has been completed.
This structure may be occupied as a Addition to Storage Shed (Dempster Enclosure)
Location
395 Ridge Road
owner Adirondack Animal Hospital
By Order Town Board
TOWN OF QUEENSBURY
'7)i././A1
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 91-287 • X
WARREN COUNTY, NEW YORK
.
PERMISSION is hereby granted to Adirondack Animal Hospital
ve
OWNER of property located at 395 Ridge Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to storage shed (Dumpster Enclosure) ~'
tV
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 p
0.
ty
7C
2. CONTRACTOR or BUILDER'S Name
Fuller Construction Co. male
moni
3. CONTRACTOR or BUILDER'S Address tti1
9 John Clendon Rd �•
Queensbury, NY 12804 `+
emol
4. ARCHITECT'S Name
0.
CI.
0
5. ARCHITECT'S Address t/1
el.
0
co
_ 0
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( ) f o
d
7. PLANS and Specifications
No. 172 sq ft addition to storage shed as per plot plan specifications
and application
8. Proposed Use
Dumpster Enclosure
$ 15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 14, 19 92
(lf 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 Queensbu this 14th ay of May 19 91
SIGNED BY C for the Town of Queensbury
Buil i nd Zoning Inspector
I
TOWN OF QUEENSBURY
REVIEWED BY .�-
FEE PAID It /5 TOWN OF ( UEENSBUHY
ilial� � PERMIT NO. 47 f-, k 7 RECEIVED
BUILDING PERMIT APPLICATION MAY 9 1991
BLDG. & CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
FILL 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 • * • • * *
The owner of this property is:iii-D/QoA.J Drrek 4
P.O. Address 3e:::t d- eiP6--e- ,e6,6 ex/s 'v/ Tel. S/.,-- 71,3-6, 61_
/26—o/
Property Location cs'f,wrc" Tax Map No. �' ( // / / 2—
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:
*
VATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF
* CONSTRUCTION: $347
Construction of a new building *
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 building - distance from property line:
V--gther work (Describe) * Front yard ft. Rear yard ft.
•
6 1.'6)2 7',p Tbv Ail p cy Side yards ft. and ft.
i �2 •
3ROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor `72-- sq. ft. •
• OCCUPANCY INFORMATION
2nd Floor sq. ft. • Primary Building -
Other Floors sq. ft.
• One Family Dwelling
(not cellar or basement) Two Family Dwelling
• Multiple Dwelling/Number of units
TOTAL FLOOR AREA /2 2- sq. ft.
Size of new structure/l il ft x IS- ft.
* Lusiness
* Tntiuctria1
Foundatio• siabicravdipertial/full
circle one) • Other
•
lio. of stories (habitable space) / •
Height (grade to ridge) /0 ft. • If addition, what will use be?S70/ed ")
If residential, no. of families ------ • E)C 0 _..E
No. of rooms(excluding baths) • ccessory 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
Willa wood stove be installed •
•
Central Air conditioning "
OV' ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, rood fram)fire safe, etc.
Will any second-hand or upgraded lumber be used? If so. for what? ��
Foundation wall material /t/ o Ai0-- Thickness
Depth of foundation below grade (to bottom of footing) , /, "
Will there be a cellar? Heated or unheated? N Z� 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?
Type of roof - sloped/flat• .ther Material of roof 4 &Z_-0-fr , jpzlyt1 --
Size, wood studs Z "x 1-7 " spacing/4 " 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 Z "x " spacing�c -o.c. span // ft.
Roof trusses (pre-engineered) spacing " o.c. span ----ft.
Exterior wall finish -/// a ywo p n of what material? `
Interior wall finish /VO ,U
tea, describe materials to be used for FIRE SEPARATION:Nf
,,,_(-,---e, 37i--
7-7----;,,,--
eb.. i 4-=-- 03/cohz-e—, Dx_i
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? �p Height above roof ft.
Depth of chimney foundation below grade —ft.
Depth of fireplace . - , h "-ft. in.
Water supply Municip: 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 444=g jA,s-7 a ADDRESS7,...Te:y.J dfr-/Dox1 oGTEL. NO. 7`12--2,0)0
201I-
NAME OF PLUMBER ADDRESSa)� S V.SORI TE NO.
I
NAME OF MASON • ADDRESS TEL. NO.
NAME OF ELECTRICIAN S,9II 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.
Signature
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
TOWN OF QUEENSBURY ------
Air 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
DING INSPECTOR'S REPORT
FINAL JNSPECTION
REQUEST FOR CHI'
RECEIVED
LOCATION 4 =' (-- `)— /ti_'j I3 >
DATE_ L7(c PERMITS C( I ` i
TYPE OF STRUCTURE
RECHECK + -f'.!)6:'„< :7,7r i)4 `'_ 1, !S r '..ka0 ..
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_
FOOT FOUNDATION BACKFILL FRAMING
—ROUGH PLUMBING FINAL ELECTRICAL-- SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/AI YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING_ t/
SIDING e.,----'
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 1/---
COMMENTS:
i2
ARRIVE f.--)�
DEPART j: 5
I P T
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME k V_d iAMIC D-U i MN I___ P-
LOCATION
DATE 12- Cr F PERMIT # C3 I —7 (
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
OOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR48 HOURS FOLLOWING
THE PLACEMENT\OF THE CONCRETE.
MATERIALS FOR tHIS PURPOSE ON SITE
FOUNDATION/WALL"FOUR
REINFORCEMENT INfLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING ^� ./
JOIST HANGERS ;c
JACK POSTS/MAIN BEAM 'i
FIRESTOPPING
WALLS
CEILING ,
FIREWALLS
HEATING ROUGH-IN /
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WA LLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
R RKS: ii _ _
�� 1
/7,-,
--3_4,-1--ae-f9.
K- --cc ac......,
ARRIVE /f'(6
DEPART (7,7 L'
INS PE TO
1 i
,
'
GEs ,
—
_.... may_.. ._ . - - - _— . _---•------- - _
4t_
p
ip
.. • ��pn `ISO" 1=0" 4�0"
giop
1
IZI-QN Id _
IP'O
• a
4 on
.00
LA
Ta
Qu
i • X \
O \
1N
o1y I qco
.a
1
Nmc
m -�
1 o � L c g
m
�
m mm ,
m ..a g _
M
®
'a
to bpo
,
}
yl
• ' '
�$ 1 Wn
WO
t
,