91-046 0.
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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ./'J- .2.2 19
This is to certify that work requested to be done as shown by Permit No. 91-046
has been completed.
This structure may be occupied as a Storage Shed
Location RD#1 Ridge Rd, Box 75, Queensbury
Owner John D. Buecking
By Order Town Board
TOWN OF QUEENSBURY
r
Director of Bldg. &c Code 'Enforcement
BUILDING PERMIT .�
TOWN OF QUEENSBURY No.
o 91_046
WARREN COUNTY, NEW YORK
John D. Buecking
PERMISSION is hereby granted to
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OWNER of property located at RD#1 Ridge Rd 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.
O
1. OWNER'S Address is
Same •
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2. CONTRACTOR or BUILDER'S Name
.d.
Same
3. CONTRACTOR or BUILDER'S Address
70
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CD
4. ARCHITECT'S Name a
5. ARCHITECT'S Address
e*
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CD
6. TYPE of Construction—(Please indicate by X)
( ►Wood Frame ( )Masonry ( )Steel ( ) p,
7. PLANS and Specifications
No. 320 sq ft Storage Shed as per plot plan specifications and
application
8. Proposed Use
Storage
$ 15.00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 15, 1992
(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 15 Day of February 19 91
SIGNED BY for the Town of Queensbury
Building and Zoning Inspect r
OWN OP QUEENSBURY
i2'rC iV44=)
REVIEWED BY
4 � FEE PAID $ %_i FEB 1 1. 1991
ii./#0 PERMIT NO. `/ tr`
'LDG. & CODE DEPT.
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
ILL 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.
• • • • • • • • • • • • • * * * * * * *lI'• * • • • * • * • ♦ • • * * • * • * * *
'he owner of this property is. J �`ik 31.t-QC K I I,1
'.O. Address k.1 l ' 1 1(
151 ehv - Tel 7 t46' 7 7
'roperty Location Tax Map No. -' ` /, i ��
las there been any split of this property since October 1, 1988? /
f yes Planning Board Review is necessary. yes no
UBDIVISION NAME, IF APPLICABLE LOT NO.
'HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
*
'ATURE OF PROPOSED WORK: * ESI'MATED MARKET VALUE OF
Construction of a new building * CONSTRUCTION: $ 80,
• COMPLETE INFORMATION REQUIRED EL�OW:
Addition to a building � 1
* Size of property a.� a 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:
Other work (Describe) " Front yard ?�v ft. Rear yard 3 ft.
* Side yards -3 ft. and -3 e 0 ft.
*
{ROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
f ''
1st Floor g 2-0sq. ft. / OCCUPANCY INFORMATION
*
2nd Floor sq. ft. * ' Primary Building -
Other Floors sq. ft.
* ✓One Family Dwelling
(not cellar or base; ent) * Two Family Dwelling
'OTAL FLOOR AREA.c 3z x sq. ft. * Multiple Dwelling/Number of units
ize of new structure --° ft ( ft.
• Business
'oundation-pier/slab/c .: ; rtiai/full
• Industrial
(circleh * Other
•
ro. of stories (habitable space) l *
[eight (grade to ridge) ( 2 ft. • If addition, what will use be? '164-esle-' .
f residential, no. of families •
to. of rooms(excluding baths) b Accessory Building
to. of bedrooms ' _Detached Garage ONE/TWO Car
lo. of bathrooms +
primary heating system • __Attached Garage ONE/TWO Car
hype of fuel I ' _Private storage building
4o. of fireplaces to be installed * Other
Hill a wood stove be installed •_
Zentral Air conditioning
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. l I pci V& -s Z (C,•c r 6 n t fot } Z)(6.h4 get itTEJ
Will any second-hand or upgraded lumber be used? If so, for what? ILA
Foundation wall material `L _Q(c¢.� ,J"�O1F Thickness
Depth of foundation below grade (to bottomt of footing)
Will there be a cellar? V\i' Heated or nheated Floor sq. footage sq ft.
Will there be a basement? 1/14 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 tkuti £C
Size, wood studs "x " spacing " 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 nL "x *S " spacing Z o.c. span g 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 ANY private well (including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER j+ • ADDRESS TEL. NO.
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN 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 J
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION A
REQUEST FOR INSPECTION RECEIVED 0`%, /e/i'
NAME j;1��. >[f.N';�� �,�.7
LOCATION t L,C,r t.
DATE / / 'i/ PERMIT# (s/-
TYPE OF STRUCTURE k- C/9
RECHECK (LJ L C/ �f ./i
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION JBACKFILL /FRAMING
ROUGH PLUMBING FINALtELECTRICAL; _SEPTIC
INSULATION WOODSTOVEAFIREPLACE/
REMARKS r •
' t APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION f
B VENT/LOCATION
PLUMBING VENT /
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES /OPERATING '\
GARAGE FIRE PROOFING I
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
VE
INSPECTc '
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!UMW UP VUttfl bUK T
531 BAY ROAD
Aft
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED ,�l/5/ /
NAME Q) I) t`n .tf ) / I
LOCATION (i2 �;r�� , �c) �6 X 75
DATE ,)/
I fl/C 1 PERMITS / —0 /(a
TYPE OF STRUCTURE S -uracl. Jh-e-cC
t
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING '
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMEN :
/i w4 -
41-0=,/AI /
ARRIVE
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DEPART ?j
INS! CTOR
t�
FEB "1 -1. 1991
--.I_Da & CODE DEPT.
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