88-723 �rt
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 25 19 91
This is to certify that work requested to be done as shown by Permit 188-723
has been completed.
This structure may be occupied as a
storage shed
LocationAsh Drive, Glen Lake
Vincent Preddevelle
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 88_723
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Vincent Prendeville
OWNER of property located at End of Ash Drive (On RI Glen Lake) Street,Road or Ave. r
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.
1. OWNER'S Address is
5 Cherry Tree Road
Loudonville,New York 12211
2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) p
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( 1 Wood Frame ( 1 Masonry ( )Steel ( ) -_
7. PLANS and Specifications C7
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No.10'x12' Prefabricated Building,as per plot plan and application. m
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8. Proposed Use
Storage Shed
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 89
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the car
town of Queensbury before the expiration date.) o
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Dated at the Town of Queensbur 12th Day of October 1g88
SIGNED BY /ajd/ for the Town of Queensbury cn
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Building and Zoni g nspector
•1L Bk.; CUMPLETED BY BLDG. DEPT. D ',:: H,u! J( " i f,! +r 1-'�
�] / Application No. it�
_Juwrt u/ Queettdbury Permit Issued 19 - L:J
BUILDING and ZONING DEPARTMENT Permit Expires 19 ��� WVVQ
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation BUILDING & CODE DEPT.
Queensbury, New York 12801 Variance No. g
3q_/ Site Plan Review .
c Approved b r '
APPLICATION FOR
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BUILDING AND ZONING PERMIT .,
* .>t * * F * * .* * * * * *. * * * * * * * * * * * * * * *' * * * * * * * * * * ::
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: `///(e T H, PEg iv ytLL
P.O. Address RCN ,ey 77e6y Geap_e2 i i.� A/)/, 1Z2.11 Tel. 'f3 -92Y7
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Property Location% ,,95// r,e/rG' (ON d ii �AKe/ Tax Map No. 39 / / / 40
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING,CODES IS:
Name P.O. Address Tel. No.
Name of builder Address Tel.
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION!
_Construction of a new building * TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
_Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions)`" * whether existing or proposed and indicate all
_Other work (describe) * set-back dimensions from property lines. Give
/" e_� , * street and number or lot number and indicate
FOR DL'MOLITIO PERMI'P, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ft X ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure fd ft X /Zft *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) * Front yard ft Rear yard ft
No. of stories (habit le space) * Side yards ft and ft
Height (grade to ridg ft. * If on corner, setback from side street ft
If residential, no. of , ies
No. of rooms(excln ayhs) * OCCUPANCY INFORMATION
No. of bedrooms J/
No. of bathrooms Er "t•✓i * PRIMARY BUILDING -
:#',,a-, . ' * One family dwelling
Primary heating system .., * Two family dwelling
Type of fuel ",_ i°-
No. of fireplaces to oe a led ~'" * Multiple dwelling ./ Number of units
Will a wood stove be instal?,® * Permanent occupancy
Central Air conditioning? ! * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow *
Cape Cod Cottage ,0f ,62 .v * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/_ car
* * * * * * * * * * * * * * * * * * / Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION /0
01 *$
INFORMATION ON BUILDING SPECIFICATIONS. Ot. REVERSE DE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl 7/ ! ','`. -. /,v/
./ ff.
BUILDING PERMIT APPLICATION CONTINUED - -
BUILDING SPECIFICATIONS: „It,/
Type of construction, wood frame, fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? 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/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 "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, and 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)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
I swear that 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 ZONI*'r' manmullhi ,na d]l other laws pertaining to
•
the proposed work shall be complied with, ,such work is
authorized by the owner.
SWORN TO BEFORE ME THIS signatu)5_9u' 16 4 L
Owner, owner's tractor
day of 19
Notary Public, Warren County, N.Y.
* * * *. * * * * * * * * x * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
By
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 PC F',r&'- VI I I I_, V i'(1 ce rd
LOCATION L< ) Dc- AS11 UP_ (on&I&n Like-)
DATE PERMIT # r f
TYPE OF STRUCTURE -j-1-c rtj3
RECHECK APPROVED
, N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FRO
FREEZING FOR 48 HOURS FOLLOWIM
THE PLACEMENT OF THE ONCR8TE.
MATERIALS FOR THIS PUVOSE ON SITE
FOUNDATION/WALL POUR t
REINFORCEMENT IN PLACE `s
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:
-6010,&$
ARRIVE
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DEPART
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