92-684 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date .rx.�l, ,.k5 1992.
This is to certify that work requested to be done as shown by Permit No. 92-644
has been completed.
This structure may be used as a storage shed
Location Hall Road
Owner Robert and Ruth Goodrich
By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY o
No. 92-634 •
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to ROBERT & RUTH GOODRICH ry
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OWNER of property located at Hall Road Street, Road or Ave. r'vv
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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
RD5 Box 70
Queensbury N Y 12804 0
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2. CONTRACTOR or BUILDER'S Name �
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Daniel Barber II
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3. CONTRACTOR or BUILDER'S Address tT
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120
70
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4. ARCHITECTS Name c+
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( )Masonry ( )Steel ( ) iv
7. PLANS and SpecificationsXi
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No. 16'x10'7" Storage Shed as per plot plan, specifications and application `c'
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8. Proposed Use
Storage Shed
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$ 15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 15 19 93 0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the c0
town of Queensbury before the expiration date.) CD
to
Dated at the Town of Queensbury this 15th Day of October 19 92 m
SIGNED BY �/ i for the Town of Queensbury
Bu. and Zoning Inspector
TOWN OP QUEENSBURY
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411/114111iihkREVIEWED BY: r
� �41, FEE PAID: f �OilVtd RECEIVEDQUEENSBU
PERMIT NO. : 94 - l. y 1992
OCT 13
BLDG. & CODE ate.
BUILDING PERMIT APPLICATION
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.
* * * * * * * * * * 7,7,* * * * * * * *,* * * * * * * * * * * * * * * * * * * * * *
Owner of Property: ,(14- 1 G (7`- 67n)aeee'
P.O. Address: _L<( 5 /1e`'7( "act / i4 e/v C /1s /% _u-, J PHONE /47,('!)
Property Location: . 4// /79ic/ Tax Map No. /2(/ 3 /- 77
Has there been any split of this property since October 1, 1988? Yes No ;' A'-'0
If yes, Planning Board Review is necessary.
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Subdivision Name, if applicable: Lot No. '
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: / 7m C-FA 163E1Z
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
_ Construction of new building * CONSTRUCTION: $ _ ; (tc
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:
yew r'd- @ c,241 ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor Sq. Ft. * Front Yard ft. Rear yard ft.
* Side Yards ft. and ft.
2nd Floor Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft.
(not cellar or basement) * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: /?'43 Sq. Ft. * Primary Building -
f �,, * One Family Dwelling
I `Size of New Structure: ft. x /d / ft. * Two Family Dwelling
F. 4dation: * Multiple Dwelling/No. of Units _
Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) --- * Other
Height (grade to ridge) ft. *
If residential , no. of families: * If addition, what will use be?
No. of rooms (excluding baths) :
No. of bedrooms:
No. of bathrooms: * Accessory Building:
Primary heating system: * 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?: 4., Other
Central Air Conditioning: Yes No * �, 5e cS�cyf
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: (o fram , fire safe, etc.
Will any second-hand or`tmgradC d lumber be used? If so, for what? cD
Foundation Wall Material : Thickness:
Depth of Foundation below grade (to bottom of footing) : -----
Will there be a cellar? /6 Heated or Unheated? )4 Floor Sq. Footage: /Y )
Will there be a basement? /6 Will any portion be used as living space? /t/0
If so, what portion? Sq. Ft. Type of Use?
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Type of Roof: Sloped/Fla 'Shed, ether Material of Roof /2-' 64) /�'
Size, wood studs -- " x ,"; spacing /c " o.c. ; length / ft. ff/3R.�=1. ' S1� V�' ; f ku
Joists (floor beams) : 1st Floor a-- " x "; spacing ,9- " o.c. ; span fo ft. ftti 4A1-.
Joists (floor beams) : 2nd Floor " x "; spacing " o.c. ; span ft. L
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: r of what material ? 7%.�--I j/ 55/,,'j&-
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Interior Wall Finish:
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
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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 & ADDRESS: `T)t(r eZ6 '; 411 PHONE 7 ///
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: PHONE
DECLARATION
To the best of my knowledge 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. Further it is understood
that I/we shall submit prior to a Certificate of Occupancy or Certifi to of
Compliance being issued, an AS BUILT PLOT PLAN drawn to s e, show' actual
location of project on premises.
Signature C 7-
ner, owne s agent, architect
ontractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
041 622 W
TOWN OF QUEENSBURY 21 1
531 BAY ROAD
;/1Wj QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME A
LOCATION .
DATE /7/j/9,7? PERMIT# y -6.3
TYPE OF STRUCTURE ,-bl,u 9p JI/LtAOL,
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 t+
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILIPGS°
RELIEF VALVES
FURNACE/HOT WATER OPIRATING
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
COMMENTS:
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ARRIVE
DEPART
/ INS'ECTOR
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i Based an oar iffil ed examination,
compliance With Mt comments shall
not be construed as indicating the
—1 ;; .\. - plans and speciti ations ar ' full
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