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91-831 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date �l1hi l ( 19 This is to certify that work requested to be done as shown by Permit No. 91-831 has been completed. This structure may be occupied as a Storage Building Location Brayton Road, Cleverdale Owner Steven b JoAnne Chwiecko By Order Town Board TOWN OF QUEENSBURY {,r%�- Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-831 WARREN COUNTY, NEW YORK v I PERMISSION is hereby granted to Steven & Joanne Chwiecko OWNER of property located at Brayton Rd, Cleverdale, NY Street,Road or Ave. in the Town of Queensbury,To Construct or place a Stora gp Rui 1 di no 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. n O 1. OWNER'S Address is Star Rt Box 201 C Brayton Rd Queensbury, NY 12804 IT 2. CONTRACTOR or BUI LDER'S Name pe Peter Imperiale 3. CONTRACTOR or BUILDER'S Address O 337 Norningside Circle Queensbury, NY 12804 4. ARCHITECT'S Name W c� e�F O 5. ARCHITECT'S Address a 6. TYPE of Construction—(Please indicate by X) N et O ( XWood Frame ( ) Masonry ( )Steel fD 7. PLANS and Specifications A W .r a No. 10' x 30' Storage Building as per plot plan specifications and t° application ' 8. Proposed Use Storage $ 25.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 29. 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 t ay of November 19�]_ SIGNED BY , for the Town of Queensbury Building a oning Inspector TOWN OF QUEENSBURY REVIEWED BY: A' k_jvvN OF QUEENSb�. FEE PAID: �~ PERMIT NO. : f � �` j`. JV 2 ? 1991 & CODE DEPT. 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. Owner of Property: 4 c j e e-�j i4leck P.O. Address: �?_ -�i, �, n� �� I . t�r G a c ( lY� �t PHONE6,6 3 306 ? Property Location: _ `= _����?, ��1 �� �/ Tax Map No./ _/ / Has there been any split of this property since October 1, 1988? Yes No s/ If yes, Planning Board Review is necessary. Subdivision Name, if applicable: Lot No. THE PERSON' RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: _A C (2- �TLf,', Ry 4 9'e PHONE NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE c- Construction of new building * CONSTRUCTION: E U --�- Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: ACV ft. x 1i-,i—ft. Other work (describe) * Existing Building Size: * ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: * 1st Floor Sq. Ft. * Front Yard /5 "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: Sq. Ft. * Primar,,4--8uilding - * t/ One Family Dwelling Size of New Structure: /J ft. x - C) ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units _ Pier/Slab/Crawl/Partial/Full (Circle One) * Business * Industrial No. of stories (Habitable space) / * Other Height (grade to ridge) ft. If residential , no. of fam es: * If addition, what will use be? No. of rooms (excluding baths): * _ '` l Ld No. of bedrooms: No. of bathrooms: * Accessory Building: Primary heating system: * Detached Garage - One/Two Car Type of fuel: * ached Garage - One/Two Car No. of fireplaces to be installed: * r rivate Storage Building Will a woodstove be installed?: * Other Central Air Conditioning: Yes No (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. Will any second-hand or ungraded lumber be used? If so, for what? Foundation Wall Material : C LO - Thickness: Depth of Foundation below grade (to bottom of footing) : V Will there be a cellar? Heated or Unheated? Floor Sq. Footage:, GAG -- 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 XG - /1 Size, wood studs x " ; spacing /,4-- " o.c. ; length ,,� ft. Joists (floor beams) : 1st Floor If x spacing o.c. ; span ft. Joists (floor beams): 2nd Floor It x "; spacing o.c. ; span ft. Overlays (ceiling beams) : is x spacing " o.c. ; span ft. Roof rafters: x spacing o.c. ; span ft. Roof trusses (pre-engineered): spacing _L�/ o.c. ; span �/U ` ft. Exterior Wall Finish: -; S �e �! i;,r P"(�L 511 / of what materi al ? —V Interior Wall Finish: nrGh�Q_ 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 & ADDRESS: VZ ( 2 1WCG1UA%(K .r / PHONE 2 , S7-1 NAME OF PLUMBER & ADDRESS: PHONE NAME OF MASON & ADDRESS: 0Ib(5d - 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 authorized by the owner. Signature G--+ owner, owrCerlt agent, architect contractor -----N --------- --------------------------- ------- CONDITIONS OF THE PE04IT: By: Code Enforcement officer TOWN OF QUEENSBURY I 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME LOCATION , DATE PERMIT# TYPE 0 STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) j�90OTING FOUNDATION BACKFILL _FRAMING _ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOO_DSTOVE/FIREPLACE REMARKS APPROVAL N/Al YES NO CHIMNEY HEIGHT/LOCATION _ B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/ISUCTWORK INTERIOR TRIM/PRIVACY', DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETEII 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 DUMPSTER SITE PLAN/VARIANCE REQUIREM NTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C CO ENTS ARRIVE DEPART 5: INtPEC l / /-C fT v/,' kzi�vo 1 TOM OF QUEENSBURY , BUILDING AND CODES DEPARTMENT Ak/t . 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE 1'"Z S <J PERMIT # TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTING PIERS MONOLITHIC-POW M REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURSJOLLOWING THE PLACEMENT OF T%,CONCRETE. MATERIALS FOR THIS P RPOSE ON SITE FOUNDATION/WALL POUR ' REINFORCEMENT IN PLAC FOUNDATION/DAMPROOFINd, BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN ACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS 7 BRACING/BRIDGING JOIST HANGERS c JACK POSTS/MAIN BEAM 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 REMARKS: ARRIVE /d DEPART /d � *TO !— I NSPE 5rEV&J 4 ?oANx1Z (!HoiEc,(o STAR. Ro"T25 40A 2�1 tJ%VN OF QUEENSbL, QI�tEEI�$,a�vt e.1 N7 /L-"c( RECEIVED NOV 2J- 1991 71' DC. & CODE DEPT. /�y L ss— �r 4 1�1G vtrd��e Jf FILE C FILE COPY ,o GF QUmmav,ou"I" womm Mw"w ft w gym► amour wft wr mmn%M "low M- r Wcwnt i OnamvwkamasinTOWN Or BUILDING. �,OL;ES ®EP*; REVIEWED B DATE 1i7/4r/ n sJ b 'c c 60 woo � y �c cl c5o T I � 5- )c7 30 ---_- --------- - t k a, cg �a : '"'',,....i Ll�t -Via C-0 t) �Nl tv a - � -'------_ �°,°^ ' --------_____ --�--- - -------_. | " , ' ' / � � � ` ` u r � � ' 199, CODE DEPT� 10 0 / MAP F. ~ ~---'- «� o` ^. ' � c, v^, p"s�"