96-488 CERTIFICATE 01 COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date , 19 0.
This i s to certify that work requested to be done as shown by Permit No. 96488
has been completed.
This structure may be used as a POLE BARN
Location 18 HILLMAN ROAD
Owner WETTERBEE® WILLIAM A.
TAXASAPQ. 1� . -3�273 By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 4000 TOWN OF QUEENSBURY - 96488
TAX MAP NO. 12 . -3-273 No.
WARREN COUNTY, NEW YORK
WETHERBEE , WILLIAM A.
PERMISSION is hereby granted to
18 HILLMAN .ROAD Street, Road or Ave.
OWNER of property located at
POLE BARN
in the Town of Queensbury,To Construct or place a
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
18 HILLMAN ROAD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
LINDSAY, JEFF
3. CONTRACTOR or BUILDER'S Address
PILOT KNOB, NY
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) POLE BARN
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
960SQ FT POLE BARN AS PER PLOT PLAN SPECIFICATIONS
No.
8. Proposed Use
POLE BARN
50 August 22 98
PERMIT FEE PAID —THIS PERMIT EXPIRES 19
$ (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.) 9 6
22 August
Dated at the Town of Queensbury this Day of 19
for the Town of Queensbury
SIGNED BY
Building and Zoning Inspector
Department of Community Development 4-�. ` "r Reviewed By/
- Building & Code Enforcement , i Aplyiing Inspector
Town of Queensbury "•,`-i •.- ''' Permit No. (n"4EP
742 Bay Road -' �..,
Queensbury, New York 12804 Fee Paid $
(518) 745-4447 �
Buildin Permit Application .- , G.6- 0,910.1
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 application form.
.Applicant: IA4.iirn 4#7 6 GrrAiler r3e-e Owner: dc. i4,-2- i4. 44-2---A/e-re/00- =
Address: //Y/✓/e..L/nAnJ J243,"v0 Address: /l'.'' ',A,v' 1Z04,)
A6,4,cePhone # (S/$) 7V( - 19i 7 4 2k- Phone # ( S—) 72 Z-- V//z •
-
Property Location: -iGc.,',MA /2DA,i) - C`Gr✓c "Daces` /Z / 3 ZT�
—- GABS Tax Map Number_
Subdivision Name: cf Ge iG/i' R /��+Lr"A,✓ Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
x New Building: RoGC /3,,or�.✓ CONSTRUCTION: $ 'DO'
/
residence / commercial
Addition '.to Building: ------
residence / commercial OCCUPANCY INFORMATION: /7(.c; ,etcher/
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial • Two Family Dwelling
no change to exterior size 1 -Family Dwelling ',
Office'
Other Work (describe below) Mercanti pi g3199
anuac Mf
)c Other, V. QcGdr7,47,1/G/ _,
GROSS AREA OF PROPOSED STRUCTURE: - - -
1st Floor �6d sq. ft . If ADDITION, what will use
of new addition be? :
2nd .Floor sq. ft.
Other Floors sq. ft. - •
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1 , 2 car
TOTAL FLOOR AREA: 96-a SQ. FT'. Attached Garage 1, 2 car
X. Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other •
Z er FEET X rV FEET •
Foundation Type: / ,..is - /r/is-2,00.=- Will any second-hand or ungraded
Number of Stories : / lumb, be used? If so, for what?
(habitable space only) /M2
Height (grade to ridge) : /.5— feet TYPE OF HEATING SYSTEM: /v/v /1 Q7
Number of fireplaces and/or woodstove (circle all which applies )
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : sic=` 4/^0.5,4Y R/coT kit/da ES6' 7t '90
Name Addresss Phone
Builder: `.. cam` C./Ai- S/47 y - ---
Plumber:
Mason:
Electrician:
DECLARATION: Please sign below after you have carefully read the statement.
_
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
''� 12 742 BAY ROAD
'
QUEENSBURY NY 12804
. (518) 761-8256
ARRIVE: //9d DEPART: INSP:
FINAL INSPECTION' REPORT RESIDENTIAL
DATE INSPECT,' REQU• T RECEIVED:i F I f 3 f9
? \'
NAME es - t of k\J1.1l C�,•^A'�
eJ LOCATION O I 1..,L 1 + o"� 'e: ,l
DATE ( PERMMIT 1 9(P- a?
TYPE OF STRUCTURE p �_I-C_.Qi A/ �✓�\
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION .
FINAL ELECTRICAL WOODSTOVE ,OR FIREPLACE•
N/A YES NO
CHIMNEY HEI HT� /D VENT/HE)HT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
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
BATHROOM FANS •
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ. '
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O ORS !//
1 / �/1) (518) 761-8256
TOWN OF QUEENSBURY �{
BUILDING_& CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 "s4;�„, ;
. /
INSPECTOR'S REPORT:, ARRI 35)EPARf/=[r INT
REQUEST FOR INSPEC ON RE EIVED: r
NAME w e> kCJI/b'`
LOCATION v, -
1
DATE yr)-g -9 7 PERMIT A
TYPE OF STRUCTURE: Pck.o,,Va11 fY,„
RECHECK APPROVE
N/A YE NO
OOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RES ONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOW NG THE PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS _
BRACING/BRIDGING
JOIST HANGERS -
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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 R •
—
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