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91-353 .fre CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date i(.h ✓ 7 19 9/ This is to certify that work requested to be done as shown by Permit No. 91-353 has been completed. This structure may be occupied as a picnic pavi 11 i An Knox Road,,Assembly Point Location Henry M. Desonneai Owner By Order Town Board TOWN OF QUEENSBURY V Director of Bldg. & Code Enforcement y'l' BUILDING PERMIT TOWN OF QUEENSBURY • No. 91-353 WARREN COUNTY, NEW YORK k • PERMISSION is hereby granted to Henry W Desormeau OWNER of property located at Knox Road, Assembly Point Street, Road or Ave. cn in the Town of Queensbury,To Construct or place a Picnic Pavillion 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 v Latham NY 12110 0 2. CONTRACTOR or BUILDER'S Name A C John P Matthews x 3. CONTRACTOR or BUILDER'S Address Lake George NY 4. ARCHITECT'S Name 7C 5. ARCHITECT'S Address O X " 6. TYPE of Construction—(Please indicate by X) N fD ( X Wood Frame ( I Masonry ( ) Steel ( ) a 7. PLANS and Specifications -p O No. 20'x26' Picnic Pavillion as per plot plan, specifications and application. 8. Proposed Use Picnic pavillion 50.00 May 30 92 $ 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.) Dated at the Town of Queensbhis, 30th,-) ;D y of May 19 91 SIGNED BY /./:GZ for the Town of Queensbury Building and,Loning Inspector TOWN OF QUEENSBURY• WED BY i REVIEWED a_.♦ . TOWN OF QDEENSS 4 .e�1� �`a RECEIVED U ` � FEE PAID $ ��_ PERMIT NO. 9 353 y MAY 2 81991 BUILDING'PERMIT APPLICATIONein��±a D� /� p�y+ ►cie 5t CODE-DEA I. 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. * * « * * * * * * * *'• * * `* * * .*• * * * * * * * * * .* .* * •* * * * * * * * * * * The owner of this'proper-ty is (4 N R,`[ u) . .D E SoR NE-AU 4ATH-4 P.O. Address /1' eLL POINT 1301C. 12 Tel. ,'.456 11750 Property Location) W01\ ROAD' LIttCC C EbPi E t 2N,4-S Taxx Map No. 7 /Li c Has there been any split of this property since October 1, 1988? / If yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF"APPLICABLE LOT ,N.O:. THE.PE-RSON.RESPONSIBLE FOR.SUPERVISION OF WORK AS.,REGARD,S.. T,O. BUILDING CODES IS: * NATURE OF PROPOSED WORK: ESL—MATED MARKET VALUE OF Construction of a new building „ CONSTRUCTION: $ Addition to a building * COMPLETE-INFORMATION REQUIRED BELOW: * Size of property I .I9'3 ACC. ft x ft. Alteration to a building , *(no change to exterior dimensions) Existing Buildings(3) Size �/� ft. x �m� ft. • `' ` "* • - Proposedbuilding - distance from property-line: . Other work (Describe) R . l+N-Q-- Front yard IP) ft. Rear yard I1iO ft. . ft CA 15Tii� PAV l -1-l@0 * Side yards 20, ft. and k 3 0 ft. * GROSS AREA OF PROPOSED STRUCTURE *. If on corner, setback from side street ft. 1st Floors sq. ft.' OCCUPANCY INFORMATION * 2nd Floor — sq. ft. * Primary Building - Other Floors sq. ft. • X One Family Dwelling (not cellar or base^:ent * Two Family Dwelling TOTAL FLOOR AREA sat? sq. ft. • Multiple Dwelling/Number of units Size of new structure o ft x 16 ft. * Business ,� Foundatio ter/slab/crawl/ * Industrial n-P� partial/full (circle one) Q Other No. of stories (habitable space)_ • Height (grade to ridge) 16 Fro ft. • If addition, what will use be? BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe, etc. W'V6A3 Will any second-hand or upgraded lumber be used? If so. for what? .b WIC Foundation wall material N Ti)Rty CaOcitelr' Thickness te44.0 i A-• 'I- t=I-. Den? Depth of foundation below grade (to bottom of footing) 4 F- r Will there be a cellar? NtO Heated or unheated? UN IP}-EP Floor sq. footage 510 sq ft. Will there be a basement? 1140 Will any portion be used as living space? p (If so, what portion? '11410 sq ft. Type of use? 17,VT'•D6c i 'd(i4V er. Type of roof - sloped/flat/shed/other /NEMaterial of roof . t;, (ksp w.r 25-ife-hn® Size, wood studs __ "x " spacing " o.c. length ft. t-'( COO g c plt ;ta[h Joists (floor beams) 1st floor Ni' "x " spacing "o.c. span ft. AY Joist (floor beams). 2nd floor tji "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 a " o.c. span ,a5 ft. F,�Kcf�2P1SS F oc F. AsPititcr Exterior wall finish o� r- ,� o4'y. U),4U-Sof what material? Et`‹ Skl106(. 2S � (R A: j#�tr ,r±X ¢''rill Interior wall finish IOW• ei'LL,is elk c T Fad kilt-t-L: .rrlQ If a garage is to be attached, describe materials to be used for FIRE SEPARATION: NI. Is there to be an opening between garage and dwelling? iki If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? NO Height above roof ft. Depth of chimney foundation below grade N es% ft. Depth of fireplace hearthfr ft. in. Water supply - Municipal or private well PRIVATel DRAW K2 FReisit rfte SEPTIC SYSTEM Distance from ANY private well (including adjoining properties' •Pj• ft. (A separate application is necessary for any repair or new installation of septic system).. . - cetocLgl..COwTtaA NAME OF BUILDER: W p, fitimeuto ADDRESS LACE RGr N-LI TEL. NO. IA) 3c 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. TOWN OF QUEENSBURY /Av 531 BAY ROAD rX rj QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECE/IIVED NAME jug% , y /' LOCATION / 4,42 DATE l01)7 1 g/ PERMIT# c2,X,13 TYPE OF STRUCTURE /e'i12, 4, RECHECK /p/ FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) r 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 j ,/ SIDING DECK/PORCH/STEPS/RAILI,NGS RELIEF VALVES \ FURNACE/HOT WATER 'OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIy'ACI DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS ,SWEEPABLE OTHER FLOORS/CARPETED\ STAIR CLEARANEE/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 REQUIREMENTS • FINAL ELECTRICAL (// OK TO ISSUE C/O OR C/C COMMENTS: f2i(/i( — ARRIVE DEPART INSPECTOR ktii TOWN OF QUEENSBURY il BUILDING AND CODES DEPARTMENT /QVe Rl�.) 531 BAY ROAD U QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT. REQUEST FOR INSPECTION RECEIVED NAME S (5Y rlCQ0) ))e 1 riiA Lk) 4 LOCATION (L'6 Ac4ikw.142.t.,) Uejt DATE (/ 1 9 9I PERMIT # 9 / "- 3 TYPE OF STRUCTURE Qi - i c. PAVI 11 C-in \ RECHECK APPROVED N/A YES NO OOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR / REINFORCEMENT(IN PLACE / FOUNDATION/DA PROOFING / BACKFILL APPR VAL / ROUGH PLUMBING PLUMBING VENT/VENTS IN P ACE PLUMBING UNDER S AB FRAMING: \ / JACK STUDS/HEADE'S/ BRACING/BRIDGING / JOIST HANGERS JACK POSTS/MAIN BE M FIRESTOPP ING WALLS CEILING \ _ FIREWALLS HEATING ROU -IN INSULATION: t FOUNDAT IN WALLS INTERIOR R- FOUNDAT ON WALLS EXTER'OR R- FLOORS R- WA LL S R- CEILI G R- , DUCT WORK OR PIPING IN UNHEATED SPACE 1 7, REMARKS: , a ARRIVE DEPART INSPE TOR es) 4� ' 1 / AZJ di J Q` Qv 1 4- 0'1-.110 9 , I 1 1 o or i I ` `i o 4 a h aye it �1`., d 1 ot- Y - i izd� `G I w f t S� PA.reT%o N 1 / 9 � / itc .544.7 , • -` • ao N I ' •. L193 X• e_k- }` , I 0 rc Lige �M�r 1 �. a 4r le �. ) h lel: ,/i \ \ . 32 1 ion A k a •�, 4 Wkoe I \ �.• or- "Y, R> +ar o c way ` O tr.:; i,.... , i i VP...! 85. 7-3•v., t 80.(� rtw�E 1 S* I. ( r Lamps . 8 0�v t� y 1 Co•T�Ay� 1 Lot- go. I 'TOM OF QUE l • Ftexiay, DoR►1/4,6 Zoning Adrilin' is Or <1 . Date_Q "�'_97 (ass Poi 10 L ,c .;. :1 l M A? etc A Sui v¢"l oc 'CY+c sAds- .N,4 w4 n4f-,_ TO,.. ,4 oC © u cIVS9uQH I !LIA.�gCw1 t...Ak la' 5/:C;tT (,' 1750 09((� } HENRY DESORMEAU `' 9 SOUTHERN DR. � ,LATHAM, NY 12110 1..jj I 1 f f j ` 85 ).io 5 • ate_ (1 Th1 k44' 45SCNI 3'- ( POINT- -7 s Kam? (Zola L4 6c a6E ►a e4 - ›... zit,- Q.5-qR CZ i f ; i /�"cl?7Y PLYWoc ) / ., j t ' �. ass d'n94 , I 1 • ! TV irl Itj- ' � i, . Iriliagigi " sf -, f, X i i• �4 -1 i �iZtCL-g t.r �P y _ UE qrkS RECEIVE QD S9URy edgieo e AY � � I yB es . � wE ilo��` 504E 281991 �. 2 Cc. , . r �'� s�`tu� N I, SLD CDDE DEFT i ft fill • ' It" E ti g I 4.C11—ING At4D •j.4' 409. GcT7-Ac e- ' 510E yawn A1t�IMG AREA, 15i Boy RooF- _t o SS 1:‹ 9.111 >I et ".4'" mhoiFAau& i I pi Mit - i> t;AW., TOWN OF Q EE S URY SoW1/411-,,E Fo9p4 Jza BUILDING. - , �t ,c DEi T. ,/ ID" D„A. 1 .. 1 1 DATE , - -' L__ '\K