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.CERTIFICATE OF COMPLIANCE
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TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
i Date . ,/L /2l9 fi`��
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:This is to certify that work requested to be done as shown by Permit No. 90-359
has been completed.
�4' This structure may be occupied as a construction of frostwall -
Seelye Road
Location -
JOHN & MARTHA SCHMULBACH
Owner
By Order Town Board '
'TOWN OF QUEENSBURY
.4.g.//2/0/ c//27.:/../0/../m4,--
Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY No. 90-3591-3
WARREN COUNTY, NEW YORK X
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PERMISSION is hereby granted to JOHN & MARTHA SCIIMULBACH o
OWNER of property located at Seelye Road-Cleverdale Street, Road or Ave. 1-,
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- 1
in the Town of Queensbury,To Construct or place a C,nnstriietion o f frostwall - 1
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
3 Silver Maple Dr 0
x
Clifton Park NY 12056
2. CONTRACTOR or BUILDER'S Name
tG
Joel Clugstone >
A.C.I. x
3. CONTRACTOR or BUILDER'S Address
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PO Box 90
Kattskill Bay NY 12844 R.
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4. ARCHITECT'S Name la)
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5. ARCHITECT'S Address fD
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6. TYPE of Construction—(Please indicate by X) o,
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( )Wood Frame ( ) Masonry ( )Steel ( ) - - - CD
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7. PLANS and Specifications Pp
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CD
No- Construction of frostwall (864 sq ft) as per plot plan, specifications and
application and in accordance with variance granted May 1990.
8. Proposed Use p
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to
Construction of frostwall
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$ 36.00 PERMIT FEE PAID -THIS PERMIT EXPIRES December 11 19 90 o
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n
town of Queensbury before the expiration date.) O
Co
't
Dated at the Town of Queensbury this 11th Day of June 19 90 A
( `
SIGNED BY �/ �/��� ` for the Town of Queensbury
Building and Zoning In or
TOWN OF QUEENSBURY - •
REVIEWED BY .416
72-1!ill'17:
i
- . - FEE PAID $ a ` .11 - - . - • .:
il �4.1 . " - - PERMIT NO. 0-35G �JYVIV OF QUial�.--_,:.:•'
BUILDINGM
LICATION --- 111)PERMIT APP
JUN ':71990
• „ _ - BUILDING & CODE DEPT. s .
A PERMIfT MUST BE OBTAINED"BEFORE BEGINNING CONSTRUCTION: NO INSPECTIONS
WUJL: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 property- is:__ J o ui.,i/ 4- Nme%/1/r� -p.,,[,,,,,, 6-sGicl
P.O. Address F�i /MR 'If pZ : J1 e l_cl 'TDB/ i_tV Tel. 37/-We / 6S`(� -99.ja -
Property Location <EC Z-�6-. Qom_ - Tax Map No..// , /// -51
Has there been any split of this property since"October 1, 1988? / IV: .
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME,:IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:" _
1 . CL k 6 5r1-Ire- C.Z, . /9d. 4ex l0 11/752:cG 6�f rr/ -' `'
- 6 5 - 3�za •
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NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF
Construction of a new building * CONSTRUCTION: $ j$'o-0
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
•-- _-- - .."- -- ._- ___ �.-.__ .-_*_ __ Size of propertv _=1 Z 7 t - .-ftx /4 7 -__It._______....,
Alteration to a building , ,. , • - • •
( o change to exterior dimensions) Existing Buildings(3) Size Z 7 ft. x 3 Z ft.
* Proposed builc�o g - distance from property line:
���/// Other work (Describe) (oySr/deef,O4J * - Front yard ft. Rear yard tg'� ft.
df -4 o O i 4 --- * -S.ide yards 23± ft.' and R ft. -
• - •
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Fioor sq..-ft.
OCCUPANCY INFORMATION
• "
2nd Floor.. ._ sq. ft. . . • * - Prim ry. Building -
• . . ' ✓One Famil w
Other Floors • sq. ft. • Y Dwelling
(not cellar or basement q - : • - Two Family-Dwelling .
TOTAL FLOOR AREA t 4 sq.-f t.�4 •• • Multiple Dwelling/Number:of units
q -• -. Business
Size of new structure ft x�_ft. " " -
Foundation-pier/slab/crawl/partial/full " Industrial
(circle one) • • - Other
- • •
No. of stories (habitable space)_ _ • . _
iieignt (grade.to ridge) ft. . . • - If addition, what will use be?" •
If residential, no. Of families• • - -
No. of rooms(excluding baths) -. • •
Accessory Building - .
No. of bedrooms . - •
No. of bathrooms _ -"=-- -- • -- ;. - • "
- _Detached Garage ONE/TWO Car -
Primary heating system _ - • - , Attached Garage ONE/TWO Car
Type of fuel _ • Private storage building .
No. of fireplaces to be installed • - ... .
-- " . , __Other
Will a wood stove be installed • . •
Central Air conditioning - . .
. • OV• ER • - • -
•
BUILDING PERMIT APPLICATION CONTINUED -
•
•
BUILDING- RPFCI:FICA,TIONS:; •
•
Type of construction,i wood frame, fire safe, etc. C.oi,C/26Te' ,i4_0G
Will any second-Fiand`'or'upgraded•lumber be used?. If'so, for what?1 1,14
'"Foundation wall material Coue,2--T /56,.
ci-c. Thickness 8 '.
Depth of foundation below grade (to bottom of footing) .1g - .
Will there be a cellar? WO Heated or unheated? • l'" Floor sq. footage sq ft.
Will ther-e'be a basement? .ir/ e� Will any portion be used as living space? c/I/p
(If so, what portion? , sq 'ftl`.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. •
Joist (floor beams) 2nd floor / '"x " spacing "o.c. span ft.
•
Overlays (ceiling beams) .1 "x " spacing " o.c: span n 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,
self-closing device be provided? .
Willa flue-lined chimney be installed? i, Height above roof ft. -
Depth of chimney foundation below grade /' ft. • •
Depth of fireplace hearth /ft. in, _ .
Water supply Municipal or private well . Z4ree- 6:0,044
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 e e.,L. - ADDRESS Da p £nf,e/gTEL. NO. d'5-6 -•32-o
NAME OF PLUMBER . ADDRESS gY TEL. NO. •
•
NAME OF MASON Sloth 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•
ouch work is authorized by the owner. -
• - Signature ��� ‘- '
Owner, owner's age , architect, contractor . -
SPECIAL CONDITIONS OF THE. PERMIT:-
BY
f T�31 0FBAY QQUEERNSSDBURY
.1. j QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINALINSPECOOM
REQUEST FOR INSPECTION RECEIVED -
NAIiE 9Y J , )"..1�-�r.G��
LOCATIO //J L. h+ ehf/mil Le
DATE 10 A • PERMITS 9D -_qs 9
TYPE OF STRUCTURE4//,
RECHECK
FIE MARSHAL AP ROVAL (COMMERCIAL STRUCTURE)
jeDOTING FOUND TION CKFILL FRAMING •
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOO STOVE/FIREPLACE ti
• SITE PLAN/VARIANCE REQUIREMENTS / YES NO
REMARKS
• r�
APPROVAL :
N/A YES NO
CHIMNEY HEIGHT/LOCATIO
B VENT/LOCATION \
PLUMBING VENT 't
ROOFING
SIDING �, f
DECK/PORCH/STEPS/RAILI GSA
RELIEF VALVES
FURNACE/HOT WATER OP TING
BASEMENT INSULATION/ UCTWO K
INTERIOR TRIM/PRIVA DOOR
FINISH FLOORS:
BATH/KITCHEN WAT RTIGHT
OTHER FLOORS SWE FABLE
OTHER FLOORS CA FETED
STAIR CLEARANCE/ ILINGS k
HANDICAPPED ACCESS A
SMOKE DETECTORS I 1
BATHROOM FANS/WH�OLEHOUSE FANS-' �; J
ALL PLUMBING .FITTURES OP I 'a
GARAGE FIRE PROOFING . %,
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALkS I
DUMPSTER y
FINAL EL RIC
OK TO I; S E C/. ' /C
COMME
ARRIVE •
DEPART
IMPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 7 `
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDI k INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
J �J _
NAME X
LOCATION $,: Y , �,Q
DATE 6/3/ PERMIT # h`r 39
APPROVED
YES NO
}FOOTING/PIERS
MONOLITHIC POUR FO' S
FOUNDATION/DAMP-PRAOFING _
BACKFILL APPROVAL_':
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-It
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
' i
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING i
EXTERNAL PORCHES/"TEP;.
STAIRS-CLEARANCE . ' LS
PLUMBING FIXTURES 'E;-IEF VALVE
INTERIOR TRIM/PRI •' DOORS
FINISHED FLOORS _
GARAGE FIREPROOFIN't'
DOOR CLOSER(S)
SMOKE DETECTORS ;' �
FINAL ELECTRICAL IN: CTION
_FINAL APPROVAL OF (ON..TRUCTION ,
OK TO ISSUE C/O O',% C/!'i
A SIGNED CERTIFItATE •+ OCCUPANCY MUST BE
OBTAINED FROM TIC BUI 19,ING DEPARTMENT BEFORE
THESE PREMISES RE OCC 'TIED!
REMARKS:
I
•
ARRIVE - �isjr/
DEPART/ "749
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