92-424 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ` 'InCek. 1 0,7A. 19 9,S .
This is to certify that work requested to be done as shown by Permit No. 92-424
has been completed.
This structure may be used as a Attached 2-Car Garaee
Location 12 Seelye Road, Cleverdale NY
Owner . .lean E. Cone
Mtn,
By Order of Town Board
TOWN OF QUEENSBURY •
•
Director of Building & Code Enforcement
_ k
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 92-424
WARREN COUNTY, NEW YORK *1
Ir
PERMISSION is herebygranted to
Jean E. Cone
OWNER of property located at 12 Seeley Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Attached 2-Car Garage fDD
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. a
1. OWNER'S Address is rt'I
Same
2. CONTRACTOR or BUILDER'S Name I~V
B.C.H. Construction v,
3010 Troy Roadco
494-2345 fp
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
IV
C7
a
5. ARCHITECT'S Address
a
a
6. TYPE of Construction—(Please indicate by X) rp
(X)Wood Frame ( ) Masonry ( )Steel ( )
� a
7. PLANS and Specifications
No. Attached 2-Car Garage as per plot plan specifications and application
8. Proposed Use
Attached 2-Car Garage
$ 35.00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 20, 1g 93
(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 20th ay of July 19 92
SIGNED BY for the Town of Queensbury
Building and Zon Inspector
TOWN OF QUEENSBURY, '1. .
. 13�p1: 7. fie,,
REVIEWED BY: ,Oge
AIMIlik - 1gg1 • '/4i � FEE PAID: 3s1 r. Or- �� +� a
PERMIT NO. : .9 D — . s, ;o:,• ,:;,;) Q 9 v. ,,o
, f_ -
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: -e. .CANS Prxr. 15.
P.O. Address: Va.
-,-tt - PHONE
Property Location: Cj. Tax Map No. /6_ / / ./ /q
Has there been any split of this .p.roperty since October 1, 1988? Yes '- No
If yes, Planning Board Review is necessary. -
Subdivision Name, if applicable: . -. Lot No.
• THE PERSON RESPON IBLE FOR SUPERVISION OF WORK AS REGARDS:TO BUILDING• CODES IS:
I""
NATUR OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF-THE
Construction of new building * ' CONSTRUCTION: $ p;( , OQO•O_C)
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:,
(no change to exterior dimensions) .* Stze 'of Property; - ft. x ft. •
Other work (describe) * Existing..Bui.lding Size:
. *, ft. x ft. •
•* ,Proposed building - distance from ,
GROSS AREA OF PROPOSED STRUCTURE: '* property line: ,
1st Floor (024 . Sq.. Ft. * Front :Yard ft. Rear -yard • - ft. i
- *_ ' Side .Yards ' ft. and . ft.
2nd -Floor • Sq. Ft. • L*' If on corner, setback from side street- : r
* ' ft.
Other Floors ' , Sq. Ft.
(not cellar or basement) * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: CQ ti—` Sq. Ft. . * Primary Building -
* • One Family Dwelling
Size of New Structure: IA ft, x icp _ 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 families: * * If addition what will -use be?
No. of rooms (excluding baths):. ' * 4-0fiw (---Yr0ilS�
Na. of bedrooms * O
No. of bathrooms: * Accessory Building:
Primary heating system: * Detached -Garage - .One/Tw. —
Type of fuel : -7--- Attached Garage - One%wo Car
No. of fireplaces to be installed: *' Private Storage Building
Will a woodstove be installed?: - ' * • Other '
Central Air Conditioning: Yes • No * -
(OVER)
APPROVED C--
.
{
BUILDING PERMI_I—ARPLICATION CONTINUED:
BUILDINGSPECIFICATIONS
Type o J'constrocition: frame fire safe, etc.
Will ft,.
secon -hand' or un raded lumber be used? If so, for what?
Foundation Wall Mated L� "
tl1/�G Cf2(° Thickness:
Depth of Foundat 9jL,bel ow grade (to bottom of f Z/E u
Will there be a cellar? (i () Heated o Unheate . Floor Sq. Footag‘?(f
Will there be a basement? No Will any portion be used as living space? (JQ
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/l at/Shed/Other � Material of Roof 7,46k(
Size, wood studs " x "; spacing l�, " o.c. ; length a ft.
Joists (floor beams) : 1st. Floor " x " ; spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor " 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) : spacin 2 " o.c. ; span 2.L ft.
Exterior Wall Finish: ze �K of what material ? �� d�41
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? es If so, will a Fire-Rated door,
enclosure, self-closingdevice be provided?
P
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: 6.ct61: ,?om PHONE f C10d2 r-
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: Y'ej/ �Slle 6211-- PHONEw'- ,
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 y the owner.
Signature /14
er -r's agen a chitect
- ontrac •
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
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TOWN OF QUEEMSBURY /9M
.7 `, 531 BAY ROAD
'- i4= r; QUEENSBURY, NEW YORK 12804
v*:' TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPEECCTION RECEIVED _
NAME �.Zee. iL 4/ )-77- ---
i
LOCATION f,. ,��� i<_ /( . -(—
DATE //%242. PEIOIITO C_2 -/1
TYPE OF STRUCTURE 4 (y 0/74 �/�,ia9;
RECHECK %
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
_LSOOTING FOUNDATION i-BACKFILL L-FRAMING
ROUGH PLUMBING FINAL .ELECTRICAL SEPTIC
i-NSULATION WOODSTOVE/FIREPLACE —
REMARKS .,,�.�, c )
,Q,ii - /14 i,'-i ',/iz/t
x APPROVAL
N/ ES NO
CHIMNEY HEIGHT/LOCATION it
B VENT/LOCATION \ 1 c//
PLUMBING VENT 'q ,F V
ROOFING 1, F
SIDING r,
DECK/PORCH/STEPS/RAILINGS L/
RELIEF VALVES t
FURNACE/HOT WATER OPERATING ✓ /
INTERIOR TRIM/PRIVACYI DOORS ✓
FINISH FLOORS: i
,.
BATH/KITCHEN WATERTIGHTw, ✓
OTHER FLOORS SWEEPABLE `;
OTHER FLOORS CAR ETED
STAIR CLEARANCE/R LINGS :,
SMOKE DETECTORS ,4. ✓ ✓
DOOR CLOSERS / !; ✓
BATHROOM FANS / �, c/
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS ( 4.
OTHER FIRE SEPARATION ✓
FIRE/DEMISE WALLS ✓r
FINAL ELECTRICAL /7
,O OK TO ISSUE C OR C/C \ ,/
COMMENTS: 4 -
ARRIVE
Ck �1'1/1
/1di)
DEPART #111:11 '
I''S'ECTOR
' \
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No. qa?-4/64 - ,./.------.
Owner c_224-iii CO Ater .
/
Occupant
.A.F
Location qi
ou...z,witis (..s...ii 012.9eet
Town or City State 7/ - / ',.._.
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by
d..op No.
Date 9 z_,-, .
Inspector
. -
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
\ ..,.....,...... A.— f.....11;•‘netasesetri KU mairm
3-6 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
( '04.1--ThE S ailtfit' Te* WIRING &CONTROLS FOR BURNER
4 RECEPTACLES H.P.PUMP
7 FIXTURES . K.W.OVEN
AMP.SERVICE EQUIPMENT o'H.Pr t Gre O L UNIT
-M P.SERVICE CONDUCTORS K.W,.� y(°'F�1�E�' 4e�a
K.W.SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. SS //l RECEPTACLE
K.W. WATER HEATER �i tv;14R-I.P:V. 3S •
6�-2 fGc ^)c.-
C• i.
.1OTORS H.P. 1/20 1/12 I/10 A % '/ %3 % 3% 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
.IARK NUMBER
IF EACH SIZE •
4PPA RAT US
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 ))1'/))
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED //q/9=Z,
NAMEqpileD (fine.
LOCATION / leAte,
DATE d9 „AIM PERMIT # 9,-/./.24`
TYPE OF STRUCTURE Q,-. 07� 9(tie
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM /
FREEZING FOR : HOURS FOLLOWING/
THE PLACEMENT OF THE CONCRETE. I
MATERIALS FOR THIS PURPOSE ON ,SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING '\
BACKFILL APPROVAL '
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: �.
JACK STUDS/HEADERS /1
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM , ".
HEATING ROUGH-IN
)(INSULATION:
FOUNDATION WALLS INTERIOR R- t;
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R- /9
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: ,�,�f�
/// /ak•:„V� ,40 d_
J Js' :`4L' -; /
ARRIVE
DEPART /
G TNSPPM' R
TOW OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
• 531 BAY ROAD
QUEENSBURY, NEW YORK 12804 .
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S ,', PORT
REQUEST FOR INSPECTION RECEIVED
NAME ra .
LOCATION Si-e5
DATE $/4 PE' 'IT # W
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONT ;CTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FRWI
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING 1 I
PLUMBING VENT/VENTS IN PLACE +'
PLUMBING UNDER SLAB \ F%
FRAMING: 1 /'
JACK STUDS/HEADERS \ /,•'
BRACING/BRIDGING \
JOIST HANGERS !/
JACK POSTS/MAIN BEAM V
HEATING ROUGH-IN J �
INSULATION: I \
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R\
FLOORS R-\
WALLS / R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED'.
SPACES .r
REMARKS: •
I'
ARRIVE
\\\
DEPART
T PE f1R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT JAel4
531 BAY ROAD ��
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED A.05/‘
NAME pm/ / ak&f. .
LOCATION i444'_ Are/
;r,��j� PERJ1IT # 5p,��4<?4,""
TYPE OF STRUCTURE GGb JjTe
RECHECK APPROVED
• N/A YES NO
FOOTINGS/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/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
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
REMARKS: d
(Ad-
a ' ii
ARRIVE
DEPART
5'P�CT(1R
TO J,t, OF QUEENSBURV a / I UUu
BUILDING AND CODES DEPARTME
• 531 BAY ROAD
QUEENSBURY, NEW. YORK 12804611;1 N9)
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED / 4, 9_
11
NAME J'P v,.
LOCATION ) L ,..22)-(;3-2)L-4)91i), ()
DATE ri)( f , PERMIT g (21, — L-,/n2Ii
TYPE OF STRUCTURE 1\'* , `CICkY' '.` (Oic Q___,
RECHECK APPROVED
. N/A YES NO
NOOTIN8g1,PR )
' MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDINJG PROTECTION FROM
FREEZING FOR , HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS !
JACK POSTS/MAIN BEAM ;
HEATING ROUGH-IN
INSULATION: 1
FOUNDATION WALLS INTERIOR.;.R-
FOUNDATION WALLS EXTERIOR R- • " .
FLOORS d ye R-
WALLS 9 R- _
CEILING `f R-
DUCT WORK OR PIPING/ IN UNHEATED
SPACES
REMARKS:
COO-Cfb eX 0iZI. v L L-I kJ(o b ( M S 4-
. Pi) it)61.41% T - ate.
9 ,, G !/ eat/P�VA-7
ARRIVE 2-j
DEPART D:� 3 ,,-r �_
•
TN PE TOR
TOWN OF QUEENSBURY
AS BUILT PLOT PLAN VERIFICATION
Certificate of Compliance
I, j. . jMG _ have verified that the attached Plot Plan is a
(Print Name)
true and accurate drawing as to the location of the ��2iPrG
(Type of Structure)
for which a Certificate of Compliance is being submitted.
I understand if the information is false or not accurate that a
Certificate of Compliance may be revoked and I will have to file for a
variance to the Zoning Board of Appeals.
9 -
(Date Filed) (Signature)
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