1988-716 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date September 17 19 91
that04Ye, (1 —
work requested to be done as shown by Permit No. 8R .716
This is to certify q
has been completed.
` This structure may be occupied as a storage shed
30 Cedarwood Drive
Location
William & Deborah Martin
Owner
By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-716
WARREN COUNTY, NEW YORK CAN
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PERMISSION is hereby granted to William & Deborah Martin
OWNER of property located at 30 Cedarwood Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Storage Shed
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
Same
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2. CONTRACTOR or BUILDER'S Name Pa
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3. CONTRACTOR or BUILDER'S Address 0
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4. ARCHITECT'S Name rt'
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) CD
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( )Wood Frame ( ) Masonry ( I Steel ( )
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7..PLANS and Specifications
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No. 10'x12' Storage Shed, as per plot plan, specifications, and
application. - CD
8. Proposed Use -
Storage Shed
$ 10.SS C/O PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 89 r"r
(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.) pp
En
Dated at the Town of Queepbu this 13th Day of October 19 88
to
SIGNED BY • V for the Town of Queensbury . .
Building and Zoning Inspector
,
_,_ T&MV OF OUEEN$jD
_`7Uw„ / QuaiLur,
OR �=.
BUILDING and ZONING DEPAIlTMENT • 1 ��
Bay and Elaviland Road, R.O. 1 Box 98 . SEP 2 J 198�
Oueensbury, New York 12801 BUILDING & CODE DEPT.
.
App ov P /
APPLICATION FOR
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BUILDING AND 7.0N I NG PERM I T ' • 1/0
.
it it •it it, it it it it it it it' it it it •it. it' it it it it it` it it- it * it N it it it it it it it it it it it::it
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
• The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description,. plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: m'L,I,9A.1'.4 ,; I r`1e.t'\-1.4 Milrfal
P.U. Address 2t. C,Et7Iz ,D?oo( liz4v? , Tel.7V 4 7 4
Property Location: 'Tad A pie'r.t;,(J ) imp - 4 ) ? Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable) -1-,k) l C,..0. o 0
'1'IIE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
. N..,rm. P.O. Address Tel. Nu. •
Name of builder s;r0,_J7r Address eA Tel. <, .+416
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE: OF PROPOSED WORK: * ZONING INFORMATION:
tV
Construction of a new bum n� •* TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
_
_Addition to a building • 'drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions)' . * whether existing or proposed and indicate all
_Other work (describe) . * set-back dimensions from property lines. Give
* street and number or lot number and indicate
FORDEMOLITION, PERMIT, S'1'AtPI?. SI`GL' AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration .
* of septic disposal area.
le ,
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property • () ft X 1.86 ft. .- .
* Existing building(::) Size ft X Yr ft. c.
PROPOSED BUILDING AND USE: • * 'i �I''?6_' ` n66 .41 t-
* Existing building (s) Use t ctl-elt 3g"'
Size of new structure Jb ft X'J.2 ft - * '
Four,dation-pier/slab/ raw /partial/full * Proposed building, distance from property line
*
(circle one) *Front yard .` 7 ft Rear yard 0 ft
No. of stories (habitable space) Side yards- 'I'1 • ft and ft
Haight (grade to ridge) ft.= * If oncorner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) I if OCCUPANCY INFORMATION
No. of bedrooms —"""-"",' aA * PRIMARY BUILDING -
No. of bathrooms - •- ' iVA * One family dwelling
Primary heating system il•�f�
Type of fuel �f * Two family dwelling
* Multiple dwelling../ Number of units
No. of fireplaces to be installed A
Will a ,wood stove be installed? p_.. — * Permanent occupancy
Central Air conditioning? F"' * Transient occupancy
. * • Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Ranch Contemporary Log cabin * 'Other '
Raised ranch Mansion Duplex * If addition, what will use be? . a'Z cti?a' .:,��"c M-e -I�
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * ' - Detached garage/one car/ two car/ - car
( CIRCLE 'ONE PLEASE ) * Attached garage/one car/ two car/_ car
* * * * * * * * * * * * * * * * * • * Private storage building
ESTIMATED MARKET VALUE OF . * Other
CONSTRUCTION $ no0 *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
;, •
-DING PEIilMIIT APPLICATION CONTINUED - .
dU1LD1NG SPECIFICATIONS: vla _
•
Type of construction, wood frame, fire safe,etc. .1t101Z01) ��=t t-'�t
Will any second-hand or ungraded lumber be•used? If so, for what? VI . Plea.. —
Foundation wall material `ti'kk:A• Thickness '
Depth of foundation below grade (to bottom of footing) 2 ry P'R..t cct.0 . Irree rir 'oweel-s
Will there be a cellar? IA Heated or unheated? WA. Floor sq. footage tl;1n sq ft t
will there be a basement? AHN Will any portion be used as living space? N 0 ,,,
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other,44L Material••of roof '_ �C:9;1Jn7�E�4i
Size, wood studs -'9 "X Li " spa ing it "o.c. length • ''ft.
Joists(floor beams) 1st. floor " spacing '31. "o.c. span ,eft. ,
Joists (floor beams) 2nd. floor "X " .spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
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Roof rafters 7_ "X � spacing f � o.c. span ft. •
Roof trusses(pre-engineered) spacing "o.c. span ' ft.
Exterior .wall finish _ti Q-iNN?.•( Of what material? Plo\lig------ AraN n
Interior wall finish I)/-PM-V./WO
If a garage is to be aetached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-raced
door, enclosure, and 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 wall '
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) •
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County or Warren
I swear that 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 donelon the described premises and that all
..provisions of the BUILDING CODE, 'IIIE 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. " r � �.
rl'ete I .!. i „et'' �4<L.,,
SWORN TO BEFORE ME THIS Signature -
Owner, owner'sragent,arcnstect,contractor .
% day of �' r lg e a
Nocary Public, Warren County, N.Y. •
* * * * * * * * * * * * * lc * * * * * * * * * * * * *
it lc * t. '* * * * * * * A x 7. * Y * if *
SPECIAL CONDITIONS OF THE PERMIT: .
•
. By
S ,.I 4r, r '•T' 151 r1,., vi 1d Jyy S: f ..
•
INTERIM BULLDING PERMIT
•
PERMIT APPLICANT (/ �L •
CONSTRUCTION LOCATION' •- • - • -
•
EFFECTIVE -DATE
APPROVED BY Dl
SPECIAL CONDITIONS :• ;: `
This will certify that all- 'Submittals for a Building
Permit have been received: and:;.::fee -Fhas,'--been", paid .
During the processing of:: the Permit, the above -named
may• begin'.construction' per :Plans:'..-Submitted.' it is ; the•
responsibility of the applicant.: to obtain;,the Permit •
from the Building Department, ::following ` proces`sing
POST THIS . INTERIM PERMIT IN •A CO ' IC • r N: i• i
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•
Building & . Codes Department
TOWN `OF-_ QUEENSBURY
REQUIRED,INSPECTIONS 24.HOURS NOTICE REQUIRED?? :.
1t�` Qt1s.Fos�t� gs boreQ�rari CD'n`crete j.
2 ;Foundations Inspections and Waterproofing, before Backfill:
3 Rough-P,:lumbingHeating and a p,I speotionsl_bfDi•'e lksxQgiiin?the Frarnelntorl :
4 .:`• Insulation;-,Foundation,'Floors, Walls, Ceiling.
5 .: Inspection :of Electrical. Installations before":`covering;_(rough in) and`on ,completion.
of �b:' �Yvt e tiQtl; eprt fxcate isyn ees ;y for ssua�nc��a of G4RTIFIGA-'E-tOF u.;�;
.. s
6 1 new septic systems or repairs before covering any:work
7 ';, al Inspections tl efore pert >xca a of{Occup rtcy�is�issued,',,
• RE IS TO BE NO OCCUPANCY OF: ,THE BUILDING WITHOUT APPROVAL •
"OF THE'BUILDING DEPARTMENT.:
042à
TOWN OF QUEENSBURY
K 531 BAY ROAD
��t QUEENSBURY, NEW YORK 12804
,.;�� �=1 TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NANE 14/ AeI-e 7CLJY OO
LOCATION\,3 p d-ad �
DATE PER11ITO BL- 7I l
TYPE OF STRUCTURE O d
T
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL _FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE k
REMARKS _
44/q/ 49 OA r &1 iri-i oJ__, of
a APPROVAL
fa / N/A YES NO
CHIMNEY HEIGHT/LOCATION .1
B VENT/LOCATION 4I !
PLUMBING VENT r{
ROOFING t t
SIDING t
DECK/PORCH/STEPS/RAILINGS /
RELIEF VALVES 'V
FURNACE/HOT WATER OPERATNG
BASEMENT INSULATION/DUCT OK
INTERIOR TRIM/PRIVACY D ORS ,
FINISH FLOORS:
BATH/KITCHEN WATERTI HT 1
OTHER FLOORS SWEEPAFLE ",
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS ,.
SMOKE DETECTORS /
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXT1URES OPERATING
GARAGE FIRE PROOFING ,,
DOOR CLOSERS '
OTHER FIRE SEPARATION `\_
FIRE/DEMISE WALLS
DUMPS TER \
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C ` i,
COMMENTS:
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INSP TOR
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