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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
.::
Date 4.4.4.i," / 19 0
This to certify that work requested to be done as shown by Permit No. 80-142
has been completed.
storage shed
This structure may be occupied as a
Glen Lake-Sicard Cabin #1
Location
Donald E. Engel , 'le nant
Owner Charles O. Sicard, Owner
By Order Town Board
TOWN OF QUEENSBURY
rm /
,1
_
Director of:Bldg. & Code Enforcement
BUILDING PERMIT
Iv
TOWN OF QUEENSBURY No. 90-142
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to DONALD E. ENGEL w
OWNER of property located at Glen Lake—Sicard Cabin #1 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 �y
Charles O. Sicard
RD#1 Box 1676 0
Lake George NY 12845
2. CONTRACTOR or BUILDER'S Name l�
0
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
. (D
5. ARCHITECT'S Address - t"
fv
CD
6. TYPE of Construction—(Please indicate by X) PPs
(XXWood Frame ( ) Masonry ( )Steel ( ) - - _ CP
PP
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7. PLANS and Specifications
sc
No. 112 sq._ft. Storage shed as per plot plan, specifications and application.
8. Proposed Use
Storage Shed
0
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CD
$ 15 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 .19 91)
cb
(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 this Day of May 191()
SIGNED BY �` - for the Town of Queensbury
Building and Zoning I ector
TOWN OP QUEENSBURY
Arkkillli
REVIEWED BY i#, 1V .
FEE PAID $ /L5 - �pItir PERMIT NO. 9O /h�_ II �:; ,
: Iggn
• BUILDING PERMIT APPLICATION PP l ^
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.
• • • • • • • a . • •.• • • • • • • . :, i . . • • • • . • . • • • • • . • • • • • •
The owner of this property is: abliPesi.E 5 O- \S r e i4 2[-f!
P.O. Address DY. - / . li3kE‘Ee ebrE t- ' T s 7 07 ` yy 3• f
Property Location /EA i iiil-' - Tax Map No. 3/ //02 p2,
Has there been any split of this property since October 1,.1988? • -/. _L ! • Iy >/f
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE N `- LOT NO.; ,.- r•
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
b i •BY /IP 7 ' 'nGad el RCN /4) •7y3— 7/�7
NATURE OF PROPOSED WORK: ��¢ . ESr MATED MARKET VALUE OF o,
V Construction of a new building 5 pp ���r9✓ • CONSTRUCTION: $ 4 dad —
Addition to a buildin y� • COMPLETE INFORMATION REQUIRED BELOW:
g
• Size of property e(Mki1O44)l. ft x ft.
Alteration to a building , • Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) ; .
• Proposed building - distance from property line:
Other work (Describi) • Front yard ft. Rear yard ft.
•
Side yards ft. and ft.
•
DROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor // sq. ft. •
OCCUPANCY INFORMATION
•
2nd Floor Jb01- sq. ft. • Primyy Building -
Other Floors /•1/94- . • "V One Family Dwelling
(not cellar or basement) sq. ft • Two Family Dwelling
TOTAL FLOOR AREA // - sq. ft. • Multiple Dwelling/Number of units_
Iiize of new structure ft xft. • _Business
?oundation-pier/:lab/crawl/partisl/full • _Industrial
(circle one) kit),.1.e , • • Other
44o. of '" fhloltable.space) 6
,leight ((radelo ride) /p • ft. •., If addition, what will use be?
f residential, no.of families 0 •
4o. of rooms(exclud1ns baths) ' / - , , •J Aceessory Building
!To. of bedrooms - — •
Detached Garage ONE/TWO Car
Ito. of bathrooms —6— _ •
__
Primary heating em /lt . • Attached Garage ONE/'TWO Cat
(ype of fuel /(-) n ' _(_Private storage building
No. of fireplaces to be installed °—i- •
will a wood stove be installed p • Other
Central •Air conditioning •
OVER
a
DING PERMIT .APPLICATION COv'TiN�ED -
L'ILDING 3.PECIFICATIONS:
Type of construction, wood frame, fire safe. etc. aGc( C, /1.
Will any second-hand or upgraded lumber be used? • If so. for what? •
Foundation wall material Ai0N4. Thickness At
Depth of foundation below grade (to bottom of footing) )7 Ai„F
Will there be a cellar? )'' Heated or unheated? ,AJ/f Floor sq. footage /7 .' . sq ft.
Will there be a basement? 13"J Will any portion be used as living space? lid v
(If so, what portion? z ft. Type of use? 0576-,Lfp-Le-e_�,
Type of roof - sloped/fl /s ed ther • Material of roof 1/2,12.h, - j44.%*
Size, wood studs ,Q—"x " spacings " o.c. length Q ft
Joists (floor beams) l`st floor '. "x " spacing a2-('o.c span ,r ' ft.
Joist (floor beams) 2nd floor 'x " spacing "o.c. span :ft. , • •
Overlays (ceiling beams) /k) . x " spacing, .c. span "ft.
Roof rafters "x " spacing () ,/o.c. span ? ft.
Roof trusses (pre-engineered) spacing N//7'*o.c. span , ft.
Exterior wall finish %/ee,E /1/ Ord-f of what material? x72‘2,42- -///
Interior wall finish /V if-
If a garage
)is o be attac ed, describe materials to be used for FIRE SEPARATION:
77
Is there to be an opening between garage d dwelling?` iti ' If so will a Fire-rated door, enclosure,
self-closing device be provided?: 1u k
Will a flue-lined chimne • be installed? 0 ' Height above roof y g ft.
Depth of chimney foundation below grade O ft.
Depth of fireplace hearth A---ft. in.
Water supply - Municipal or private well /1. tALE,
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties /J,- , ft.
(A separate application is necessary for any repair or new installation of septic system)
TAME OF BUILDER ADDRESS TEL. NO. 14 t
TAME OF PLUMBER ADDRESS TEL. NO.
TAME OF MASON ADDRESS TEL. NO. . ; .
•
AME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application,.together with the
Kane and specifications submitted, are a true and complete statement of all proposed work to be done on
RIe described premises and that all provisieo-.of the BUILDING CODE, THE ZONINR ^'""' ':`•':''CE, and
U other laws pertaining to the proposed work shall be oomph with, whether spiel or not, and that
soh work is authorized by the owner.
e
Signature , 177 •
Owner, owner's agent, arc contractor
PECIAL CONDITIONS OP THE PERMIT: y •.
BY • r5..A
TOWN OF QUEENSBURY
►. 531 BAY ROAD VI=�-
, r QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME /Gtu
LOCATION a k- 4",7 6c,
DATE 9 9/ vPERIIT# 9o-NZ--
TYPE OF STRUCTURE /60:-
•
RECHECK •
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
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 1
SIDING
DECK/PORCH/STEPS/RAILINGS 0 1(
RELIEF VALVES }
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY/DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE\
OTHER FLOORS CARPETED 1
STAIR CLEARANCE/RAILINGS \
HANDICAPPED ACCESS 1
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
COMM-NTS:
Co
ARRIVE /7",0D
DEPART Z2 0 GlJ
NS
, <<l' -rz-,43 2- 59 6
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT •
REQUEST FOR INSPECTION RECEIVED
NAME D V J A Lc) /..-AAJ 6 L-L_ I
LOCATION I C/,-aa ( d A)- 1 - 1 ✓ LA,(;
DATE -Ii 0 PERMIT # 0--/-1�
5-7-E5 f zA-G G S h O APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING ✓/
ELECTRICAL ROUGH-IN r
INSULATION:
FOUNDATION
FLOORS i
WALLS ii
CEILING /
FINAL INSPECTION: !t
Ir
CHIMNEY HEIGHT r. _
' ROOFING j4 / Lam"
SIDING :`
EXTERNAL PORCHES/STEPS ' . '/
STAIRS-CLEARANCE & 'RAILS
PLUMBING FIXTURES/RELIEF/VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS ' /f
GARAGE FIREPROOFING / "
DOOR CLOSER(S) Lei •
SMOKE DETECTORS
FINAL ELECTRICAL IN PECTION
� ;,
FINAL APPROVAL OFfCONSTRUCTION . " . �
OK TO ISSUE C/O ,R C/C `1 .�
A SIGNED CERTIfICATESOF OCCUPANCY MUST BE
OBTAINED FROM/THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
//
REMARKS:/
E\co IN0(TA le o
e° SQ F i
No?Lv 1,01-5) 4
a)MPL-0-.64 .
CAS ouY
ARRIVE�7cjc{)� ' c.
DEPART viy�� 411
' I SPECTOR
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TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examinatjon.
compliance with our comments shall
not be construed dS indicating the
plans and specifications are in full
compliance with the code.
.EEI,L,BURY _
TOWN °F . . , EPT•
BUI
REVIEW E
DATE
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"OWN OF QULLNSBURY BUILDING DEPARTMENT'
o a Based on our limited examination,
'AvA a +c�nipPiance w�h our comments shall
}' rpEP a not be construed as indicating the
D'U1 '. Maus and specifications are in full.
compliance with the code.
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