RC-000543-2017 TOWN OF Q .UEENSBURY
742 Bay Road,Queensbury,NI'12804-5904 (518)761-8201 .
-_- Community Development Building& Codes (518) 76178256
CERTIFICATE OF COMPLIANCE
Permit Number: RC-000543-2017 Date:Issued: Thursday, September 6- 2018
This is to certify that work requested to be done as shown byPermit Number. RC-000543-2017
has been completed.
Tax Map Number: 296.14-1-26
Location: 4 :EDGEWOOD DR
Owner: Deborah Putnick, Lawrence.Putnick,
Applicant: Build Right,518,
This structure may be occupied as a 20 ft. by-l2 ft. face of garage-repair
Alterations'.due to fire damaged from downed power,line(storm damage) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this.Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with.Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
6 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community-Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000543-2017
Tax Map No: 296.14-1-26 .
Permission is hereby granted to: Build Right 518
For property located at: 4 EDGEWOOD DR
In the Town of Queensbury,to construct or place at the above.location in accordance with application together
with-plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: Deborah Putnick -Attached Garage-Alteration $3,000.00
Owner Address: 4 EDGEWOOD DR Total Value $3,000.00
Queensbury,NY 12804
Contractor or Builder's.Name/Address Electrical Inspection Agency
Build Right 518
4 Roger ST
Glens Falls,NY 12801
Plans&Specifications
20 ft.by 12 ft.face of garage repair
Alterations due to fire damaged from downed power line(storm damage)
$60.00 PERMIT FEE PAID-TIES PERMIT EXPIRES: Thursday,August 30,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of eensbury, edne 12017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office use On9y
' P2rrriit .5V 3 20
Af DITIOIN/ALYERAYION PERMIT. .
APPLICATION .
�f Permit Fee:$
Town of Quee-nsbury
742 Bay Road,Queensbury,NY 1.2604 Invoice
P:518-761-6256 www.qu6ensbury.net
Project Location:
Tax Map I® #: �P�/7^/a1� Subdivi§ion Name:
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:CONTACT IIVP®RMA`I'I®No
o Applicantl
Name(s
Mailing Address; C/S/Z; Ra -'St (hn 5"&11 1
Cell.Ph..one:. ( .V? Land Line: —)
Email:
® Prinjabi Qwner(s):
Name(s): . %. . plc i'
Mailing Address, C/S/Z; . d �ar� rri
Cell-Phone: Land.Line: I _)
Email:
o Contractor(s)o `' Q W
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Business dame:
Contact Name(s): Rv.eq. k,,j61PA Jill I ' AUG 1
iVlailing Address, C/S/Z;
Cell,Phone: ( /y ) d Land Line; ) g 1 �rnpR U Y
Email:
o Arch itect(s)/Engineer(s)o
Business Name: lV
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( ) Land.Line: ( )
Email:
Contact Person for Building & Code Compliance: A pGP +��61
Cell Phone: ( �� _) a �- Land Line.-
Email:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
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PR&�t`T'NFORMAT'ION:
1fPEo Commercial — Residential
WORK CLASS:
Single-Family _Two-Family ^Multi-Family(#-of units )
Townhouse Business Office Retail
Industrial/Warehouse arage(#of cars ) _Other (describe - )
ADDITION SQUARE FOOTAGE., ALTERATION SQUARE FOOTAGE:
1st floor: . 1st-floor:. K
2na.floor.: 2nd floor:'.
3ra floor: 3td floor:
41"floor: 4tb floor.
Total square feet: . . .Total square feet:.
ADDITIONAL PROJECT INFORMATION:
1. .Estimated Cost of Construction: $ dvU
2. If Commercial project, what is the proposed use:
3. Source of Heat (circle one): Gas Oil .Propane . Solar- Other
Fireplaces need.a separate Fuel Burning Appliances&Chimney Application
4. Are there any structures not shown on the plot plan? YES NO Explain:
5. Are there any easements on the property? YES NO -
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel?
b. Is this a corner-lot? YES NO
C. .Will the grade be changed as a result of the construction? YES NO.
d. What is the water source? PUBLIC PRIVATE-WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system?
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
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1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to
fees and department approval.
3. 1 certify that the application, plans and supporting materials area true and complete statement and/or
description of the work proposed, that all work-will.be performed in accordance with .the NYS Building
Codes, local building laws-and ordinances, and in conformance with _local zoning regulations. .
4. 1 acknowledge that prior to occupying the facilities proposed 1, or my agents, will obtain a-certificate.
of occupancy.
5. - I also understand that I/we are required-to provide an as-built survey by a licensed land surveyor of all .
newly constructed facilities prior to issuance of a certificate of occupancy.
.I have read and agree to the above:
PRINT NAME A C114 Lawrn-b9 �S
SIGNATURE: �� DATE: v�
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
INSPECTION WORKSHEET (006454-2018)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:
Inspection Date:
Inspector:
Case Module:
Inspection Status:
Inspection Type:
RC-000543-2017
09/06/2018
John O'Brien
Permit
Passed
Residential Final Inspection
Job Address:Parcel Number:4 EDGEWOOD DR
Queensbury, NY 12804
296.14-1-26
Contact Type Company Name Name
Granted Permission Build Right 518 ,
Primary Owner Putnick, Deborah
Contractor Build Right 518 ,
Primary Owner Putnick, Lawrence
Applicant Build Right 518 ,
Checklist Item Passed Comments
General Comments YES 9/15/17 Final Inspection Not Approved
-Submit Final Electrical Inspection when complete.
9/6/18 Final Inspection Approved-Ok to Issue CO!
-Verified Final Electrical Inspection
Roof Complete / Exterior Finish Complete YES
1/2" Gypsum or House Wall and Gable YES Installed sheetrock on all walls and ceiling. No previous
fire separation
Seals on Garage Doors, esp. Wood YES
Fin Elect; Energy Saving Light Bulbs 50 Percent YES Submit Final Electrical Inspection when complete.
9/6/18 Final Inspection Approved-Ok to Issue CO!
-Verified Final Electrical Inspection
OK to Issue C/O YES 9/15/17 Final Inspection Not Approved
-Submit Final Electrical Inspection when complete.
9/6/18 Final Inspection Approved-Ok to Issue CO!
-Verified Final Electrical Inspection
Sep 06, 2018 Page (8)
O'Brien, John (Inspector)
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WN-6FE E NSBURY—
BUILDING DEPARTMENT
NQT�_ F Based-on-ou�limited-examinatiorr,eompliance—
with our comments shall not be construed as
c" r r indicatin the 1ads� cations are in—
FOAM INSULATI� N.M� ull compliance with the uilding Codes of
COVERED BY A 15 MINU V New York State.
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296.14-11-26 RC-000543-2017
Putnick, Deborah & Lawrence
II ewood Drive �.
4 Edg e 240 s.f.
Res. Alt. storm damage