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RC-000736-2017 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-000736-2017 Tax Map No: 288.16-1-16 Permission is hereby granted to: Michael Crayford For property located at: 60 COURTHOUSE 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 Tvpe of Construction Owner Name: Mary Longley Single Family-Alteration $18,000.00 Owner Address: 196 CHESTNUT RIDGE RD Total Value $18,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Webster Management LLC PO Box 188 Hudson Falls,NY 12839 Plans&Specifications Residential Interior Alt.-1200 sq.ft. $180.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 29,2018 (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 eensb tedn y, o er 29,2017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Oniv ADDITION/ALT #: 73(�-� � � APPLI J i Fee: $ �`�a 00Toren of Queensburj• 742 Bay Road,Queensbury,Ny 12804 NOV 2 8 2017 c #: a P:518-761-8256 www.gueensbury.net TQWN OF QUEENSBURY Project Location: 0 0 (� n7 0 ISL IG&CODES Tax Map ID #: �ba.. l�_ Subdivision Name: �c'v2 rrtc:ryE Ls;,�; s CONTACT INFORMATION: ® Applicant: Name(s): M i C14v-r-i C z'4I Mailing Address, C/S/Z: 19 6 CttEs-rr✓�—$ nq, Cell Phone: ';"IQ' ) 74& Z—G- 1 Land Line: As t ) -70 t'98 Email: Primary Owner(s): Name(s): (VI elh V461-- +-y re Mt4=y Z— 1-c7 Mailing Address, C/S/Z: 1tl-r> ` Cell Phone: Land Line: Email: • Contractor(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone:�_) Land Line: Email: • Architect(s)/Engineer(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: �_) Land Line: Email: Contact Person for Building & Code Compliance: /"!r crtowt- �'� Cell Phone: r S' ) -744- Zx-- e'l Land Line: -5-1 1' ) -'7'1'& IOP-7 Email: Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 PROJECT INFORMATION: TYPE: Commercial Residential WORK CLASS: Single-Family —Two-Family _ Multi-Family (#of units ) Townhouse Business Office Retail Industrial/Warehouse _Garage (#of cars ) _Other (describe ) ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: > /�"6--'i -/a- 1st floor: 2nd floor: 2nd floor: nr 3rd floor: 3rd floor: •—� 411 floor: 4th floor: Total square feet: Total square feet: ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ 2. If Commercial project, what is the proposed use: Af"/q 3. Source of Heat (circle one): Gas 001, 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 _arcel? b. Is this a corner lot? YES NO c. Will the grade be changed as a result of the construction? YES CO) d. What is the water source? PUBLIC) PRIVATE WELL e. Is the parcel on SEWER or a PRIVATE SEPTIC system? <eP`Tl C Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 DECLARATION: L 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. Ifthework 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 are a 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 I, or my agents, will obtain a certificate of occupancy. 5. 1 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: SIGNATURE: DATE: 111v-b Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 WEBSTER MANAGEMENT ASSOCIATES lee P.O. BOX 2-32 HUDSON FALLS, NY 12839 C E t:- SP '7 4-4- -C'5--7 PHONE 05181 745-1100 F, X C518) DATE TO Ur�k-��✓>���r�/ � � 'f T , SUBJECT 630 GWt'Tt-1y:�s !alerty>� ry��os,F7 / y✓� � 3� idP �R,�'� j l 234- eyL.il, 2'4NCH hs';' err-i C .4r>;eitTS' `" �l1i�r}ltC--►� �Ser'�r�tt_ /7r'1�l�_�,S tNf� GNB Warr-t 1'1GG�JL.- Gtws��; fJ ( � mCvy,E_ 57p eL jC'' c1-• !moo©/�V� ��rvt�r-;E7 D2Yr✓�zt -e 1Zt=(��c'�_ ` /`'I)9 t/r a[ %� '731 N/vj ry G f�-c�.: t nr>� r9�r=r c ej A�;,rA I,,e: 30-7N e3 e_1 r,.;-j SIGNED �• TOWN OF QUEENSBUR`l _ -- BUILDING & CODE DEPT. Y Reviewed By: E _L C' " , Date: & N0 TOWN OF QUEENSBURY BUILDING DEPARTMENT KRAFT PAPER INSULATION Based on our limited examination,compliance with our comments sh::i­,ot be constr4E=a as MUST BE COVERED BY indicating the plans ano specifications are !n full NON-COMBUSTIBLE BARRIER Ne compliance with the Building Codes of New York State.