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Application ......................................... .. . ........... , c) OFFICE USE ONLY .,• , U • TAX MAP NO. ' ► PERMIT NO. Date FEES: PERMIT RE ► ; 4-e .. �� ` ATION,_.____ENGINEERINGSi r .......... ....... (If aPptica- i # c n p......PRINCIPAL STRUCTURE: .. ..... APPLICATION FOR ZONING APPROVAL & BUILDING A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PERMIT BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.APPLICATION IS SUBJECT TO APPLICANT/BUILDER: ' c�r;; �c 'fes T OWNER: ' cs- pt. i-v, =s ADDRESS: ( o c L- sTA .. i..o1. -z S Macy P�+�.,�4-+*3 S�r rLa-cv sic� 77:0,�r AD EGRESS:�9 03 (5 Ea��-,�c ,ac.vc,,,,nq.•7, PHONE NOS. ( 3t-s-) 75i- ��' >; x�yQ1NiW �� PHONE NOS. I S) y 3 � s b ..?'<i' CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: C'44 5 .Cc= S PHONE: r3, )S 'i,i_ o S+ LOCATION OF PROPERTY: � �C 'r--23'7 6)/ �s SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z PROJECAPPLY TO YOUR ZO p ix O ci w � co CC C'1 Z ¢ s �-iLlj. LL a kg •0t P. a.wz SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS___, TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER G�,Q ( - s -.1........- I A�oi 4-4 .4_,,--cm---JA S IF COMMERCIAL OR INDUSTRIAL-NAME QF BUSINESS: G---1L1/11...1,,e-w, 1 Sr- ESTIMATED CONSTRUCTION COST: 5 cL .. .fl1EL TYPE: :v (/1 HEAT TYPE: •,-)I.A *HOW MANY FIREPLACE$-: ,J(�1 ( � AND/OR WOODSTOVES(S): 1\1 I Ta ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? f\1'i ;� IS THIS A HISTORIC SITE? r'- PROPOSED USE OF BUILDING OR ADDITION: CX--1-,- To 'Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3•L0L 11.05 . Town of Queensbury• Community Development Office • 742 Bay Road, Oueensh„r►, MV 710/A ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? w 0 ARE THERE EASEMEN ERVV?+ loAN � s I acknowledge no construction acti4ities..Shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. 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. Signed C Director of Building &.0 des:..761-82 6(for questionsregarding.Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with sad , zoning Laws of the Town of Queensbury. Application: BUILDIN- - +u•S APPROVAL ZONING APPROVAL (1 •��' l. DAT DATE QUESTIONS 7 CALL 761-8256 OR EMAIL codestaueensbu rv.net VISIT OUR WEBSITE FOR MORE INFORMATION WWWAILe nsbumnet i Town of Queensbury• CommunityDevelopment Office • "`=�� P ffi 742 Bay Road, Queensbury, NY 12804 40 TOWNOF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 ET Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060822 Application Number. A20060822 Tax Map No: 523400-288-008-0001-022-000-0000 Permission is hereby granted to: JAMES & DIANE MARIE FOWLER For property located at: 61 STATE ROUTE 149 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 Value Owner Address: JAMES & DIANE MARIE FOWLER 61 STATE ROUTE 149 Commercial Alteration _ $5,000.00 LAKE GEORGE, NY 12845 Total Value $5,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2006-822 VELOCITEL, INC. CINGULAR WIRELESS CELL TOWER $50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, November 16, 2007 (If a longer period is requited,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 To of ensb , r' °�(tr f,a _November 16, 2006 it SIGNED BY a, 9rt for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY wow742 Ba d Queensbury,Road,Qu bury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20060822 Date Issued: Monday, November 26, 2007 This is to certify that work requested to be done as shown by Permit Number P20060822 has been completed. Location: 61 STATE ROUTE 149 Tax Map Number. 523400-288-008-0001-022-000-0000 Owner. JAMES & DIANE MARIE FOWLER Applicant: JAMES & DIANE MARIE FOWLER This structure may be occupied as a: Commercial Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the ( ` ��J,: . •1, % property owner of the responsibility for compliance with Site Plan, �`" `v� 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. Queensbury Building & Code Enforcement - Re ' :ntial ' al Inspection Office No.(518)761-8256 Arrive: . p s part: am/pm Date Inspection request received: Inspector's Initia s: _ Q NAME: /4'; Velir1Y-e1 441T#: O —d LOCATION: ATE: � (va 11 TYPE OF STRUCT 6 f ,s-fed /.1 Ce fl r-- Comments Yes No N/A Building Number/Address visible from road r) / (1_.s p Chimney Height/'B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches cil1 �. t a h 0 /� Roof Complete/Exterior Finish Complete Platform at all exterior doors rn t re00_ Guards at stairs,decks,patios more than 30 inches above grade j Guard at stairwell at 34 inches or more -/11! S he Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet O 6 inch clearance to sill plate _Gas Valve shut-off exposed I regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight0 Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: (Sa_. Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector < 2 OC7 Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler __ Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'h"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/Permanent] L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc