99-648 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 3600 Building Permit No. 9 9 6 4 8
TAX MAP NO. 57 . -1-9
Permission is hereby granted to JAMESON, GEORGE &
Owner of property located at 4 58 RIDGE RD.
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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
PATRICIA 458 RIDGE RD.
QUEENSBURY, NY 12804
Contractor or Builder's Name:
JAMESON, GEORGE
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction:
STORAGE SHEDS
Plans and Specifications:
288 SQ FT STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
STORAGE SHED
30 October 15 2001
PERMIT the PAID—THIS PERMIT EXPIRES
(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 wn of Queens 's 15 Day of October 1999
SIGNE for the Town of Queensbury
Code Enforcement Officer
Building Permit Application
Town
of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 /761-8256]
'O jBUILDING do . CODE ENFORCEMENT
NOTICERequirements prior to issuance _
A permit must be obtained before l of this permit: PERMIT FILE NO.
beginning construction. No inspections a'
will be nuide until applicant has received f—f Zondng Board,Aciden. PERMIT FEE PAID$
a VALID BUILDING PERMIT. All Arch /Usc -.f.
applicants' spaces on this application [n���±± `` - " /RECREATION FEE PAI
MUST be completed and•the signature Q Planning Board?iptio,, REVIEWED 13Y.
2 199 �� 1
of the applicant must appear on the
SPR / Subdivision /Other Building Inspector
eplication form. nit J Recreation Fee Payment
Applicant: Jas SU� i .es a Owner: ./7?
' Address: 45-7 44€ 41' Address:
Phone # (7/f ) 79 - }( � , Phone # ( ) -
Property Location: 4s-i 44i 4/. .. -f
Subdivision Name:
Tax Map Number / /
- i Section Block Lot
NeIkOF PROPOSE ESTIMATED MARKET VALUE OF THE
New Buildi : CONSTRUCTION: $ ,-SZ Op
resid nc / commercial_
Addition t Buil, eJ:'---
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial . Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size . Family Dwelling
Office
Other or rL-,k (describe bey . Mercantile
e, Manufacturing
,...------ Other
GROSS AREA OF POSED STRUCTURE:
If ADDITION what will use
1st Floor 2.---Fr sq. f t. of new addition be? :
2nd .Floor — sq. ft.
Other Floors -- sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
• Detached Garage 1, 2 car
TOTAL FLOOR AREA: 7-77 ' SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
12-- FEET X 2 FEET Other
Foundation Type: 9/1- tAL_ Will any second-hand or ungraded
' Number of Stories: / lumber be used If so, for what?
(habitable space only) st/�
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies) /(4414
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible
for supervision of work as regards to building
codes is : G ei JGs-,-.4vs,,�
Name Addresss Phone •
Builder: •
Plumber:
Mason:
Electrician:
DECLARATION: Please sign below after you have carefully read the statement.
To the best of my knowledge 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 done on
the described premises and that all provisions of the Building Code, the Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, shown g actual location of project on premises.
Signature:
(owner, owner's agent, a c teat, contractor)
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GEORGE I. & PATRICIA A. JAMES
DEED REFERENCE: TO OF V1T
RICHARD E. MILLER, EXECUTOR Q (� OUEfNSBURY COUNTY OF WARREN
TO \ , SCALE 50. N. Y
;FORCE I. & PATRICIA A. JAMESON
DECEMBER 22, 1993
DATED Jf 13, i97'8 VanDusen en & SievesBOOK 8i3 PACE 882
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1 N.Y. STATE LIC. NO, 35617 I-R-F. .. IRON ROJ FOUND
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