95-385 *
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 6 19 97
This is to certify that work requested to be done as shown by Permit No. 9538'
has been completed.
This structure may be used as a RESIDENTIAL ALTERATION (NEW ROOF )
Location 662 MOON HILL RD.
Owner RUIZ , JOSEPH P .
TAX MAP NO. 48. -3-1 2 . 2 By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
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BUILDING PERMIT
VALUE $ 6500 TOWN OF QUEENSBURY 95385
TAX HAP NO. 48. -3-12.2 No.
WARREN COUNTY, NEW YORK
RUIZ, JOSEPH P.
PERMISSION is hereby granted to
1616A MOON HILL RD.
OWNER of property located at Street, Road or Ave.
RESIDENTIAL ALTERATION (NEW ROOF)
in the Town of Queensbury,To Construct or place a
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
RD1, 1619A, NOON HILL RD.
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDER'S Name
SANE
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel ( 1
7. PLANS and Specifications
No.
8. Proposed Use
RESIDENTIAL ALTERATION (NEW ROOF)
$ 30
PERMIT FEE PAID —THIS PERMIT EXPIRES July 19 97 19
(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.)
24 July 95
Dated at the Town of Queensbury this .D y of 19
.
SIGNED BY for the Town of Queensbury
Building and ing Inspector
Department of Community Development � Reviewed By: /4 /,/
Building & Code Enforcement ,,/tNN ttl_djn+ 1Sper
Town of Queensbury WOW Permit No. ��?5
oto
742 Bay Road 00
• Queensbury, New York 12804 Fee Paid $ -
(518) 745-4447 Building Permit Application
A PERMI`1' 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 application form.
Applicant: \✓0e Nil✓ R €CZ �v Owner:
Address: go/0 A /' /00,4t/lktt /1 Address:
Phone # (5/g ) / - ,o(5-- ,,P��hh.one # ( ) -- -
Property Location: � �j �`� — L //F'�K `� '47v /(/� , 5 / / 4,9 02
'lax Map Number __ '
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET V���OF THE
New Building: CONSTRUCTION: $ —residence / commercial
Addition to Building: --.-
---__ residence / commercial OCCUPANCY INFORMATION:
Alteration)to Building: Primary Building -
residence / commercial t-Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size F. i Dwelling
Other Work (describe below) Office
Mercan1i ECIVED
OtherManufa tu� �y10
1995
GROSS AREA OF PROPOSED STRUCTURE:
- .. . I •I 1 uRY
If ADDITIO BUdNkbANtit.thE se
1st Floor sq. ft . 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: /, 0a SQ. FT. Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other _
FEET X FEET
Foundation Type : /0j�/VQ�J Will any second-hand or ungraded
Number of Stories : / / lumber be used? If so, for what?
(habitable space only) // / Are,
Height (grade to ridge) : !� feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies )
to be installed: _ Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is :
Naive Addresss Phone
Builder: - _
Plumber:
Mason:
Electrician :
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 beir issued, an AS BUILT PLOT PLAN
drawn to scale, showing a tual locatio o - rolject n premises .
Signature: / ,
owner, .wner' s agent, ar itect,_ contractor)
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TOWN OF QUEENSBURY
61111111±.1 Vriff BUILDING & CODE ENFORCEMENT
BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: 11J INSP:
(0'
FINAL INSPECTION REPORT - RES
IN TION REQUEST RECEIVED: (K l Q
(Fk
_01 ---)
NAME 0 \ 2 �� (pi' s€4S k 1 Q
LOCATION \\Q\ !- cC\JO041!' l ` Pa
DATE (9 -6 •_ PERMIT # �__ ��_:__ __
TYPE OF STRUCTURE { `P.S Ail- ,
1 �?�VJ
FOOTINGS FOUNDATION BACKFILL _ FRAMING
ROUGH PLUMBING _ SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
- N/A YES NO
CHIMNEY HEIGHT/B VENT EIGHT -
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/ ILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED r
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT P
OK TO ISSUE C/O ORC
U
TOWN OF QUEENSBURY
.4f BUILDING & CODE ENFORCEMENT
;� 742 BAY ROAD
/'� QUEENSBURY NY 12804
( (518) 761-8256 ARRIVE: L;?. V p DEPART: .2 : 5 3INSP:t vke4==-
FINAL INSPECTION REPORT - RESIDENTIAL DATE INSP• TION REQUEST RECEI'4ED• 1 2. / - q 7
NAME i J
LOCATION ��o/' le( 1_
DATE ) PERMIT A r�.-3Y
TYPE OF STRUCTURE €AJJ ( /? )k
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES
NO
CHIMNEY HEIGHT/B VENT HE G9T v/
PLUMBING VENT
OFING ,•`.�
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS _
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS _
SMOKE DETECTORS _
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION ,
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
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gyros
TOWN OF QUEENSBURY
+E�7�i1 BUILDING & CODE ENFORCEMENT
s 742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447 �
ivE: z ./� Z DEPART: Z. O 1NSP: ,�/
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUJ
RECEIVED:
NAME r-eO/ Z
LOCATION G J " e at) /7l44' i2
DATE f/4(�/�4 �" PERMIT II
TYPE OF STRUCTURE// `2''f At,. '39
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL , WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEI HT
PLUMBING VENT
ROOFING y
EXTERIOR FINISH �1/J
DECK PORCH STEPS RAILIN S
RELIEF VALVES
FURNACE/HOT WATER OPE• .TING
INTERIOR TRIM/PRIVACY .'OORS
ti
FINISH FLOORS: '
BATH/KITCHEN WATERTIGH _
OTHER FLOORS SWEEPAbLE
OTHER FLOORS CARPETRD
STAIR CLEARANCE/RAILINGS ,
SMOKE DETECTORS 1
BATHROOM FANS
PLUMBING FIXTURES t
FOUNDATION INSULATION '
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO. — \
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR F/C)
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TOWN OF QUEENSBURY
,, t4 BUILDING & CODE ENFORCEMENT
ii 742! BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
(eet
ARRIVE: //' / DEPART: //'/ INSP: v
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INS CTION REQUEST RECEIVED:
NAME 01- jti&"
LOCATION l gr..
/x'/) M t / 2LL,, "�DATE G 1/1 S PERMIT I 9�/ i//J�
TYPE OF STRUCTUREIIII / ,OO/ 447
FOOTINGS FOUNDATION BACKF L FRAMING Y
ROUGH PLUMBING SEPTIC I ULATION
FINAL ELECTRICAL WOODSTOVE R FIREPLACE
I N/A YES NO
r
CHIMNEY HEIGHT/B VENT/HEIGHT:
a
PLUMBING VENT
,
ROOFING
EXTERIOR FINISH ` "t
�D
DECK/PORCH/STEPS/RAILINGS,
RELIEF VALVES
FURNACE/HOT WATER OPERA 'ING
INTERIOR TRIM/PRIVACY IjOORS
FINISH FLOORS: I •n
BATH/KITCHEN WATERTIGHT
A.
OTHER FLOORS 'SWEEP LE
p
OTHER FLOORS CARPED i
1:
STAIR CLEARANCE/RAILINGS r
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN /
OK TO ISSUE C/O OR �//
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sr,t ve-o d 5644-6 ,
1
TOWN OF QUEENSBURY ti
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 i
INSPECTOR'S REPORT: ARR/'30DEPART 'l IN14"
REQUEST FOR INSPECTION RECEIVED: /�. /5_5
NAME � (J /J
LOCATION
DATE s'�//&: 573 PERMIT # )r(_ --
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR 'HIS PURPOSE •N SITE
FOUNDATION]WALL'OUR
REINFORCEMENT IN 'LACE
FOUNDATION/DAMPPROkFI •G
BACKFILL APPROVAL
PLUMBING VENT/VEN 'S I PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB 4
AMING: Y//
JACK STUDS/HEADERS
BRACING/BRIDGING
JOI HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH—IN
INSULATION:
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS R_
CEILING R—
DUCT WORK OR PIPING IN
UNHEATED SPACES R—
R c 2s s061' /04 L t--6
5r4L� C nL 1 t6'5 4s `P64
f \N j Ap s
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RECEIVE ti
<� q � � �. AUG 0 2 195 ,
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TOWN Uf OUEENSBURY ,�
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