99-530 CERTIFICATE OF COMPLIANCE --
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
November 2 99
Date 19
99530
This is to certify that work requested to be done as shown by Permit No.
has been completed. •
BILCO ENTRANCE
• This structure may be used as a
28 BRAYTON RD.
Location
JOHNSON, F. HAtitat be JANE
Owner
TAX MAP NO. 11 . -1-22 By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
99530
VALUE $ 2500 TOWN OF QUEENSBURY No.
TAX MAP NO. 11 . -1-22 WARREN COUNTY, NEW YORK
JOHNSON, F. HAGER & JANE
PERMISSION is hereby granted to
28 BRAYTON RD.
OWNER of property located at Street.Road or Ave.
BILCO ENTRANC1
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.
t. O dee isHOWELL&DUN20 RRY 939 SARATOGA KU.
BALLSTON LAKE, NY
9
2. CONTRACTOR or BUILDERS Name
JOHNSON, HAGER
3. CONTRACTOR or BUILDERS Address
4. ARCHITECTS Name
5. ARCHITECT'S Address
REW3IBENU L ALTERtATT(NS
6. TYPE of Construction—(Please indicate by X)
( ►Wood Frame ( I Masonry ( )Steel I I
7. PLANS and Specifications
16 SQ FT BILCO ENTRANCE AS PER APPLICATION
No.
8. Proposed Use
BILCO ENTRANCE
August 25 2001
1 t0
PERMIT FEE PAID -THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to treuByuuSli and Zoning inspector of tfnk 9 9 9
town of Queensbury before the expiration date.) 25 ,.
Dated at the Town of Queensbury this Day of 19
SIGNED BY �'t 1 ,� for the Town of Queensbury
Building and Zoning Inspector
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
_.
NOTICE BUILDING & . CODE ENFORCEMENT
Requirements prior to issuance r
A permit must be obtained before , of this permit: PERMIT FILE NO. 9)-S3 0
beginning construction. No inspections j r> a
/
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ U
a VALID BUILDING PERMIT. All Area /Use
applicants` spaces on this application RECREATION FEE PAID$
MUST be completed and the signature [D Planning Board Action \YC
of the applicant must appear on the REVIEWED BY:
pplieation form. nix SPR / Subdivision /Other Building Inspector
J Recreation Fee Payment
Applicant: i ' J ANSZ.
' Address: Q`� -
9-g -e' CC-,.'Address: •/
Phone # (:ab&) (, cI3 - a7 S- Phone # ( ) -
Property Location: 2 r-r
�
Subdivision Name: �C�� a9-� Tax Map Number t/ l / lSection Block r pi
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ Z-v ve,
residence / commercial
den / commercial OCCUPANCY INFORMATION:
to uilding: P imary Building -
s 'dence commercial Single Family Dwelling
sidence _ Commercial Two Family Dwkietg> ,i
a to exterior tie Family wrell .tig :
3
Office
Other Work (describe below) Mercantile AUG 2 0 199q
Manufacturing
Other
—
GROSS AREA OF PROPOSED STRUCTURE:
C,P
1st Floor sq. ft. If ADDITION, what will use
of new addition be? :
2nd .Floor sq. ft.
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
LP Detached Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: .50. _0 'pc( Qt. Commercial Storage Building
Other
FEET X lf FEET $N 244
Foundation Type: Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all ich applies)
to be installed: E1 rim c/s • / Gas / Wood
orced Hot A / Baseboard /Other
Person r s on 1 f rvision �f work asegards to building
codes is : � - -7(Y 1)-)aci prI- , Lk,. 7/ 1)64 LC / l,_N 6 7.c--
am Addressb 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 Uwe 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 sc e, showing actual location of project on premises.
_ -
Signature: . . .."--
' (owne wner' agent, architect, contractor)
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� TOWN OF QUEENSBURT`" ,, --.r»,.
.I���i� BUILDING & CODE ENFORCEMENT
1k7,427
742 BAY ROAD
QUEENSBURY NY 12804
(' (518) 761-8256 �
ARRIVE: DEPART: �``s�INSP:`` .
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:NAME g'�40 `_A'_ JgH3414/
LOCATION QR ( pA) R.0 .
DATE /r/2 5rtl PERMIT I ( G C 5,40
TYPE OF STRUCTURE C -C--1 G'u-+N l?
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/8 VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
/
DECK PORi TEPS RAILI S
/
RELIEF VALVES /
FURNACE/HOT WATER OPE' • ING
INTERIOR TRIM/PRIVACY D'ORS
FINISH FLOORS:
BATH/KITCHEN WATERTIG 'T
OTHER FLOORS SWEEPABL:
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
S OK DETECTORS
IRO.M F.NS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS /
FINAL ELECTRICAL ,V/
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLA /
OK TO ISSUE C/O OR C/ V/
,7
4____E... ....„..."
/ti
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury � /
Dept.of Community Development Date inspection request received:_ __ 1
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive___ am/pm Depart ' 'in/pm
Inspector's Initials
NAME: ` ' ` ' �i,
PERMIT# 5" 36
LOCATION: , + i, DATE : Y
TYPE OF STRUCTURE: '(44 .A — c4_ ,
RECHECK
N/A YES/NO COMMENTS
ootings/Piers� —1 I I
Mono it lc Pour Form
Reinforcement in Place_ '� ✓
__V
The contractor is responsible or
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place \
Foundation/Dampproofing _ \\
Backfill Approval
Plumbing Undcr Slab
Plumbing Vent/Vents in Place-__
Rough Plumbing _
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-
Proper Vent, Attic Vent__
Framing \ _
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam _ _
Air Infiltration Barrier
Fire Separation I. 2, 3. hour
Penetration Sealed
Fire Wall 2. 3,4 hour
Firestopping
cNi \c iiCo C-127 ° `'3 —1oM
5-a 7
GENERAL INSPECTION REPORT ]
( 518 ) 761-8256 /
Town of Quccnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Quccnsbury, NY 12804 Arrive/di 60 am/pm Depart am/pm
Inspector'sIq 1'
NAME: . X PERMIT# l^330
LOCATION: 0, (r D-Q DATE : —3/-9 1
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piersi —�
Monolithic Pou
Reinforcement ( �� /, � ��% C� ��
The ••ntractponsible f
provi• g pr from frc ling A�,- j�s )ec446-, G-fhea— reJ3
for 48 h.. s g t lacement
of the concreMaterials for thse on siteFoundation/Wa __ _Reinforcement
Foundation/Ddmpproofing
Backfill App val
Plumbing Under Slab
Plumbing Vent/Vents in Place__
Rough Plumbing
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- _
Proper Vent, Attic Vent
Framing _
Jack Studs/Headers _ _ _
Bracing/Bridging—
Joist Hangers_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3. hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
1.4
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