2000-481 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000481 Application Number: A20000481
Tax Map No: 523400-126-000-0003-023-000-0000
Permission is hereby granted to: ERWIN& CLARA GUAY
For property located at: 42 STEPHANIE Ln
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: ERWIN& CLARA GUAY Garage-2 Cars Detached _
42 STEPHANIE Ln Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
DONALD DEAN
JR. &VICKEY
30 RHODE ISLAND Ave
OUEENSBURY.NY 12804
Plans &Specifications
$35.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Sunday, September 29,2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Quee6bury before the expiration date.)
Dated at the Town o ue sbury Friday, September 29,2000
SIGNED BY for the Town of Queensbury.
Director of Building&C 4krcement
BuildingPen1nit Application
.Town of Queensbul y - Dept. of Commullity Development, 742 Bay Road, Queensbury, NY 12804 1761-82561
BUILDING & CODE ENFORCZWENT
NOTICE Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO. OU
beginning construction. No inspections PERMIT FEE PAID$
will be made until applicant has received E] Zoning Board Action ti
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE AID$
applicants" gmww on this application
MUST be completed arid•the signature 0 Planning Board Action REVIEWED BY:
of the applicant must appear on the SPR / Subdivision /Other
Building lmwcfor
lication form. n�x,n,, Recreation Fee Payment
Applicant: -C/_GJ.Z77480 11[ ,61 Owner:
Address: L/ / ddrei�
ss:
Phone # ( ) - Phone # JUL_1 2000
----- ----- ------- _
Property Location:
�i� ----- - F�.
'L,Pr:i. /
Subdivision Name: Tax Map Number-_ `--/
Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED'. MARKET, VAh G �VTHE,.-
New Building: CONSTRUCTION: -. $
residence / commercial =
Addition to Building: _.
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 Work (descf.ibe below) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE: 62406 �.
1st Floor. _
If ADDITION, what will use
2nd .Floor. . :,: . . 5 sq. ft. of new addition be? :
Other Fluur"s . . . . sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
_ Detached Garage 1, C,car
TOTAL FLOOR AREA: S SQ. FT. Attached Garage 1, 2 car
Private-Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X 70 FEET
Foundation Type: 14710 t/aC��-/,���'_- Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space or
yly)
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaCe>; and/or woo stove (circle' all which applies) ;tx,A-C
to be installed:_ Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person respon ible/� for supervision of work as regards to building
codes is : A - t�:!eocC ze
Name Addresss Phone
Builder:
Plumber:
Mason:
Electrician:
DECLARATION.- Please sign belmv 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 Ccxle, 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 surveyors drawn to scale;2""/
showg actual location of project on premises.
Signature: `�
(owner, owner's agent, ar itect, contractor)
GENERAL INSPECTION REPORT
(518)761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive am/pm Depar�
!J Inspector's Initials
NAME: 1JA 7 PERMIT# ob
LOCATION: DATE: D 7, -
TYPE OF STRUCTURE:
RECHECK
N/A AYESO COMMENTS
FF otm'gs/Piers-VMonolithic Pour FormReinforcement in Place ,
The contractor is responsible for
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 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/Bridgin
Joist Hangers _
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
fk C) ki
TI N REPORT
GENERA dNSPEC O
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: v
Building&Code Enforcement
742 Bay Road `
Queensbury,NY 12804. Arrive am/pm Depart pm
Inspector's Initials '
NAME: C�/ � �°�IT# G7j
LOCATION: DATE :
TYPE OF STRU TURF:
RECHECK � G���
`N/A YES NO COMMENTS
Footm' /Piers �—
Monoli
Reinforcement in Place X/0
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement l�
of the concrete. 0 1q,
Materials for this purpose on site 5
Foundation/Wallpour
Reinforcement in Place r
Foundation/Dampproofing
Backfill Approval `
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/Readers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2.3,4 hour
Firestopping
GENERAL INSPECTION.DEPORT
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road r
Queensbury,NIA' 12804. Arrive am/pm Depart � n/ m
Inspector's Initia s
NAME: U/'r PERMIT 4
LOCATION: DATE: T
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings lPiersI I I
Monolithic Pour Form JJll
Reinforcement in Place
The contractor is responsibl for
providing protection from free ing
for 48 hours following the place ent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing '
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place N
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- "R
Walls R-
Ceiling R-
Duct work or piping in /f unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Readers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
Ir
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TOWN OF QUEENS
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. , REVIEWED BY J
DATE
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iJ�-.I_..°ii�'"L•..P1if1�S'dl�ii
l f Tb4scld on 3u1 !'ifllted examin@'-n,
a 40 t` camipliarlce with our cemmentu shall
nat ba construed�s indicating[lie
plans end SpQCltications$rf lii full
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