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2001-063 TOWN OF QUEENSBUR.Y 742 Bay Road,Queensbury,NY 128045902• (518)761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010063 Application Number:. A20010063 Tax Map No: 523400-001-000-0001-008-000-0000 Permission is hereby granted to: CRAIG BROWN For property located at: 27 ANTIGUA Rd . 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: CRAIG BROWN Residential Alteration 5,000.00 27 ANTIGUA Rd LAKE GEORGE,NY 12845 Total Value 5,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications BP 2001-063 RESIDENTIAL ALTERATION INCLUDING STAIRS AS PER PLOT PLAN AND SPECIFICATIONS $25.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,March 01,2003 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer Dated at the Town of bury; hursday arch 01, 2001 SIGNED BY �. for the Town of Queensbury. Director of Building&Code nfor ent BuildingPerniit Application .:, , .,,, OW12,of Queensbury - Dept. of Community Development, 742 Bay Road, Quee„sbury, NY 12804 /761-8256/ BUILDING & CODE ENFORCEMENT NOTICE Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. ____ 0 beginning construction. No inspections PERMIT FEE PAID �. will be made until applicant has received El Zoning Board Action a VALID BUILDING PERMIT. All Area /Use EATION FEE PAID$ applicants' spaces on this application RECO' MUST be completed and the signature 0 Planning Board Act1Vt® 1 oo tEVIEWED BY. ( of the applicant must appear on the SPR / Subdivision /Other lh lldLiN bnspeefor lication form. nvnk yw. Recreation Fee Pay . OPrQUEE • Applicant: O MI E • ' Address: D=71 • / 4'0�- 'd Address: Phone # (sir , 6a-- 6.55-‘ Phone # ( ) - . Property Location: w k V� f�� i Subdivision Name: Tax Map Number -=-/ / Section Block I tit NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF �q New Building: CONSTRUCTION: a6Va00 residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: �J Alteration to Building: Primary Building - sidenc / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office . Other Work (describe below) Mercantile Manufacturing • K Other k i:t0y, C� GROSS AREA OF PROPOSED STRUCTURE: • I let Floor s . ft . If ADDITION, what will use q of new addition be? : 2nd •F1'oor. . ., / 9 sq. ft. Other Flouts eq. ft . (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: SQ. FT. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building Other FEET X FEET Foundation Type: Will any second-hand or ungraded ' Number of Stories : • • lumber be used? If so, for what?/'O ( habitable space only) Height (grade to r .dge) : feet TYPE 00 HEATING SYSTEM: Number of fireplace and/or woodstove ( circle all which applies) to be installed:, Electric / / Ga ood Forced Hot it / aseboar / Other Person responsible for supervision of work as regards to building _codes is : im _ Neme • Builder: wa,`G• re1UV A -7iV1 gLidu -C- , �, ne�S. Plumber: 1/41 Mason: '�� Et '/ Electrician: i' DECLARATION: Please sign below afer you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submittal, arc 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 s or; drawn to scale, showing actual location of project on premises. Signature: /Ltq-, A„,_________---- (ow , owner's agent, architect, contractor) • Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE '.,q p a. I 'PA 'T :1 j"am m Notes: (518) 761-8256 Inspector's Initi el v. NAME: YV PERMIT# 0 f — O(C LOCATION; ( ��p�Q�, (,L,`� INSPECT ON(date): �0 TYPE OF STRUCTURE: RECHECK N/A'YE/NO COMMENTS F otings/Piers �rr;� J onolithic Pour orm Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. 1. Materials for this purpose on site FoundationlWallpour 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/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 L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc 6‘9 - a2s---G cc#61--t.), GENERAL INSPECTION REPORT (--DA ( 518 ) 761-8256 Town of Queensbury I Dept.of Community Development Date inspection request received: �2V..)l Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 1' am/pm Depart Inspector's Initials NAME: a. . T. PERMIT# c Y, Cp� LOCATION: 3— `��..- DATE : c.�( TYPE OF STRUCTURE: C U • ..L . RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor' responsible for providing prot tion from freezing for 48 hours fol wing titre placement of the concrete. Materials for this puTose on'site Foundation/Wallpour\ Reinforcement in Place Foimdation/Dampproo1 pg Backlit'Approval Plumbing Under Slab ; Plumbing Vent/Vents in P ce Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio` R- Foundation Walls Exterio 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 1,2, 3,hour Penetration Sealed Fire Wall 2.3,4 hour iresto'ping ��//// re_ Jr GENERAL INSPECTION REPORT 1 ( 518 ) 761-8256 TT)fc't Town of Queensbury 31,1_/.2-o C I Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 ((,/Y, , rrive 003O am/pm Depart am/pm Inspector's Initials NAME: � � griy?,yi PERMIT# x-� ",� -CD`f LOCATION: 71"r•-4- e GZP DATE : r1J TYPE OF STRUCTURE: RECHECK ( f rS N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo sible for providing protection fr freezin for 48 hours following t e placeme t of the concrete. Materials for' is purpose o site Foundation/Wal , ur Reinforcement in Plac Foundation/Dampproofing Backfill.Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In t►sulation �/ Foun tion Walls Inte 'or R- Foundation Walls Ext 'or R- Floors R- Walls R- 13 Ceiling R- 3 6 V Duct work or piping in unheated spaces Proper Vent, Attic Vent Framing Jack Studs/Headers 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 / sad �I �,1/4, P S <{� ''II N Firestopping e/ �'�Y" �l