96-571 CERTIl' ICNI u. 0J+' COMPLIANCE, .
TOWN ;OF QUEENSBURY
WARREN'COUNTY, NEW YORK
Da to 19
This is to certify that-work requested'. toj be done as shown by Permit No. 9657 .
has been completed. {
This structure-may,-be used as a,-_ ` GAZEBO
.Location 635 LUZERNE -RL?_:
Owner. BARBER. TIMOTHY r t Y --
&
By Order of Town Board
- TAX 'MAP NO, 12 5 , -1.74. 1 OWN .OF QUEEN BURY
r Uirecto.r of:-Qui'l ding, & Code-En-forcement
1
11
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 2 500 No.
TAX MAP NO. 125. -1-4. 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
9
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a
at the above location in accordance to application togetheRK02t plans and other information hereto filed and
approved and incompliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
MICHELLE 635 LUZERNE RD.
2. CON or ILD Name So 4
3. CO RA or;
TIM BARBER
4. ARCH(TECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( 1
7. PLANS and Specifications
No.
200 SQ ET GAZEBO AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
GAZEBO
$ 15 PERMIT FEE PAID —THIS PERMIT EXPIRES 19 98
(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.)
Dated at the Town of nsbury this Day of 19Oetober 96
SIGNED_BY -for the Town of Queensbury
Buildui nd Zoning I
'V eai.-onenl o Corr1r11lmiy l velo nlerll Itcvietivcd By:
1 f � Ue 1
Building & Cede .Cn.forcenlelit , } ildin Inspector
Town of Queensbury Permit No.
742 Bay Road
Queerlsbury, Ne►a) Fork 128'04 42L��r Fee Paid $
(SIc`3) 761-8256 Build ��ertnit Application
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCT QN. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMI` ,
A11 applicants ' spaces on Lhis appJ. caL-.i:on MUST be completed and the
signature of the c-upp_L.ic.ant MUST 0j:)jDear.- Oil the application foi;u.
Applicant: —ri ,, 1�t�oi.hJ �] 0wuer:
Address ���� Ly22l+�,t '1 I>ciclrutis:
Phone # ( `��4S ) _� �l�Q_ I'11oIle #
Property L.ocmtion: 1';►x M lip Nusub r ---'---
Subctivisloll Nssmsc: _ NJ' J >4 --§V0011 A) (.ot
NATURE OF PROPOSED WORK: ESTIMATED MARKET ��N®�'QWM' SBURY
New Building: CONSTRUCTION: $ D&X-OINC AND CODE
residence / commercial
Addition to Building: -
residence / commercial OCCUPANCY INFORMA'TION: .
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 (describe below) Mercanti?:e
Manufacturing
- Other
GROSS AREA OF PROPOSED STRUCTURE: � �n7 e�CDC'�
if ADDITION, what will use
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: SQ . FT . Attached Garage 1, 2. car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
10 FEEL' x 2O FEET
Foundation Type : i\/ b4. Will any second-hand or -ungraded
Number of Stories : lumber be used? If so, for what?
( habitable space only) IJ 1V�
Height (grade -to ridge) : _ ��S feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies) �J _
Lobe installed: _- " Electric / 01 / Gas / Wood
!Forced Mot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : _ law. ,:tip �4 L �1c; YSL -
Name Addresss Phone
Builder:
Plumber:
Mason:
Electrician:DECLARATION.- Please sign below of er you have carefully read the statelNelit.
To the best of my knowledge the statements contained in this application, together with the plans
and spccilicaliotls submitted, ai'c a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the BLlitding Code, the Zoning Ordinance and all
TOWN OF QUEENSBURY , "
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256/
ARRIVE: DEPART: INSP: J p
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME S�1r},�
LOCATION 6 /��/�/U r� Ro {�
DATE /G� PERMIT N -`+
—T n
TYPE OF STRUCTURE
FOOTINGS_ FOUNDATION _ BACKFILL _ FRAMINGV/
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAI, ELECTRICAL WOODSTOVE OR FIREPLACE
N A YES NO
CHIMNEY HEIGHT B VENT NEIGH '
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK PORCI{ STEPS ILING /
RELIEF VALVES
FURNACE HB 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 REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C 0 OR C C
d� I IV`✓�vV ,
j,
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: �O
NAME p /
LOCATION /l((c��d
DATE _16 PERMIT N l
TYPE OF STRUCTURE /
FOOTINGS 1 FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION:
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE _
1 N/A YES NO
4
CHIMNEY HEIGHT B VENT 11EIGHT
t
PLUMBING VENT
ROOFING , s
art
EXTERIOR FINISH
DECK/PORCH/STEP,S/RAILINGS
RELIEF VALVES
FURNACE HOT WATER OPERATING
J.�
INTERIOR TRIM PRI AC DOORS
• FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
�a
OTHER FLOORS 'SWEEPA`BLE
OTHER FLOORS CARPETED
Fr 4
STAIR CLEARANCE/RAILINGS
1 '1
SMOKE DETECTORS- 1
BATHROOM FANS/�
PLUMBING FIXT�URES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CL SERS
FINAL LECTRICAL
SITE AN VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O 0 C