2002-881 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010881 Application Number: A20020881
Tax Map No: 523400-301-020-0002-039-000-0000
Permission is hereby granted to: ZOTTA. A-NNF.C.
For property located at: 17 QUEEN ANN Ct
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: A VIVI e- -IE0-,�46 Residential Alteration 500.00
1-7 Oman 14VXV1 C*. Total Value 500.00
Qu--ef-n5bli NY
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
BP 2002-881
Construction of skylights as per plot plan and specifications.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,October 25,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of_Queensbu%, Friday,October 25,2002
SIGNED BY A the
Town of Queensbury.
VV --�\IN
Director of Building&0 MeE, rcement
OAt 08 OE 10: 00a Ramada Inn Lake George 518-668-3131 p. E
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Building Permit Application
To-n of Queentbury-Dept of Coti nunity Develhpmcnt,742 Trey!toad,Queenstlury,NY
A permit Ympt be obteieod buforc bojinnins comtmolion. Permit File No.,?0022 ^-
No inapcatton wilt be made ulttl applicant hat received it For,Pwd3 S
valid building peanut. All applicants'spaces on this Rtu;.FCC poid
applmseton must be complmd and must appeir on the, Reviewed Hy:
appitcattea ton'd. / �] / '}
Applicant✓/t!)tJf. 4:fG� 'r CnNncc: z_/9 ?[' C C.- ��
Addrea4: J "J t. Lrt�t*r Address: 3
lbi.r
Phone#i 51 K}tom,• ' i( Phone
Email Addretis: I •c 0 rv) 'mail Address: )) _
rropsrty Location: Lot Number: / Housa Nu bar�l`. }t,{f=• yf1 rl�.C1 Gt r—�
Subdivision Name: V/'"457r. r`r ri7` Tax Map Nwubor; Sot)
o New T3oildlns: rceidonac I eomntsrelal Estimated Market vulua of Canatntation:Y--,////�{rl
a Addition: roldeaoa I camnareia �' 0
u AlterapOn: resldcaea!t emmarelsi !fun Addition,what will u4c Dow addidont ba l
work 0t+<1 IQ akr mor stza
Otiwr roe: / orti 1 � �
rlr(dascrl6a•5� % 1 a V "'�}
t !
VP
Chock Ocoapaocyiaformot on t @taor = Flvor . 0thorrtoor !but }�
Below sq,tt, sq.it. ln.it. bguera Fast
o Sln lt:family dwellin �i
'= 0 11vo fmnily dweuin _
/eC7 "COwrs114ws _Uti7 _j el e.0
n Mttld€unily dwelleng
R of tatits,
a Of fie" "
u Moraaittiie `t�,'
1
a Man�ufaeritr_l_a� ,p
Q l car d-
ZJ 2 car darachatt saraitc
Q �3 oarsar dsra
t oar sttattbad ,
a 2 oar attaahsd �
3 9 got a�,a s -
O Stotagebuildins- •
comnttrrcial
a 5torase building-
roeldanriat I
Other
What it tba proposed hel10t of the structure feet lrichas
Will any seoond•hand or unstadal lumber bs used? If ao,for wheel
Type of PIaatinR 9ystcui ele aia off r$op wood I forced hot air t bameboard I other:
NumberofFirnim to bo installed J -_{ Nt,mber Af��to be inarollad
Mat bolow the pmon(s)rtsponei We for supervision of work at resatds to building codes:
!dame Actdr ae _Phone Number_
Build Plea L4
on _ •
Electrlatim
z ry -Declaration; please sign below after you have:carefully read the statement: `� �"l�
To the best of my knowledge the statements contained in this application,toge 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 au orized by the owner, 1<urther,it is understood that Uwe shall
submit,prier to a Certificate of Occupancy or Certific of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Cod s,an s Built S'ury by a licensed surveyor;drawn to scale,showing actual
location of all new construction. -
Signature: owner,owner's agent,architect, tractor
Oo-,t 08,*02 10: 00a Ramada Inn Lake George 518-668-3131 P. 3
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David Builders Sons
FRAMiNG C) SPECIALISTS 1
Commercial&Fwsidcntial
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Pans and specifications are i full
cc,".-4lance t�ith the code
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BUILDING & a _
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REVIEWED By
DATE �9 '
J.OW10 ROTHERM9L f•30 QUEEN ANNE COLM,• ;WEEN58U#iK NY 12OW a PHONE`'518. Q00 CELL-51$857•d7�2?4�d