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2002-952 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020952 Application Number: A20020952 Tax Map No: 523400-296-017-0001-051-000-0000 Permission is hereby granted to: FRANK F,_ BORK For property located at: 870 STATE ROUTE 9 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: ALEXANDER POTENZA FRANK BORK Commercial Alteration 50,000.00 Total Value 50,000.00 403 GLEN St GLENS FALLS,NY 12801 Contractor or Builder's Name/Address Electrical Inspection Agency MICHAF,i.J. BRANCATO 61 WEST DELAVAN Ave NY 12804-0000 Plans&Specifications 2002-952 SUBWAY, MILLER HILL Commercial alteration per plot plan and specifications. N4 ' $100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesda': d .ovember 18,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement O};c - `� of the Town of Queensbury before the expiration date.) t� Dated at the T n Queen uty o day,November 18,2002 SIGNED BY for the Town of Queensbury. Director of Building&Code nforcement Building 'Permit it Application 1 Town of Queensbury—Dept of Community Development,742 Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction, Permit File No. No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants spaces on this Rec. Fee Paid application must be completed and must appear on the_ Reviewed By: application form. Applicant: _.Owner: Address: '�r7� /z- .s_ a Address: d �•,J ,�'vTrrz,� Phone# (TiG )ds - tea 5�S rF,-6zr8 Phone#(_) - Email Address: Email Address: Property Location: Lot Number: / House Number—IO 1 el p_.. q Subdivision Name: .v,414- Tax Map Numb—'X C1(p I �� ❑ New Building: residence /commercial Estimated Market Vaiue of Construction: $ `o Drip ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? �W Alteration: residence/ comrnercia ❑ No change to exterior size: residence/com'1 ❑ Other work(describe ) / Cheek OccupancyInformatiou 1"Floor 2n Floor Other floor Total Below sq.ft. sq.ft. sq,ft. Square Feet ❑ Single family dwelling o Two family dwelling ❑ Townhouse o Multifamily dwelling R EEIGEIVED #of units.* ❑ Office ❑ Mercantile o Manufacturing OF OUEENSBURY ❑ 1 car detached garage BUILDIN 3 6 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage ❑ 2 car attached garage ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential jO Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber/be used? If so,for what? /✓6 Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/othet: N Number of Fireplaces to be installed Number of Moodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Builder. i C/!1/ — ra / �✓ 'L/7ci/f S /© G Z s° Plumber r ' 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 I/we shall submit,prior to a Certificate of Occupancy or Certificate of Cornp'1zance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location d all new construction. Signii ur= � "' owner,owner's agent,architect,contractor GENERAL Use C-ENE AL INSPECTION REPORT Inspector: ' Town of Queensbury . Ready at time:. Dept, of Community Development .Request received: Meet: .Building& Code Enforcement At time: 742 Bay Road Queensburj,, ATY 12804 ARRIVE 31 am/pm: DEPART am/pYit Notes: (518) 761-82M Inspector's Initials f D NAME: r i/ lhJOLAJ PERMIT# 22 Q. LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement 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 F'oundation/Wallpour� Reinforcement in Place Foundation/Dampproofing Backfi.11 Approval Plumbing Under Slab � Plumbing Vent/Vents in Place Rough Plumbing Heating hough-In Insulation. Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in ' unheated spaces R- .1 Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beanx Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:1SueHemingwayCBuilding.Codes.Inspection.FORMStGENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION UPORT Inspector: Town of Queensbury Ready at time.,. Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE qry'ram' lpm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials NAME, PERMIT -:�W 2- LOCATION: 1`4,c- U INSPECT ON(date): TYPE OF STRUCTURE: RECHECK YES 0 COMMENTS �ootings/Piers Monolithic Pour Form Reinforcement 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 "FoundationfWallpour 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/Bridgmig- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Seated Fire Wall 2,3,4 hour Firestopping_---- L:\SueHerniiigway\Building.Codes.Iiispection.FORMS\GF,NERAL INSPECTION REPORT.doc