1999-107 BUILDING PERMIT
gOlG, 114- 1
TOWN OF QUEENSBURY
VALUE., 3000 :; , ; No. •. :,.. .:_ ..... 99107
TAX MAP NO. 83. —1-5-. 32 • WARREN COUNTY, NEW YORK
::PERMISSION is hereby'granted.to - HASTINGS i.. JOHN-& PAMELA-,
OWNER of property located at 974 WEST MT. RD. Street,Road or Ave.
in the Town of Queensbury,To Construct;or place a- RESTDENTTAL AflDTTTON ( 7 11fPMFRS)
at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the.Town of Queensbury Building and Zoning Ordinance.
1. OWNERS Address is
974 WEST MT. - RD.
QUEENSBURY NY_ :. 12804
2.,CONTRACTOR-or BUILDERS Name
BAKER, ART
3: CONTRACTOR or BUILDERS Address
:,CALL STREET...,
.CORINTH. ;: NY •
4. ARCHITECTS Name ,
5. ARCHITECT'S Address•
6. TYPE of.Construction—(Please indicate by X)
l.. : ..:. _ RESIDENTIAL ADDITION.., ,,:- _.
( )Wood Frame ( )Mason'y ( )Steel ( )
7. PLANS and Specifications
40.. .: FT`;-RESIDENTIAL .ADDITION ( 2 ' DORMERS;),- AS,.PER'.•PLOT:., PLAN:-;
SPECIFICATIONS -
8: Proposed Use
RES.IDENT,IAL: ADDITION; ( 2: DORMERS:) V
N_; 5E July 7.. 2001.
$ 8 PERMIT fIEE PAID THIS PERMIT"EXPIRES' 19
(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 Queensbury this '.Day of July,:,: 1-9 1999
SIGNED BY for the Town of Queensbury
Building.and Zoning Inspector
1 _NImi it ApplicationTvwn of Queensbwy - Dept. of Community Developn,enr, 742 Bay Road, Queencbu,y, NY 12804 [76I 8256]
•
NOTICD BUILDING & . CODE ENFORCEMENT
r - E - Requirements prior to issuance
ICY)A permit must be obtained before of this perm---------, . it: PERMIT FILE NO. - /07
beginning construction. No inspections '
will be made until applicant has received • n Zoning Board Action PERMIT FEE PAID$ 6 Q
a VALID BUILDING PERMIT. All • Arcs /Use .
applicants' spaces on this application RECREATION FEE P ID$
MUST be completed and•Ihe signature •
IlD of the applicant must appear on the Planning
Board Action REVIEWED i7Y.
ti plieation form: nia.t SI'IZ / Subdivision /Other Building Inspector
II Recreation Fee Payment
Applicant: 1,�Q h YA41-7_67-h`.43- Owner: a_��dt --r-- :-- (4'6'yl,,(Ci,-�I�
6-
.
' Address: �Address; �2
l��lttiio ( ) 2..I,U.. .. ..O..i.. 2. ,,,,,,1Q # ( ) iq.e. 0. 0
Propurly I,uunllons � 5/ /, ?:
Subdivision Name: Tax Map Number ( 1 / 5.3�
Section Block 1nt
NATURE OF PROPOSED WORK:
New Building: ESTIMATED MARKET VALUEAOF THE
CONSTRUCTION: $ M residence / commercial
/ Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Pgmary Building -
residence ./ commercial V Single Family Dwelling '
Residence / Commercial Two Family Dwelling •
no change to exterior size . . • Family DwelIt' -.- ,9
Office ' 9VE®
Other Work (describe below) Mercantile
ManufacEuring APR 0 5 1ggg
Other
GROSS AREA OF PROPOSED STRUCTURE: ®dNly aF ,rt6�,` y -
�UI ln,r
lst Floor q If ADDITION, what will use
2nd .Floor / sq. 'f t: ' ofeditiori be?
Other Floors T ` sq. ft. ' 61e-� �,�1 0 ,6
(not unfinished cellar or basement)
ACCESSORY BUILDINGS: •
it.
. Detached Garage 1, 2 car •
TOTAL FLOOR..AREA: _ _ SQ.- -FT. Attached Garage 1, 2 car
SIZE OF NEW STRUCTURE: Private Storage Building
Commercial Storage Building
FEET X FEET Other
o in a .
Foundation Type: Will any second-hand or ungraded
' Number of Stories: lumber be used? At so, for what?
(habitable space only) y e
Height (grade to ridge) : feet TYPE Ol?' HEATING SYSTEMS
Number of fireplaces and/or woodstove (circle all which• appl(
to be installed: • lectr oil / Gas / ood
For - • Hot -Jir / Baseboard / Other
Person reepons 1 for �tp rvision f)work 'af,reg rd to bu ding ' /
codes i :— r — c ' (4
Namo =--_ ____
_ Builder_:—_ Add-resse-- - - -- -- - Phone
Plumber:
. 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 Compliance being issued, an AS BUILT PLOT PLAN by
a licensed survey dra n to scale, s ing.ac ual location of project on premises.
Signature: G`
• ?owner owner's a_g9ni, architect, contrac r)
2_ •
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.DI aitt'_y� —„epart
Inspector's In' ' s •
NAME: PERMIT# 7
LOCATI : DATE : — —
TYPE OF STRU TURE: �� �pM%1-1 eL t`I—I 2nr\
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection fro ree• ing
for 48 hours followi the pla cment
of the concrete.
Materials for this .+rpose o itc
Foundat1 n/Wal .our
Reinforce r ace
Foundation/►ampproofing •
Backfill AI.roval
Plumbin: nder Slab
Plumbi Vent/Vents in Place
Rough "lumbing
)Yeatin_ 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-
Pr rVeAt •cVe t
raming_
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
a , m
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: gv I gig 9
Building&Code Enforcement
742 Bay Road
Qucensbury, NY 12804 Arrive I `•;Druhm Depart ` m
nspector's In' ' /,
NAME: �;\- PERMIT _, -I U f
LOCATION: \ u f q 1 c1 ()J , (ld • DATE : ! g//9p
TYPE OF STRUC'\TURE: ""
RECHECK \ /
F
N/A YES NO ,/ COMMENTS
Footings/Piers \ I I ./
Monolithic Pour Form ti4 /
Reinforcement in Place
The contractor is responsible for
providing protection from freezing i
for 48 hours following the placement 1
of the concrete.
Materials for this purpose on site 1
Foundation/Wallpour \\\
Reinforcement in Place
Foundation/Dampproof i ng A'
Backfill Approval ,/ •'\
/
Plumbing Under Slab \
Plumbing Vent/Vcnts in Place
Rough Plumbing s
Heating Rough-In
Insulation
Foundation Walls Interior R- I
Foundation Walls Exterior R- /
Floors R- 6 �:`
Walls R- /
Ceiling R- /
Duct work or piping in
unheated spaces R- /
Proper Vent, Attic Vent_ _ / _
Fran g � 1 1s
Jack Studs/leaders / i/r CADV 67- 0E) �L% v,E-K_Ac- d'- __,L.vaL 1.l;C
Joist Hangers I
•
Jack Posts/Main Beam ( --RDD 61kttaMt uOD ,AMFE a 1
Air Infiltration Barrier VCATEID ��-1��11Jb l "'
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Fireslopping
DV_— \C 1NW'lif\-
GENERAL INSPECTION REPORT
Town of Queensbury.
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 ay Road `��� �
Queensbury,NY 12804 Arrive am/pm Depart( '�"am/pm
Inspector's Initials 4 /
NAME: `f+SY(-)65 PERMIT#
LOCATION: j p Clx1-- . DATE :
TYPE OF STRUCTURE': c�,Zb� �2
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form pre= OW-.
Reinforcement in Place
The contractor is responsible for ��� /1 j pry
providing protection from freezing ./�'
for 48 hours following the placement
of the concrete.
Materials for this purpose o site
Foundatib allpour
Reinforcem tin PI
Foundation/Da oofing
Backfill Approv
Plumbing U r Slab
Plumbing ent/Vents in Place
Rough P bing
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
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