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2000-400 BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518)761-8256 VALUE $ 1800 Building Permit No. 2000400 TAX MAP NO. 121 . -12-54. 2 MC GRATH, THOMAS Permission is hereby granted to 11 ELIZABETH LANE Owner of property located at in the Town of Queensbury,to construct or place a BLOCK FOUNDATION/SLAB at the above location in accordance to 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. 110TIT 1A�6 .sl-I LANE QUEENSBURY, NY 12804 Contractor or Builder's Name: HOME IMPROVEMENT GALLERY, INC. Contractor or Builder's Address: 10 SARATOGA AVENUE SO GLENS FALLS, NY 12803 Electrical Inspection Agency: Type of Construction: RESIDENTIAL ADDITION Plans and Specifications: 126 SQ FT BLOCK FOUNDATION/SLAB AS PER APPLICATION Proposed Use: BLOCK FOUNDATION/SLAB 8 June 15 2002 . $ PERMIT FEE PAID—THIS PERMIT EMPIRES (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.) 15 June 2000 Dated at the Town of Queensbury this �__p_ Day of SIGNED BY - 1�1, for the Town of Queensbury CodeE06rcement Offiicer Building Permit Application Town of Queenshury - Dept. of Community Development, 742 B(v Road, Qiieerrsbin_v, NY 12804 1761-82,561 NQTICE BUILDING & CODE ENFORCEMENT Requirements prior to issuance A permit must Ire obtained before of this permit: PERMIT FILE NOC92m _ beginning construction. No inspections PERMIT FEE PAID$ 1 will be made until applicant fins received Zoning Board Action a VALID-BUILDING PERMIT. I All Area /Use I2ECREA770N FEE P D'$ applicants' ai>aoes on thin application MUST be completed and.the signature (� Planning Board Action REVIEWED IIY. of the applicant must appear on the SPR / Subdivision /Other dNing buIxecror licadon form. Tnv.tyo,. Recreation Fee Payment y Applicant: dz., g ,yn~,r1 c-ec� �.,Flj� c Owner: Address: /`G12f ;, � t 5 �,/kr�//r Address: . • f�!/tgv,s`' Phone # { s/P_ } JYi_- _ L-?? Phone # g- Prope"rty Location: Subdivision Name: Tax Map Number_ Section 131(vk 1 a)t NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ `d'c residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: - Alteration to Building: Primary Building - residence / commercial Single Family Dw Residence / Commercial Two Family" Dwell . no change to exterior size Family Dwellin Office .JON 0 7 20D0 they Work (des vibe below) Mercantile /�S Manufacturing TOWN OFQUEENSSuRy Other SUILDIf 6 AND CODE GROSS AREA OF PROPOSED STRUCTURE: If ADDITION, what will use 1st Floor. . sq. ft. of new addition be? : 2nd .Floor. . .,Alp. . sq. ft. Other Flouts . . sq. -ft. (not unfinished cellar or basement) ACCESSORY BUILDING5: Detached .Garage 1, 2 car TOTAL FLOOR AREA: SQ. FT. Attached ,Garage 1, 2 car PrivatEr_'Storage_ Building SIZE OF NEW STRUCTURE: Commercial Storage Building < 7 FEET X ' FEET Other Foundation Type: Will any second-hand or ungraded Number of Stories: lumber be used? If so, for what? (habitable space oryly.) liei'ght (grade to r)cdge) feet TYPE OF IIEATSNQ.. SYSTEM: Number of fireplaces and/or woolstove (circle all which applies) to be installed Electric / Oil / Gas / Wood Forced Hot Air / Baseboard / Other Person respons4ble for supervision of work as regards .to building codes is Name Address Phone Builder: Plumber: Mason: Electrician-' DEG&M47TON.• Please sign below after you have careful' ly 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 tllie described premises acid that all previsions of the Building Code, the Zoning Ordinance and all other laws pertaining to tine proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that lhve shall submit prior to a Certificate of Occupaticy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed survey rawn o scale, showin/g�actual location of project on premises. Signature: ( (owner, o ner's agent,.architect, contractor) 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 am/pm Depart'f ai pm Inspector's Initials NAME: 'Q O PERMIT#_s?O 0 LOCATIO DA '7 - � TYPE OF STRUCTURE:URE :___ - - RECHECK N/A YES N COMMENTS otings/Aicrs Monolithic Pour Form 01) n Reinforcement in lace The contractor is responsible for providing protection from freezing for 48 hours following theplacement L-t_— �2C U �� of the concrete. Materials for this purpose on sitev Foundation/Wallpour Reinforcement in Place r Foundation/Dampproofing Z,, Backflll Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior Rl Foundation Walls Exterio R- Floors e Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers 4 Jack Posts/Main Beam , Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppin EP REVIE OATE CCU ENSB U � - `�: \/!/^( A,Cwy/�,r,y l'�M��►7 c�• T I y f: y? �y . qI • Tv P �• F r t.t A.. REVIEWED B > � �.- T DATE A L L �...�` THE DU -` OF TUMN U# {ILIE: MURi P. 'SE NG;"V7i'riRTMEN., lla:�d•cn our limnfie.exatr4inaaon, compliance with our comments shall riot be construed as indicating the L/Srl vt 10UA1Z).ariosv plans and speciticatieh- - in full 1 compliance v�i�t the-xtce. T� E TO N Or-QUEEN56URY BUILONG DEr s '�1ENT ON Based on our limited examlmtttron=3 �Y� PRO E SITE AT compliancvMth our comments s.4 IF t1'� not be construed as indicating lh, AL T ES FOR plans and specifications are ii�ls : THEE i compliance with the r�n,. TIQN OF ''v. j . C01CT10NWV077 : :.. fJ Sic�� /Z'r"' ➢iN Ta FkctTiNr, /,v Ta ' Fcw,.0.4Tiori "r oMOStYJi~ (?&y*3RACAk� GRItDE ?';e-Al FOAm 2 uwL,E,p $J.A49 ex1& FCC r,NC ro n Office:(518)76-8256 Fax:(51 8)145-4437 .i TOWN QF QOEENSBURY "Home of natural beauty. . . C =.a gpod place to live." avid Hatlrr _ hector of 1hiln9~ 742 BaY Road Q 3 O U Code Enforcedwwt OueerisburY, NY 12804-5902 Al OFIVED JUN 0 7.20D0 191P . T©illt;V QE QUEEI`dSf3uRY I . UILD:IW ANd CODE / o a +4V ` 01 22 Q o 47 $t , Od, ti Q .. �$:' J. O ! O 1 D` O i1r Co i 6 VL CS / MAP' REFERENCE QUEEN VICTORIA'S GRANT PHASE ONE BY VanDusent & Steves FILED JUNE 4 , 1987 IN PLAT CA8INET A SLIDE 62 "