1999-390 , . .
. .
Certificate of Occuiancy
•
Town of Queensbury
Warren County, New York
Date April 289 2000
•
99390
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a CONVERT PORCH TO GARAGE
COUNTRY COLONY DR
Location
Owner • GPOS mARCIFLLA
TAX MAP NO. 47 . -3-5 By Order ToN•vn Board
• TO7 OF,JEE • Y
Director of Building& Code Enforcement
BuildingPermit Application
Town of Q
"0 ueensbui y - Dept. c f Community Development, 742 hay Road, Queen•I•bu y, NY 12804 1761-8256
BUILDING & . CODE '
NOTICE ENFORCE lLN7' .
,__
---7--------, Requirements prior to issuance ( el
A permit must be obtained before of this permit: 1'G1td41T FILE NO.
9-390
beginning construction. No Inspections d0
will be made until applicant bus received El Zoning Board Action PERMIT FEE PAID$ cgs
a VALID BUILDING PERMIT. All Area /Use a
applicants' spaces on this application RECREATION FEE 1' 1D$
• MUST be completed and.lho signature [--i �
of the applicant must appear on the Planning Boars!Action REVIEWED BY:
�t�tplicntiott form. rh.,t,,4 SI'R / Subdivision /Other "..__.._._..____.____._ __._
J .Recreation Fee Payment nuuding hived'''.
J
Applicant:' D(.. .141..\-) is qi)C6 Owner: ,-AALD . IviA.T,ews. qgzs
4 n
' Address: l;WISFY CA1' 90. n
Address: 31 12 {( k' 9- 1")
Phone # ( 1� ) 7�1 - _.52 ►? ,
4 n Phone # ( 51g ) ` 0 - 061/
Property Location: �--o00 L P CnAr kk< ,� p •
Subdivision Name: 1 ) 4
Tn. map Number ? / / '�
•. Section Mick It,t
NATURE OF PROPOSED WORK:
New Building: ESTIMATED MARKET V E OF TIE
residence CONSTRUCTION: $ ()/')Addition to Building:
i 'residence / commercial OCCUPANCY INFORMATION:
Alterat' i nn_ to Building: Primary Building s
r& sidenc) / commercial Single Famil = `t,, G AveD
Residence / Commercial Two Family Dwelling
no change, to exterior size family Uwc:::::::1DE
Other Work (describe below office Mercantile Tpys/t:Mannfacturf ORY
—
I�OtherGROSS AREA OF PROPOSED STRUCTURE: CRDW�k ,� Y
1st Floor s If ADDITION, �t WY-use
use
2nd ,Floor sq� ft.. ft. of new addition be? :
Other Floors sq. ft.
(not unfinished cellar or basement)
ACCESSORY BUILUINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: 300 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
FEET X FEET Other"
Foundation Type: Will any second-hand or ungraded
' Number of Stories : lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE Or IIGI►'1'ING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced blot Air / Baseboard / Other
' Person responsible or supervision of work as regards to building
codes is : C7>,,I)e0,)Name Address° • phone •
. Builder: •
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, arc a true and complete statement of all prol)osed 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 r drawn to scale, showing actual location of project on premises.
Signature: PZe."'cle .
(owner, owner's a eat, architect, contractor) .
•
BUILDING PERMIT •
VALUE; •:.$ ; 500- TOWN. OF QUEENSBURY No
99390
TAX MAP NO. 47 . -3-5 WARREN COUNTY, NEW YORK •
•
PERMISSION is hereby granted to GROS, DONALD & MARCELT.A
OWNER of property located at 4 COUNTRY COLONY DR. Street, Road or Ave.
in the Town of Queensbury,To Construct or.place a CONVERT PnprH TO GARAGE.
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. OWNER'S Address is •
4 COUNTRY COLONY DR.
QUEENSBURY, NY . 12804
2. CONTRACTOR or•BUILDERS Name
GROS,, .'DONALD .
3. CONTRACTOR or BUILDERS Address
4. ARCHITECTS Name
•
5. ARCHITECTS Address
' 6. TYPE of Construction—(Please indicate by X)
..RESIDENTIAL-..ALTERATIONS
( )Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications .
CONVERT PORCH TO GARAGE (300 SQ FT)= AS PER APPLICATION
8. Proposed Use.
•
CONVERT PORCH TO GARAGE
;25.. • ..:.: July .8. . 19 2001. .
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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.)
8 ';' • July.- 1999
Dated at the Town of Queensbury this" Day of 19,
SIGNED BY = for the Town of Queensbury
Building a Zoning Inspector
. (-112/.# 7
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 3:50 am/pm Depart am/pm
Inspector's Initials_`)/tt- .
NAME: ' PERMIT# `7 0
LOCATION: E ( ,�DATE : — — C)
U `
TYPE OF STRUCTURE:
' s!� f�' k\e—' U
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing prot ctio from freezing
for 48 hours fo lowing the placement
of the concrete.
Materials for this pu se n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi '
Backfill A royal
Plumbing Un r 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_ --._ V!
Jack Studs/Headers_
Bracing/Bridging ,
Joist Hangers .
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour 066e 7
`'J - 9R/Pni
Penetration Sealed J
Fire Wall 2, 3,4 hour
Fireslopping
`(""" COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.91
0
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL (`
Panel Board No.;� Cert. N4 6 7 6 2 0 Cut-in Card No. (V..
Owner �O A .1P s
Location / Cd-u./u/� a)4-6 et) iW
Installation Consisting of / l r 2 -i° e. r.
Installed By S'16-- Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin inspections at any time, and if its
rules are violated,the Company shall have the right to vok t ' ificate.
Date.`iC INSPECTOR
..........
VP A I A F
9:3,9
FivED
JUN 2 4 1999
Gros TOWN OF QUEENSBURY
BUILDING AND CODE,
47.-3-4.4 P�
QQ.
47.-3-4.1
rvsGR\P.
47.-3-5
40�
C'-
47A6 C°�
47.-4-7
Produced by the Town of Queensbury, NY, Planning Department SCALE: One Inch Represents 50 Feet
06/18/1999