1999-683 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
. VALUE $ 10000 Building Permit No. 99G83
TAX MAP NO. 64 . -1-5 . 13
Permission is hereby granted to BLACKMER, MT CT-TAF,T.
Owner of property located at 4 NOVA LANE
in the Town of Queensbury,to construct or place a STORAGE BUILDINC
at the above location in accordance to application together with plot plans and other mformation hereto filed and
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
REBECCA 35 MONTRAY RD.
QUEENSBURY, NY 12804
Contractor or Builder's Name:
BLACKMER, MICHAEL
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction:
STORAGE BUILDING
Plans and Specifications:
400 SQ FT STORAGE BUILDING AS PER PLOT PLAN SPECIFICATIONS
V Proposed Use:
STORAGE BUILDING
$ 50 PERMIT FEE PAID-THIS PERMIT EXPIRES February 3 2002
(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 Queensbury this :R Day of FPbrua r y 2000
SIGNED BY , f;,q.,'-e- t L /�.. �� for the Tow i of Queensbury
Co.- nforcement Officer
TOWN OF QUEENSBURY
0".
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: 99683 Application Number: 99683
Tax Map No: 523400-296-018-0001-016-000-0000
Permission is hereby granted to: MTCHAFT,RT,ACKMERF,
For property located at: 4 NOVA Ln
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: MICHAEL& REBECCA BLACKM
35 MONTRAY Rd Unknown $5,000.00
Total Value $5,000.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
BLACKMER. MICHAEL
Plans&Specifications
99-683
STORAGE BUILDING/400 SQ FT STORAGE BUILDING AS PER PLOT PLAN SPECIFICATIONS
C)42)\(
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursd <rebruary 03, 2005
(If a longer period is required,an application for an extension must be made to the code Enforceme Ifiee
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbu ; Thu sday, February 03, 2000
SIGNED BY .)
for the Town of Queensbury.
Dire for of Building& :e E\iorcement
.v u uairig 1-e r ruii zipp uuu uurt
. ''Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256J
-`' BUILDING & . CODE ENFORCEMENT . . 99 r /Q 3
NOTICERequirements prior to issuance . l (j, UA
of this permit: PERMIT FILE NO. eb_° •{45
A permit must be obtained before .-.
beginning construction. No inspections `��
Zonin Board Action PERMIT FEE PAID$
will be made until applicant has received n S
a VALID BUILDING PERMIT. All - Area /Use RECREATION FEE PAID$
applicants' spaces on this application
MUST be completed and.the signature n Planting Board Action REVIEWED BY: ( k
of the applicant must appear on the SPR / Subdivision /Other Building Inspecwr •J
!
application form. n�,ayou. -1 Recreation Fee Payment
Applicant: ,(}LIP ( parry/tee- Owner: �� �e / I( C-1(AK"
• Address: `,. Address:`•
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Phone # ( .1. ) led ..2q Phone # (5'i-) :7c 3 . 2a.-
Properly Locnllon: 4. AA I)q J a"Le , 6y .S� S, I
Subdivision Name: i CFt'!� t .l (` r2,S Tax Map Number
Section Block Lot
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NATURE OF PROPOSED WORK: •
ESTIMATED MARKET ULUE OF THE
L-../New Building: CONSTRUCTION: $ 07UOd
residence / commercial s��a it
Addition to Building: V
residence. / commercial OCCUPANCY INFORMATION:
'L`�,ATION:
Alteration to Building: •. Primary Building Nov 01_19.99---
residence / commercial Single Family_Dwelling,::<:0
Residence / Commercial Two .Family7gyve il`lrit%4E EiSB AY
no change to exterior size Familp0: e:l�l kit) 0l2E
Office 1 t -
•• Other Work (describe below) Mercantile ` 4- . . .•'a4
Manufactu'rin :.- a+
. 1..,----- Other '` ,� 9 -`, _,,,i`., ,.at.
GROSS AREA OF PROPOSED STRUCTURE: \ _.
0.
If ADDITION, what will use
1st Floor . w sq. ,ft. of new addition be? : •
2nd .Floor sq. ft.
Other Floors - sq. ft. •
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: -1-:".4461V61. SQ. FT. Attached Garage 1, 2 car
1„...--- Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other •
'_'': 0_, `. FEET XQ, . FEET
Foundation Type: C0,0( Q, Will any second-hand or ungraded
' Number of Stories : C`j lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : :;~/° __:, feet TYPE OF. HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which appli s)
to be . installed: 0 Electric / Oil / Gas //Wood
• Forced Hot Air / Baseboard / Other
Person responsi le fo• supervision of work as reg. •s to building
codes is : rn i U o(e, 6)_GCiar P� r, yl�n� l"I 7Gl-3-a95
Name // Addresss f Phone
Builder: !� ,'�h�P c�/Q_GLi-n�_"- - •
Plumber: •
Mason: ---
. Electrician: -
DECLARATION Please sign below cuter 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 surveyor; drawn to scale, showing actual location of project on premises.
Signature: Z/a-
(owner, owner' agent, architect, contr ctor)
ac4i\f-kz__
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quecnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road J/
Quecnsbury,NY 12804 Arrive am/pm Depart'' ) m// m
Inspector's Initials ci•
�(iv
NAME: PERMIT#r 03
LOCATION: ATE : �
TYPE OF STRUCTURE:
RECHECK
N/A 7NO COMMENTS
tings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is res.s nsible for
providing protection rom frcezin
for 48 hours followirr_ the platen ent •
of the concrete.
Materials for this purpo.e on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproof i
Backfill Approval ,ig'_
Plumbing(J.nd- ab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Ext rior 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 I, 2, 3.hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
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67.7 PI D 1 •
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C; i 1999
cy,../LLNsBuRv
BUILDING AND CODE
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