1999-754 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 3000 Building Permit No. 99754
TAX MAP NO. 121 . -6-59
Permission is hereby granted to CONVERSE, TYLER
Owner of property located at 3 APRIL LANE
in the Town of Queensbuiy,to construct or place a RES IDENTIAL ADDITION
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.
•
Owner's Address:
3 APRIL LANE
QUEENSBURY, NY 12804
Contractor or Builder's Name:
CONVERSE, TYLER
Contractor or Builder's Address:
3 APRIL LANE
QUEENSBURY, NY
• - Electrical Inspection Agency:
Type of Construction:
RESIDENTIAL ADDITION
Plans and Specifications:
60 SQ FT RESIDENTIAL ADDITION (BREEZEWAY) AS PER PLOT PLAN
SPECIFICATIONS
Proposed Use:
RESIDENTIAL ADDITION
67 December 21 2001 •
$ PERMIT FEE PAID-THIS PERMIT EXPIRES
(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.)
December
Dated at the To eensbury this 21 Day of
SIGNED B ,� i �- ' for the Town of Queensbury 1999
Code Enfo
Building Permit Application
Town of Queensbury - Dept. of Community DevdQR cult;,?42iBayFRo Queensbury, NY 12804 [761-82561
BUILDING & . C0D 'E1V.FO�R `-M C4EE�'NT
NOTICE ..
Requirements priori ticzisung isklq, '7
of this permit: PERMIT FILE NO. 's l -
A permit must be obtained.before i-, ,,; ,`, - Y
beginning construction. No inspections r-+;E f r " `w;-) f: PERMIT FEE PAID$ t „Amwill be made until applicant has received n Zoning Board Action- ;= -`
a VAI,ID BUILDING PERMIT. All Arca /Use
applicants` spaces on this application RECREATION FEE '�/>
MUST be completed atld•the signature 0 Planning Board Action REVIEWED BY Am.
of the applicant must appear on the SPR / Subdivision /Other / Building Inspector
pplication form. rnm,x you. Recreation Fee Payment /
Applicant: `t l.-ER C.0k3v tME Owner: t; i4E •
—
. . Address: cr-3 APRI L pEG_ Address:
Phone # ( `) L_- c7i7il� 7 b 1 1 Phone # ( ) -
.. Property Location: Cf < Ea F IMBRtLE 4-6-1 1‘)R ZI 6 /
Subdivision Name: Tax Map Number_
ion Block Lot
NATURE OF PROPOSED WORK: EI8pT�IMAT�E19 ) RKET 7ALU�E 0 -TH^E�?
New Building: ONSTRUCTION:i�$r e 0- ��
residence / commercial J
Addition to Building:
P,sidnce ~/ commercial OCCUPANCY INFORMATION:
Alteration €o Building: Pr ary Building -
residence / commercial V Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
• Other
GROSS AREA OF PROPOSED STRUCTURE: •
1st Floor sq. ft. — ADD.ITION,t Uth�a-_t i ._u-s-e--- -
oaf new--addi._t o.n=be? :
2nd .Floor • sq. ft.
Other Floors sq. ft. 44W '
(not unfinished cellar or basement) A'CGESRYB3JLDINGS:
-aa 'a, / Detached Garage 1, 2 car
T.® AL-:F'I-fJOR_AREAS: 3[o so cSQ AFT-: . Attta_ched Ga-rage_7z 2 eat j h1 t
Private Storage Bui sing
S=TZ±E -OF N.EWESTRULGTERE::, .V ' �'4, `4 Commercial Storage Building
1 OtherE+ETj XE;1a,�P�
r1� Will anysecond-hand or ungraded
Foundation Type: ��si'T ci.Al.:t_��Tt1('; g
'_ Number of Stories : { lumber be used? If so, for what?
(habitable space only)
' H:eigh`t(grade t- ridge) : f 5 f'f Beta TYPE' OFF;`.H�EAT3NG S STEMT / v
LNumber—ef—f- r-eplaces-and/or woodstovel (circle all which appl'ie ,�cl
to be installed: Electric / Oil / Gas / Wood t
Forced Hot Air / Baseboard Other
Person responsible for supervision of work as regards to building '
codes is: --i-N LER CC,N\.ct2 E 1�Z—?�z;1D
•
Name Addresss Phone
$u a'der: ,,rf Ct7r t/e✓s�__ .
Plumber:
'^Mason:t fee.- Co ✓�-f5- —
1 E�lectficiari:_f )' )er ! /. r- 5.--e -
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 surveyor; raw o scale, showing actual location of project on premises.
V__SiMrilittire•i / C /(o r, owner's agent, architect, contractor)
GENERAL. INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development ' Date inspection request received:
Building& Code Enforcement
742 Bay Road
Qucensbury,NY 12804 Arriv °/�Oa m Depart]- ai
nspector's Initi s
NAME: 1 CJ010\1E2_ PERMIT#
LOCATION: 'A, p y t_A o F DATE : -
TYPE OF STRUCTURE: RE1j •
RECHECK
N/A YES NQ COMMENTS
Footings/Piers —� V I ROEP- Ll
Monolithic Pour Form ��`'��� �
Reinforcement in Place GB flC)E FCURDAT C 1 �-R \31a t
The contractor is responsible for �E cam-`-� F 6 I C_
Lp
providing protection from freezing l' Q
for 48 hours following the placement
of the concrete.
Materials for this purpose on ite
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval\
Plumbing Under Slab‘ •
Plumbing VenUVents ' •
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inter or R-
Foundation Walls Exte for R-
• Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- ,1D�
Proper Vent, Attic Vent / —
13CED -Ft) L6vVIRt*Framing I f
Jack Studs/Headers GaaGE -T►E UJI SAL
Bracing/BridgingPt.—._ G-`1-t 1-0
Joist Hangers_ , 1J �
Jack Posts/Main Beam _ E_. V6J1�F
Air Infiltration Barrier_
Fire Separation I, 2, 3, hour — C Ot r•EED \ feci-
Penetration Sealed SG
Fire Wall 2, 3,4 hour
Firestopping