93-685 CERTIFICATE OF ',D `_+.CT► PA.N CY
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TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 31 19 � 95
! This is to certify that work requested to be done as shown by Permit No. 93685
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ham been completed.
RESIDENTIAL ADDITION
This structure may be occupied as a
LOT 46 LED+GEVIEW
Location
Garner HUGHOSt JOHN
By Order Town Sward
TAX MAP NO . 30 - 1 - 27 . 1
TOWN OF QUEENSBUR.Y
Director of Bldg. do Code Enforcement
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BUILDING PERMIT �
TOWN OF QUEENSBURY No. 93 - 685 z0
WARREN COUNTY. NEW YORK
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PERMISSION is hereby granted to 7QHL4 HLLC'HE S 1
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OWNER of property located at Ly'1t 4_ 6.,_T.c dd!geview Va I I Age Street, Road or Ave-
in the Town of Queensbury, To Construct or place a
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 M
En
RR3 Box 3293 - 2 U'
Lake George NY 12845
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2. CONTRACTOR or BUI LDE R 'S Name
3. CONTRACTOR or BUILDER 'S Address
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4. ARCHITECT'S Nance
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5. ARCHITECT'S Address O'
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6. TYPE of Construction — (Please indicate by X)
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( XWood Frame ( l Masonry ( I steel i 1 N
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FPLANS 'Specifications x ne car a ac a garage an a12rx18 ' Addition to dwelling as per plot plan , ('
specifications and application .
e room , one car detached garage fi
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24400 November 16 19 94 &
$ PERMIT FEE PAID — THIS PERMIT EXPIRES 0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the %:y,
town of Queensbury before the expiration date.) zi�
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Dated at the Town of Queensbury this 16 Day of November 1993 ~
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SIGNED 13Y / ,+'.f/_. > r for the Town of Queensbury
Bu-- ning Inspector
TOWN OF QUEENSBURY REVIEWED BY :
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING & CODE ENFORCEMENT FEE PAID .
531 BAY ROAD p
QUEENSBURY , NEW YORK 12804 PERMIT NO . I�GfG�J
( 518 ) 745 - 4447
BUILDING PERMIT APPLICATION
A PERMIT" MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID B T .
All applicants ' spaces on this application MUST be c 1 le ld an e
signature of the applicant MUST appear on the appli tion or„� . �
Recely
OWNER OF PROPERTY :
Mailing Address : r
Telephone Number ( s ) : Work .� gfrL / Home
PROPERTY LOCATION : 4
ock Lot
Tax Map Num er : Section __ Bl • •
Subdivision Name : Y. . r,.e f � i" Lot No rzI
NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE
Y CONSTRUCTION : $
_ NEW BUILDING :
RESIDENCE /COMMERCIAL OCCUPANCY INFORMATION :
-�,�.ADDITION TO BUILDING : PRIMARY BUILDING -
RESIDENCE / COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING : Two Family Dwelling
RESIDENCE / COMMERCIAL Family Dwelling
( NO CHANGE TO EXTERIOR SIZE ) Office
OTHER WORK ( DESCRIBE BELOW ) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE :
1ST FLOOR L SQ • FT .
IF ADDITION , USE OF NEW ADDITION :
2ND FLUOR SQ , FT . •'��rai / � fc� c rs
OTHER FLOORS SQa FT •
( not unfinished cellar car basement ) ACCESSORY BUILDINGS :
,- etached Garage - ne Two Car
TOTAL FLOOR AREA : SQ . FT . Attached Garage - One /Two Car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
FEET X FEET
Foundation Type : 'r (' kecre.. '6/ocf- 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 of Heating System :
Number of fireplaces and/ or woodstoVe ( c ..rcle all which applies )
to be installed : �-� ec / Oil / Gas Wood
/
Forced Hot Air / Baseboard / Other
PERSON 'RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
NAME OF BUILDER/ADDRESS / PHONE :
NAME OF PLUMBER/ADDRESS /PHONE :
NAME OF MASON /ADDRESS / PHONE :
NAME OF ELECTRICAN /ADDRESS / PHONE :
DECLARATION
To the best of my knowledge the statements contained in this appli -
cation , 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
drawn to scale , showing actual location of r ec o remises .
Signature
( Owner , ow ' s nt a . contrac
ag rchitecttor )
FOR ANY SPECIAL PROVISIONS - SEE REVERSE E :
TOWN QuEFNSBURY CODE ENFORCEMENT
I BUILDING+ &
531 BAY ROAD
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QUERNSBURY
ARRIVE : DEPART : �..�---
INSP :
p'IpAL INSPECTION REPORT . RBSIDgKxIAL
DATE INSPECTION REQUEST RECEIVED % _
1-
NAME (� ,j
IpVlt' _
LOCATION '?y. N
PERMIT i ___— .-----
DATE
TYPE OF STRUCTURE FRAMING
FOUN BACKFILL
FOOTINGS DAT ON A ION
PTIC INSUL
ROUGH PLUMBING WOOD'STOVE OR fr EPLACE
FINAL ELECTRICAL .�.- IMES RO
II A
VENT IG T
CHI!'SN�IO 11
PLUMBING VENT
ROOFING
EXTER OR FINISH
DECK PO GEi STEPS RA LINGS
RELIEF VALVES
FU"ACzZnOT WATER PE RAT N
INTERIOR RIM PRIVACY DOG
FIAT SH FLOO
BATH KITC IEN WATER IC+
� QTI{ FLOORS SWEEPAB
_OT118R FLC_10Ti5 CARPETE
STAIR CLEARANCE I I GS
SMOKE GETECTO S
p OOM FANS
MBING FIXT RES
FOUNDATION INSUI.AT ON
GARAGE F RE PROOF G
DOG CLOSERS
FINAL ELECTRICAL
SITE PLAN VA AN E RE
FINAL SURVEY P T PLAN
OK TO ISSUE: C R C C
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TOWN OF QUEENSBURY
BUILDING A D BCODES AY ROAD DEPARTMENT d`
QTELEPHONE � ( 518 ) 745 4447
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED��
IIIIIIIII
NA1ME
LOCATION_ „ �.�
DATE / PERlMIT #
TYPE OF STRUCTURE r
APPROVED
RECHECK N/A YES NO
FOOTINGSfPIERS
MONOLITHIC POUR 'FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPO SIB
FOR PROVIDING PROTECTIO F
FREEZING FOR 48 HOURS FO OWING
THE PLACFMEmT OF THE CO ETE _
MATERIALS FOR THIS PUR 5 ON SITE
FOUNDATICCl/wALL POUR
I E
FOUNDATION/DAMPROOL NG
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING : _ -- ----
JACK cif
.3 i'Cb /1,' ADERS��
BRACING/BRIDGING
JOIST HANGERS .�--- - -
JACK POSTS /MnTwt FE .414
HEATING ROUGH- ix,
INSULATION :
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR RR!
FLOORS R_ •
WALLS R.
CEILING
DUCT WORK OR PIPING IN UNHEAT
SPACES
R EMAR KS :
ARRIVE
DEPART__^ L" . __ _ — SPECT,'O
TOWN OF QUEENSSURV
BUILDING AND CODES DEPARTMENT
531 SAY ROAD
QTELEPHONE * NEW 0( 518) 745- 4447
BUILDING INSPECTOR' S REPORT r�
REQUEST FOR INSPECTION RECEIVED ----=`�a�--
MANE
LOCATION
DATE --PERMIT
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YESI NO
OO NG /P ER
MONOLITHIC POUR FOR
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPO S E
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE ,
MATERIALS FOR THIS PURPOSE 0 SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/V N I PLAC
LUMBING UNDER SLAB
RAMING :
JACK S EAD
BRACING/BRIDGING
JOIST HANGERS _ --
JACK POSTS /MA NN88€—A� _ ,-
HEATING ROUGH— IN
INSULATION :
FOUNDATION W L LATER 0 R—
FOUNDATION WALLS EXTERIO R—
FLOORS R—
WALLS R—
CEILING R—
DUCT WO - OR PI ING IN UNHE TED
SPACES
REMARKS :
ARRIVE '
DEPART ✓t ,_ I NSPEC OR
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TOWN QE 11JEENSBURY UILDING DEPARTMENT
Based on our lim' examination,
f COMPlipnce with ou comments shall
a not be'construed as ndicating the
and space ns are in foil
s Plans a nce with the de.
i cPu pans ►'� 293p'a�7
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