98-520 (2) rti 'ica + Compliance
Town of Queensbury
Warren County, New York
March 6, 2000
Date
This is to certify that work requested to be done as shown by Permit No.
has been completed.
REPAIR ON FOUNDATION WALL
This structure may be used as a
CAROLINE ST .
Locatiotz __ _. _ - -- ..-- -.
Owner CLARK , ROBERT /OSBORNE
TAX MAP NO * 1 31 . - 7 - 1 By Order Town Board
TOWN OF QUEENSBURY
Director. of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 500 TOWN OF QUEENSBURY No .985O -
TAX MAP NO . 131 . — 7 - 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to CLARKFR
OWNER of property located at 6 CAROLINE STV Street, Read or Ave.
in the Town of Queensbury. To Construct or place a REPAIR
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 Oueensbury Building and Zoning Ordinance_
t. O WNE R'S Address is
6 CAROLINE STREET
QUEENSBURYr NY 12804
2. CONTRACTOR or BUIU)ER'S Name
DANIELS QUALITY CONSTRUCTION
3. CnN W A STATE IL ERS Address
GLENS FALLS , NY 12801
4, ARCHITECT'S Name
S. ARCHITECT'S Address
6. TYPE of Construction — lPieese indicate by X1 RESIDENTIAL ALTERATIONS
l l Wood Frame I I Masonry f l Steel i I
7. PLANS and SPOCMC000010
48 SAgVFT RESIDENTIAL ALTERATION'S ( REPAIR FOUNDATION WALL ) AS
PER FiPPLICATION
B. Proposer! Use
REPAIR ON FOUNDATION WALL
10 August 28 2000
PIER MIT FEE PAID - THIS PERMIT EXPIRES tg
flf a longer period k required on epplicatkfn for an rutsneion mug! be made to this Guiklin0 sod Zonkv inspector of the
town of Oue"sbury badlore the expiration dale.l
28 August 1998
Dated at the Town of Oueensbury this Day of tg
SIGNED 8Y [7fC�-9 for the Town of OLwansbury
Sutldlrg and zoning lawactor
Building Permit Application
Town Of +Queensbury - Dept. of Community Developinew, 742 Bray Road. Queensbary, NY 12804 [761-8256.1
BUILDING & . CODE ENFORCEMENT
NOTICERequirements prior to issuance
A permit must be obtained before
of this permit: PERMIT FILE NO. _
begirwing construction. No inspections PERMIT FEE PAID $ 162. .A. C>
will be made until applicant has received 0 $ Board Action 7
a VAI,.LL7 BUILDING PERMIT. All Area ! use
applicants' spaces on this application RECREATION FE PAID $
MUST be completed aud•the signature Q Pam$ Board Action REVIEWED BY. rl r✓ r
of the applicant must appear on the SPR / Subdivision / Other Building Inspector
Iieation form. vftftk_< Recreation Fee Payment r
Applicant: /�'�,�tlu 43.- Cl [6 Owner. a C
Address: `--.. f' f f ' t� Address: Y? S Q- .n. Wr P .•'r
Phone # ( ) T _' + _ , � Phone # ( i -) ---�� -iF3C;l-3y Property Location: //74h ?` 't o 1'i.�C
Subdivision Name: T Map Number
Section Block I Alt
NAT RE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE
New Building : CONSTRUCTION : $ ' C!>
residence / commercial
Addition to -Building :
residence / commercial OCCUPANCY INFORMATION :
Alteration to Building : Primary Building
residence / commercial �. Single Family Dwelling
Residence / Commercial Two Family Dwelling
change to exterior size Family Dwelling
Office
Other work ( describe below ) Mercantile
e CeAmma eat Manufacturing AIJGc)
Other
CROSS AREA OF PROPOSED STRUCTURED
If ADDITION , what will use
lst Floor . . . . . . . . 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 AREA : '�,, SQ . FI . Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
FEET X �_ ,.._„ FEET
Foundation Type : 47 C _ Will any second-hand or ungraded
Number of Stories : lumber be used ? If so , for what ?
( habitable space only.). /`- C--'
Height ( grade to ridge ) : Gr7 feet TYPE OF HEATING SYSTEM :
Number of fireplaces and/or wooastove ( circle all which applies )
to be installed : — k1cs Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible
es onsible fo supervision of ark as reg rd t bu ' ldin_ 9
:codes %s >tr
Nave ,�r Address Phone
Builder : . cnrr,.t . I !-
Plumber :
Mason * c, c " , f Arl o
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, 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 Uwe shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUELT PLAT PLAN by
a licensed surveyor; drawn to scale,, showing location f ro" to miles.
Signature: < —7f_
(owner, owner's agent, architect ontractor)
Agt3SI,OIt•1G any RO D O4MBNT
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
( (518) 776-�1r-8256
ARRIVE : ' DEPART : INSPe
i
FINAL INSPECTION REPORT — RESIDENT
DATE INSPECTION REQUEST RECEIVED :
NAME
LOCATION
HATE C� — C�JC �—} PERMIT I
TYPE OF STRUCTURE R� Ogty5 L
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUG11 PLUMBING SEPTIC INSULATION -_
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
` MIA YES NO
CHI N I]EIGi1T B VENT FiE IGHT
PL VENT ROOFING-
X ERIOR FINIS
DECKZPORCHISIEPSIRAILIJS
RELIEF V LV S
FURNACE LiOT WATER OP ZING
INTERIOR RIM/PRIVAJ DOORS
VINISH FLOORS :
HZKITCHEN WR ERTI
OTHER FLOORS S E BLE
OTHRR, FLOORS ARPETED
STAIR CLEARANIEZRAIT41NGS
S OKE VETEC/oRS
BATIlgoom FANS
PbUMBING FIXTVZES
FOPHDATION INSUbATION
GARAGE FIRE PROOFINQ
OOR SER
FINAL ELEgTRICAL
SITE PLAN VA ANCE RE .
FILIA SURVEY T PL
OK TO ISSU C O O C
753 _he- ,1
GENERAL I SPEUZO)N'REpv, RT. �� h--__
Town of Queensbury
Dept,. of Community Development Date inspection request received..
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 + Arr7ive r
Insp r°s Initi
NAME: PE # _ ^t
LOCATION: I3A c�
TYPE OF STRUCTURE: /)
RECHECK L
N YE NO COMMENTS
rt�ings,+Piers i
Monolithic Four Form
Reinforcement in Place
The contractor is responsible for
Providing protection from freezing
for 48 hours following the placement
Of the concrete.
MaterialS for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundatiot�Jt3ampproof n.
Backfill Approval
Plumbing Under Slab_
Plumbing Vent/Vents in Place
Rough Plumbin
Heating Rough4n
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceili.ng R-
Duct work or piping in
unheated spaces
Proper Vent, Attic `Tent
Framin
Jack Studs/Headers
Bracing/Bridging`
Joist Hangers —
Jack Posts/Main Beam
Air Infiltration Barrier _
Fire Separation I, 2, 3, hour
Penetration Seated
Fire Wall 2, 3, 4 hour
Firestoppin.
_GENERAL W.SPE 'TIG►N RE. ORT
Town of 'QQueensbury
Dept of Community Development Date inspection request received*
Building ,& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive arn/pm Depart �/ �` am/pm
,,rr`� Inspector*s ]nitials"
NAME- `�-�C-/�1C PERMIT #
I.00ATIGN: c � � yr- • DATE : r
TYPE OF STR.UCT`URE_
RECHECK.
Zao . NIA, YES N CANTS
Footings/Piers �
Monolithic Pour Form
Reinforcement in P
The contractor is sponsible r
providing protect, from ing
for 48 hours followi placement '~`
of the concrete.
Materials for this o ite
Foundation/Wall
Reinforcement i ace
Foundatio 001miz
Backfill I
Plumbing Under Slab
Plumbing 'VentlVents in PIace
Rough Plumbin
Heating Rough-In r
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
.Pack Studs/Headem
Bracing/Bridging
Joist Hangers
Jack Po Hearn
Air Infiltration Barrier
Fire Separation 1, 21 3. hour
Penetration Sealed.
Fire Wall 2, 3, 4 hour
Firestoppin
FILE COPY
TOWN OF QUEENSBURY BUILOING KPARTMENT
Based on our limited examination,
compliance with our comments shall
not be construed as indicating the
plans and specifications are in full t
compliance with the code. --
i
TOWN 4D !
{
DATE lb