97-201 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 13 19 97
97201
This is to certify that work requested to be done as shown by Permit No.
has been completed.
GARAGE ADDITION'
This structure may be, used as a
Location 46 I-IAMPTON COUP'!.
Owner JABIJONSKI Q THOMAS L P'f GGY •
TAX .,.., ... By 'Order, of Town Board
Y=. A NO 1, 1 , u-14:--5 TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 4000TOWN OF QUEENSBURY Na 97201
TAX MAP NO. 121 . —14-5 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to JABLONSKI, THOMAS & PEGGY
OWNER of property located at 46 HAMPTON COURT Street, Road or Ave.
in the Town of Queensbury,To Construct or place a GARAGE 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 Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
46 HAMPTON COURT
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
SCHUSTERITSCH, MICHAEL
3. CONTRACTOR or BUILDERS Address
24 LADY SLIPPER DRIVE
QUEENSBURY, NEW YORK 12804
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by XI
RESIDENTIAL ADDITION
( I Wood Frame ( )Masonry ( I Steel ( 1
7. PLANS and Specifications
160o•SQ FT RESIDENTIAL ADDITION (GARAGE ADDITION) AS PER PLOT
PLAN SPECIFICATIONS
8. Proposed Use
GARAGE ADDITION
16 May 15 19 99
$ 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 Oueensbury before the expiration date.)
15 May 97
19
Dated at the Town of Queensbury this Day of
SIGNED BY 4C for the Town of Queensbury
Building and Zoning Inspector
Building Permit Application
Town of Queensbury - Dept. of Conununity Development, 742 Bay Road, Queensbury, NY 12804 1761-8256J
'o BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance (
of this permit: PERMIT FILE NO. 9 A permit must be obtained before
7r�2Q)
beginning construction. No inspections /(o
ll be made until applicant has received 0 Zoning Board Action PERMIT FEE PAID$ ,
a VALID BUILDING PERMIT. All • Area /Use
applicants' spaces on this application RECREATION FEE Prit../
MUST be completed and.the signature E] pluming Board Action •
of the applicant must appear on the REVIEWED •
BY.•
SPR / Subdivision /Other Building Inspector
implication form. 7hank ym. R tion Fee Payment
`/ C (,� `
Applicant: � Owner: � 1 l0 \ I
• Address: � 7// U .1 .-A Address: 7 T / ril Ceu ±
Phone # (f.I/ ) �21j. " 6 3 Phone # ( 549 ) ail ' a,�.2
Property Locution: j / / S
Subdivision Name: Tax Map Numberi
Section Block T.ot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VA,L E OF THE
New Building: CONSTRUCTION: //
residence / commercial $ J ��
Addition to Bpilding:
residence commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family IF l Rie.
Residence / Commercial Two Family Wel ' 7..(.., -i;_IVED
no change to exterior size . Family Dwelling
Office MAY 05 1997
Other Work (describe below) Mercantile
Manufacturin. Tow OFQ IEENS3URY
•
her 1 DING AND CODE
GROSS AREA OF PROPOSED STRUCTURE: Sze j 1J
1st Floor /610 sq. ft. If ADDITI N, what will use
of ne _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: c" / V
c SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X 2, () FEET .
•
�(
Foundation Type: tadcfx/,'/� Will any second-hand or ungraded
' Number of Stories: / lumbe be used? If so, for what?
(habitable space only) / �c9
Height (grade to ridge) : feet TYPE OF_ HEATING SYSTEM:
Number of fireplaces and/or ood stove (circle all which applies)
to be installed: • Electric / Oil / Gas / ood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is:
e Address �// Phone
Builder: �"�S r �'v�� �y� <!-� .cr�l -,?a‘3
Plumber: ,q
Mason: I`{ 4i = --,? y Ao .��, I 77.3 - 36W3
Electrician.: -
DECLARATION: Please sign below cer 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 eing issued, an AS BUILT PLOT PLAN by
a licensed surveyor• •• n t e, ttow'ng actu °cation of project on premises.
Signature: L"
(owner, owner's agent, arch tect, contractor)
• TOWN OF QUEENSBURY
jfA BUILDING & CODE ENFORCEMENT
OW
.' 742 BAY ROAD
QUEENSBURY NY 12804
/ (518) 761-8256
ARRIVE: /' zb DEPART: ` INSP: V
!
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSP_E�.J _ON REQUEST RECEIVED: ` D —j 3�C
NAME � 1 1 `�V l
LOCATION(J9
Q 1 a11rVA l AA�
DATE -1 , �q 7 . P RMIT 1 S72ø)
TYPE OF STRUCTURE GN/}T `tea o
FOOTINGS FOUNDATION BACKFILLJJJ FRAMING _
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
.... ' ±-4-----
PLUMBING VENT
ROOFING
EXTERIOR FIN •
DECK/PORCH/STEPS/ LINGS
RELIEF VALVES
FURNACE/HOT WATER OPE ING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED •
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PdiN
OK TO ISSUE C/O OR % •
eat (518) 761=8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT '
742 BAY RD., QUEENSBURY NY 12804 " :•�.,"` ,
INSPECTOR'S REPORT: ARR f,V"DEPARTI
REQUEST FOR IINNSPECTION RECEEIVED: V ' 61/
NAME
LOCATION 4( Lc i L(1�1—�t� ' /41 747,-,-
DATE [2Oi )17
PERMIT n "
TYPE OF STRUC URE: 6 iL
RECHECK - )( .Aki -ROW- `''A—?1A~ APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON LE FOR.
PROVIDING PROTE TION FRO FREEZING
FOR 48 HOURS FOLLOWING PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS URPOS ON SITE_
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING
PLUMBING UNDER SLAB
-r kAMING':
rJACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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—
(518) 761-8256
TOWN OF QUEENSBURY Ve
BUILDING &CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 *
INSPECTOR'S REPORT: ARACtIODEPART ,
REQUEST FOR INSPECTION RECEIVED: Alf
NAME \ VC,
LOCATION '-(tC�- \c t Th !CV-
DATE ( PERMIT A `-{ 1
TYPE OF TRUCTURE:
RECHECK APPROVED
N/A YES
// NO
OOTIN IERS 515A
MONOLITHIC POUR FORM REINFORCEMENT IN,PLACE Z ILJ / -
THE CONTRA TOR S RESPONSIBLE FOR
PROVIDING OT TION FROM FREEZING
FOR 48 HOUR F LLOWING THE PLACE-
MENT OF THE CRETE.
MATERIALS FOR HIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING -
PLUMBING UNDER SLAB -_
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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- _
i (518) 761-8256
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT '' 0'Y
742 BAY RD., QUEENSBURY NY 12804 ''' a 4.;
INSPECTOR'S REPORT: ARRq t{6DEPAR *- .i c`
REQUEST FOR INSPIIN RECEIVED:
NAME ,. /_, ,,/
LOCATION 6 - 1' .0,/
DATE \/,6 PERMI /it / -2v/
TYPE OF STRUCTURE:
RECHECK APPROVED__
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEI�4ENT PLACE _ __ '
THE CONTRAC OR IS RESPONSIBLE FOR
PROVIDING '.TE,TION FROM FREEZING
FOR 48 HOU' FOLLOWING THE PLACE-
MENT OF T' �.NCRETE. ,
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _ {_4
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING -
JOIST HANGERS
JACK POSTS/MAIN BEAM _
AIR INFILTRATION BARRIER
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-
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•
i.--i APPII OVED1f.
_ • . , A plication
,..
.M/Y I 4 1997
• •
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