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98-726 BUILDING PERMIT TOWN OF QUEENSBURY VALUE $ 12000 No . 98726 TAX MAP NO . 90 . - 7 - 21 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to DE SANTIR r JQHN & MARY OWNER of property located at 23 LADY SLIPPER DR Street, Road or Ave. in the Town of Oueensbury, To Construct or place a R, 1FgTnF.NTTAT. Ann1r 'TQN 1ALfPF.RA2!jQN 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. t . OWNER'S Address is ELLEN 23 LADY SLIPPER LANE QUEENSBURY , NY 12804 2. CONTRACTOR or SUI LOE RS Name TROMBLEY , WILLIAM 3. CONTRACTOR or BWLOER'S Address WEST MOUNTAIN BUILDERS 806 WEST MNT ROAD QUEENSBURYr NY 12804 4. ARCHITECT'S Name S. ARCHITECT'S Address 6- TYPE of Construction — (Please Indicate by X) RES . ALTERATION & ADDITION I I Wood Frame ( I Masonry I I Steel I I 7. PLANS and Specifications 42 SO*- FT RESIDENTIAL ALTERATION ( 2 DORMERS ) 32 SQ FT ADDITION ( FOYER ) AS PER PLOT PLAN SPECIFICATIONS 8_ Proposed use RESIDENTIAL ADDITION & ALTERATION $ 12 PERMIT FEE PAID THIS PERMIT EXPIRES November 23 19 2000 (If a longer period is required an application for an extension must bo made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Oueensbury this 23 Day of NoYem2)er 19 1998 SIGNED BY for the Town of Queensbury Building and Zoning Inspector Buttaing Permit Application Town of Queensbury - Dept, ofConununiry Developrnew, 742 Bay Road, Queembury, NY 12804 [76 1-82 5 61 BUILDING & CODE ENFORCEMENT luRequirements prior to issuance A permit must be obtainedbefore of this permit: PERMIT FILE NO, beginning construction. No inspections PERMIT FEE PAID $ will be made until applicant has received Zoning Board Action a •V,AIJD RuiLDLNG PERMIT. All A iva / Use RECREATION FEE P D $ applicants" spaces on this application MUST be completed as &the signature Pkvvdng Boar" Action REVIEWED BY. of the applicant must appear on the SPR / Subdivision / Other BufGting Imperaor hcarion form. r,,WA ,.... Recreation Fee Payment Applicant: 7a, / GJwner: / lfa't Address. y .05rl-Aliel Address: Phone # ( ) - ------- Phone # { - - Property Location: Subdivision N me: Fax Map Number Section l3tnek Tnt NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New 'Building : CONSTRUCTION : $ o eAo residence / commercial Additior ilding : residence commercial OCCUPANCY INFORMATION : Alte uildi.ng : / � Primary Building - residence / ccrmteterc-Ia Single Family Dwelling Resi Commercial Two Family Dwelling no change to exterior size Family Dwelling office t06�'Other Work r�escribe below )_ Mercantile t,° 1998 .�5 {i� Manufacturing p� Other GROSS AREA OF PROPOSED STRUCTURE* 1St Floor . . sq . ft . If ADDITION , what will use of new addition be ? : 2nd .Floor . . 66 . 0 . A sq , ft . other Floors . . . . . sq , ft . ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : �,{ Detached Garage 1 , 2 car TOTAL FLOOR AREA • J *0� - S4 • FT . Attached Garage 1 . 2 cal' Private Storage Building SIZE of NEW STRUCTURE : Commercial Storage Building Other FEET X. _�� FEET 1r Foundation Type : r��,,�''+�� � Will any second- hand or ungraded Number of Stories : lumber 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 applies ) to be installed : Electric / oil / Gas / Wood ` Forced Slot Air / Baseboard / Other Person 3respon9 le for su ervision of work as regards to bui din codes is . '! /.5t •rF �;/ ."�83 "Y (© � 'A-,"`r drf' i r Nd " ^ddressa Phone Builder : Plumber : _ t+ Mason : Electrician • _ ADECLA.R'A77ON Please sign below after you have carefidly read the st•extement. 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; �( ._. ..test nt owner, owner s agent, architect, ractor) GENERAL INS�F'E I N RE ORT Town of Queensbury Dept. of community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive ani/pm Depa rt inspector's Initials �- NAME: PERMIT # DATE : LOATION C t TYPE OF STRUCTURE: RECHECK. N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible 'ding protection from for hours following the ply ent Of the C. Materials for this porpoise site Foundation/Wallpour Reinforcement in Place Foundation/D Backfill Approval Plumbing Under S Plumbing Vent/Vents in Place Ro gh Pl It:rating Rough- ation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R.- Walls R- Ceiling R- Iluct work or piping in unheated spaces R- Proper Vent, Attic Went Frain* Jack Studs/Headers Bracing/Bridgin joist Bangers Jack posts/Main Beath Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed _ Fire Wall 2, 37 4 hour Firestopping GENERAL [N,SPECTI N REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & +Code Enforcement 742 Bay Road 5 Queensbury, NY 12804 Arrive am/pm Dept PER Inspector's Initials NAME: PERMIT # ` %• LOCATION: —�7 ^ fin! DATE : 40 "TYPE OF STRUCTURE: TRE: RECHECK. NIA YES NO COMMENTS Fooatiings/Piers � Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fro=i for 48 hou following the p cut Of the con Materials for this on to Foundationf Wallgour Reinforcement in Place FoundationlDampproofin Backfill Approval _ _ Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbin FLing Rough-In ation oundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- r Vent, Attic Vent ran-Lin Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed _ Fire Wall 2, 3, 4 hour Firestoppin GENERAL L ASP CCT ON RL�'FVC?RT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement art ` 742 Bay Road Queensbury, NY 12804 Arrive am/pm Dep Inspector's Initials ,r , NAME: 7�'t 'S PERNUT # LOCATION' ^ "` a DATE : iK um TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers .. Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freeing for 48 hours followin the placement of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/DampprooSn Backfill Approval Plumbing Under.Slab Plumbing Vent/Ven ace Rough Plumbin eating Rou -ln Insulation �+ Faunciatian Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceilin,g R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1 , 2, 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPE REPQRT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road part Queensbury, NY 12804 Arrive a�1 De Inspector's Initials PERMIT # c) CJ r 4G' NAME: LOCATION: TYPE OF STRUCTURE: RECHECK N/A YES NO CONRAEN S FootingslPiers Monolithic Pour 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 on ssi Foundation/Wallpour Reinforcement in Place Foundation/DampprooSn Backfill Approval Plumbing Under Slab plumbing VentfVents ' Place Rough P1un►bin Heating Rough-In insulation Foundation Wails Interior R- Foundation Walls Exterior R.- Floors R- Walls R- Ceiling R- Duct work or piping in unheated. spaces R- proper Vent, Attic Ven 0 Jack Studs/Headers BracingBridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 11 2, 3. hour penetration Sealed Fire Wall 2. 3, 4 Dour Firestopping GENERAL ,UV PELT N REPOPT f Aj 5/qS<:7c Town of Queenshury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Arrive Dept ', am/ Queensbury, NY 12804OIL Inspector's 'initials PERMTI" � NAME: mac= .`` i DATE ; rr 1,,OCA1ION. TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers k Monolithic Pour Form Reinforcement in Place ,TU contractor is rCspO r 'ding protection m g or 48 hours fOliOwi g the ent o the concrete- Mate ' s for this on 'te Fo -on/Wallpo R.einfo nt in P FoundatiO roofi Backfill Apprl plumbing Under, Slab Plumbing vent/Vents in Place Rough Plumbing wHoatmg Rough-ln /k `' ation Foundation Walls interior R- Foundation Walls Exterior R- , Floors R' Walls R- Ceiling R- Duct work or piping in unheated. spaces PAxiper Vent, Attic Vent vfra Jack Studs/Hcaders 4 n >C W D BracinglBridging Joist Hangers Jack posts/Main Beatn Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppm GENERAL INGTIG7.N REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12MM Arrive am/pm DepartL- _,ap Inspector's Initials NAME: A- 'r `�! PERMIT # qt I LOCATION: 13AJ DATE : !� � z TYPE OF STRUCTIJRE: RECHECK NIA YES NO COMMENTS F tings/Piers AI Monolithic Pour Force Reinforcement in Place , c P. - j A IAX;-,�> The contractor is risiFpmcnt providing protection m for 48 hours following of the concrete. Materials for this purpose on Foundation/Wallpour Reinforcement in Place Foundation/Dampproo&n Backfill Approval Plumbing Under Slab Plumbing. VentfVents in Pl Rough Plumbing, 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- Proper Vent, Attic Vent Framing lack Studs/Headers Bracing/Bridging Joist Bangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin or TOWN Of QUEENSBURY BUILDING DEPARTMENT Based on our limited examination, compliance with our comments shall not be construed as indicating the plans and specifications are in full { compliance with the code. i i i 7 i n (y� rsaq Br13 t j e 45s• TOWN �� p J/ /yam f i 4 1 r ; ice�P�P f7F7�v