98-719 TOWN OF QUEENSBURY
WARREN COUNTY& NEW YORK
Da to Decembers 31 98
CQ
This is to certify that work requested to be done as shown by Permit No . 98719
has been camPleted .
This structure may be used as a CARPORT
Location 4 DIXON COURT
Owner MARTINDALE , JAMES & J'OAN
TAX MAP NO , 101 . - 1 - 18
BY Order of Town Board
To" OF QUEENSBURY
Uirector of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 2000 TOWN OF QUEENSBURY No, 98719
TAX MAP NO . 101 . - 1 - 18 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MARTINDALR JAMRS JOAN
OWNER of property located at 4 _DIXON reQURT � Street. Road or Ave.
In the Town of Queensbury, To Construct or plaoe a Q RPQRT
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 Ckmensbury Building and Zoning Ordinance,
1. OMER'S Address is
4 DIXON COURT
QUEENSBURY , NY 12804
2. CONTRACTOR or SUILOERZ Name
DEPPE , ALLAN
3. CONTRACTOR or BillLOGR'S Address
8 PATTOiN DRIVE
t. ARCHITECT`S Nam*
S. ARCHITECT'S Address
6. TYPE of Construction — JPtease indicate by X1
CARPORT
i ) Wood Franw I I Masonry f l Steel I I
7. PLANS and Specification*
280 4Q FT CARPORT AS PER PLOT PLAN SPECIEICATIONS
B. Woposad Us*
CARPORT
25 November 23 2000
S PERMIT FEE PAID - THIS PERMIT EXPIRES 1$
(if a longer ,period k mquirad an &WIcation low an *xeenaton muw be n%W& to she Suilding and Zoning inspector of the
town of Choeendxay b0fom the ewpiration date.l
23 November 1998
Dated at the Town of QueartO3ury this Day of 119
SIGNED BY , for the Town of Oueensbury
Suildiab and Zoning Inspector
Building Permit Application
Town of QlleensIbury - Dept. ofC......t 'r-V Develtr4Nktelrt, 742 Rt v Road, Queetashury, NY 128t,14 1761-82561
NOTICE BUILDING & CODE ENFORCEMENT
Requirements prior to issuance -7 / }A permit must be obtained before of this permit: :RECREA
FILE No. _ —I C'Sr -f }—
begtntxi.ng construction. No inspections FEE PAID
'0
will be node until applicant has received. Q Zoning Board Action
a VALXD BUILDING PERMrr. All Area / Use
applicants` spec4m on this application 7YON FMUST completed aced the signature (� Pla ning Board Actionof the applicant must appear r m ilhe ED 8Y -
lication form. r SPR I Subdivision I other HIJU rove Inspector
'�` Recreation Fee Payment
Applicant: _ 14 `GnYf biemw= RemocetiCla Owner: M +ARTYh) 1E
Address: -C on ]-> ( \Je Address: —� �31 X061 COki e%,T
Phone # ( S�( �) q — C7 � Phone #
Lam. 1 )r +�_ ..
Property Location: �� 0 AJ CO.Q �
Subdivision Name: Tax Map Nurnbe f 1 cY
Section Block lot
NATURE OF PROPOSED WORKC
New Building : ESTIMATED MARKET VALUE OF THE
CONSTRUCTION : $ 2J00o oe�
residence / commercial. --
Addition to Building :
residence / commercial OCCUPANCY =NFOR.MAT' ION :
Alteration to Building : Primary Building -
residence / commercial. Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work ( describe below ) Mercantile N0V �/_ 1998
cAR D.B1, tom} ri? �p eLXAS_ _0Jr, ( fl A44E .Manufacturing ti[�
Other
GROSS AREA OF PROPOSED STRUCTURE :
1st Floor . . . . . . . a sq . ft . If ADDITION , what will use
2nd .Floor . . . . . . . , sq , fto of new addition be ? :
Other Floors . . . sq , ft ,
( not unfinished cellar or basement ) ACCESSORY BUILDINGS :
Detached. Garage 1 , 2 car
TOTAL FLOOR AREA : Z ,90 SQ . FT . Attached Garage 1 , 2 car
Private Storage Building
SIZE of NEW STRUCTURE : Commercial Storage Building
f _ FEET 1£ d FEET other
Foundation Type : eo"CRC"('E' Q# eg5 _ Will any second- hand or ungraded
Number of Stories : lumber be used? If so , for what ?
( habitable space only ) X) o
Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM :
Number of fireplaces and/or woodstove ( circle all which applies ) 1 )0AJ45
to be installed : Electric / oil / Gas / Wood
Forced Hat Air / Baseboard / Other
Person responsible for supervision of work s re+gords to building
codes is : �Ooo �epcv,
Name Addresss Phone
Builder : �Cksl'1 ' C7ta —�c�3
Plumber :
Masan :
Electrician : Aaeolv4E
DECLARAMN.• Please sign below after you have cure,fiully 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 BU LT PLOT PLAN by
a licensed surveyor; drawn to scale, sho 'n actual location of project on premises.
Signature:
(owner, owner's agent, ar0otect, contractor)
RESIDENTIAL FINAL INSPECTION DEPORT
Uftice No. (518) 761-8256 Date inspection request received: p
Building & Code Enforcement . AJ
Dept. of Community Development Arrive atxupm Deport
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury. New York 12804 1 NAME �.O v h(� PERm T 4 1 7//
LOCAUON DATE
TYPE OF STRI TURF
N/A YES NO COMMENTS
Chimney Heightl"B" Vent0irect Vent Location ---" ,!r
Fresh Air Intake -�� } t._ P
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior ilings 3 to 36"
Exterior Ilandrai bal es, Ianding 18 in or more
Interior Handrails s both sides 3 or mor risers
Grade 2% away fr fo tion
8" clearance to s' plate
Gas Valve shu ff exposed/regulator 18" above grade
Gas Fs+***��� ut-off within 30 feet or within line of site
Oil Furna shut-oft'at entrance to furnace area
Furna t Water Heater operating,
Relief ve(s) installed
H m, 6 ft. 6 in_ on stairs
B - ent stairs, 6 ft_ 4 in.
H drail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
interior Handrails Balconies/landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
s/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected. (in garage)
Light ventilation per room _
Safety glazing 18" or less from floor
Final Electrical
Site Plan/Variance required
Final Survev Plat Plan
As Built Septic System layout required
Okay to issue C/C (Certif. of Compliance)
Okay to issue temp. C/O (Certif, of Occupancy)
Okay to issue permanent C/o (Certif of occupancy)
GENERAL IIYSFECTTC}N REPORT
Town of Queensberry
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensberry, NY 12$414 Arrive arnlpm Depart
Inspector's Initials
NAME: t PERMIT # 1
LOCATION'. DATE
TYPE OF STRU
RECHECK
NIA NO COA4MENTS
I
Mono i ur Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the p
of the concrete.
Materials for this purpose o "te
FoundationlWallpour,
Reinforcement in Place
Foundation/Da
Btackf"ill
Plumbing Under Slab
Plumbing Vent/Ven in Place
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
Jack Studs/Headers
Bracing/Bridging
,foist Hangers
Jack Posts/Main :Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2. 3, 4 hour
Fimstopping
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TOWN OFQUEENseulrrBUILDING Do"E1T
used on nut hmiw ma W
°"04nce with out Cmments shall
riot be construed as indicatiog the
plans and specihc*ns ate in tuil
p.! comp ' nce � the
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