97-635 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY
No. 97635
TAX MAP NO. 52. —3-6 WARREN COUNTY, NEW YORK
1' , çf -
PERMISSION is hereby granted to �� TWISS. CARL
OWNER of property located at ` -4461,'RAINBOW TRAIL Street,Road or Ave.
in the Town of Queensbury,To Construct or place a AIRS)
at the above location in accordance to application together with plot plans and other information ereto I ed an
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t. OWNER'S Address is
85 RAINBOW TRAIL
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
CER'�IPICATE; OP OCCUPANCY,ONLY,
( I Wood Frame ( I Masonry ( ) Steel ( t
7. PLANS and Specifications
:MINOIt°•REPAIRSc.DUE TO VANDILISM-: AS::PER,,APP.LLCA;TION ;<<: ,. -
8. Proposed Use
C•ERTIECATEF°r.OF.: ,OCC_UPANCYAMINOR.!REPAIRS
$ F: ` . 'PE RMIT'FEE"PAID`-THIS PER'M1T'•EXPIRES --', -
(I(a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
r ;
,is ?;:�28 :n,- aY;.O¢9}' n_.QC'GOj]@ :eaP 9�,', , ,�s :CrlS ax .': 7;T;_If:`YY k "I
Dated at the TOWri of'Queensbur th
SIGNED BY for the Town of Queensbury
Building and Wing Inspector
Building Permit Application
To. Of QIIee11sbui y - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 /761-8256/
BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance r / -
r 1 of this permit: PERMIT FILE NO. 9- —69 5
A.permit must be obtained before
beginning construction. No inspections PERMIT FEE PAID$
will be made until applicant has received n Zoning Board Actiono
a VALID BUILDING PERMIT. All Area /Use
RECREATION FEE PAID
applicants' spaces on this application • VI-
of MUST be completed and the signature n Planning Board Action REVIEWED BY::the applicant must appear on the SPR / Subdivision /Other Building Inspector
wpplication form. n ,.•.. J Recreation Fee Payment
Applicant: I ACZ L l w%S`)� Owner: elw_c- l W S S
• • Address: D. r)c5 x '6 • , A-to d�-) Address: g C c-R ;‘&3 40u..)��1-
NN% tag 27
Phone # .("S78') 6 c(- Vim$" ' Phone # ( ) -
• Property Location: 0Subdivision Name: Tax Map Number 5� 5 /
Section Block I cat
NATURE OF, PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATT'01 � N
Alteration to Building: Prinyary Building I-
'deuce / commercial . ✓ Single Family Dwelling 7
V/ Residen / Commercial Two Family Dwelli►��, I27
nge to exterior size Family Dwell ng ;iiik1AY
Office � t~ C'�a =`"`'�'pE
Other Work (describe below) Mercantile ����p`MC:�t1p0o
Manufacturing .P .
Oth r Al l� ,J ,
GROSS AREA OF PROPOSED STRUCTURE: VAA/'w?51r CC U ��U VCVI1�t L�b\/v`^
Floor 1st Floor ADDITION, what will use
%() 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 FLOOR AREA: SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: 4j4 Commercial Storage Building
!
C� Other
____dY FEET X 1 � FEET •
Foundation Type: 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 (circle all which applies)
to be installed: J.-lectric f Oil _4 Gas / Wood
(__orced Ilot Air Baseboard / Other
Person respo sible for supervision of work as regards to building
codes is : A-IZL 9 w ;sS fv:gat 4-197_ -,kt.,J fd•( T-,39 'g5--- y
Name Addresss Phone
Builder: •
Plumber:
Mason:
Electrician:
DECLARATION: Please sign below after you have carefrdly 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 1/we shall submit prior to a
Certificate of Occupancyor Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed sury or;-dra n to scale, showing actual location of project on premises.
Signature:
owner, owner's agent, architect, contractor) •
J•
• c14 (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT ;',:
742 BAY RD., 'QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR 3r3' DEPART INT
REQUEST FOR INSPECTION RECEIVED: CC
NAME C --
LOCATIONWS net). •rvit.,0 LiC
DATE /0'�1 97 PERMIT fl
TYPE OF STRUCTURE: J.eO
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FR Z G
FOR 48 HOURS FOLLOWING THE P CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS P19 POSE ON ITE
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-
,T2 40;X U t f /i•-- C6
•
r/n// ev-PX /'77 / r 4'6104'
TO Wfay
.. ,
,ulr
• REV!BM ED L;"it t /
___ AT ____
DE -
...._
- i ,
-------7----1
c2
t 3 '
f\ .
1i. Pri
. .
\'..) \•:1) ,g--, ' t
V
AI
1-1
_ ..--.
-g ....,
VA i gi-i-che.,r
, c
, .
---,,
,
. .
. ---.....
,..,,..L
..... 1
-"i
-------- — ----\ 4\ 0 C .: ,z t ct -Las,
A
,1:--°
•-•1 3 ,, T _ V
"
OCT 2 7 1997 V
\,) ...:
. r,--, , ......,,,,
, ._ ,, ,,• ,..„,-„,--- ------7 .
1 .
. .. ... .