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2024-0216 0 r ���` � n",;t�- \ Office Use Only ,�ti-._, �X_G ev fit." l ADDI I N ALTERATI N PERMIT �1L / Permit#: Z� t p Z 1 to Town of Qeensbu APPLICATION ec ry Permit Fee: $ OD 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.queensbury.net Invoice#: Flood Zone? eviewed B -.0 Project Location: 1536 Ridge Rd Tax Map ID #: 266.3-1-74 Subdivision Name: N\A PROJECT INFORMATION: E C EU V IEm TYPE: ® Residential ❑ Commercial, Propose.' s : MAY 16 1111111111111111 1ii TOWN OF -� ® Single-Family ❑ Two-Family III Multi-Family (#of u its. UILDI 4'r'" ❑ Business Office ❑ Retail ❑ Industrial/Warehouse ❑ Garage (#of cars ) ❑ Other(describe ) ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: 1st floor: z 305 6F v1ai‘5.A c3PkbEtAtO 2nd floor: 214463€ 3 b 5 �Q vv-I©ek_ V 3rd floor: 3rd floor: 2-8S6C Basement (habitable space): Basement (habitable space): Total sq ft: Total sq ft: 2. 7_593 H' Scope of work to be done: Sheetrock walls. Install ceiling lights, and outlets. Bathroom 8 Addition/Alteration Application Revised June 2022 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ 5000. 2. Source of Heat (circle one): ❑ Gas ❑ Oil ® Propane El Solar ❑ Other: Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application 3. Are there any structures not shown on the plot plan? ❑ YES ® NO Explain: 4. Are there any easements on the property? El YES ® NO SITE INFORMATION: • Is this a corner lot? ❑ YES ® NO • Will the grade be changed as a result of the construction? ❑ YES II NO • What is the water source? ❑ PUBLIC ® PRIVATE WELL • What type of wastewater system is on the parcel? ❑ SEWER ® PRIVATE SEPTIC DECLARATION: 1. I acknowledge that no construction shall be commenced prior to the issuance of a valid permit and will be completed within a 12 month period.Any changes to the approved plans prior to/during construction will require the submittal of amended plans, additional reviews and re-approval. 2. If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date, 100%of the fee is retained. 3. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 4. I certify that the application, plans and supporting materials are atrue and a complete statement and/or description of the work proposed,that all work will be performed in accordance with the NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. 5. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 6. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above: PRINT NAME: John Curran SIGNATURE: DATE: 5/6/2024 Addition/Alteration Application Revised June 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): John Curran Mailing Address, C/S/Z: 1536 Ridge Rd,Queensbury,NY 12804 Cell Phone: ( ) Land Line: ( ) Email: • Primary Owner(s): Name(s): John&Rosann Curran Mailing Address, C/S/Z: Same as Above Cell Phone: ( )(518)225 5926 Land Line: ( )N\A Email:curran.jw@outlook.com u Check if all work will be performed by property owner only • Contractor(s): (List all additional contractors on the back of this form) Contact Name(s): Contractor Trade: Mailing Address, C/S/Z: Cell Phone: ( ) Land Line: ( Email: **Workers' Comp documentation must be submitted with this application** • Architect(s)/Engineer(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: ( ) Land Line: ( ) Email:Same Contact Person for Compliance in regards to this project: John Curran Cell Phone: ( )(518)225 5926 Land Line: ( )Nw Email:curran.jw@outlook.com Addition/Alteration Application Revised June 2022 _ _ .. . _ ... _ . ;. .. . 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II6T)c I If 8 I . • . . .. . . . . . . .. . • . . . . . .. . . . .. • • . .. . . . . . . . .. • • . . . • : . . . . .. . • .. . . . • • . .ea . • . . . . ,...11 0 CD.CL . I •. It • . . • • • . •. . ... . . . : . i , : • .. . . . :. . - i 1 • • • . . . . . : . • • • . . . i • i ;• ; i • . • • • : . ; . .• . . . . • ; , : . • . i i i I • . • . . . 7 ,. , ,. I . : . .. , . „.... • •! . . . • ,. . • . . . . . . .. . . . 17 • • . . . .. . . . . . . . c.INI 1 kkA•-ID•.1. 14 . .• • •• . .,. I, --o tii it /E .y.....--• . 1 • ii i•. i• . .. . . )-aItNI a . . i. . . , ..3. *A.• . " . ... 4 0 t 4 I 1 I r i � II MAIN OFFICE (717) 664-2347y��� Member N.F.P,.A., I.A.E.I., N.H'.B.A., B.O.C.A. II IIIIIIIIII i, INSPECTED BY COMMONWEALTH'ELECTRICAL V�' I0000000000dd INSPECTION SERVICE, INC. ' IIIIIIIIIIII"""' � DATE ��TYPE ...... COMPLIANCE # Z 3,,03 / 4c' This constitutes provisional approval of equipment'inspected as of date. If additional equipment should be introduced or alterations.made to existing system,, application forinspection should be submitted'promptly to this agency. Owner must apply for a-final inspection when the dwelling is equipped for full occupancy. 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