RC-000462-2017 IOW 4 TOWN OF UEEN SBU RY
{ 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000462-2017 Date Issued: Friday, August 10, 2018
This is to certify that work requested to be done as shown by Permit Number RC-000462-2017
has been completed.
Tax Map Number: 302.12-1-22
Location: 44 GARRISON RD
Owner: John Rugge, Jr.
Applicant: Hilltop Construction
This structure may be occupied as a: Residential Alterations 169 s.f.
(due to storm damage) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the •
property owner of the responsibility for compliance with Site Plan, ("7"- ay,04
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
at Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000462-2017
Tax Map No: 302.12-1-22
Permission is hereby granted to: Hilltop Construction
For property located at: 44 GARRISON RD
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: John Rogge,Jr. Single Family-Alteration $78,000.00
Owner Address: 44 Garrison RD Total Value $78,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Hilltop Construction
51 Crowley RD
Hudson Falls,NY 12839
Plans&Specifications
Residential Alterations 169 s.f.
(due to storm damage)
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 4,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the exp/i tion ddate.)
Dated at the Town of eenstm {/ /��Jriday ,2017
SIGNED BY: / for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
4W ADDITION/ALTERATION PERMIT Permit#: QG- �\p2 2CJ1�
APPLICATION Permit Fee:$ bj,' )
Town o((Zecimbury
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 ' I wlfw'w.aueensbury.net
Project Location: `i" 6 a r r I S o n P-,o a.d
Tax Map ID #: 'jCa 2. • k"L- 214— Subdivision Name:
CONTACT INFORMATION:
• Applicant:
Name(s): -Hlh- c C2& t1"Lj-e-+I o✓1
Mailing Address, C/S Z:El ftUwl,e loCc ;6 /1 s N )ani
Cell Phone: (.�; l S� ) '�q- R 70V Land Line:
Email:("IIn4Gt C �l,l��UnCon5lru�I �or1C� C-c�Frl
Primary Owner (s):
Name(s) a0 n • (,t,GG e�Jyf cior% ' e0'[ .er- r'-' 0
Mailing Address, C/S/Z: 144 6arrt�o 0. a IA.,>oe-kl66u`r�/
Cell Phone: ( 6-1k') c7al - 75,:P-0 Land Line: (.S/ Ff ) 793 �/�'3-7
Email: VpG1Qr'rr0l�0 rbacAruntne-r • Cor.
• Contractors :
Business Name: , Jul 3
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: �)
Email:
• Architects En ineer s :
Business Name: K., C arA zorr2S
Contact Name(s):
MailingAddress, C/S/Z: .�i. q �I�cLttpfl oo u22v'5��.��
Cell Phone:� ) LandLine: �5 18_) "793 :-:Y0 o
Email: r1 G�'ar- 1 ones eE re taalre 1 eC-1 S. CO r"
Contact Person for Building & Code Compliance o Y''1 1-t k1oY e-cV� S yQ-
Cell Phone: (J) g ) OiAct-g'l bb Land Line: q9g-- 633 F
Email-+ornSrLJ 1�kY-vstr-wc i on CO • COM
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE: Commercial /Residential
WORK CLASS:
✓Single-Family —Two-Family _Multi-Family (#of units )
Townhouse Business Office Retail
Industrial/Warehouse Garage (#of cars ) Other(describe )
ADDITION SQUARE FOOTAGE: 13 /x )3� ALTERATION SQUARE FOOTAGE:
1st floor: e CCc� e�15 t• n CZ.f1�".e_LY 1st floor:
21d floor: 0M S-�Orm 211 floor:
3rd floor: l 311 floor:
4th floor: 4th floor:
Total square feet: < < Total square feet:
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ 7 , cO 0
2. If Commercial project, what is the proposed use:
3. Source of Heat (circle one): .Gas Oil Propane Solar Other
Fireplaces need a separate Fuel Burning Appliances &Chimney Application
4. Are there any structures not shown on the plot plan? YES OVOxplain:
5. Are there any easements on the property? YES ONO
6. SITE INFORMATION: 2 c/
a. What is the dimensions or acreage of th `cel? 1 70' X 30515/
b. Is this a corner lot? YES t,�O
c. Will the grade be changed as a r e construction? YES
d. What is the wat outer v�? PUBLIC PRIVATE WELL
e. Is the parcel o SEWER I a PRIVAT�IC system?
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
DECLARATION:
I. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to
fees and department approval.
3. 1 certify that the application, plans and supporting materials are a true and 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.
4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. 1 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: 1 n �y S . R I6 re c,�- -
SIGNATURE: ia&t(�� DATE: 7-c2 � 02 0 � -7
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
f
REQUIREMENTS FOR SUBMITTAL:
1. Completed Additions/Alterations permit application
TWO (2) COPIES OF THE FOLLOWING:
2. Structural drawings, which include:
a.Signed &sealed architect or engineer stamp IF the cost of construction is over$20,000
b.Floor plan
c. Foundation plan
d.Cross sections
e.Elevations
f. Window& Door schedules–printed on the drawings is acceptable
g.Calculation sheet for natural light,ventilation &emergency egress
3. Plot plan, using a survey map if possible,which includes:
a.Drawn to scale (i.e. 1 inch= 1-feet)
b.Indicate proposed changes,with setbacks
c.Include all structures on the property
d.include location of water supply(well or water lines)
e. Include location &configuration of septic system or sewer line
4. REScheck(residential projects) or COMcheck(commercial projects),signed and stamped—
www.energycodes.gov
ADDITIONAL INFORMATION:
1. Any changes to the approved plans prior to or 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, 20%of the fee is retained by the
Town of Queensbury. After 1 year from the initial application date, 100%of the fee is retained.
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
" Nov. 20, 201M10 , 21AMeMUTA o. luo4
" " IN
MIDDLE DEPARTMENT INSPECTION .AGENCY, INC.
Wexe�&that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency runes in effect on the date
noted below and is issued subject to the following conditions.
Owner John Ru a Date'
99 11/07/2017
Occupant: Addition- 1St FI Location_
44 Garrison Road
Occupancy- Queensbury, Warren Co. NY
Ingle Family Dwg•
Applicant: �
Hilltop Construction
Cindy Albrecht
51 Crowley Rd.
L Hudson Falls, NY 1283§.."
Joseph A.Holmes - . .._... ,.
-
No.
- - - - - - 145252136-378EL . _ _ _ - - - - -. - - - - - - - - - - - - - - -
Equipment: -... .....
2-Switches; 7-Receptacles; 2 - FiX&6s; 1 -Arc Fault-Breaker -� —"
This certificate applies to the electrical wiring to the electrical equipment Ilsted Immediately null and void. This Certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indlCated herein. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical satety,effi- of the property indicated above,this certificate shall be immediately null and veld.
clency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date- Should the electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this cartifi;ate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspectlon must be submitted to Middle
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initlate the inspection and revalidation
any of the components installed as of the above noted data,this certificate shall be process. A fee will be charged for this service.
EE
NOV 2 0 201.7
TOWN OF QUEENSBURY
BUILDING& CODES i