97-361 BUILDING PERMIT
VALUE $ 15000 TOWN OF QUEENSBURY No. 97361
TAX MAP NO. 108. —1-4. 1 WARREN COUNTY, NEW YORK •
. i
PERMISSION is hereby granted to FITZGERALD, WILLIAM
OWNER of property located at 37 MEADOWBROOK RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a 2—CAR ATTACHED GARAGE
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.
1. OWNER'S Address is
37 MEADOWBROOK RD, -
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name.
MOUND, WILLIAM
3. CONTRACTOR or BUILDERS Address
87 FT EDWARD RD
FR EDWARD, NY
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX 706
HAGUE , NY 12836
6. TYPE of Construction—(Please indicate by X)
2—CAR GARAGE
I I Wood Frame I )Masonry I )Steel ( )
7. PLANS and Specifications
528 SIP-FT 2—CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
2—CAR ATTACHED GARAGE
$ 35 PERMIT FEE PAID—THIS PERMIT EXPIRES July 11 t9 99
(If 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.)
Dated at the Town of Queensbury this 1 Day of July 19 97
SIGNED BY for the Town of Queensbury
Building aqd Zoning Inspector
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761=82561
-° BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance r ,2, /
A permit must be obtained before
of this permit: PERMIT FILE NO.ci '7 3(.'I
beginning construction. No inspections 0 0
will be made until applicant has received (1 Zoning Board Action PERMIT FEE PAID$ 3c,
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE AID$
applicants' spaces on this application
MUST be completed and-the signature (l Planning Board Action , REVIEWED BY.,
•
of the applicant must appear on the ,
SPR / Subdivision /Other Building Inspector
`pplication form. ,„,., ` J
J Recreation Fee Payment
Applicant: frd'//`rt✓i ✓/iow,/ Owner: LA1'74"4/04 -4 2 4„././- -
Address: i;'-'2 1C1--- ��� Rd/7/-4— l Address: `'7/49ea- wr !?�'e)a 4i Qc�ee,�r1 y ,v,
vvII<7aaV- i .
Phone # ( - 7 ) 74( " fit;S g-- PImno # ( 57 ) 7Ya- • ..`TZ1_,.
Property Location: 32 /e'a c.,I°v✓ 9t'e k .e,l• .
Subdivision Name: ,,,�o� Tax Map Number _ `e'V / / 4 /
Section Block I.ot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF gHE
New Building: CONSTRUCTION: $ /5`0°°
residence / commercial
AdditioI to Building:
re idenc= / commercial OCCUPANCY INFORMATION:
Alte - ' • -o Building: Pr ary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Faniil[y Dwelling,,, � -
no change to exterior size . Family Dwelling':
Office
Other Work (describe below) Merca itileM S 0 1997
Manufacturing
Other c ,,,
GROSS AREA OF PROPOSED STRUCTURE: " ^'_ h _ __
1st Floor 3-2- % s ft. If ADDITION, what will use
q. of new addition be? :
2nd .Floor C> sq. ft. ��
Other Floors (� g sq. ft. ✓o
(not unfinished cellar or basement) ACCESSORY BUILDINGS=
Detached Garage 1, 2 car
TOTAL FLOOR AREA: t" Sim SQ. FT. Attached Garage 1, ca
Private Storage Bui ing
SIZE�1 OF
NEW STRUCTURE: Commercial Storage Building
o9Y FEET X oig FEET Other
Foundation Type: 0 tenireell Will any second-hand or ungraded
' Number of Stories: 1 lumber be used? If so, for what?
(habitable space only) IA/Olive,
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM: ���� �
Number of fireplaces and/or woodstove (circle" all which applies) /MO 1`�`�'3 7"
to be installed: elElectric / Oil / Gas //Wood
Forced Hot Air / Baseboard / Other
Person responsibl for supervision of wprk as re rd to building
codes is: G,i/Mt Pil uc:Jf. k r7 r�r Oot. KA-t.t kfr /a ?- s7a--71l- G'S
,Name Addresss Phone
Builder: G.,(7(t'4,.41 41- °trf-, •
Plumber: dvD•-e-
Mason: 12),ke „��rss.o.=.•y II..aU led k pa,ti•
Electrician: 12cy i-Sarlo4/ T7L/ u ila( ///7 ei vz/�;-2 7
DECLARATION: Please sign below after you have carefully 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 BUILT PLOT PLAN by
a licensed s e ; dr o scale, showing actual location of project on premises.
Signature: \,
(owne , owner's agent, architecvc ntractor) 0 .
No. 1
Date 19
COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC.
(Consulting and Fire Inspection Services)
(Incorporated in the States of MAIN OFFICE:357 Elwyn Terrace, Manheim, PA 17545 • (717)664-2347
New York,Maryland,Pennsylvania,Delaware) 800-732-0043
LOCATION
Please give full and accurate directions in order to avoid delay
(Use back of sheet if needed)
Desiring Certification of Approval,.application is made for inspection of electrical installation in the premises
described below.On demand,appikcant agrees to pay for inspection service in accord with chedule of charges.,,
PLEASE PRINT DATE t> .". .5'
•
3 •
Owner g ,a> Type Bldg. ❑DWG ❑Other ......
g
Occupant ,.':15 ( f Building Permit No.
Job Location
` . r ,;/sr B. I e 6 City `,. ,y, State Iv s
`County r f` - Twp. Swimming Pool—New❑Old El
Owner's Address ` ,€r d<r' : t; Pool Permit No.
Directions to Job Site
Application For Rongh Wiring❑ Fixtures❑ Service❑ or
Work—New ❑ Additional❑ Bldg.—,New❑ Old❑ Ready for Inspection
Fee Remitted Check ❑ Cash=❑ Make Payable To C.E.I.S.,Inc.
LIST ALL EQUIPMENT AND WIRING
NUMBER OF ROUGH NUMBER OF ELEC.HEAT-AIR CONDITIONERS-BURNERS-DRYERS-HEATERS-RANGES,ETC.
WIRING OUTLETS FIXTURES NUMBER TYPE OF DEVICE H.P.OR K.W. NUMBER TYPE OF DEVICE H.P.OR K.W.
SWITCHES MERCURY .��
LIGHTING SODIUM ;,,,
RECEPT. FLUORESCENT
ELEC.HEAT QUARTZ '
MOTORS:H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1-1/2 2 3 5 7-1/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
OTHER EQUIPMENT
APPLICANT'S
SIGNATURE LICENSE# PERMIT#
PLEASE
PRINT NAME PHONE#
APPLICANT'S NAME OF
ADDRESS UTILITY
OFFICE TO
CITY STATE ZIP CODE BE NOTIFIED - t
ROUGH WIRING SPACE BELOW FOR USE OF INSPECTORS ONLY _.. -/ ' / j
OUTLETS AMP SERVICE PUMP
EQUIPMENT
SWITCHES HEAT OVEN
PUMP
RECEPTACLES SURFACE GARBAGE
UNIT DISPOSAL UNIT
MEDIUM BASE RANGE
FIXTURES '"
MOGUL BASE WATER DRYER
FIXTURES � HEATER
FLUORESCENT AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR FRAC.H.P.
QUARTZ FIXTURES WIRING&CONTROLS FOR BURNER VENT FANS
MOTORS:H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1-1/2 2 3 5 7-1/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
MISC.INFO. DATE INSPECTED RE- a
DON LOVELAND NOTIFIED POR- ¢ z 0 FEE PAID
TED v
Electrical Inspector CON-
OTRACTOR TOTAL $
P.O.BOX 706 WORK INSPECTED OWNER CHECK NO.
(IAGUE, NY 12836 0 R.W. ❑SERV
(518)543-6724 ❑FINAL OCCUPANT CHARGE
1-800-562-9934 CERTIFICATE NEEDED AGENT CASH
III YES III DUP ELEC. H.O.
LT.CO.
'EMP CARD# DATE INSPECTOR
NAL CARD#
9627 Rev.1/95 APPLICATION EXPIRES ONE YEAR FROM DATE.
WHITE/Office CANARY/Officer PINK/Inspector GOLD/Customer
(518) 761-8256 II,
TOWN OF QUEENSBURY r"'x
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
' ',,Vk fir
INSPECTOR'S REPORT: ARQ2) (/ s
FYiEPART/ /�"'" INTc.j
261
REQUEST FOR INSPECTION RECEIVED:ED
NAME f ® 2-6�/�- -W J�
LOCATION l /0 - /\,DATE 7/ -W9 7 PERMIT # (77
-- J /
ee
TYPE OF STRUC URE: /
RECHECK APPROVBJ
N/A Y NO
OOTINGS''PIERS
Mr I ITHIC POUR FORM
REINFORCEMENT IN PLACE 4J_
THE CONTRACTOR RESPONSIBLE FOR
PROVIDING PROT T ON FROM FREEZING
FOR 48 HO RS F LL ING THE PLACE-
MENT OF THE TE. _
MATERIALS FOR ' IS PURPOSE ON SITE
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-
(518) 761-8256
•
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT V�'y
742 BAY RD., QUEENSBURY� NY 12804
✓1 INSPECTOR'S REPORT: AR ''� �� DEPART/2`
/ � NT
REQUEST FOR INSPECTION RECEIIVVED:
NAME T /��,�a�
LOCATION 3 7 , 4 Vd%4 31( M ,
DATE 7/ 7 7 PERMIT A 97 - 1
TYPE OF STRUCTURE:
RECH APPROVED
"°" \ N/A YES _ NO
OOTINGS/PIERS
f
MONOLITHIC POUR FORM /
-
REINFORCEMENT IN PLA/QE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TIOl FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
{EINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
$ACKFILL APPROVAL
'LUMBING 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 V
UNHEATED SPACES R-
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