RC-0535-2018 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0535-2018
Tax Map No: 302.14-1-2
Permission is hereby granted to: A.J. Catalfamo Construction Co.,Inc.
For property located at: 9 HUGHES CT
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: Timothy Place Single Family-Addition $16,125.00
Owner Address: 9 Hughes CT Total Value $16,125.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
A.J.Catalfamo Construction Co.,Inc.
5 Sixth ST
Hudson Falls,NY 12839
Plans&Specifications
Garage Addition 264 s.f.
$ 250.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,August 29,2019
(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 expiration date.)
Dated at the Town uee ury; 4 We• s. • .Lust 29, 2018
SIGNED BY: V \ for the Town of Queensbury.
Director of Building&Code Enforcement
L Office Use Only �/
n
ell ADDITION/ALTERATION PERMIT Permit#: A\C- �35 - Zo iO
APPLICATIO IE C I qnr Fee;$ o(,S ()• 0u
Tinn v of Quccn+burg I I v
742 Bay Road,Queensbury,NY 12804 l4JI Invoice # I 0 7711
P:518-761-8256 www.queensburv.net AUG 2 0 2018
Project Location: q 14114eS cTV( - TOWN OF QUEENSBURY
BUILDING & CODES
Tax Map ID#: 3 b 2- . 1 L`J— 1'Z` Subdivision Name: 4-
CONTACT INFORMATION:
• Applicant: pp 1 4-14,5
/ //�� 11Name(s): 4:- �rft�L ' N11 (.e . mac. () / %e�M9h )
Mailing Address, C/S/Z: S 5i 1 51 1 /Mrin- rollsi N1 f2F35
Cell Phone: ( V 8 ) C — 762 Land Line: ( ri ) 7% f— ( 6 5'7
Email: ('(a(Pz My (/aYI S1-rI/c,4.►6v, 49 V�lz ... 4rf-
• Primary Owner(s): -�- /,�,/•
Name(s): I/moo/ / f /"Achew, Ph -t
Mailing Address, C/S/Z: '7 AI > C'61 .1'4 , G,Q'`i1s 1 U I it,/ `1 f Z$0`7
Cell Phone: ( ) Land Line: ( )
Email: pops J Igte (2-( c) 5 mail r C
• Contractor(s):Business Name: 1i. 7 Cd-74 ki4 Cris/V 1 i L _-
Contact Name(s): 1h;I ic.✓✓I 9✓)
Mailing Address, C/S/Z: S- 5i>iZ, Si. , kigrek la/ C'l f 2413
Cell Phone: ( 5`!s ) ''? 7O05" Land Line: ( S7 ) 7K 7- 6 g5 7
Email: Ccth (- r4° C4) Yi 5''er 0CA-10"A 0 Ve r(icy) , ()E-(-
• Architect(s)/Engineer(s):
Business Name: /1//4.-
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: ( )
Email:
•
Contact Person for Building & Code Compliance: A/C'.t / fL;1/1!4m,
Cell Phone:J Spa//--) 6 — trP c Land Line: (Ili ) 717 6C �j
Email: C t f1 v,„,,, C) S f 0 Wr-Aft . rtcf
i
PROJECT INFORMATION:
TYPE: Commercial �/ Residential
WORK CLASS:
v Single-Family _Two-Family _Multi-Family(#of units )
Townhouse Business Office —
V GarageRetail
Industrial/Warehouse (#of cars 2- ) _Other(describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 2-6' I s —qd-147,e egteiri 1st floor:
2.4 r• 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement(habitable space):
Total square feet: 2-1;/ Total square feet:
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ ir/6, f2-
2. If Commercial project,what is the proposed use: / M
3. Source of Heat (circle one): Gas Oil Propane Solar Other Atli-
Fireplaces need a separate Fuel Burning Appliances&Chimney Application
4. Are there any structures not shown on the plot plan? YES IIrsJ )ExpIain:
5. Are there any easements on the property? YES NO
6. SITE INFORMATION:
a. What is the dimensions or acreage oft rcel?
b. Is this a corner lot? YES NO
c. Will the grade be changed as a of he construction? YES NO
d. What is the water source? UBLI PRIVATE WELL
e. Is the parcel on SEWER or RIVATE SEPTIC system?
DECLARATION:
1. 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. I 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. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. 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:
�l i VIri-
SIGNATURE:PRINT NAME: 1`'C1 DATE: ��13-1469'
\-. '-• _ i
302.14-1-2 RC-0535-2018
, Place, Michelle &Timothy ,
264s
-... 9 Hughes Court
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