97-158 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No. 97158
TAX MAP NO. 41 . -1-25 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to KRISTENSEN, ALFRED & MARY
OWNER of property located at 61 FITZGERALD RD. Street, Road or Ave.
in the Town of Oueensbury,To Construct or place a RESIDENTIAL ADDITION & 2—CAR DET. GARAG
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
57 FITZGERALD DR.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ADDITION
( )Wood Frame l 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
1200•SQ FT RESIDENTIAL ADDITION AND 2—CAR DETACHED GARAGE AS PER
PLOT PLAN SPECIFICATIONS
8. Proposed Use
RESIDENTIAL ADDITION & 2-CAR DET. GARAGE
May 8 19 99
$ 43 PERMIT FEE PAID —THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
8 May 97
Dated at the Town of Queensbury this Day of 19
SIGNED BY ✓V� / for the Town of Queensbury
Building and Zoning trispector
isuivaing rermzt Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
BUILDING & CODE ENFORCEMENT
NOTICE Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO:
beginning construction. No inspections PERMIT FEE PAID$ =will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE RAID$
MUST be completed and the signature 0 Planning Board Action Li -�-
of the applicant must appear on the REVIEWED BY:
SPR / Subdivision /Other Building Inspector
application form. n ,,. Recreati i Fee/Payment Owner: / 7t, r ' 1/Address: cC/� / ' 2 /- /0/ Address: i-, . /- sL,/r'��/(c�',
Phone # (S/rr ) 22s22_ -Jfr t1- / Phone # (Ji t ) /)f,,Z - �J 2 7
��
Property Location: _ � // G . C,--,2/0 7U/
Tax Map Number -� /
Subdivision Name: - Section Block Tnt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $
residence / commercial
Addition to Building:
e<residenj) / commercial OCCUPANCY INFO •
Alteration to Building: 'Pr ar Buildiqg , l `"- ,„"- -
residence / commercialSingle Famly Dwe
Residence / Commercial Two Family. Dwe _ ' nq
no change to exterior size Famiily b' elnag1997
Office `.,,, .
Other Work (describe below) Mercantile CIFruSt,� y
Manu f actur 1SUiLDING ANp C.
Other
GROSS AREA OF PROPOSED S RUCTURE:
ZA:).-
If ADDITION, what will use
1st Floor sq. ft.
2nd .Floor sq. ft. of new addition be? :
Other Floors sq. ft.
(not unfinished cellar or basement) ACC ILDINGS:
,etached1 Garage 1, I.
TOTAL FLOOR AREAft SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
/6) FEET X id FEET Other
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: Electric / Oil / Gas //Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is:
Name Addresss Phone
Builder: •
Plumber:
. Mason:
Electrician:
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 survey/7n to. cale, showingactual location of project on premises.
Signature: ,�/6...,c,./.._o
� j ai
owner, owner s gent, chitect, contractor)
.. 10.0
/ /
T
RECIVED
.,.
, .
APR 3 0 1997 • Ila
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TOWN Of Qiiilaike...1,61JP2( ta
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TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with our comments shall
not be construed as indicating the
plans and specifications are in full
compliance with the code.
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