95-504 CERTIFICATE OF COMPLIANCE
TOWN Of QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 28 19 98
This is to certify that work requested to be done as shown by Permit No. 95504
has been completed.
• This structure may be used as a CARPORT
Location ASSEMBLY POINT
Owner PILTMAN, FRANK & JANE
By Order of Town Board
TAX MAP NO. 7 . -1-25 TOWN OF QU ENSBURY
(t...1)ab,
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 750 TOWN OF QUEENSBURY 95504
TAX MAP NO. 7.-1-25 No.
WARREN COUNTY, NEW YORK
PILTHAN, FRANK & JANE
PERMISSION is hereby granted to
ASSEMBLY POINT
OWNER of property located at Street, Road or Ave.
CARPORT
in the Town of Queensbury,To Construct or place a
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
19 MILES STANDISH RD.
SCHENECTADY, NY 12306
2. CONTRACTOR or BUILDER'S Name
ZDENKO. ARTHUR/PILTMAN, FRANK
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
1-CAR GARAGE
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
CARPOR'Eo.OFF FROM DETACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
CARPORT
25 August 31 97
$ PERMIT FEE PAID—THIS PERMIT EXPIRES 19
(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.)
1 September 95
Dated at the Town of Queensbury this Day of 19
CC °96"—er16
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
De pat Iment of Community DevelopmentReviewed By: /,./ ILL.
Building & Code Enforcement & , 3 inl , 'tor
Town o f Queensbury ire Permit No. r ") I%h
742 Bay Road �-" r� O i
Queensbury, New York 12804 Fee Paid $ e -J
(518) 745-4447 Building Permit Application
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form.
�,
Applicant: I"= '.S A & 0 LET Y)AI'`l, Owner: �`I t
i 't C-1 / far t c F rcti4k,: �� J� 7 it
i et (11_ 'x,: C r�'-Je't%N,fs ''ft . 19 ,'i'J P l _S*#'z✓C' `'- �ti '.
ice{
Address: - Z';.}-1 (t E L:1-4i i/,,,(�,)' 1, 1 < - "3' Address: 5,,Cilf-",JE k_ titr tit v' / 2-3 CI k
Phone # (� � ) S� `'� i Phone # ( 5l ') .3( - /c' I
Property Location:
ter` J '`t ' -c,S( rt L, f - !' - �, I t�J
1.2Sto— g/ot Z / fax Map Number
Subdivision Name: (;! Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE ry
New Building: CONSTRUCTION: $ M
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMAZION,
Alteration to Building: Primary Buildi,ncj - , yiV /�
residence / commercial Single Family Dwelling ► J
Residence / Commercial Two Family' Dw i 91995
no change to exterior size Fami y lliiig
Office • NSBURY 9
Other Work (describe below) Mercantil B, _ ,_2C0®E
Jnlir p rt tn4 q .r-iflr1 " e x 1 s--1-0 ei gc/h: 'j k- ' Manufactu .ng` `"--
Other r t''fi— G2�` c =1'
GROSS AREA OF PROPOSED STRUCTURE: " Ca
( ti c L'e i' c4 c Ct. e_
If ADDITION, what will use
let Floor sq. ft . of new additii.on be? :
2nd .Floor sq. ft . l,,re)
r7-`
Other Floors sq . ft. -a�/
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
ilt fte-Z4/irLto Detached Garage 1 , 2 car
TOTAL FLOOR AREA: SQ. FT. Attached Garage 1 , 2 car
-- Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
!id
FEET X FEET — —
Foundation Type : 5c-# 1 Will any second-hand or ungraded
Number of Stories : - - lumber be used? If so, for what?
(habitable space only) '
Height (grade to ridge) : 1 � 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 , or supervision of work as regards top building
codes is : Ft an -r-1I 'i`tClh } li i ' _ ;r14i ii ; :C'i z , ! �`/ l '' ".5s i ~14
Name Addresss Phone : -`,?'
Builder: (r'tkti v (1 P.0 r4
Plumber: ' .
Mason: -
Electrician : -----
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location PoL project on premises .
4 ,� , �
Signature : v , G �.a f, .:._, ?'1 �'�-et/ • ` '''�
o ner, owner' s agent, architect, contractor))
4100016, TOWN OF QUEENSBURY
1� BUILDING & CODE ENFORCEMENT
� 742 BAY ROAD
` QUEENSBURY NY 12804
( (518) 761-8256
ARRIVE: ;47 DEPART: 1 INSP
-v
FINAL INSPECTION REPORT - RESIDENT A
DATE INSPECTION REQUEST
RECEIVED:
NAME ��V-11.1- 4\I
LOCATION Oct)�jF
DATE 3\Z.�Ig 1 Zp� PERMIT I '-15- O
TYPE OF STRUCTURE CA�Qp OFF
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR F ISH
CK OR H ST PS/RAILINGS
BEL F VA VES
FURNAC WATER OPERATING
_INTERIOR TRI PRIVACY DOORS
FINISH FLOORS: k
BATH/KITCHEN WA ERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
POOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
ZJ g0?,FMC-ice G 'FIT-e- WD1
TOWN OF QUEENSBURY
DING & CODE ENFORCEMENT
5 �, BUILDING
742 BAY ROAD
QUEENSBURY NY 12804
/_ r, ,1 1 7614256
-"i
ARRIVE: (tQ,ET DEPART: q t2006 INSP
FINAL INSPECTION REPORT - RESID T L
DATE INSPECTION REQUEST RECEIVED:
NAME P1 LTM R0
LOCATION f .- .`? l IKTr o AD
DATE 11 1 7 !9{Q PERMIT N 15,,cOLI
TYPE OF ST UC RE C-P Po T 1FF- C,AP,QiF
RLL_ r_.E R v i-2Prt1 C`).1j
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
//
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS .
RELIEF VALVES
FURNACE/HOT WATER OPE' TING 1
1
INTERIOR TRIM/PRIV"Y DOORS y
• FINISH FLOORS:
j
BATH KITC. ' WATERTIG ' i
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED ,
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS .
PLUMBING FIXTURES
FOUNDATION INSULATION ,
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN II;;�� /
OK TO ISSUE C/O l!
C/ ) `ice ,Y/
-ACN PkRF T E.C2- LA 00 P%D To
G\IER. c5TN0L ctE ,
t ti?6i01_‘. 5ui3-Fa30 A z-x(s)C.
V-rn C V-- c.-c 3
LL (uQ- 0f - CF kZVA
own p ueenJ i.,v, BUILDING & CODES DEPT.
4
PLAN REVIEW NOTES
PERMIT NAME [=R� � � V1S.AF\ t�
PERMIT #
DATE
REVIEWER
THE PLA SUBMITTED FO t PHIS STRUCTURE DO NOT CONTAIN SUFFICIENT
NI
INFORMATION FOR A PROPER REVIEW OF ALL ASPECTS OF THE CODES .
PLEASE INSPECT THE DRAWINGS AND THESE REMARKS.
TO AVOID DELAY IN THE ISSUANCE OF THE PERMIT WE HAVE DECIDED TO
ALLOW TIIE BEGINNING OF CONSTRUCTION EVEN THOUGH THE BUILDING PLANS
DO NOT SHOW ALL NEEDED ITEMS.
YOU MUST UNDERSTAND THAT DURING THE CONSTRUCTION, SHOULD PROBLEMS
ARISE OR DEFICIENCIES BE FOUND, CORRECTIONS MUST BE MADE .
IT IS SRONGLY SUGGESTED THAT I.F THERE IS ANY DOUBT AS TO TIIE CODE
REQUIREMENTS YOU SHOULD CONTACT THIS OFFICE.
FAILURE TO ADHERE TO BUILDING CODE REQUIREMENTS COULD CAUSE THE
REVOCATION OF TIIE PERMIT.
Remarks:
FILE
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REVIEWED L1` // c
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