2000-803 TOWN OF QUEENSBURY
2 B Road ueensb NY 12804-5902 518 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20000803 Date Issued: Friday, July 13, 2001
This is to certify that work requested to be done as shown by Permit Number P20000803
has been completed.
Tax Map Number: 523400-239-016-0001-030-000-0000
Location: 78 SUNRISE Ln
Owner: MICHAEL RAPAPORT
Applicant: MICHAEL RAPAPORT
This structure may be occupied as a:
By Order of Town Board
Pole Barn TOWN OF QUEENSBURY
(---c"),,,,p 4 .„
Director of Buikling& Code Enforcement
TOWN OF QUEENSBURY
`0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
,0
Community Development-Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000803 Application Number: A20000803
Tax Map No: 523400-010-000-0001-026-022-0000
Permission is hereby granted to: MICHAEL RAPAPORT
For property located at: 78 SUNRISE Ln
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 Value
Owner Address: MICHAEL RAPAPORT Pole Barn 12,000.00
P.O. BOX 272
WHI l'h PLAINS, NY 10602 Total Value 12,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
KRAFT CONSTRUCTION
RAY KRAFT
Plans & Specifications
Pole Barn, 24 ft. by 40 ft.
$60.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, October 19, 2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T n of ee tuft T ttir a ctober 19,2000
SIGNED BY for the Town of Queensbury.
Director of Building& Code Enforcement
Building Permit Application
Town of Queensbury - Dept. of Conununity Development, 742 Bay Road, Queensbury, NY 12804 [761-8256]
f BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance r AV'
A permit must be obtained before 1 of this permit: PERMIT FILE NG V
beginning construction. No inspections PERMIT FEE PAID$(O '�
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use RECRE�4TION FEE AID$
applicants' spaces on this application rn
MUST be completed and the signature El Planning Board ActionREVIEWED BY. et
of the applicant must appear an the SPR / Subdivision /Other Building Inspector
,implication form Thank you. J / Recreation Fee Payment J
p cant:./ rG FI4 EL. g I>Ii,Pal Pow- Owner: tc(
Address: t S r
Phone # ( ) t;S - cilt26. �r��-gT Phone # ( ) 65: - 'S-0
Property Location: s +^ti
Subdivision Name: Tax Map Number _ � / �=0� `�
Section Block T.ot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ I /pip
residence / commercial /
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Pri ary Building -
residence / commercialSingle Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Welirk (descri below) Mercantile
5 't' Ve j /`'. Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
If ADDITION, what will use
1st Floor sq. ft. of new addition be? :
2nd .Floor. . .. . . . . sq. ft.
Other Flouts sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
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
a FEET X °(-/(U 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 responsi a for uperv' sion of work as regard t building
codes i s: Jc�1 1 (i,3 , ; =4; ) 7 7 Z ---c,. `6,)
Namel 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 surve or; drawn to scale, s wi actual location of project on premises.
t /
-
Signature:
(owner, owner's agent, architect, contractor)
) i raz)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart ' `�m(pm
Inspector's Initi is �i(__!�!
NAME: R41°PtleeR,f PERMIT# ® 5
LOCATION: 5c,•At?21.5 f C-A) • DATE : / D
TYPE OF STRUCTURE:
RECHECK
N/A YE/NO COMMENTS
Footing.+''e F• II
Monolithic Pour Fo ,
Reinforcement in PI., e
The contractor is r sponsi a for
providing protectio from zing
for 48 hours folio 1 g the p cement
of the concrete.
Materials for this • •I se on si
Foundation/Wllpour
Reinforcement an Place
Foundation/D. 1 ,y'roo W
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in ' .ce
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior '-
Foundation Walls Exterior -
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping 1
_pilot_ II
-50
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart/1 ' I m
Inspector's Initials
go
NAME: par PERMIT#
e
LOCATION: t�u2(66. C-fr DATE: 5 f�, 1
TYPE OF STRUCTURE: Vey TYPE
C3 �A) l
RECHECK
N/A YES NO COMMENTS
V(ootin
- •
D
Monolithi -our Form J`C= �� ��� �a
1�� ce 4-P-6`')
Reinforcement in Place 5
The contractor is responsi le �'V ( v 66-
providing protection from eezin
for 48 hours following the laceme
of the concrete.
Materials for this purpose on s � � ff�(�e/�
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior 1 -
Foundation Walls Exterior Ii-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
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