97-420 CERTIFICNPE OF COMPLIANCE
TOWN Or QUEENSBURY
WARREN COUNTY, NEW YORK
Y Da to t9 9 y{J t 1 19 7
This is to certify that work requested to be done as shown by Permit No. 97420
has been completed.
This structure may be used as a 16 SC! FT RESIDENTIAL ALTERATION
Location 14 QUEENSBURY AVE.
Owner. CUTTER, GEORGE & 14ARION
By Order of Town Board
TAX HAP NO. 111 . -G-19 TOWN OF QU EN BURY
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No
TAX MAP NO. Ill . -6-19 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Cil"22 (ZZQ GE& MARIE)N
OWNER of property located at 14 QiiFENSRURY AVE. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a
at the above location in accordance to application together wit plot plans and other In ormatlon ereto 1 ed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
8 QUEENSBURY AVE.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
ALLEN, DONNY
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ALTERATIONS
( )Wood Frame ( ) Masonry. ( )Steel I
7. PLANS and Specifications
16 SdOFT. RESIDENTIAL ALTERATION (WINDOW AND DORMER) AS PER
APPLICATION
8. Proposed Use
16 SQ FT RESIDENTIAL ALTERATION
$ 0 PERMIT FEE PAID —THIS PERMIT EXPIRES July 24 19 99
(If a longer period is Oequired an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
Dated at the Town of Queensbury this 24 . Day of July 19 97
SIGNED BY for the Town of Queensbury
Building and Zonirg Inspector
Building � Permit _Aj7plication
Town O,f Qllee11sbu y - Dept. of Community Development, 742 Bay Road, Queensbury, AT 12804 [761-8256]
BUILDING & .CODE ENFORCEMENT
NDi i{.I�j Requirements prior to issuance
A'permit must be obtained before of this permit: PERMIT FILE NO.
beginning construction. No inspections (J
Zone: PERMIT FEE PAID
will be made until applicant has received g Board Action
a VALID BUILDING PERMIT. All Area /Use RECREATION FE P $
applicants' spaces.on this application .
MUST be completed and-die signature, 0 Planning Baird Action REVIEWED BY
of the applicant must appear on the' SPR / Subdivision /Other r
Building Inspector
application form. n ,.x,. Recreation Fee Payment
Applicant: l~; t�o f` t . U "�� Owner: S drM C
Address: - Address:
Ohmic # ( At.) M2 '93149. #
Property Locution: 14 G>t p t ' %14
Tax Map Number —
Subdivision Name: 6 ' 0t r S ction Block Lot
NATURE -OF PROPOSED WORK: ESTIMATED MARKET V _ UE OF T E
' New Building:- , CONSTRUCTION:' „ $ C
residence / ' commercial
Addition ,to _Building:
residence /, commercial OCCUPANCY INFORMATION:
Alterat' Building: Primary Building -
residen.ce / commercial Single Family Dwelli �
Residence ommercial" Two Family
. no change to exterior size Family,-D�welling
office ;+;:
/ether Work (describe below) MercantileN
Manufacturing So,
Other t-k
GROSS AREA OF- PROPOSED STRUCTURE:
If ADDITION, what 151w) 11 use
16t Floor. . . . . _ sq. .ft. of. new addit-ion .be?:
2nd .Floor. . . . . . . sq.. ft.
Other Floors . . sq. ft.
(,not unfi;nished�cellar or basement) ACCESSORY BUILDINGS:
Detached .Gara 'e 1, 2 car
TOTAL FLOOR AREA: t." SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building:
'Other'
FEET X FEET
Foundation Type: Wili 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 0f .fireplaces.,and,/or woodstove (circle all- which appli s)
to be installed: Electric / Oil "/ Gas //�1ood
r Forced Hot Air / Baseboard /' Other
Person r'es onsible for supervision of work as regards to building
- codes is: � �1 i� ��. . V\ \ � E. N 6Sk_01 $.0 Q
' Name Addresss Phone
Builder:
Plumber:
' Mason:
Electrician:
DECLARATION: Please sign belmi,often 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 I/we shall submit prior,to a
Certificate of Occupancy�or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
CLA
Signature:
(owner, owner's agent, arc itect; contractor)
50GUn o/QU'e e n_4 �N BU I LD I• NG & CODES DEPT;
THE PLANS SUBMITTED HAVE BEEN REVIEWED AND
A
HAVE BEEN' FOUND TO LACK SUFFICIENT DETAIL
FOR PROPER PLAN REVIEW.'
WE HAVE ISSUED THIS PERMIT WITH THE
FOLLOWING 'ST-I PULAT I ONS :
1 . THE WORK WILL BE INSPECTED AND MUST CONFORM
TO ALL PROVISIONS OF PREVAILING CODES .
2 . IF DEFICIENCIES ARE FOUND .THEY MUST BE COR-
RECTED BEFORE WORK CONTINUES .
3 • FAILURE TO COMPLY WILL RESULT IN REVOCATION
OF THE BUILDING PERMIT
f L
C e knforceme .t Officer
Date
9-7
Building Permit #
COMMENTS:
., BUHL DJNPiG �5 'S� ',Ill CftFY
DEEPT
REVIEWED 13Y
DATE
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)01'soml
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
,-1 (! (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDE T r�
DATE INSPECTION REQUEST RECEIV D:
NAME
LOCATION
DATE —15� - PE - # �c)
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL _ FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N A SES NO
CHIMNEY E GHT B VENT HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FIN SH
DECK/PO CH TEPS LINGS
RELIEF VALVES
FURNACE HOT WATER PERATING
NTERIOR TRIM PRIVACY DOORS
FINISH FLOORS:
BATH KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
OUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O 0 C
Nv b n��-�
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR !GZJ DEPART�/J INT(\G
REQUEST FOR INSPECTION RECEIVED: I �o 1�
NAME
LOCATION
DATE PERMIT A �
\v_�Yr
TYPE OF STRUCTURE: r i'i U
c
RECHECK APPROVED
N/A ES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
RAMING•
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-13 �-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
t^
��/- ��✓`G�/dam- U60G•i�A `,J�r"�
(518) 761-8256
TOWN OF' QUEENSBURY "'
- BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSB'UURY NY 12604/G INSPECTOR'S REPORT: ARR 'DEPART INT�
REQUEST FOR INSPECT N EIVIVED:
NAME /Pr,
LOCATION
DATE PERMIT A
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A ES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP SIHLE F R
PROVIDING PROTE TION M FREEZ NO
FOR 48 HOURS FOLLOWING TH\E P p-
a OF THE CONCRETE.
MATERIALS FOR THIS PUR OSE 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-
/O M 6� Ark NA167
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