2002-498 TOWN OF QUEENSBURY
,•.rLd
742 Bay Road, ueensb NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CEIRTA IFICATE DF COMPLIANCE
Permit Number: P26020498 Date Issued: Thursday,July 25,2002
This is to certify that work requested to be done as shown by Permit Number P20020498
has been completed,
Tax Map Number: 523400-289-012-0001-007-003-0000
Location: 7 FIELDVIEW RD SOUTH
Owner: JASON& NANCY VILANDER
Applicant: JASON& NANCY VILANDER
This structure may be occupied as a:
By Order of Town Board
Shed 1 Storage Sheds TOWN OF QUEENSBURY
Director of Building&Code Edon went
TOWN OF QUEENSBURYh OPY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020498 Application Number: A20020498
Tax Map No: 523400-289-012=0001-007-003-0000
Permission is hereby granted to: JASON& NANCY VILANDER
For property located at: 7 FIELDVIEW RD SOUTH
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: JASON& NANCY VILANDER
7�FIELDVIEW RD SOUTH Shed/Storage Sheds 2,300.00
Total Value 2,300.00
QUEENSBURY,NY
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
BP 2002-498
construction of a 192 sq. ft. storage shed as per plot plan and specifications
$20,00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,-June 24,2003
(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 of bury; �Ori2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
}
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No ),"
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this. Rec. Fee Paid $
application must be completed and must appear on the
Reviewed By. _ }
application form. j�
Applicant
- � 'F I).,6 U'1� erg Owner:
Address: Fe( 14et r Address:
UUN 1 7 2GG�
Phone#( } - Phone# (7! { CZ
Email Address: Email Address: C)t' �;SSt3UR�t SUi1 QVn G
D CODE
Property Location: Lot Number: / Number -� / t f�
Subdivision � House ision Name: Tax Number:�����, , �� om`
❑ New Building: residence /commercial Estimated Market Value of Construction: $
❑ Addition: residence/ commercial❑ Alteration: residence/ commercial If an Addition,what will use of new addition be? G jj
❑ o change to exterior size: residence/com'l ^_�
then work{describe ,' ) '� Fb
yt ; to y 1�;°'r'/ �W- } (� �
Check OccupancyInformation 1st Floor 2" Floor Other floor Total !
Below sq.ft. sq.ft. sq.ft. Square Feet
❑ Single family dwelling
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercantile
❑ Manufacturing
1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what? A.)i
Type of Heating System. electric/ oil I gas/wood /forced hot air I- baseboard/othet: ""i�' 1
Number of Fireplaces to be installed /% I,-+Number of Woodstoves to be installed ^J t
List below the person(s).responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder
Plumber
Mason
Electrician
I
Declaration: please sign below after you have carefully read the statement: 4
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,as requested by the Zoning
Administrator or Director of Building and Codes,an As Built.Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature:_Y � ~'� �� owner,owner's agent,architect,contractor
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FIELD VIEW SOUTH
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FRAME HOUSE
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'ERTIFY THAT THIS MAP WAS PREPARED 150.00' f
ACTUAL FIELD SURVEY.
FICATION SHALL RUN ONLY TO THE PERSONS
THE SURVEY WAS PREPARED, AND ON THEIR S06'31'32"W
i THE TIT]F COMPANY. GOVERNMENTAL AGENCY ..