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1999-004 BUILDING PERMIT -I - Itp VALUE $ 10000 TOWN OF QUEENSBURY No. 99004 TAX MAP NO. 74.-1-31 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to QUEENSBURY WATER DEPARTMENT OWNER of property located at WEST MT. RD. Street,Road or Ave. in the Town of Queensbury,To Construct or place a POLE BARN 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. t. OWNER'S Address is • 742 BAY..RD. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDERS Name 3. CONTRACTOR or BUILDERS Address 4. ARCHITECTS Name • 5.'ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) POLE BARN ( )Wood Frame ( 1 Masonry ( )Steel ( 1 7. PLANS and Specifications 1440 eq ft POLE BARN AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use. POLE BARN 0 January 19 19 2001 $ 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 Queensbury before the expiration date.) 19 January 19 1999 Dated at the Town of Queensbury this Day of SIGNED BY for the Town of Queensbury Building and Zoning Inspector MVI'&'Iry '('I &45 A. L.I 1141/ A-WIlt& . L4I1vfl . -. Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561 -O BUILDING & . CODE ENFORCEMENT NOTICERequirements prior to issuance r . ty -\ of this permit: PERMIT FILE NO. (:)9-0:.) A permit must be obtained before beginning construction. No inspections PERMIT FEE PAID$ will be made until applicant has received El Zoning Board Action a VAI,,ID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$ applicants' spaces on this application MUST be completed add•the signature (i Planning Board Action REVIEWED BY: of the applicant must appear on the SPR / Subdivision /Other, Buitdm nspector pplication form. Theo*,n,, Recreation Fee Payment ` J Applicant: a C C v5Srt 4( GU A7Ck D -iici-1-- Owner: Address: t9 Go AA-H --1--4-1 4,473 Address: Phone # (S/ ) 2 q 3 - _g‘'& Phone # ( ) - Property Location: a 3 Ca2(.v i i+ le A_ Subdivision Name: Tax Map Number•: -�-.1 Section Block Tot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE X New Building: CONSTRUCTION: $ ice /© DOCK residence / commercial ) Addition to Builds residence / commercial OCCUPANCY INFORMATION � p Alteration to Building: Primary Building - MECE� N E® residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling 5 1999 no change to exterior size Family DwellinLAN Office TOWN OF OUEENSBURY Other Work (describe below) Mercantile BUILDING AND CODE Manufacturing -- Ic Other C d'LO sceA �— GROSS AREA OF PROPOSED STRUCTURE: • If ADDITION, what will use 1st Floor / V L/ 0 sq. ft . of new addition be? : 2nd .Floor sq. ft. Other Floors sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: I 17 1/ O SQ. FT. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: Commercial s OTC B f} storage Building 3 L FEET X 1 FEET c Other �-� Foundation Type: SLag +.)/F6ori 5 AT- Will any second-hand or ungraded Number of Stories : i s°bP%edk,,,;,,,5 lumber be used? If so, for what? (habitable space only) MO Height (grade to ridge) : / & feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which applies) to be installed: 6 Electric / Oil / Gas / Wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work as regards to building codes is : /Q..f}c/1l l41-v (1,S(--- 9 a S La,2i. i tt /ci, r7 2 --*‘'‘,C Name Addresss Phone Builder: • Plumber: 4 t'c_ Gotis7--4ci,, . Mason: 19Y. G)g)` Electrician: • wb4T 06- , 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 I/we shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed survey ; rawn to scale, how' g a `tual location of project on premises. Signature: iL •� owner, owner's agent, architect, contractor) GENERAL INSPECTION REPORT Town of Queensbury Dept.of Community Development Date inspection request received:1 "/9 7 Building& Code Enforcement 742 Bay Road � Queensbury,NY 12804 Arrive /'(c) am/pm Depart m/ m 1 Inspector's Initials_J N G / PERMIT# c DATE : l— a -�� 4 LOCATION: C„) /,�� _ � TYPE OF STRUCTURE: RECHECK N/A YES_NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is re .'•,nsible for /�/�� � ��,���, providing protection • . freezing Y /"' /7 for 48 hours folio g th- .dace.• •nt / ��JGU JI✓-� of the concrete. Materials for this pi se on site Foundation/Wall.l ur Reinforcement i 'lace Foundation/Da' •.roofing Backfill Approv:1 Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing 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- 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 GENERAL INSPECTION REPORT Town of Queensbury Dept.of Community Development Date inspection request received: -04) Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 A e iht am/pm Depart am/pm Inspector's Initials 9 i- NAME: (i>/)APERMIT# ! "CO LOCATION: . ,oi'e- DATE : 9 q TYPE OF STRUCTURE: RECHECK N/A YES/NO CO / i S 6.2otings/Piers Monolithic Pour Form � z� Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation!Wallpour Reinforcement in Place. • . Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing 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 '- 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