2000-893 TOWN OF OUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761=8256
CERTIFICATE OF COMPLIANCE
Permit Number; P20000893 Date Issued: Thursday, August 09, 2001
This is to certify that work requested to be done as shown by Permit Number P20000893
has been completed.
Tax Map Number: 523400-309-009-0002-025-000-0000
Location. 10 East Ave
Owner. MARILYN J GREGORY
Applicant, MARILYN J GREGORY
This structure may be occu9REGORY li i
By Order of Town Board
Comport TOWN OF QUEENSBURY
Director of Building & Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-820t
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000893 Application Number: A20000893
Tax ltiiap N(.): 523400- 128-000-0009-025-000-0000
Permission is hereby granted to: MARILYN J GREGORY
GLENN GREGORY
For property located at: 10 East Ave
in the "Town of Queensbury, to construct or place
at the above locatign 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
Owner Address: MARILYN J GREGORY Carport 400.00
407 LUZERNE Rd Total Value 400.00
QUEENSBURY, NY 12804
Contractor or Builder's Name j Address Electrical Inspection Agency
Plans Ss Specifications
BP 2000-893
1 CAR, CARPORT
$25.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday, December 14, 2002
(Ifa 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 VOTU nsb Thurs y, December 14, 2000
SIGNED BY u for the "Town of Queensbury.
Director of Building & C de En rcement
Building Permit Application
Town of QueeIZ,S'll7ury - Dept, of Gwrimunity Develolvnent, 742 Bev Road, Queembury, AT 12804 1761-82561
BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO
beginning construction. No lo inspections � �Bdard Action PERMIT FEE PAID $ ,
will be ads until applicant has received 0 $ --
a VALJD BUILDING PERMIT. All Area f Use
applicants' spaces on this application RECREA77ON FE AI
MUST be complatbd &Ad the signature r Plrvmbt Ord Acts
of the applicant nnot appear an the 8 REVIEWED BY.
SPR f Subdivision f Olher 4Nul4fin8 fn..perenr
kepplication form. 7hmA Y � p Recreation Fee Payment
Applicant: 1,,=L�w'IIC l^,f-� � C R,`( Owner: ryry
Address: t`� i�i t"v F t``rtZ Add`te'ssErp � I E V
Phone # ( _ �_—) --- - Phone #Nav 2 2 2000
T{7Whi OF aft_ EENSSURY
Property Location: _ '-,'•,f",�..AiVf} Cp uAmC�"7� ...�
Subdivision Name: maber 9 - 1 ;7.T
Section Block I jot
NATURE OF PROPOSED WORK : ESTIMATED MARKET VJ� � UE OF THE
New Building * CONSTRUCTION : $_LF-I)n
residence / commercial
Addition to Building :
residence / commercial OCCUPANCY INFORMATION :
Alteration to Building : Pr ' ary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work describe below ) Mercantile
C e Q C` Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE :
If ADDITION , what will use
1st. Floor . . . . . . , sq . ft • of new addition be ? :
2nd .Ffoor . . ... . . . . sq . ft .
Other Flouts . . sq . ft ,
( not unfinished cellar or basement )
AC ESSQBX BUILDINGS :
ached Gara e 1 2 ar C".PtR�� e'�
TOTAL F'LOC7R AREA : SQ . FT * Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
FEET K FEET Other
Foundation Type : (7 r-�*:�Lt2E VAE2—L will any second-hand or ungraded
' Number of Stories : lumber be used ? If so , for what ?
( habitable space or
yly )
Height ( grade to r.xdge ) : feet TYPE OF HEATING SYSTEM :
Number Of fireplaceV and/oF woorstove ( circle all which applies )
to be installed :_ Electric / oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for su ervislon of work as regards to building
codes is :
Name Address Phone
Builder :
Plumber :
Mason :
Electrician :
DELL ARA7TON.• Please sign below after you have carefully read the statement.
To the Kest 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 Cade, 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 surveyor; rawn to scale, showing actual location f project on premises.
Signature:
caner, owner's agent, ardh1tect, c ctor)
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BUREAU BY THIS CERTIFICATE OF COMPLIANCE THENEWYORK BOARD OF FIRE UNDERWRITERS OF ELECTRICITY
40 FULTON STREET ~ NEW YORK , IVY 100 Q
CERTIFIES THAT
S
Upon the application of upon premises owned by S
S S
GLEN
7RY G
0 EAST AVEAV O R RY
EASTAV O
QUEENSBURY N.Y 12804 QUEENSBURY, NY 12804
Located at 10 EAST AVE 0UEENSBURY, NY 12804 S
Application Number: 1019152 Certificate Number: 1019152
Section: Block: Lot: Building Permit: BDC: A239
Described as a Residential occupancy, wherein the premises electrical system consisting of
Selectrical devices and wiring, described below, located in/on the premises at: S
car port,
SS was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 9th Day of August, 2001.
.1C Name QTY Rate Ratin Circuit Tyne
Wiring and Devices
Fixture 1 0 Incandescent C�
GFCI Circuit Breaker 1 0 S
SReceptacle 0 o General Purpose
Switch I 0 Photo Cell
S
S
S S
S �+
S
S S
5 sear
1 of 1
SThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated,
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TOWN OF QUEENSSURY
j DUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(sss) 761-8256
ARRIVE ! C'; - E � DEPART - ._��`�,�� IN ^
FINAL INSPECTION REPORT - RESIDQ�1.�;... Xj
DATE INSPECTION REQUEST RE,CCEI{'VSD :
NAME ,_........
LOCATION __...\ct '��+�-
DATE _ Y`i ,���_l PERMIT 1{ Z4=lt��
"TYPE OF STRUCTURE
FOOTINGS. FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION _
FINAL ELECTRICAL � WOODSTOVE OR FIREPLACE
HEIGHT V f GH'T
I VE
NC.
i'TE R I N
C O S S I G
E V S
FURN.&Qs HO W NG
INTERIOR TR EM/PR7;VACY Rs.
FINISH ELOO
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O_...THERFLO[,�#i.^a 'SWEE
OTHE BOORS CARPFsTED
ST&JR CL A CE N
SMO�DETEC d 5
MATH )OM FANS
..un TNG F TUU S
gT
D IO INSUIdATION
G Rnrr� FIRE PROOFI G
DOOR CLOSfiRS - -- .- -
Ia'IN E C R CAL
STT"` PLAN/VARIA CE RE .
� •'"* aUR ESPY BLOT PLAN
IC TO S U C O C
TOWN OF 4UEENSBURY A� 1 ► 1 T�1E
BUILDING & CODE 'ENFORCEMENT
742 BAY ROAD
OUERNSBURY NY 12804
(519) 761-8256
ARRIVEt ..-_ DEPART : AZ;5�:) INSPt �-- -
!FINAL INSPECTION REPORT — RESIDEN A
DATE INSPECTION REQUEST RECEIVED :
NAME GLE
` ,. ,�-�,
LOCATION _- J(!) �_,��, ��.r :?
DATE � i 1 �n % {�PERMIT I
TYPE OF ^a CTORB
FOOTINGS FOUNDATION 13ACif14'ILL
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
A Y B No
CetiIMNE H GH'T V H iGHT
r.
/PLUMBING VEN3
y�Et00_.. "F SNG
yIu'XTERIDR FINISH _
t�iFCR I�RCH/S' EPS/,RAI NG
RELIEF SALVES -.. -
HO E TING
OR R C DOORS
T 0
gamHlKITCH N WATE G
HE FL R WE
OTHER FLOORS C RP TED
STA CLEARANCE I GS
SMOKE prET6 O --
BAXHROOM FAN _ --- -
12 *+uarwr FIXTURES
F U 1] T ON IN ULATIO -
G F RE OFING
p00 C BE S
FINAL EL_- CT IC
SITE PLA /VARIANCE REO
FINAL VEY P FLAN
QK TD ISSUE C/0 C/C
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FILE COPY ) 3 x
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am on au limited examination,
co€ op r**our mmr is sMl
not be conslrned as idcaSing ft,
���spepixatiars are� �
t a Viance with the code.
TOWN OF QUEENS Y
BUILDING & Oil'
REVIEWED BY j
DATE
(some plifz
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