1999-579 BUILDING PERMIT
VALUE $ 5850. TOWN OF . QUEENSBURY No. 99579
TAX MAP NO. 127 . —8-2 . 2 WARREN COUNTY; NEW YORK
7:_ln Nr), y D-
PERMISSION is hereby granted to
BROWN, JODI & KEVIN
OWNER of property located at 14 CENTRAL AVE. Street.Road or Ave.
To Construct or place a RESIDENTIAL ADDITION (FAMILY ADDITION)
in the Town of Oueensbury,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 Oueensbury Building and Zoning Ordinance.
t. OWNER'S Address is "
14 CENTRAL AVE.
QUEENSBURY,. NY 12804 ,
2. CONTRACTOR or BUILDERS Name
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X) "". ,,,RESIDENTIAL: ADDITION
11 Wood Frame ( I Masonry ( I Steel 11
7. PLANS and Specifications
192 sia f t RESIDENTIAL:.-ADDITION:. .(FAMILY: ROOM) AS PER. PLOT PLAN
SPECIrtCATION
8. Proposed Use
RESIDENTIAL ADDITION (FAMILY ADDITION)..
16 September 10 2001
PERMIT FEE PAID —THIS PERMIT EXPIRES 19
$ (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.) 1999
10., September
Dated at the T of ueensbury this_ Day of 19
c-- �5SIGNED BY `' —for the Town of Oueensbury
/ B siding and Zoning Inspector
Building Permit Application
_ __
Town of Queensbury - Dept. of Conununity Development, 742 Bay Road, Queensbury, NY 12804 [761-8256]
_o BUILDING & . CODE ENFORCEMENT
NOTICE Requirements prior to issu a
of this permit: a� °' ED
▪ ,- ,
1 IT FILE NO.
. A permit must be obtained before f ( ,� 0-0
beginning construction. No inspections SEP Q a �Q �ZMIT FEE PAID$ ` �L •
will be made until applicant has received n Zoning Board Action
a VAI,,ID BUILDING PERMIT. All Area /Use TOWN l OF iREERL�lT1ON FE PAI
applicants` spaces on this application
BUILDiNG F ND Ct, D,E
MUST be completed afid•the signature El Planning Board Action REVIEWED BY: v
of the applicant must appear on the SPR / Subdivision /Other uitding Inspector
application form. 772ank,a,
J Recreation Fee Payment
4.
Applicant: �1�CJa'� (1(X .Ps. (..3/.) ,fit 7...UX_ Owner: /:__UX77t.:44Fa...c-9 / f0.0,/1t
_I,l 1s�iR1oisc ^0 i
. ' Address: OC VI. 7;,_- , Address: �/�_/ i7.!//®.� )4)t-•c, .
V
Phone # (S y ) 76l i.( Phone # ( J ) 2 i - 0
Property Location: J�7
Subdivision Name: Tax Map Number_ /
Section Block Tot
' NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 6 , 'Sd
residence / commercial I
L., "Addition to Building: '
(�r"es1-"-denc ./ commercial OCCUPANCY INFORMATION:
Alter'Wtmon to Building: Primary Building -
residence / commercial /./Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size . Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
•
Other� r�
GROSS AREA OF PROPOSED STRUCTURE: • DQ /ULc 2--0-) Z t e.
1st Floor ' x/� t t If ADDITION, what will use
sq. ft. K of new addition be? : -
2nd .Floor sq. ft n ai ?l
Other Floors sq. ft.
(not unfinished cellar or basement) v
- ••- 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
Q FEET X 1CA FEET Other
Foundation Type: Will any second-hand or ungraded
' Number of Stories : I lumber be used? If so, for what?
(habitable space only) gyp,
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: 0 Electric / Oil / Gas / Wood
CFo_ __Ai.r / Baseboard / Other
Person responsible for supervision of ,work as regards to building
codes is : P t t J ,j()c r f` J, •.(AR Pi,. 714, ,- (, e 9.6
am Phone
Builder: �ra,_,�,,, • .�Uc Addresss •
Plumber:
• Mason:
Electrician: PA (JI._ tT o c-,K
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 Occupancyor Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: O &: . /J Ird/A--
wner, owner's agent, architect, contractor)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay (toad
Queensbury, NY 12804 Arrive5,1 ja part
spector's lnitii
NAME: \I � (\ �C51.���q PERMIT# ' CI� S �
LOCATION: \t� ,- L pm-e DATE : ,lam- a') —9
TYPE OF STRUCTURE: (\aa
RECHECK
N/A YES NO COMMENTS .
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respon ' le for
providing protection om fr zing
for 48 hours followi r_ the pla ment
of the concrete.
Materials for this purpo a on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi n
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P ace
Rough Plumbing
Hea ' g Rough-In
lation1
Foundation Walls Inter or R-
Foundation Walls Exterior R-
Floors R-
Walls R- kCi ��l
Ceiling R-
Duct work or piping in
• ed spaces R-
Proper Vei ttic Vent
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
-1.„Aleffilrltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INS'PEC'TION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 ::ay Road
Queensbury,NY 12804 Arrive\IG—at (EMI Depart N,a '' pm
Inspector's Initi. Y
NAME: PERMIT# G
LOCATION: ELF j(�RL ft DATE : I O—7? el
TYPE OF STRUCTURE: R 1 nF- Ai 11 MI l t r
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
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/Dampproofi ng
Backfill Appro
Plumbing Under Slab
Plumbing Vent/Vents i: Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Wa s Interior R-
Foundation W Is Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work r piping in
unheated spaces R-
roper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quccnsbury
Dept.of Community Development ' Date inspection request received:
Building& Code Enforcement
742 Bay Road
Quccnsbury,NY 12804 Arrive t® a►�S Depart) :a`
Inspector's Ins ss
NAM • .4 PERMIT# 1 1
LOCATIO : ,1.� DATE : ^�
TYPE OF STRUCTURE: 9\
RECHECK
N/A YES NO COMMENTS
Footings/Piers I . I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible
providing protection from cezing
for 48 hours following th' placement
of the concrete.
Materials for this purpose .n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampprooli ,3
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough Plumbing
Heats Rough-In
lation f
Foundation Wall. Interior R-
Foundation Walls Exterior R-
s / R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing f Lo _
Jack Studs/ hers /�
Brad r d r
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 7� a tam IDepart .S
Inspector s Initials •
NAME: 'i( U Z)& PERMIT# �`r=v ,rt�
LOCATION: . DATE :
TYPE OF STRUCTURE: (F-1) PtV)Ds r
RECHECK
N/A YES NO COMMENTS
Footings/Piers ( I
Monolithic Pour Form
Reinforcement in P
The contractor s re s nsible for
providing pro 'on ` om freezing
for 48 hours f.llowing •e placement
of the concrete
Materials for this o urpose n site
Foundation/Wallpo
Reinforcement 'n Pl.
Foundation/Dampp i'a l i g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in •lace
Rough Plumbing
Heating Rough-In
Insulation woe__
Foundation Walls Interior '-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing F Y
Jack Studs/Headers F 'N I-L-- A t Ir}o LE�j
Bracing/Bridging
Joist Hangers y 013‘)Eg.3
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
DO Pal
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 Arrivci4 5 m/ m Depart"?`' -7 pm
)ector's Initi
NAME: j uTh
� ( Jc ) PERMIT# '
LOCATION:C F9._ oc u tic Sty C, PATE : —
TYPE OF STRUCTURE: gE-,, And _ �
RECHECK
// N/A—YES Q COMMENTS
/Footings/Piers V 1 I`',,
onolithic Pour Form \ // `\
einforcement in Place -.0 or F t
f ' ' V/ �\
`�
The contractor is responsible for
•
providing protection from freezing
for 48 hours following the.placement
of the concrete.
Materials for this purpose on sit‘?
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing �.
Backfill Approval
Plumbing Under Slab �3
Plumbing Vent/Vents in Place fie,
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