RC-000815-2016 TOWN OF QUEENSBURY
k.
;I 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
= - Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000815-2016
Tax Map No: 266.3-1-25
Permission is hereby granted to: Norton Contracting
For property located at: 1631 RIDGE RD
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
Owner Name: Brandy Tennyson Single Family-Alteration $60,000.00
Owner Address: 1631 Ridge RD Total Value $60,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Norton Contracting
7 Loren DR
Queensbury,NY 12804
Plans&Specifications
Residential Alterations total 357 sq.ft. .
Kitchen 210 sq.ft.
new bathroom 30 sq.ft.
convert one bedroom into bathroom 117 sq.ft.
Building Permit Fee Paid: $60.00 on Invoice 1296
(This permit file linked to file no.RC 807-2016)
PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 29,2017
(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 ns • esd.. , 0 7 9,2016
1.1
SIGNED BY: , \, for the Town of.Queensbury.
Director of Building&Code Enforcement
PRINCIPAL S'1'RUCTURE APPLICATION Office Use Only g/5
Date: = I /)amp Permit No. Re- i
Tax Map ID ,a 3iJ 66 Q.(1(o.3- 1 -as— Permit Fee 60,-4/1;,�►�;�rla-9(�
Zone R S i Lf,SS e f4,.,;f Historic? Yes 'y( No Rec Fee
Subdivision Name Re Lot,# Site Plan#
Subdivision#
Project Location I C,,3I R ctc-e Rd Queerishzc sir
TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplex r$}� wo�.f< dy, iltipletfami.1
apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile h m4' a is is"in addit eertoftligi, "I 1
permit fee(s). p ? u f
i� ;
Primary Owner(s) NOV 2 3 201G{
OrcLaet% Tier\( SOA ) �e.4 Tenn (co ;-
Address <,. - : :,..r�
G 3 i �2 ale oct.ck Q Ltep ns bur y�/U.:_ s.., j ' y;DE L
Phone/Email J
S-18- ay- +ennc6.Sonae � p.cca Corn
Applicant
Br i i .sc -1
Address (� j
f R i a�2 Rcik ar (AeP_iksi iR/ ) -' / / G/l 0 041
Phone/Email (5-/8) "sail- /pi 713.-rend 56n Zio jf C0.4-,
Contractor v
4/®r-1- rit ,,J-I / jccu A)Q\N7lon
Address • "7 L o teri d . 6112.e443� ,-✓0 idarroY
Phone/Email • :MO 6 '3 0()4 7 nOr cvt Ct)h}ry. >7 e y �1�.
Contact Person for Building & Codes Compliance: Phone •
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration 1st floor sf 2nd floor sf Total sf Height
Single Family , /K` (;1 zoo c; J 0
Two-Family �/ o`
Multi-Family
(#of units )
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial .
Attached Garage
(1, 2, 3, 4+) "MO
20
Other 1101,ce vh .14,tivA .s L 7
Town of Queensbury Building&Codes Principal Structure A ary 2616
t
\ / If commercial or industrial please indicate name of business
Proposed use of building or addition , I7v;,._si res 4en j
Source of Heat(circle one) Gas Oil Propane Solar they
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information:
a. Dimensions or acreage of lot
b. Is this a corner lot? Yes No
c. Will the grade be changed as a result of construction Yes No
d. Public water or Private well (circle one) Public Private
e. Sewer or Private Septic System(circle one) Sewer Private
Value of all work to be performed (labor or materials) $ (046,00
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval.
3. I certify that the application, plans and supporting materials are a true and complete statement /
description of the work proposed, that all work will be performed in accordance with the NYS
Building Codes,local building laws and ordinances,and in conformance with local zoning regulations
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate
of occupancy.
5. I also understand that I /we are required to provide an as-built survey by a licensed land surveyor of
all newly constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: 9jrarvi (' 1/1 " DATE: / a/ 0/(,
SIGNATURE: die DATE: I) 42c . / Ol(o
For office use only
Operating Permit Issued: Yes No
266.3-1 -25 RC 807-2016
Occupancy Type
Construction Classification Brandy Tennyson
Assembly Occupancy Limit 1631 Ridge Road
Special Conditions Residential Interior Alterations
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
A
• L FEB29202
TOWN OF Ca:Ei.=NS21JRY
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LATHAM,NEW YORK OFFICE MONDAY-FRIDAY,7AM-3:30PM
I-800-USE-M D IA SAME DAY/NEXT DAY SERVICE.IF YOU
CALL THE OFFICE BETWEEN 7AM-9AM!
D MCE
MICHAEL ADAMS
ELECTRICAL INSPECTOR
410 TROY-SCHENECTADY RD. EMAIL:MICHAELS
OFFICE:(5 @A.0
73-0861
I
STE. 102 LATHAM,NY 121 10 CELL:(518)368-3767
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ELECTRICAL INSPECTION
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UTILITY NOTIFIED �
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L ' FINALAPPROVAL DATE 1
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