2012-492 If TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120492 Date Issued: Monday, November 19, 2012
This is to certify that work requested to be done as shown by Permit Number P20120492
has been completed.
Location: 74 NACY Rd
Tax Map Number: 523400-289-007-0001-066-000-0000
Owner: SHANE W WEAVER
Applicant: SHANE W WEAVER
This structure may be occupied as a:
Shed / Storage Sheds By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property ( J14
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120492 Application Number: A20120492
Tax Map No: 523400-289-007-0001-066-000-0000
Permission is hereby granted to: SHANE W WEAVER
For property located at-. 74 NACY 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. Tempe of Construction Value
Owner Address: SHANE W WEAVER
JAY D. WEAVER Shed/Storage Sheds $800.00
74 NACY Rd Total value $800.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-492
Shed - 10'x 14'
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,October 17,2013
(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 Queensbury; Wednesday,October 17,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
4 � OFFICE USE ONLY q
TAX MAP NO.A� f , (/ -r t�ERMIT NO. I `1 (, OCT 0 9 201z
FEE PAID 9.0. WBLDG.&CODES APPROVAL
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
OWNER: IA a.0 Q- t� e_y rt.)ea)-) INSTALLERIBUILDER: (/`tJ✓)C'i^
ADDRESS: / J J Axe_
-7 ADDRESS:
<�C]Q/
PHONE NOS. —I p ! yj- D 7/-C PHONE NOS.
LOCATION OF PROPERTY: .4.-It%e e- SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:
ESTIMATED COST OF CONSTRUCTION: $ (9 00 ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST: 60 90/..110(0_,--, 4/k'.j
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
1ST FLOOR 2XD FLOOR TOTAL PROPOSED
PROPOSED CONSTRUCTIONHEIGHT
SQ FT. SQ.FT. SQ.
FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
SHED / VO
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
'CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO]REQUIREMENTS IF THE STRUCTURE IS LOCATED IN
THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the 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 Codes,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.
I have read and agree to the above.
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a�queensbury.net
SignedDated: g'' '
' / /� VISIT OUR WEBSITE FOR MORE INFORMATION
Name/Title(Printed) ,_1/,�L�a (// C2a-�� ' ! 11)4 ^ www.queensburv.net
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart:,f(.tY am/pm
Date Inspection request received: Inspector's Initials: 1�--4--
�I ,l
NAME: Vt✓ r PERMIT#:
LOCATION: 7 / Nay` f.C DATE: t I
TYPE OF STRUCTURE: 3 \ E'- ct
Comments:
_Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location02A
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete 1/4
Platform at all exterior doors
Handrail 4 or more risers t'
Guards at stairs,decks,patios more than 30 inches above grade T-471\ANi°
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor 1 Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within fine of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer t
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codesllnspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
Community Development Office �J
Town of Queensbury • 742 Bay Rd. �J
". "� Queensbury, New York •12804
�: PLOT PLAN -------�
c-, Plot Plan: Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
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