2009-178 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE (.3""U' COMPLIANCE
Permit Number. P20090178 Date Issued: Tuesday, June 22, 2010
This is to certify that work requested to be done as shown by Permit Number P20090178
has been completed.
Tax Map Number. 523400-296-014-0001-077-000-0000
Location: 19 WINCREST Dr
Owner. CHRISTOPHER & KATHRYN FOWLER
Applicant: CHRISTOPHER & KATHRYN FOWLER
This structure maybe occupied as a:
Shed/ Storage Sheds
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, d
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board 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: P20090178 Application Number. A200901.78
Tax Map No: 523400-296-014-0001-077-000-0000
Permission is hereby granted to: CHRISTOPHER&KATHRYN FOWLER
For property located at: 19 WINCREST Dr
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. Tie of Construction Value
Owner Address: CHRISTOPHER&KATHRYN FOW
19 WINCREST Dr Shed/Storage Sheds $3,200.00
QUEENSBURY, NY 12804-0000 Total value $3,200.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-178
160 sq ft shed
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,May 20, 2010
(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 Toi(n of-' ensb ,tr dneudau, May 20,2009
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
IE
FFICE USE ONLY I r� '2 �0 t1/1�IE
TAX MA� O.0 Y7 PERMIT NO.
FEE PAID BLDG. &CODES APPROV ; ; MAY O 6 2009 10
, / / /
, / / /
0...................................... ........... .. ...... .. ..... ..: f0WN-0FQU&EPF BUR*---- i
BUILDING & CODES
ACCESSORY STRUCTURE B ILDING ER
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: C11Ayf j(JPl "Q f���I/>{��� ° y1,4 INSTALLER/BUILDER:
ADDRESS: / 7 Wm C>?��J��/> �/���c, ADDRESS:
PHONE NOS. 6/f ��A i / 3� PHONE NOS.
LOCATION OF PROPERTY: SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑YES ❑ NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ 2 00 ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
sr ND PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH"
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK f
SHE
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.
QUESTIONS? CALL 761-8256 OR EMAIL
codesftueensburv.net
I have read and agree to the above.
a;-- VISIT OUR WEBSITE FOR MORE INFORMATION
www.aueensburv.net
Signed Dated:
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Queensbury Building & Code Enforcement - Residential Final Inspection
�OfriGe No. (518)761-8256 Arrive: .�2 vam/P depart: am/prm
te Inspection request received: Inspector's Initials:
NAME: JAJ PERMIT
LOCATION: /9 _ DATE: /S
TYPE OF STRUCTURE:
WA I Comments:
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co late/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs deckspatios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck porches 36 inches or more
Handrail Termination at Newell Post or Wail i
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapp2d 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 .ft.-150 sq.ft.vents
Bathroom Fans,if no window,
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency ress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater opgrating
Low water shut-off boiler
Relief Valves installed/Heat Trapt Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Are fault Breaker in Bedrooms
Flex Gas Pipe Bon(
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent
LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc;Revised
January 7,2008;Revised 6/26/08