2009-212 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20090212 Date Issued: Tuesday, October 06, 2009
This is to certify that work requested to be done as shown by Permit Number P20090212
has been completed.
Tax Map Number. 523400-309-007-0001-055-000-0000
Location: 28 WESTERN AVE. SOUTH
Owner. PGR WESTERN REALTY, LLC
Applicant: PGR WESTERN REALTY, LLC
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,
r r
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,Qwensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090212 Application Number. A20090212
Tax Map No: 523400-309-007-0001-055-000-0000
Permission is hereby granted to: PGR WESTERN REALTY, LLC
For property located at: 28 WESTERN AVE. SOUTH
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 Value
Owner Address: PGR WESTERN REALTY, LLC
ONE BROAD STREET Plz Shed/Storage Sheds $3,100.00
GLENS FALLS, NY 12801-0000 Total value $3,100.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-212
140 SQ FT SHED
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,June 04,2010
(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 T Queensry;, T ►u sday,June 04, 2009
f a
SIGNED BY ! s a for the Town of Queensbury.
Director of Building�Code nforcement
c� --//^S rE USE ONLY /
TAX MAP NO. PERMIT NO, d ��
=.UE
,
FEE PAID BLDG.&CODES APPROVAL
_.._v..--------_sa_:_.___s___.�__a____a__a__r______ara_____________ + �_111/
ACCESSORY STRUCTURE BUILDING PERMIT DEs
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: (c it4)5 :r,If 1 ob5k-ol't S ` 1 'rr� INSTALLERIBUILDER: QU111n-7-6'rV-
'
ADDRESS: g ) WLSLC/?1 AVf OSTN ADDRESS: 0-2 (Q(Li1((4 Eld
PHONE NOS. S I E 'M A"' •U t/e 5 PHONE NOS. 36-1 I 17T 3 - 3S
_55-
LOCATION OF PROPERTY: SUBDIVISION NAME: /�^^
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: &i Ck t�ul 1,-)(" � 64'
ESTIMATED COST OF CONSTRUCTION: $ 3 W(2 ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? Nil
IF YES,PLEASE LIST:CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: IGnn
,ZZf PHONE: _jA 74 q-all 3 4
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
(� SHED 7 -
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, QUESTIONS? CALL 761-8266 OR EMAIL
showing actual location of all new construction. codesO-clueensbury.net
I have read and agr the abo e. VISIT OUR WEBSITE FOR MORE INFORMATION
www.g ueensbu ry.net
Signed � Dated: '���CjO�
Name/Title(Printed) M 1 t h (D G-Ld O R h / e u%w
a
��� Town of Queenshzcry• Coniniunity Development Office • 742 Bay Road, Queensbata y,1�lY 12504
Queensbury Building & Code Enforcement - Resid is i Inspection
Office No. (518)761-8256 Arrive: a ";art
Date Inspection request received: Inspector's initia
NAME K k4 4 - P MIT#: K2
LOCATION: --- -2-z
TYPE OF STRUC R : /`
-- Comments:
N A
4" Building Number Address visible from road
Chimney Height/V Vent/Direct Vent Location
Fresh Air intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more rigs
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 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 a sec/re ulator 18 inches above grade
Interior priy@q/trim/doors i 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 stoppiEg finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater op@rating
Low water shut-off boiler
Relief Valves installed/Heat Tra /Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum
Basement stairs closed rise>4 inches
Gara a Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logo in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan _
Arc Fault Breaker in Bedrooms T
Flex Gas Pipe Bonding
As Built Septic System/Sewer De t. Ins coon Sticker
Site Plan /Variance—reauired -
Flood Plain Ce ' ratio ,if required
Okay to issu !C C/C? emporapf 1 Perman
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26108