2005-155 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. P20050155 Date Issued: Wednesday, December 27, 2006
This is to certify that work requested to be done as shown by Permit Number P20050155
has been completed.
Tax Map Number. 523400-308-010-0002-046-000-0000
Location: 36 NICOLE Dr
Owner. J. SCOTT & HOLLY LANGWORTHY
Applicant: J. SCOTT & HOLLY LANGWORTHY
This structure may be occupied as a:
Shed/ Storage Sheds
By Oder 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,
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: P20050155 Application Number: A20050155
Tax Map No: 523400-308-010-0002-046-000-0000
Permission is hereby granted to: J SC OTT & TIOL ,Y 1,ANGWORTHY
For property located at: 36 NICOLE 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. Type of Construction Value
Owner Address: J. SCOTT &HOLLY LANGWORTH Shed/Storage Sheds $2,500.00
36 NICOLE Dr Total Value $2,500.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-155
192 SQ FT STORAGE SHED
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, March 31, 2006
(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; Thursday, March 31, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No. (D-0 —6�
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid �-�L�
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codesQaueensburv.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Accessory Structure Building Permit Application
Application & Plans subiect to review before issuance of a valid permit for construction.
Any structure other than the principal structure (i.e., house), typically a garage, shed, greenhouse, dock, deck,
etc. (not necessarily limited to the list below). Refer to attached Informational Brochure No.3
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder .,),sco# Lana, 1 Owner:
Address: CC C OQVC Address:
5 MLI-
Home Phone: lqt Home Phone:
Email Address: "l r`` J S --)a `� i 'i dress:
Cell Phone: ,S► 7 I -7 Cell Phone: _
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name:
Address: Phone
Location of proposed construction: Lot No. Legal Address:
Tax Map Number: 369. io- 4(, Subdivision Name:
Estimated Cost of Construction: $ 2-5Q0f�- t: 30 '
Does an accessory structure currently exist on the property? _Yes / No ' -`" v
If YES, list all existing accessory structures: -
Proposed Construction 131 floor 2^d floor Total Proposed Height
sq.ff. sq.ff. Sq.ff. ft.&in.
Open Porch
Covered or Enclosed Porch
(considered floor area&must comply to FAR [Floor Area Ratio]
requirements if the structure is located in the Waterfront
Residential zone.
3-season porch is considered an enclosed porch.
Deck
Boathouse
Boathouse with sundeck
DOCK
Shed I = �Iqh wqll
Pole Barn
Detached Garage 1, 2, 3 car
Other Accessory Structure:
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
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, all other laws pertaining to the
proposed work shall be complied with,whether specified or noted, and that suc work' au horized by the owner.
Further, it is understood that I/we shall submit prior to a Certificate of Occ anc or ertif' of Compliance
being issued, as requested by the Zoning Administrator or Director of Bull s-Built Survey by a
licensed surveyor, drcrn to scale, showing actual location of all new tru
Date: Applicant/Builder Signature:
The application of dated is hereby approved and;
permission granted for th const ctio reconstruction or alte ation f llding/a d or accessory structure as set
forth above.
Date: - Authorized Signature.
L:\Sue Hemingway\Building.Permit.FORMS\Accessory Structure Permit Application.doc V:12/28/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office To. (518)761-8256 Arrive: am/p par[: am/pm
Date Inspection request received: _ Inspector's Initials: _
NAME: PERMIT#: �
LOCATION: i r- DATE:
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road 6
47
Chimney Height/"B"Vent/Direct Vent Locations
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios 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
Interior Handrails @ stairs 2 or more risers
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:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s . ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .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
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/3/a hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
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:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised I00405.doc
12x16 Storage Shed
for
36 Nicole Drive
4,
LOT 119
39,537 SQ.FT.
V\ Atp
HOUSE
oe
GARAGE
fie•
Wee
Is
trm&
�R*28 1.14' L-10d00'
Scott and Holly
Langworthy
MEMO
i
k TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination A-Frame Garage
12' X 16, comppliance with our comments shall
Gray with White Trim Gray Roof not be with
as indicating the Light Gray with White Trim Weatherwood Roof
Plans and specifications are in full
oomPliance with the Building Codes
of New York State.
s.
8' X 12'
8' X 12: BUILDING &' O 4 ,
dium Gray with Whit Tri G Roof
Hunter Green with Beige Trim*Woodland Green Roof D • Shown with " Sh e
Shown with `Z"Shutters and Flower Boxes REVIEWED BY
DATE '� A
ni
w
. _. .
�e
Tke
ca jon,5
Skid Diagram
All measurements to center of 4x4s
6'wide
� 60 34" �
8'wide
68
10'wide
I— 22" — i —34''" 34'W 22" --{
IT wide
25-Year Shingles j— 34" —4. 34 W--- 1 34 W" 34" --{
14'wide
Exterior Sheathing 3-Ply Plywood -- 40" ---i 34 4' 34 s" 40'. ——�
2"x4" - 16" O.C. Rafters
Site Preparation
4-6 inchesof314" modified stone base.
Use 4"x 4" or 4"x 6"pressure-treated timbers
around perimeter of stone base. Level stone
evenly to top timbers. Stone base can be
made 12" wider and longer than
ry normal size ofshed.
a
Exterior T 1-11 Wood Siding
E �
2"x 4"-16"O.C. Side Walls
518" Exterior Plywood Flooring
_._
Heavy-Duty Reinforced
Frame Doors 2" x 4"- 16" O.C.Floor joists
with 1"x3"Trim
jalousie Windows with Screens 4" x 4" Pressure-Treated Timber Foundation