2005-237 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. P20050237 Date Issued: Wednesday, December 27, 2006
This is to certify that work requested to be done as shown by Permit Number P20050237
has been completed.
Tax Map Number. 523400-295-006-0001-016-000-0000
Location: 1162 WEST MT. Rd
Owner. WILLIAM & CHERYL NOLIN
Applicant: WILLIAM & CHERYL NOLIN
This structure may be occupied as a:
Shed/ Storage Sheds
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the lot
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: P20050237 Application Number: A20050237
Tax Map No: 523400-295-006-0001-016-000-0000
Permission is hereby granted to: WILLIAM& CHF,RYI,NOUN
For property located at: 1162 WEST MT. 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 Value
Owner Address: WILLIAM& CHERYL NOLIN Shed/Storage Sheds $2,600.00
1162 WEST MT. Rd Total Value $2,600.00
QUEENSBURY, NY 12804
Contractor or Builders Name / Address Electrical Inspection Agency
Plans&Specifications
2005-237
160 SQ FT STORAGE SHED
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, May 03, 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 Quee s sday, May 03, 2005
SIGNED BY
for the Town of Queensbury.
Director of Building&Code Enforcement
5 Permit No. J-3
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes@aueensbury.net OD
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 &M4 C \V��4 Owner: ! ~ I� ki
Address: I1 L,.-t -,u vM Address:
c Home Phone: ICK Home Phone:
Email Address: C e,1�C)�kr\ C-de Vl,h• tl( Email Address: C6 001,r P C- e �t,
Cell Phone: 'Z z Z �-� 7_� Cell Phone: -7 7 z_ .�i
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name:
Address: l + Phone / ,-
Location of proposed construction: Lot No. , Legal Address:
Tax Map Number: ( Subdivision Name:
Estimated Cost of Construction: $_�� CD
RECEIVED
Does an accessory structure currently exist on the property? _Yes / ZNo
APR 2 2 2005
If YES, list all existing accessory structures:
Proposed Construction 1d floor 2^d floor bING Af`R9 Ed Height
sq.ft. sq.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 'y (0 S �f
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.
n,.��^-^�t.,.,• r)1—ca esnn halnw nftrar you have carefully read the statement:
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: W am/pm Depart: _am/pm
Date Inspection request received: Inspector's Initials:
NAME: Z)�1�'�, PERMIT#:
LOCATION: IVI I DATE:
TYPE OF STRUCTURE:
ftl t-- U Comments
Yes No N/A a-
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 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
InterioriExterior 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.-ISO 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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 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 100405.doc