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2005-266 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 4z Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20050266 Date Issued: Friday, September 02, 2005 This is to certify that work requested to be done as shown by Permit Number P20050266 has been completed. Tax Map Number: 523400-301-019-0001-028-007-0000 Location: 24 EVANNA Dr Owner: MICHAEL & MARY PUGH Applicant: MICHAEL & MARY PUGH 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 property owner of the responsibility for compliance with Site Plan, JbAl � Variance, or other issues and conditions as a result of approvals by the Director of B i ding&Code En eme 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: P20050266 Application Number: A20050266 Tax J\Iap No: 523400-301-019-0001-028-007-0000 Permission is hereby granted to: MICHAF,I.& MARY Pi GH For property located at: 24 EVANNA 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: MICHAEL&MARY PUGH 24 EVANNA Dr Shed!Storage Sheds $3,000.00 Total Value $3,000.00 QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-266 160 SQ FT SHED $20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, May 04,2006 (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 Tow eensb d sda , May 04, 2005 SIGNED BY for the Town of QueensbuIV -szl ry. r5. Director of Building&Code Enforcement S✓ Permit No. Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid 742 Bay Road,Queensbury,NY 12804 Dave Hatin,Director codes@aueensburv.net Phone: (518) 761-8256 FAX: (518) 745-4437 Accessory Structure Building Permit Application Application & Plans subject 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 ffA1 VcLe_k r��GI� Owner: rni Address: Aq('VANIvA DfL Address: 94 6VANtVA Dtl Home Phone: / Home Phone: Email Address: M PU CAN &6eAe_kWa_tw •�OTmail Address: M 6if &&vffekt 4- CellPhone: 57I8 . 30-09S7 Cell Phone: Qfi361 _04S7 FAX Phone: SIF 7LI3 JLOV FAX Phone: )8 7V3-1y111 Person responsible for supervision of work with respect to building and codes compliance: Name: P Address: 3t `-f EQ/W& .4 - Qy_CeA,42wy Phone 5-18 Location of proposed construction: Lot No. Legal Address: ay Qt.czr-s4� Tax Map Number: 3 o I • Subdivision Name: t lu Z. T let Cir2.c Estimated Cost of Construction: $ 3,wo RECEIVED Does an accessory structure currently exist on the property? _Yes / No My g) 2 2005 If YES, list all existing accessory structures: TOWN OF QUEENSBURY Proposed Construction Id floor 2nd floor TILU ght sq.ft. sq.ff. Sq.ff. ft:.&in. rch Covered o E I Porch floor area&m ply to FAR [Floor Area Ratio] requirements if the structure is located in the Waterfront Residential zone. 3-season orch is considered an enclosed porch. Deck Boathouse Boathouse with sundeck DOCK Shed 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, 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 struction. Date: �� `�� Applicant/Builder Signature: The application of dated is hereby approved andl permission granted for the construction, reconstruction or alteration of a building/and 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 S 8)761-8256 Arrive: an,/ D art: -,,,'20am/ r&i ,)n request received: Inspector's Initials: \0 lc" C, PERMIT#: `, ,ON: r DATE: 0N— - JOF STRUCTURE: Comments � Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake (� 3 inch Plumb Vent through roof minimum 6" Roof Com lete/Exterior Finish Complete Guard 30 in.or more(a),stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete V Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. 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 Tern 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: I Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade 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 Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 1, � DS Queensbury Building &Code Enforcement Arrive: amip Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: —_._� _ PERMIT#: ZDoS —o2(plQ LOCATION: 2-4- - _V Pmt 4� V c INSPECT ON: TYPE OF STRUCTURE: Sk�_ J Comments —�� Y �N N/A ootings ers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement I of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingwayiBuilding.Codes.InspectionTORMSToundation Inspection Report.doe January 28,2003 -2,456 book - -2xlU �IeaaQR E1fTf�QtOQ 1�ovR� i 2�$jt�a'�C EEO 4C 4 t S jl 1 t „ 1 4 i ICI � t 204 Rebus RECEIVED a 4, ,� � ;.. ._. . MAY 0 2 2005 ctl TOWN OF QUEEN5BURY BUILDING &,CoQES DEP BUILDING AND CODE REVIEWED-BY '� DATE LOT #8 w x v �yy N ^G S84059'48"E x w u' 217.98' rn _Q She Q Q' F 42 98. C.h S 'V f0 OQ A 30 LOT #9 o U-1 a 24,838 Sq ft N o t-G o N u� > N j Dk�` ti�•h�o N11.07' 12"E 44.I5' r 5.00` - u Q o � N 00 �� ...269.32' N78°52!48"W LOT #10 W � W j