2003-797 � TOWN OF QUE E NSB URY
ow742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20030797 Date Issued: Tuesday, May 03, 2005
This is to certify that work requested to be done as shown by Permit Number P20030797
has been completed.
Tax Map Number. 523400-289-007-0002-008-000-0000
Location: 662 MOON HILL Rd
Owner. JOSEPH P RUIZ
Applicant: JOSEPH P RUIZ
This structure may be occupied as a:
By Order of Town Board
Shed/ Storage Sheds TOWN OF QUEENSBURY
(--1)44r2P
1/Director uilding&Cod so z: ent
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030797 Application Number: A20030797
Tax Map No: 523400-289-007-0002-008-000-0000
Permission is hereby granted to: JOSEPH P RI TIZ
For property located at: 662 MOON HILL 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: JOSEPH P RUIZ
662 MOON HILL Rd Shed/Storage Sheds $64.00
Total Value $64.00
LAKE GEORGE, NY 12845
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2003-797
64 SQ FT STORAGE SHED ADDITION AS PER PLOT PLAN SPECIFICATIONS
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 24, 2004
(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 th o of Qu sb ry; / ed s •sday, September 24, 2003
i
SIGNED BY , \ for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A • •it must be obtained before beginning construction. Permit File No.c(7( S
^, o , •ection will be made until applicant has received a Fee Paid $ 20'OD
validb3� iirg permit. All applicants' spaces on this Rec.Fee Paid $
a tapn
must be completed and must appear on the Reviewed By
R 9 ' ''ap15 esti&n°form. \l �`
Applicant: v ��`4( , ' ��"Ur a-
Owner:
Address: b.10 14/1 OiYri 1 i;Gt 1101 Address:
G-,o tzi 7 evii—*LS ry y
Phone#( ) Phone#( ) ALi(l"t� >:"y " C.".MO!
iL/ D/Ct 5"
Property Location: Lot Number: / House Number2ol- / % ' tY
Subdivision Name: Tax Map Number: e ,.
26q —0/ ,� -g C1: 1.
D New Building: residence /commercial Estimated Market Value of Construction: $
o Addition: residence/ commercial If an Addition,what will use of new addition be?
t7 Alteration: residence/ commercial
o No change to exterior size: residence/com'l
o Other work(describe )
Check Occupancylnformation 1"Floor 2"Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
O Single family dwelling
o Two family dwelling
o Townhouse
o Multifamily dwelling
#of units
o Office
o Mercantile
o Manufacturing
O 1 car detached garage
0 2 car detached garage
0 3 car detached garage
O 1 car attached garage
O 2 car attached garage
O 3 car attached garage
O Storage building-
commercial
0 Storage building- `�� � J `� (f fl
residential
O Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder
Plumber
Mason
Electrician
Declaration: please sign below after you have carefully read the statement
To the best of my knowledge the statements contained in this 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 Code,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,4s Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all ne construction, f.4
Signature: owner,owner's agent,architect,contractor
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection req st r c,477
ved:, '
Queensbury Building&Code Enforcement Arrive: a p ' rt: 10 a p
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /D ^ '/
NAME: ��\ �� E IT#: jfj J`' I 1 /
LOCATION: 10'. tat L`._ ATE: -
TYPE OF STRUCTURE: 67-612-AG -
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete rj
Guard 30 in. or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more ✓
Guard at deck,porches 36 in.or more
Exterior Finish Complete ✓
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
8 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 Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
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:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches _
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. 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(Cert. Of Compliance)
Okay to issue Temporary C/0(Cert. Of Occupancy)
Okay to issue Permanent C/0(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Queensbury Building & Code Enforcement - Resid_enti inal Inspection �c0
l
Office No.(518)761-8256 Arrive: a pm . pep : jar am
Date Inspection requ received: Inspector's Initials
NAME: v U PE MIT#: o377
LOCATION: LS?� 11k4AL
DATE:
TYPE OF 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 Complete/Exterior Finish Complete
Guard 30 in.or more(a@ stairs,decks,patios - (l 611
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more LA #
Exterior Finish Complete s a 1717 td%
Interior/Exterior Railings 34 in.to 38 in. _ U V i 1 ��
Platform at all exterior doors \\ r
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '''A"
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 Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
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
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 I'/.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 sq. ft.-150 sq. ft. vents
Building No./Address visible from road
Final Electrical 1/7
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required ,(1
Okay to issue C/C or C/0[Temporary/Permanent] 1j
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545 -,
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 3,
Permit No. Cert. No 81578 Cut-in Card No.
Owner -J^ / / Z�
Location 6 G M6510 Ai Ma.- let) 48
Installation Consisting of /S41.1"1`re-f-1,...1.
Installed By Aixr Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be romptly made for inspection.
Inspectors of this Company shall have the privilege of makin ins ctions at any time, and if its
rules are/violated,the Company shall have the right to e e th / icate
Date.,/ O"ZQ-U INSPECTOR `���
Member N.F.P.A.,I.A.E.t.
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