2004-792 TOWN OF QUE E NSBURY
742 Ba Road eensb NY 12804-5902 518 761-8201
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Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20040792 Date Issued: Tuesday, December 05, 2006
This is to certify that work requested to be done as shown by Permit Number P20040792
has been completed.
Tax Map Number. 523400-289-008-0001-045-000-0000
Location: 722 MOON HILL Rd
Owner. EDWARD & THERESA DENISE
Applicant: EDWARD & THERESA DENISE
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, (..": 414P
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code E once nt
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
IFIT*
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040792 Application Number: A20040792
Tax Map No: 523400-289-008-0001-045-000-0000
Permission is hereby granted to: EDWARD & THERESA DENISE
For property located at: 722 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: EDWARD & THERESA DENISE
722 MOON HILL Rd Shed/Storage Sheds $4,000.00
Total Value S4,000.00
QUEENSUBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-792 722 Moon Hill Road
160 sq. ft. Storage Shed purchased from Garden TIme
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 13, 2005
(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 Tovyti of ensb ; w:d j'sda October 13, 2004
SIGNED BY l 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 permit must be obtained before beginning construction. Permit File No.Ai00Li-79oZ.
No inspection will be made until applicant has received a Fee Paid $ 4,d O
valid building permit. All applicants' spaces on this Rec.Fee Paid $ d
application must be completed and must appear on the Reviewed By Ty
-,1 • ff •'.
application form. ` .vfy-..•
_
Applicant: Cd�.'u r� )en t se-Owner. S'4 tie:, ` UST R 2004
Address: / /Z Address: 4`'
0t
Phone# ,) ,- Phone#( )
Property Location: Lot Number: / House Number�4-/ /7C�'? 1 /�� .
Subdivision Name: Tax Map Number: -'' , 1 , L-5
0 New Building: residence /commercial Estimated Market Value of Construction: $4z-)
O Addition: residence/ commercial If an Addition,what will use of new addition be?
0 Alteration: residence/ commercial
O No change to exterior size: residence/com'l .
o Other work(describe ) ,
•
Cheek Occupancyinformation 1"Floor 2"Floor Other floor Total
Below sq.ft. sq.ft, sq.ft. Square Feet
O Single family dwellini
o Two family dwelling
O Townhouse
o Multifsmily dwelling
#of units
o Office
o Mercantile
0 Manufacturing
O 1 oar detached garage
O 2 oar detached Image
O 3 car detached garage
O 1 oar attached garage
O 2 oar attached garage
O 3 car attached garage
O Storage building-
_cemmercial
rage building-
roaidentiaI f 6 /io , /(a 6 SCE fr.,
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 Z'trentaces 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 - , ,o j e->— t z-r/ -,-c__
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 Ore14 re 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
on
Adtor or Director of Building and Codes,ands Built Survey by a licensed surveyor;drawn to scale,showing actual
to of all constructio
Signature: - -a—e owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm L.art:4)t \am/pm
Date Inspection request received: Inspector's Initials: h�
NAME: Se / PERMIT# /
LOCATION: -2'7 Aorh - i I KJi DATE:
TYPE OF STRUCTURE:
-If-IJ Comments
Yes No N/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 V 114�I.�A �
N7
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 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping 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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%s"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 I C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
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a, `r l�, , Sidewall Studs: 2x� 74 I, -�� 4 ! oval( '
Exterior Siding: 1/z 3 a RV,F - 1t.1 % E d iAyl siding
Rafters: 2x4 '-
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Roof Sheathing: /z"3 ply ply
Roof: 240 lb., 20-year self-sealing asphalt shingles
or optional 25-year architectural shingles
Doors: Heavy duty raised panel steel door, 24 gauge
Windows: Two windows with shutters included
except 8x8, 8x10, 10x10 feature one window with shutters
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