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2005-764 TOWN OF QUEENSBURY 742 Bay Road,Queensburv,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFI CATE OF COMPLI-A-N- CE Permit Number: P20050764 Date Issued: Monday, November 28, 2005 This is to certify that work requested to be done as shown by Permit Number P20050764 has been completed. Tax Map Number: 523400-308-014-0001-034-000-0000 Location: 19 AMETHYST Dr Owner: D. KIRBY &MARTHA VAN VLEET Applicant: D. KIRBY &MARTHA VAN VLEET 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, 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: P20050764 Application Number: A20050764 Tax Map No: 523400-308-014-0001-034-000-0000 Permission is hereby granted to: D. KIRBY&MARTHA VAN VLEET For property located at: 19 AMETHYST Dr in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and oilier 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: D. KIRBY&MARTHA VAN VLEE Shed/Storage Sheds $2,000.00 19 AMETHYST Dr Total Value QUEENSBURY, NY 12804-0000 $2,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-764 196 SQ FT SHED $20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 19, 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 eNpiration date.) Dated at the Town f Qu s u �q(/ W ay, October 19, 2005 SIGNED BY Y for the Town of Queensbury. Director of Building&Code Enforcement ~° Permit No, Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid 742 Bay Road,Queensbury, NY 12804 Dave Hatin,Director codes@aueensbury.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. f I J Applicant/Builder `f/L VVlNeket Owner; Address: a i' 1 f�art "�VL sT d'. W, Address:ru o� Home Phone: — '�� 7 S? - g Home Phone; Email Address: Email Address: (r c av Cell Phone: 7 - Cell Phone: 5 5 - 5Z FAX Phone: - s FAX Phone: - Person responsible for supervision of work with respect to building and codes compliance: Name: t r-6 /clll t4o_.-9� Address: Phone Si 79 if- ?4� 2- . 1 �- Location of proposed construction: Lot No. � Legal Address, iC� .mot ��� S Tax Map Number: a,I Li 'b y Subdivision Name: -A-m6 zt"a�(l Estimated Cost of Construction: $ 9. CO Does an accessory structure currently exist on the property? —Yes / )"No If YES, list all existing accessory structures: Proposed Construction I s+floor 2^d floor Total Proposed Height sq.ft. sq.ft. $ , ft. 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 / Pole Barn Detached Garage 1, 2, 3 car Other Accessory Structure: Applications are subject to Zoning Administrator, Code Compliance, and Str c an lew. The Building and Codes Office will allow commencement of your proposed roje t y 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 construction. Date: Applicant/Builder Signature: The application of dated is hereby approved and permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set forth above. r-- Date: (to Authorized Signature:I it . LASue Hemingway\Building.Permit.FOR MS\Accessory Structure Permit Application.doc V:12/28/04 Queensbury Building & Code Enforcement - Residential Final Inspection .r Office No.(S 18)761-8256 Arrive: am/prp � rt:� `7.17 am/pm S� Date Inspection request received: _ Inspector's Initials: JJ NAME: PERMIT#: Ao. LOCATION: DATE: TYPE OF STRUCTURE: Comment&, 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 ( /� 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: Batterybackup: 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''/z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fire roof n /3/<hour fire door/door closer Duct work Sealed properly Gas La s 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