2001-782 TOWN OF QUEENSBURY
n u NY 12804-5902 518 761-8201
� � 742 Bay Road,Quee sb ry, ( )
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010782 Date Issued: Thursday, December 27, 2001
This is to certify that work requested to be done as shown by Permit Number P20010782
has been completed.
Tax Map Number: 523400-309-018-0001-004-000-0000
Location: 4 ISLAND VIEW Dr
Owner: MICHAEL WYNN & STARLETT COOK
Applicant: MICHAEL WYNN
This structure may be occupied as a:
By Order of Town Board
Garage - 2 Cars Detached TOWN OF QUEENSBURY
Director of Building& ode nforcement
TOWN OF QUEENSBURY
roN 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010782 Application Number: A20010782
Tax Map No: 523400-309-018-0001-004-000-0000
Permission is hereby granted to: MICHAEL WYNN
For property located at: 4 ISLAND VIEW 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 WYNN Garage-2 Cars Detached 8,700.00
STARLETT COOK Total Value 8,700.00
4 ISLAND VIEW Dr
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
TO JO BUILDERS
Plans &Specifications
2001-782
576 SQ FT 2-CAR DETACHED GARAGE AS PER PLOT PLAN SPECIFICATION
$57.60 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday, October 26,2002
(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 Trip wn Quee bu ; d ,October 26,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Co e 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 .00_,
No inspection will be made until applicant has received a Fee Paid $ - 7#C.2
valid building permit. All applicants' spaces on this Rec. Fee Paid $ I
application must be completed and must appear on the Reviewed B, :
application form.
Applicant: SIZU 1e fi COO k Owner:
Address: 1( T S lan d Vi Address:
vNIC__
S(d'y, NY i ZBCW
Phone#(518 ) 79',- 2 3'as- Phone# ( ) -
Property Location: Lot Number: / House Number /
Subdivision Name: Tax Map Number: 3 ,. - I -
'New Building: residenc commercial Estimated Market Value of Construction: $ c, -}c
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence I commercial
❑ No change to exterior size: residence/com'l
❑ Other work(describe
Check Occupancylnformation is`Floor 2"`'Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
❑ Single family dwelling DECEIVED
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling U C T 1 8 2001
#of units
❑ Office TOWN OF QUEENSBURY
BUILDING AND CODE
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
GY 2 car detached garage 5 1(n
❑ 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure 13 feet .o inches
Will any second-hand or ungraded lumber be used? If so, for what? 110
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: ►'\O'rte_
Number of Fireplaces to be installed r c3v1e Number of Woodstoves to be installed n UYIe_.
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder T cJo I�psi ICiet<6 I13;986om G55ey 79 -L/999
Plumber r
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 As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: dea1la tt C) owner,owner's agent,architect,contractor
Afr? (lo Ckkr
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: / )-49/0 'f7
Building&Code Enforcement
Dept.of Community Development Arrive ,�]:n Depart / a 3 _ _// 4/
Town of Queensbury Inspector's Initi ` ✓ /
742 Bay Road
Queensbury,New York 12804 94-Pv‘--
NAME ��-' f �dDIL- PERMIT#
LOCATION f{ �-13-14 �e,, .) ,--G— DATE
dr-
TYPE OF STRUCTURE Est alet4 ,� N/A YES NO COMMENTS
Chimney Height/"3"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18" ve
Gas Furnace shut-off within 30 feet or wi line of to
Oil Furnace shut-off at entrance to furnace
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 ink
Handrail exterior stairs both sides more than 3risers
Interior privacy/trim/doors/main entrance 35"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in,or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site PlanNariance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance) if
Okay to issue temp.C/O(Certif of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
Ati
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request receivedf 'a 6 1
Building&Code Enforcement /
742 Bay Road L
Queensbury,NY 12804 Arrive am/pm Departam/
Inspector's Initials ; 1"-
NAME: �I '7 r,� PERMIT# 7—7
LOCATION: f 1/. ' Aisp ,DATE : / U/
TYPE OF STRUCTURE: ;,1-e°kr c,
RECHECK • — r8 9 e-
—
N/A YES NO COMMENTS
Footings/Piers_ I I
Monolithic Pour Form j`
Reinforcement in Place
The contractor is respo ible fo\
providing protection fro freezi g
for 48 hours following t i e place ent
of the concrete.
Materials for this purpose . site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval r
Plumbing Under Slab
Plumbing Vent/Ven. in Pla
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R
Foundation Walls Exterior R
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pr Vent,Attic Vent
Framin
.rac ng/Bridging s j /
Bracing/Bridging / �/
Joist Hangers ' /
Jack Posts/Main Beam -/
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
4AJ
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: It d-at)/
Building& Code Enforcement
742 Bay Road �°
Queensbury,NY 12804 Arrive am/pm Depart/ /� m Inspector's Initial
NAME: PERMIT# r 1` Z7�-
LOCATIO : D //a//,�-623 j
TYPE OF STRUCTURE: � , ,o ec.�o
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7-1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl
providing protection from eezi
for 48 hours following th place nt
of the concrete.
Materials for this purpose o i site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dam roofing
acldill A rova war
Plumbing Under Sla
Plumbing VentNents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL INSPECTION REPORT 7)141
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road / ) "
Queensbury,NY 12804 Arrive am/pm DeparC V \ m
Inspector's Initials `)`
NAME: t J \- {` lQ 2 PERMIT#0! / S()
LOCATION:_ vO' 11`Pi�J t�1 /A �( 1 1- }C O 0
TYPE OF STRUCTURE: 0� �-�h.�
RECHECK
N/A YES COMMENTS
tings/Piers ( j,
Monolithic Pour Form /
Reinforcement in Place Z— y +/
The contractor is responsible for ((
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose o ite
Foundation/Wallpour . ,
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls I$ - or R 4
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing �
Jack Studs/Headers
Bracing/Bridging7
Joist Hangers
Jack Posts/Main Beam /
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
-------------
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MAP REFERENCES :
part of the 1 ands of Ida A . 13rB�.//' Parcel I and 11 ( 2nd piece ) In
1 . Map of a F } �� / so\ ti t I e and interest of , in �
Fisher , Town of gueensbury , compiled from � � �76 '\
° Also all the right ,
Per � 1. ,_�t � `?;" �' � � and to al 1 that piece , parcel or lot of land
notes of Carlton J . King ( deceased) P 7'S �� \c,
�,�� S,/ �o9 fir) " q �� lying adjacent to the east of Parcel I and
survey 1929 , Map by Coul ter & Ashle >' L .S . / � rn�. /
Dated July 22 . 1936 �j v �'• O Q ,`, /, / / Parcel t I be twaen the continuation of the
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to be conveyed by J . Clinton 0AVID COOL: �; SA!�Ul�,<� �'i i �� R� 14, . ,, ► or;de�i to tho 1 cam, ���A tar m�rV. r,f the 1Ii�dcnn �� �
& Joyce Eggleston . 1 ( t;8=1- 39 J R 1 ver
Smith Estate to Robert o / '13 A
Town of Queensbury , Dated October 17 . 1980 41
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Li ber 8' 0/Page 224 '
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❑cantors to provide them y
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a per L i ber 890/Pane 228. Par ce 1 III only i s OAl �[I
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FOUND IRON MARKER oWN OF QUEENSBURY, WARREN COUNTY, NEW YORK
0 SET IRON ROD W/TN CAP CERTIFICATION
�i� SEPT. !4, 1993
E) PoINr " �vIca`, SCALE: I = 30
' UPDATED: NOVEMBER 17, 1993 - to show house 8 septi
r
E— POWER LINE I hereby certify i fv to Michael � , Wynn and
c STONE' WALL Starlett D . Cook , Trustco Bank New York and � L Ul
—x—r— FENCE Monroe Title Insurance Corporation that this
map has been prepared in accordance with the f P o
ONLY COPIES FROM THE ORIGINAL OF THIS. SURVEY existing code of `� l � ��,�,rq
practice far wand Surveyors � �
MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S adopted by the New York State Assoc . Of ASSOCIATES
EMBOSSED SEAL OR INKED STAMP SHALL BE Professional Land Surveyors .
Licensed Land Surveyors
CONSIDERED TO BE VALID TRUE COPIES.
10264 Saratoga Road, P. O. Box /434 JOB N2 ,.
Llnouthorized Alteration to this map is a (� ��tiar.._ '� / -�--
South Glees Falls, N. Y. /2803
93-Ile B , 1
�� r r LICENSED LAND SURVEYOR NQ4909B
violation of Section '1�09, Subdivision ------------'�`_.. w,_ wl,�LiAM ✓. RouRti'E,
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2 o f the e New York State Education u c o t i o n Law,
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