2004-397 TOWN OF QUEENSBUIRY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: _ ..P20040397 Date Issued: Thursday, October 07, 2004
This is to certify that work requested to be done as shown by Permit Number P20040397
has been completed.
Tax Map Number: 523400-309-005-0001-061-000-0000
Location: 36 MAPLE Dr
Owner: ALYSSA IRELAND
Applicant: ALYSSA IRELAND
This structure may be occupied as a:
By Order of Town Board
Shed/ Storage Sheds TOWN OF QUEENSBURY
'V �f
Director of Building&+Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040397 Application Number: A20040397
Tax Map No: 523400-309-005-0001-061-000-0000
Permission is hereby granted to: ALYSSA IRELAND
For property located at: ; 36 MAPLE 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. Tyne of Construction Value
Owner Address: ALYSSA IRELAND
36 MAPLE Dr Shed/Storage Sheds $6,000.00
Total Value $6,000.00
QUEENSBURY, NY 12804
f.
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-3 97
192 SQ FT STORAGE SHED
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, June 16, 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 To Queens ; d esday,June 16, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Mforcement
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. �• 3g�
No inspection will be made until applicant has received a Fee Paid
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
Applicant: ���c_, t�(4�, Owner:
Address: 136 me,101c f Z J e..- Address: 3 co e
N
Phone#(: )a22, -.o �I Phone#( ) 7f k- R 7 J
Property Location: Lot Number: / House Number
f '9aba ls�q
Subdivision Name: 74'���/f f Gl S Tax Map Number: 3c09. 6 3
i
o New Building: residence /commercial Estimated Market Value of Construction: $ aU
o Addition: residence/ commercial If an Addition,what will uge of new addition be?
o Alteration: residence/ commercial
o No change to exterior size., residepco/com'1
o - Other work-(describe 1 ed
c� Check OccupancyInformation 1` Floor 2n.4 Floor Other floor Total
Below sq.ft. sq ft. sq.It. Square Feet
o Single family dwelling
o Two family dwelling
o Townhouse �!
o Multifamily dwelling = �9 v
#of units _ M
!+ o Office C�IdV L 1 cr
o Mercantile
o Manufacturing AIN 0 3 Z004 �
0 1 car detached garage e
D 2 car detached garage TOWS U Uy� IISDUr
0 3 car detached garage
0 1 car attached garage
0 2 car attached garage
0 3 car attached garage
o Storage building-
commercial
o"" ,Storage building-
-residential
o Other
What is the proposed height of the structure 1 O. 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 i baseboard/other:
Number of Fdre km—to be installed Number of Woo eves to be installed C7
List below the persons)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder m i c. 1 c�c tE f yV\e-
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 Uwe 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 coon.
a� t
Signature: 4 Al Ili,YDI� �_., taa owner,owner's agent,architect,contractor
Queensbury Building & Codel'Bnfo cerhe�`- evidential Final Inspection
Office No.(518)761-8256 Arrive: am/ Depart: a
Date Inspection request received: _ Inspector's Init' s: _
NAME:
LOCATION: D E: '2
TYPE OF STRUCTUR :
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 @ 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
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 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/'/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
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a .o TOWN OF 4UEENSBURY BUILDING DEPARTMENT
Based on odr limited examination,
comppliance with our comments shall
t: N not be construed as indicatingthe
o, plans and specifications are full
compliance with the Building Codes
of New York State.
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REC
END
JUN o 3 2004
TOWN OF OUEENSSURY
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