2003-196 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-825,6.
CERTIFICATE OF, COMPLIANCE .
Permit Number: P20030196 Date Issued: Friday, July 09, 2004
This is to certify that work requested to be done as shown by Permit Number P20030196
has been completed.
Tax Map Number: . 523400-301-009-0001-014-00.0-0000
Location: 10_ APPLEHOUSE Ln
Owner: JOHN HAYES L.E.
Applicant: JOHN HAYES
This structure may be occupied as a:
By Order.of Town Board
Residential Alteration TOWN OF QUEENSBURY
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: P20030196 Application Number: A20030196
Tax Map No: 523400-301-009-0001-014-000-0000 .
Permission is hereby granted to: JOHN HAYES
For property located at: 10 APPLEHOUSE Ln
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 Code's and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: JOHN HAYES
10 APPLEHOUSE Ln Residential Alteration.
Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name)Address Electrical Inspection Agency-
Plans&Specifications
2003-196
REINSTALLING GARAGE - 3 DOORS ONLY
OWNER STATES 12'X 24'.GARAGE.WAS CHANGED FROM A GARAGE TO SITTING ROOM IN
1987,NOW CONVERTING BACK TO GARAGE.. -
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 28,2004
(If a longer period is requiied,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 Town gf Que i sb nday;April 28,2003
f
SIGNED BY J for the Town of Queensbury.
V NZ
Director of Building,&Code Enforcement
Building Permit Application
Town of Queensbury Department of Community Development, 742 Bay Rd.,Queensbury,NY 12804
(518)761-8256
A permit must be obtained before beginning construction. Permit No.:
..''
:No inspection will be made until applicant has received a Fee Paid:
valid building permit. Form must be completed. Rec.Fee Paid:
Reviewed By:
Applicant: ®� Owner:
Address:
Phone#: 7 3r D�l J [, Phone#:
Tax Map Number:
Subdivision Name:
(if applicable) ���L�^�Q��� /A/
Lot Number: /House Number: �� /Street Name L
OR
Property Location:
❑ New Building: Residential/Commercial Estimated Market Value of Construction:
❑ Addition: Residential/Commercial If an Addition,what will use of addition be?
*'Alteration: Residential/Commercial
❑ No change to
Exterior size: Residential/Commercial I`V
❑ Other work: (describe )
Check Below Occupancy Info 1"floor sq.ft. 2° floor sq.ft. Other floor sq.ft. T I q. 03
Single Family Dwelling TOWN OF QUEEN BURL(
Two Family Dwelling DE
Townhouse
Multifamily Dwelling
#of units
Office
Mercantile
Manufacturing
1 car detached garage
2 car detached garage
3 car detached garage
1 car attached garage '
2 car attached garage
3 car attached garage
Storage Bldg.,Comm.
i
Storage Bldg.,Res.
Other �Al sTif L i C!
What is the proposed height of the structure: feet inches VjYla'7-1
Will any second-hand or ungraded lumber be used? If so,for what? A16
No. of Fireplaces to be installed:
No. of Woodstoves to be installed:
List below the person(s)responsible for supervision of work in regards to Building Codes:
Name Address Phone No.
Builder
Plumber
Mason
Electrician Itj
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 Sury b a 1' ensed surveyor; awn to scale, showing actual location of all new construction.
Signature:
�� circle on . owner owner's agent,architect,contractor)
Queensbury Building & Code Enforcement - Residential Final Inspection
i
Office No. (518)761-8256 Arrive: am/ Depart-.2 am/pm
Date Inspection request received: A*4 01-Wal T Inspector's Initials:
NAME: PERMIT#: O 196 o A
LOCATION: D DATE: O 1my-
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(2 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 Valve(s)installed/Heat Trap/Water Tern 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
ara e Floor Pitched
Garage fireproofing/3/4 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 SurveyTKPlan
As Built Se t' em/Sewer Dept.Inspection Sticker
Flood Plain qertlficAtion, if required
Okay to issu C/C jr C/® Temporary/Permanent
L:\PamW\Building&CodesUnspection FormslRes.Final Insm form 2.docLast printed 2/12/04
7-
RECEIVED
APR 22 2003
TOWN OF QUEENSBURY
BUILDING AND CODE
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