2003-594 t TOWN OF QUEENSBURY
742 Bay Road,Queensbuty,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
"C- ERTIFI ATE. F MPLIV� CE
� Permt Nutnber -: 20030594 YDateIssued:, ednesda" September 22 2004
T _ Y`
This into cer that, ork recLueste :to:be done as shown b Permit Number P260 O5 4
W has been completed.
,Tax Map Number: - = 234ao-3o7-ooa 00a1417-000 a000_� =, Location: 46 TUTMLL'Rd : r
KENT&EVELYN DIXON g
_YAppficant = . KENT.,8& ELYN DIXON
..:This structure may be occupied as a "-'
By Order of Town Boatd
TOWN OF QUEENSBURY
Work Shop
F ;
Director of Building&Code Enforcement .
TOWN OF QUEEN'SBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
a
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
7
Permit Number: P20030594 ' Application Number: A20030594
Tax Map No: 523400-307-000-0001-0177000-0000
Permission is hereby granted to: KF,NT&EVELYN DiXON
For property located at: 46 TU=L 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: KENT&EVELYN DIXON
430 SANDY HOOK Rd Work Shop $10,000.00
Total Value $10,000.00
TREASURE ISLAND,FL 33706-
Contractor or Builder's Name/Address Electrical Inspection Agency
SCOTT CROMLEY
NY 12804-0000
r "
Plans&Specifications
2003-594
480 SQ FT WORKSHOP AS PER PLOT PLAN SPECIFICATIONS
$48.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 06,2004
(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 Town of Queen ury; Wednesday,August 06,2003
SIGNED BY for the Town of Queensbury.
Director of Buildin Co nforcement
Building Permit # �.n Issued to:
Construction-of'. . ` Location,: , ,.�.-{.�► 1�,1
Boil.dio.,g,-Permit .:Ca.-,rd:,,
Town of uE'E'nS`bUly :742 Bay load;Que:e„sbury,NY 12804..(51#761-82s6
Vost this Permit:Card:on tree or post din.conspicuous.location],.
Do not laminate.this card -.inspectors need--to write on card)
The.fullowing inspectiom are rjegldred prior to.xssuance_of-a.Certificate-Occupancy. (if applicable}
24 iaour Notice.Required for Inspections Call :(518) 761-8256
Type of Inspection'ectiotn' date Ins: .-epto .
Footin
S.
Piers
Foundation-wails
Polkunder.slab
Drainage-around foundation
Da iacifing-
Grading-
Framing .
Ice and-Snow Shield'..for Roof
Plumbing and Testing
Firesto` lug 1 Draft Stopping'
Insulation
Fire Separation f Fire Wall
S tic. item before covering
Final Electrical Inspection
Bytliird party
(Pools: -before use-of swimining-
ool
FireNiarshal Inspection_
Wo6dst6ve Inspection.
e. -
Fireplac -
Chimney
iIldi5 QCtioll
Thfsucing..Fermit expires one OM from date of issuance on 't2 2004
-Issued y� . date Issued.
Permit Renewed on Wenewal TX tress. . :: .$25 feed
Building Permit Application
Town of ueensbury Dept of Commute Development,742.Ba Road' ueensb
Q Community P � Y .,Q mY,�'.
.... . 18 761-8256
(-5 �
A permit must be obtained before beginning coustr'uctiou. : permit F11e:No. 19
No inspection will-be zziade until applicant hasGreceived' 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. -
- r
Applicant:.rti f �C •f�.00d ..Owner:
Address; c�(o Tu Gu { [ C Address:' _.E �n c G i t c2A..aj
u2eal� . 1.I V 63�
Phone#O 2 6�t - 4 S Phone#(_ ,) - / I�( j.I
Property,Locatiori:: Lot Number:- / House Number
Subdivision Name: Tax Map Number;
a''New-Building: residence t commercial e Estimated Market Value of Construction:
o' Addition: -residence/ commercial If an Addition,what will use of new addition be?
Alteration: residence J commercial
-No change Yo extcrioi size: residence!com'1 _ - -,
a Other work(descriise }
Cheek OeeupancAnformatiori 1` Vloor 2—Floor,M1 Other floor Total -
Below sq.ft.. sq.ft. = sq.•ft. Square Feet
Single family dwelling
Two ftanily dwelling
a Townhouse
a Multifamily dwelling
#of units
a Office `
a Mercantile
o Manufactutin
a 1 car detached garage .
2 car detached garage'. -
a 3 car detached garage
a 1 car attached garage
a 2 car attached garage
(a 3 car attached garage
a Storage building-_ `" -•a
commercial ; ', ;-„ _:• r:
a Storage building=
residential Wo r f
ci Other
What is the.proposed height of the structure t feet, inches
Will any second-hand or ungraded lumber be used? If so,for what? AS 6
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard!other: GCS 6Af P .
Number ofMmm1_gces to be installed QVA)P,, Number of Woodstoues to be installed L�Af
List below the person(s)responsible for supervision of work as regards to building codes:
Builder
Name Address Phone Number
S
Plumber
Mason
Electrician
Declaraticn 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 7/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 now construction.
Signature: a owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: anV Depart: am/pm
Date Inspection request received: a �r Inspector's Initials: r
NAME; /1 IL z't° _ /_ t, PERMIT#: '
LOCATION: —4 4;/ DATE:
TYPE OF STRUCTURE:
Comments
Y N NIA
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake '
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Com lete
Guard 30 in. or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more b
Guard at deck,porches 36 in.or more j
Exterior Finish Complete
Interior/Exterior Railin s 34 in,to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %"
Gy2sum
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 Terap 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety lazing/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, I 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 Certificate uired iw
Okay to issue C/C or C/qZrernporary/Permanent
L:1PamWlBuilding&CodeS\InSDection Forms\Res.Final Insv.form 2,docLast Drinted 2/12/04
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