2002-003 L
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building'&Codes (518)761.8256
C ERTI F I CATE OF OCCUPANCY
Pen-nit Number: P20020003 Date Issued: Wednesday,January 08, 2003
This is to certify that work requested to be done as shown by Permit Number P20020003
has been completed.
Tax Map Number: 523400-278-000-0002-019-000-0000
Location: 1149 BAY Rd
Owner: KAREN M JOHNS
Applicant: KAREN M JOHNS
This structure may be occupied as a:
By Order of Town Board
Shed 1 Storage Sheds TOWN OF QUEENSBURY
Director of Building&Coe EnWcerrient
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020003 Application Number: A20020003
Tax Map No: 523400-278-000-0002-019-000-0000
Permission is hereby granted to: KAREN M JOHNS
For property located at: 1149 BAY 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: KAREN M JOHNS Shed/Storage Sheds 380.00
1149 BAY Rd Total Value 380.00
LAKE GEORGE,NY 12845
Contractor or Builder's Name j Address Electrical Inspection Agency
Plans & Specifications
2002-0003
380 SQ FT LEAN-TOO ADDED ON SIDE OF BARN AS PER APPLICATION
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,January 17,2003
(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 th of Q ensbury; Thursday,January 17,2002
SIGNED BY £or the Town of Queensbury.
Director of B g ode 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. �
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: f
application form. C `'
Applicant: �� c��\��� Owner: -w� f
Address: tt 4 Cz mt.k,.s`l Address:
Phone# Phone#
Property location: Lot Number: / House Number 0!AA!
Subdivision Name: Tax Map Number:
❑ New Building: residence /commercial Estimated Market'Value of Construction: $
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence t com'1
❑ Other work(describe )
�S'a cQe,S
Check .Occupancylnformation 1"Floor 2"d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
❑ Single family dwelling
❑ Two family dwelling
❑ Townhouse
❑ Multifamily.dwelling
#of units
❑ Office -- - -
❑ Mercantile
o 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 building-
commercial
❑ Storage building-
residential
❑ Other o0 1 IZ96
�o
What is the proposed height of the structure— 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! baseboard/other: Al
Number of.- ssi€'✓'iCsces to be installed- -Nii.mber of Jrv,L-,odstoyes to be-ihstalled lev-A
List below the person(s)responsible for supervision of work as regards to building codes:.
Name �� Address j Phone Number
Builder a o ti tom: Z4 _.
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 construction.
Signature:
A owner's agent,architect,contractor
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date in ection request ived"
Building&Code Enforcement sp r e'j; � �
Dept.of Community Development Art in to lepa:�-Adalvj
's,
Town of Queensbury In r's Initial
742 Bay Road
Queensbury,New York,12804
NAME P # 0 2
LOCATION DATE
TYPE OF STRWTURE-
N/A YES NO COMMENTS
Chimney HeightPB"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof /,X
Roof Complete kv.y
Exterior Finish Complete
V
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior I-landrails stairs both sides 3 or more risers Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above 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
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
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
niterconnected
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 IS"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif,of Compliance)
Okay to issue temp.C/O(Certif of Occupancy).
Okay to issue permanent C/O(Cerff.of Occupancy)_ I I
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept,of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road n
Queensbury,NY12804 Arrive' aDepart C�
Inspector's Initia
NAME: �.� � 1 _ PERMIT#
o0-3
LOCATION: DATE
TYPE OF STRUCTURE: a_
RECHECK
NIA YES NO COMMENTS
Footings/Piers
Monolithic Pour Farm
Reinforcement in Pla — 'bl f �
The contractor is respon ible fo
providing protection fro freezin
for 48 hours following th placem t
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab,..• _ _
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior
Foundation Walls Exterior -
Floors R
Walls R-
Ceiling R-
Duct work or piping in
unheated.spaces R
Proper t, Attic Vent /
F ng 1= D�
Jack Stu Bader ��� N
Bracing/Bn ng
Joist Hangers '""' ���►�— '��/
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour l
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
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