2002-200 TOWN OF QUEENSBURY
742 Bay Road,Queensbuty,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
CERT IFICATE OF COMPLIANCE
Permit Number: P20020200 Date Issued: Tuesday, October 05,2004
This is to certify that work requested to be done as shown by Permit Number P20020200
has been completed.
Tax Map Number: 523400-296-014-0001-051-000-0000
Location: 62 COUNTRY CLUB Rd
Owner: ANTONIO&JANINE FUSCO JR
Applicant: ANTONIO&JANINE FUSCO JR
This structure may be occupied as a:
- By Order of Town Board
Shed 1 Storage Sheds 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: P20020200 Application Number: A20020200
Tax Map No: 523400-296-014'-0001-051-000-0000
Permission is hereby,,granted to: ANTONIO &JANINE FUSCO JR
For property located;at.
62 COUNTRY CLUB Rd
in the T- own (if Queensbury, to constructor 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: ANTONIO &JANINE FUSCO JR Shed/Storage Sheds 650.00
62 COUNTRY CLUB Rd Total Value 650.00
QUEENSBURY,NY 12804
Contractor or,Bufldei's Name Address Electrical Inspection Agency
Plans &Specifications
2002-200
256 SQ FT STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
$20.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,April 09,2003
(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 the T- of Qu sbury; 7 upday,April 09,2002 IL—w—
SIGNED BY for the Town of Queensbury.
Vam-
Director of Building&Code 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 C,
valid building permit. All applicants' spaces on this Ree. Fee Paid $
application must be completed and must appear on the Reviewed By
application form.
,• Applicant: J c%w y i�f7 .s e'C3 Owner:'
Address: C,;. (f L.C�-17,r Address:
Phone#{ �)7�- DTI Phone# (!) - � �
MAR 2 2002
Property Location: Lot Number: / House Number lrn / t�� 2c ,�
Tax Map Number: EYzdEiSB(3RY
Subdivision Name: Q CODE
r
New Building: residene�commercial Estimated Market Value of Construction: $ C� ��
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
❑ Other work(describe )
Check OccupancyInformation 151 Floor 2'd Floor Other floor Total
Below sq.ft. sq.ft. I sq.ft. Square Feet
❑ Single family dwelling j
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units _
o 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
What is the proposed height of the structure, f c — feet Q 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: /lJl4
Number of Fi Wlaces to be installed /v .KI Number of Woodstoves to be-installed
List below the person(s)responsible for supervision of work as regards to.building codes:
Name Address Phone Number
Builder .-
Plumber A y .-
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 Survev by a licensed surveyor;drawn to scale,showing actual
location of all new constructi n.
Signature: -ram% owner,owner's agent,architect,contractor
16 -
Residential Final Inspection
Office No. (518) 761-8256 Date;Inspection request received: 1011YAl
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd., Queensbuty,NY 12804 Inspector's Initials:
NAME: PERMIT#: P&
LOCATION: DATE: 10
TYPE OF STRUCTURE: -qy
L) Comments
Chimney Ht./"B"Vent/Direct Vent Location Y N/A
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 hi.or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in.or more
Exterior Finish Corn pl te
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 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
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:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
1/4hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq.ft.vents
Building No./Address visible from road
Final Electrical
Site Plan [Variance re-quired
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection sticker
Flood Plain Certification, if requ�rred
Okay to issue C/C(Cert. Of Compliance)
Okay to issue TempoEaa C I 0(Cert.Of Occupancy)
Okay to issue Permanent C 0(Cert. Of Occupancy)
L:\SueHeniingNvay\Buildina,.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003
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