2002-352 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development Building&Codes 518 761-8256
CERTIFICATE
OF COMPLIANCE
Permit Number: P20020352 Date Issued: Thursday,May 13,2004
This is.to certify that work requested to be done as shown by Permit Number P20020352
has been completed.
Tax Map Number: 523400-288-000-0001-005.000-0000
Location: 175 GURNEY Ln
Owner: JOANN F.MILLER
Applicant: JOANN F.MILLER
This structure may be occupied as a:
By Order of Town Board
Storage Building 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: P20020352 Application Number: A20020352
Tax Map No: 523400-288-000-0001-005-000-0000
Permission is hereby granted to. JOANN F. MILLER
For property located at: 175 GURNEY 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 approired and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance: T Value
—ye of Construction
Owner Address: JOANN F.MILLER
Storage Building 10,000.00
175 GURNEY Ln Total Value 10,000.00
QUEEENSBURY,NY 12804
Contractor or Builder's Name f Address Electrical Inspection Agency
MARCIAN,0.TONY
Plans &Specifications
2002-352
1260 SQ FT STORAGE BUILDING AS PER PLOT PLAN SPECIFICATIONS
$126.00 'PERMIT FEE PAID- THIS PERMIT EXPIRES. Thursday,May 08,2003
(If a longer perio4,is required,an application for an extension must be made to the code Enforcement Officer
of Town of Queensbu' before the expiration date.)
ry
Dated at the Tone Wed . d y,May 0�1,2002 Zb v 08.2002 f
SIGNED BY or the Town of Queensbury.
Director of Building&dode Evorcem'ent
Building Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained bef6re beginning construction. Permit Fild'No. EIVED
No inspection will be made until applicant has received a Fee Paid C-2 to.0c;,
valid building permit. All applicants' spaces on this Rec.Fee Paid $ MA)' 0 0 2002."
application must be completed and must appear on the Reviewed By: ToMo'- C�L�,�ENSSURy
application form.
�8_ND CODE
Applicant: Owner: 47-
Address: Address: 1-7,57 Q cz\-q
N
Phone#(S e 4r ) -799 Phone#(,6jB)2W-
Property Location: Lot Number: fVPF / House Nurnber -7 6'
Subdivision Name: Tax Map Number-
J f\'*k %N v"'c -- 8 — 0 0
New Building: sz enc /commercial Estimated Market Value of Construction: $
u Addition: residence/ commercial If an Addition,what will use of new addition be?
c3 Alteration: residence/ commercial
0 No change to exterior size: residence/com'l
E3 Other work(describe
Check OccupancyInformation 1"Floor 2"d Floor Other floor Totil
Below sq.ft. sq.ft. sq.ft. Square Feet
L3 Single family dwelling
U Two family dwelling
0 Townhouse
U Multifamily dwelling
I #of units
0 Office
C3 Mercantile
U Manufacturing
0 1 car detached*garage
U 2 car detached garage
0 3 car detached garage
E3 I car attached garage
0 2 car attached garage
Li 3 car attached garage
0 Storage building-
commercial
u Storage building-
residential
Other
&
What is the proposed height oft 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 J other: 0 /V
Number of Fireplaces to be installed :AL(LJ ELe_Number of Woodstoves to be installed _N la N
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address -Plione-Nurnber—_
Builder %NA2ct A,- a,/0 a 0
Plumber
Mason C_-:> A L- -D -- L --4V7 A-5-6 NE -7 2c9- 3 71
Electrician tj o N 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. owner,owner's agent,architect,contractor
*--' ". Queensbury Building & Code Enforcement - Residential Final-Insp coon
Office No.(518)761-8256 Arrive: am/p epart: am/pm
Date Inspectionrequest received: Inspector's Initials:
NAME: PERMIT#: �`�
LOCATION: , DATE: 'V�-t
TYPE OF STRUCTURE:
Comments
Y N N/A 1�1
ChimneyHt./"B"Vent/Direct Vent Location 4yl { {�
J,
Fresh Air Intake !
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete V
_
Guard 30 in.or more t 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 IV'
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: / Batter backu :-
Carbon Monoxide Detector .
Bathroom Fans,if no',window
Plumbing fixtures
Foundation insulation
Floor truss;draft stopping in finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'l4 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 Se tic S stem/Sewer Dept. Inspection Sticker
Flood Plain Teffifil-ation,if required
Okay to issu C/ or C/O, Temporary/Permanent
L:\PamW\Building&CodesUnsnection Forms\Res.Final Insp. form 2.docLast printed 2/12/04
Office Use
GENERAL, INSPECTION REPORT Inspector:
Ready at time:.//00
Town of Queensbury
Dept. of Community Development Request received.. Meet:
Building& Code Enforcement At time:
742 BayRoad
Queensbury, AT 12804 ARRIVE amlpm: 'DEPART A 6 5amlpm 'Notes:
(518) 761-8256 Inspector's Initials,
NAME: iTi Ue�t PERMIT#
LOCATION: / 7T INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
�(Footings/Pier.s flek,'"d, N/A YES N 01 COMMENTS
Monolithic Pour Forni c7-
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following,the placement
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'Internior R-
Foundation Walls Exterior
R
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces; R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
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