2002-577 TOWN OF QUEENSBURY
742 Bay Road,Queensburq,NY 12804-5902 (518)761-8201
Community Development•Building&Codes (518)761.8256
RTIFICAITI E 0"Fr %kJ0MPLIANut
Permit Number, P20020577 Date Issued: Tuesday, September 17, 2002
This is to certify that work requested to be done as shown by Permit Number P20020577
has been completed,
Tax Map Number. 523400.279-015-0001-023-000-0000
Location: 17 AZURE Dr
Owner, DAWN EDDY
Applicant: DAWN EDDY
This structure maybe occupied as a:
By Order of Town Board
Carport TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 - FIL E Copy
L Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020577 Application Number: A20020577
Tax Map No: 523400-279-015-0001-023-000-0000
Permission is hereby granted to: DAWN FDDY
For property located at: 17 AZURE Dr
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: DAWN EDDY Carport 200.00
17 AZURE Dr
THOMAS CARPENTER Total Value 200.00
QUEENSBURY,NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2002-577 Rainbow Ridge Subdivision,year 1977 zoning
Construction of a carport- 157 sq. ft. as per plot plan and specifications.
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 10,2003
(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 Town of W do ay 10,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Korcement
Building Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road, Queensbury,NY
(518)761-8256 cz
A permit must be obtained before beginning construction. Permit File No. QOO,2-57 0
No inspection will be made until applicant has received a Fee PaidtTC
AC-01-41V 0
valid building permit. All applicants' spaces on this Rec. Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
Applicant: JQM &Uoi Owner: 7412,
Address: J-7 Aivn-e j3z-/j,:e Address: /I
Phone 9 -7 6 Phone#(_) 7b
Email Address: Email Address:
Property Location: Lot Number: House Number
Subdivision Name' Tax Map Number:
-77
a
E3 New Building: residence commercial Estimated Market Value of Construction: $ 2()
0 Addition: residence commercial
If an Addition,what will use of new addition be?
El Alteration: residence commercial
C3 No change to exterior size: residence com'l
L3 Other work(describe
Check OccupancyInformation 1"Floor 2nd Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling
0 Two family dwelling
U Townhouse
U Multifamily dwelling,-"'r
#of units
0 Office
U Mercantilg,
C3 nnfaXurink
A l'-d-a-r)<etached--gSi.4Ej� 9
0 2 qifr-deNched garage Del 7
0 3 car detached garage I
0 1 car attached garage
0 2 car attached garage
U 3 car attached garage
U Storage building-
commercial
-,tp` Storage building
residential
E3 Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so, for what? A&
Type of Heating System: electric/ Oil /7/wood /forced hot air baseboard other:
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Narne Address Phone Number
Builder r -e/n -76 (,qK-6
Plumber P
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 D- ctor of Building and Codes,an As-Built Survey by a licensed surveyor;drawn to scale,showing actual
location of
all co ction.
Signature- owner,owner's agent;architect,contractor-
► /
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: /b-
Building&Code Enforcement
Dept.of Community Development Arrive 2,ro am/pm Depart pin/pm
Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury,New York,1112904 j
NAME 44K PERMIT#4;G a
LOCATION Zu" , 64 DATE
TYPE OF STRUCTURE t7 11�TlioAl'
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails 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 i
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 m e� _
Railing across window in stairwells
' Smoke Detectors:
every level
_ every bedroom
- - outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door clo r
Garage fireproofing
Garage penetrations led
Furnace in separate oom protected(in garage)
Light ventilation room
Safety glazing "or less from floor
Final Electri
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue CIC(Certif.of Compliance) '
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O.(Cei .of Occupancy) {' � pr CaUe+- ��w �
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