2002-641 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CEftlIFICATE
OF COMI'LIANCE
Permit Number: P20020641 Date Issued: Tuesday, October 15,2002
This is to certify that work requested to be done as shown by Permit Number P20020641
has been completed.
Tax Map Number: 523400-303-005-0001-016-000-0000
Location: 49 MEADOWBROOK Rd
Owner; ANGELO&JANICE GUERRIE /Al�
Applicant: ANGELO&JANICE GUERRIE n
. F This structure may be occupied as a:
By Order of Town Board
Carport TOWN OF QUEENSBURY
Director of Building&Code Enforcement
N, TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020641 Application Number: A20020641
Tax Map No: 523400-303-005-0001-016-000-0000
Permission is hereby granted to: ANGELO &JANICF GIJFRRIF
For property located at: 49 MEADOWBROOK 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: ANGELO &'JANICE GUERRIE
49 MEADOWBROOK Rd Total Value 1 Carport 1,,400.00
400.00
QUEENSBURY,NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
BP 2002-641
Construction of a 288 sq. ft. carport with shed(entire project will be added to existing detached garage)as
per plot plan and specifications.
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 22,2003
(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 August 22,2002
SIGNED BY 1 . for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Qucensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
Recruvr.-
A permit must be obtained before beginning construction. Permit File No.T5 q- JUL 2 6 No inspection will be made until applicant has received a Fee Paid $ �So
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: 45rG4 eer le Owner:j'9i1a,:1-1,6 41 e;lr$
Address: V9 lWe-- - Addr6ss: <,,&-f
9 Yf-*
Chu
Phone#(Y-X) -,_/ V z <q(, Phone#
Email Address: Email Address:
Property Location: Lot Number: I House Number -4-
Subdivision Name: Tax Map Number: 3Q
0 New Building: residence /commercial Estimated Market Value of Construction: $
13 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
Other work(describe C14LR=Ln�
Check Occupancylnformation V Floor 2n'Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
U Single family dwelling
U Two family dwelling
0 Townhouse
0 Multifamily dwelling
#of units
C1 Office
U Mercantile
U Manufacturing
U I car detached garage
U 2 car detached garage
U 3 car detached garage
13 1 car attached garage
U 2 car attached garage
U 3 car attached garage
C) Storage building-
commercial
U Storage building-
residential IA Ix ff,2
Other 1 r L � I
-4simr-
What is the proposId height of the structure feet /0 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 othet: A-.1.01VC
Number of Fireplaces to be installed -v&ve- Number of Woodstoves to be installed 4/a-V4
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder 570 9� 4e
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 bedone 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 1/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 new cons ction.
Signature- owner,owner's agent,architect,contractor
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: 1�
Building&Code Enforcement
Dept of Community Development Arrive am/pm Tlegartpm
Town of Queensbury Inspector's Iui' s
742 Bay Road
Queensbury,New York 12804
NAME b it Q{I' t'� PERMIT#
LOCATION DATE �r �
TYPE OF STRUCTURE 1 t' t
N/A YES NO COMMENTS
Chimney HeightP B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete"`
Exterior Finish Complete
Intedor/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
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: 3 p
every level V
every bedroom
outside every bedroom
inter connected
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 18"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(Certif:of Occupancy) ..1 141
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready attime: 1/0
Dept of Community Development Request received: Meet:
Building& Code Enforcement At time: 1
742 Bay Road
Queensbury, NY 12804 ARRIFF—amlpm: DEPAR& am/pmNotes:
(518) 761-8256 Inspector's Initials `, -
6 Z"
NAME: IRA) G I C— PERMIT#
LOCATION: . 49 I!`k&*oo(oo&v INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES COMMENTS
F gs/Piers
jtinonolithic Pour Form
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/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Rough-In
Insulation
Foundation Walls Interior 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/Bridgmig-
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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