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2002-740 TOWN OF QUEENSBURY 742 Bay Road,Queensbuty,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CERLITA IFIr OF COMPLIANCE ATE Permit Number: P20020740 Date Issued: Wednesday,April 23,2003 This is to certify that work requested to be done as shown by Permit Number P20020740 has been completed. Tax Map Number: 523400.302.017-0001-044-000-0000 Location: 42 WINTERGREEN Rd Owner: ALBERT&JULIE CARROW Applicant: ALBERT&JULIE CARROW This structure may be occupied as a: By Order of Town Board Shed I Storage Sheds TOWN OF QVEENSBURY Director of Building&Code Enforcement Al TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020740 Application Number: A20020740 Tax Map No: 523400-302-017-0001-044-00.0-0000 Permission is hereby granted to: ALBERT& MIJECARROW For property located at: 42 WINTERGREEN 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: ALBERT&JULIE CARROW Shed/Storage Sheds 650.00 42 WINTERGREEN Rd Total Value 650.00 QUEENSBURY,NY 12804 Contractor or Builder's Name Address Electrical Inspection Agency Plans&Specifications BP 2002-740 Construction of a 160 sq. ft. storage shed to be added onto existing garage as per plot plan and specifications. $20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,September 13,2003 (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 theSeptember 13,2002 SIGNED BY far the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY / / (518)761-8256 6 A permit must be obtained before beginning construction. Permit File No. Z Z-"7 6 No inspection will be made until applicant has received a Fee Paid $ ILO. a-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: be r c I. (�Q r rn W Owner:_ !s�_E Address: &L,v�ay,!yeeiv R.6 QaUpLba,y Address*., Phone#(^)2 3 Phone#(_) - Email Address: Email Address: Property Location: Lot Number: I House Number 0- /_ t1IKJh ' ee� t� Subdivision Name: /' Tax Map Number: q j Ii - l � ❑ New Building: residence 1 commercial Estimated Market Value of Construction: $ (060 ❑ Addition: residence/ commercial .Q' Alteration: residen commercial If an Addition,what will use of new addition be? ❑ No change to exterior size: residence t com'1 Cl Other work(describe ) Check OccupancyInformation I"Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ❑ Single family dwelling ❑ Two family dwellin ❑ Townhouse Multifamily dwelling #of units ' ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage ❑ 2 car attached garage F ❑ 3 car attached garage \�_I ❑ Storage building- iS� commercial m' Storage building- ( Ci �� residential ❑ Other What is the proposed height of the structure _feet inches G�o� ,w Will any second-hand or ungraded lumber be used? If so,for what? NC1 Y` Type of Heating System: electric/ oil / gas/wood /forced hot air! baseboard/othet: Number of Fireplaces to be installed Number of Woodstoves to be installed �9va ��Ui` �✓ List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder 3 ` Fsq— 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. 1~urther,it is understood that Vwe 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 a new c truCtio� �� - g � Signature: ``11 11✓ V 1� owner,owner's a en architect,contractor Project Name: Akff r Yotat BP# , ��G._���;-'b V (o L� .Address: a, W � Building Permit Submission AUG a Zooz Sk&family dulling Tcl"?",J Q Tuofiarnily dvelling . r~`F' Checklist All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBuilding Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ... ... ... ... ... ... ... ... ... ... ... ... . ❑yes ❑no ❑n/a 2. Energy Form or CheckM&te Energy Code Compliance Forms Complete .. ❑yes ❑no ET�n a 3. Energy Cade Inspector's Report from CheckMate Program. ❑yes ❑no Z<a 4. Septic application completely filled out(if applicable)... ... ... ... ...... ... ... ❑yes ❑no ETn'/-a 5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ... ... ... ... ... ... ... ....❑yes Ono � a 6. Electrical Inspection Form... ... ... [-]yes ❑ UF' 7. Two (2) complete sets of structural drawings... .. ...... ... ... ... ... ... ... ... ... .L yes [:]no ❑nfa a)floor plan;b)foundation plan;c) cross sections:d) elevations; e)window and door schedule ` 8. Two (2) site plans showing location of the structure to be built....... ... ... ❑yes Ono ❑n/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure ... ...... ... ...... ... ...... ... .. es ❑na ❑n/a 10. Setbacks to neighboring wells and septic systems,including onsite well.... ❑yes ❑no Ef'nla and septic systems (if applicable) 11. DrivewayPermit... ... ... ...... ... ... ... ... ...... ... ...... ... ... ... ... ... ... ... ... ❑yes •❑no �i1a Date: Staff Initial. L:\SueHemingway\Building.Permit.FORMS\Generic Chedlist.doc Residential Final Inspection Office No. (518)761-8256 Date,Inspection request received: A Queensbury Building&Code Enforcement Arrive: am/pm "part: '7am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: -N LOCATION: t DATE: TYPE OF STRU L Comments Y N N/A Chinmey Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete 4 Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete V Interior/Exterior Railins 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/replator 18"above grade Gas Furnace shut-off within 30.ft. or within line of site Oil Furnace shut-off at entrance to furnace-area Fumace/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 %hour fire door/door closer Garage fireproofing Duct work Scaled 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 required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,'if required Okay to issue C/C(Cert.Of Compliance) Okay to issue Tea orary C 10(Cert.Of Occupancy) Okay to issue Permanent C 1 0(Cert. Of Occupancy) L:\SueHenin'gway\Building.Codes.Inspectioii.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Offwe Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time:';3 6 Dept. of Community Development Request received, Gp 3 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 TT,,, %)aml Notes: ARRIVE anilpin: DEPAR pin (518) 761-8256 Inspector's Initials NAME; NV lid W PERMIT# -�60 L/O LOCATION: INSPECT ON(date): TYPE OF,S'IRUCTURE: V RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic 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/Dampproofing_ 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/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Scaled Fire Wall 2,3,4 hour_ Firestopping_ L:\SueHemingway\Buildiiig.Codes.Inspection.FORMS\GFNERAL INSPECTION REPORTAOC Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: 1(� 1f Q 2— Meet: Building& Code Enforcement At time: Qu2 Bay Road p )' �p eensbur , NY 12804 ARRIVE am/c »fa: DEPAR yyt/ m Notes: (518) 761-8256 Inspector's Initials v NAME: CL� -6ZJ PERMIT# LOCATION: V "v'1 INSPECT ON(date): TYPE OF STRUCTURE: RECHECKc�,Gl N/Ai YES O COMMENTS �� A�c ootings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible toif providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place FoundatioWDampproofmg 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/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 L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc 1� l,i j! w� ,l ;;� � � `'e r AX -- _ � � -- -- --- - - � �l i/ k`I, _. � � j �� Jf I" j !�f �� �, _ ��i { �� - �� � �s �1 ��� ��� E,; ��. ` �� I. _ �. � ,� ,� �i� +� �� ��` I �� �} _ i� r� ��� t� l I !, �, <(< ��! i�. _ �: i,iI !` {i �� �� �� �� �yy,,,/� ���� f I 7'`" !i _�� qQ teJa f� is� f� cur � o Zaa2 • . r®ww OF Q JrcChJSP.J RI Y RY BUILDING & REVIEWED 8Y , • DATE- THIS N ��� N PROJEar SITE AT ALL TIMES FOR THE DURATION- OF CONS RUCTI"ON TO',IN Cf� ;, 1= , v?y Ey'IL.C.s'v DEPARTMENT 8�,._,d on our 1hrlited examination, Compliance with our comments shall not ue construed as indicating the Plans and specifications are in hail condlance v tth she code. 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