2002-719 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number, P20020719 Date Issued:' Monday,August 22,2005
This is to certify that work requested to be done as shown by Permit Number P20020719
has been completed.
Tax Map Number: 523400-253-003-0001-017-000-0000
Location: 17 KNOLLS RD.NORTH
Owner: ERIC W.GOODWIN
Applicant: ERIC W.GOODWIN
This structure may be occupied as a:
Storage Building By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site'Plan,
Variance,or other issues and conditions as a result of approvals by the pixector of Building&Code Enforcement
Planning Board or Zoning Board of Appeals,
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020719 Application Number: A20020719
Tax Map No: 523400-253-003-0001-017-000-0000
Permission is hereby granted to: FRTC W. G00DWTN
For property located at: 17 KNOLLS RD. NORTH
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: ERIC W. GOODS Storage Building 2,500.00
17 KNOLLS RD.NORTH Total Value 2,500.00
QUEENSBURY,NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications.
2002-719
Construction of a 192 sq ft shed per plot plan and specifications.
Lot 26, House 17 Knolls Road North in Ridge knolls Subdivsion,
year 1967 zoning: R-3
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 11,2003
(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 sday, September 11,2002
e 0
SIGNED BY for the Town of Queensbury. 6
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development;742 Bay Road, Queensbury,NY
(518)161-8256
A permit must be obtained before beginning construction. Permit File No. 6Z=—71
No inspection-will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Ree.Fee Paid $ -
application must be completed and must appear on the [�}� [r�-
Reviewed B HE; [r�� `E
application form: � y� EL,> �//
ApplicE it:. `�- __GOO,OLJ(!'�__ . Owner: 5�3me __ - AUG 2 3 2062
Address: � Address: S i vV1IJi1 OF GU ENSBU�
Phone##(Cjj%) .-1 S1 - b S Phone#
evils. 12�e _ =-rk
Property Location: Lot Number: / House Number _17 l i GP�- .4G o,u t!
Subdivision Tax Map Num er: ..D-!S 3._3-11 t 7
o New Building: residence /commercial Estimated Market Value of Construction: $ �f
o Addition: residence/ commercial If an Addition,what will use of new addition be?
0 Alteration: residence/ commercial
O No change to exterior size: residenc t com'1
er-work{describe )
Check Occupancyl"nformation I-Floor 2" Floor Other floor Total
Below sq.ft. sq.ft sq.ft. Square Feet
Cl Single_family_dwelling " -
a TWO family dwelling"
Q Townhouse
Ea Multifamily dwelling
of units
c3 Office
rn Mercantile
_Manufacturing
a 1 car detached garage
0 2 car detached garage
a 3 car detached garage "
0 1 car attached garage
0 2 car attached garage
0 3 car attached_garage
o Storage building-
coriimercial
tor--age building_.
' J
`What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so;for what? tt/0
Type of Beating System: electric/ oil / gas/wood /forced hot air/"baseboard/other: .^Ibr�
Number of Fireplaces to be installed Number of.W3 odgtoves to be installed . t7
List below the persori(s)'responsible for supervision of work as regards to building codes:
Name Address. __ Phone Number
Builder 2C o >{'� _.__.. 7_.__` � fib ��7
Plumber . _-
Mason
Electrician
Declaration: please sign below after you have carefully read the statement:
To the best of my Imowledge 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
p ovis- 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
f °"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_Su"ey by a licensed surveyor;drawn to scale,showing actual
location of al onstruction.
Signature: �-u owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: _am/prn De art: 11C M.
Date Inspection request received: Inspector's Initials: t*P
NAME: x PERMIT M
_a 00
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
am/pm De ary
it . Comments
Roof Complete/Exterior Finish CoLnplete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more Ile
Guard at deck,porches 36 in.or more
Exterior Finish Complete NJ
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 V2"
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 Valve(s)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: J Battery backup;
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/1/4hour 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, I 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
Oka to issue C I C or C/0(Temporary/Permanent J -V-
L:\PamW\Building&Codes\Inspection Forms\Res. Final Inso.form 2.docLast vrinted 2/12/04
Office Use
GENERAL INSPECTION REPORT 00- Inspector:
Town of Queensbuty f Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE-am/pm: DEPART Pin Notes:
- -8256 s(518) 761 Inspector' Initials
NAME: PERMIT#
LOCATION: -7 INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES N COMMENTS
tings/Piers
k oxenolithic Pour Form
Reinforcement in Place 14
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 Stab
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 PostsNain Bearn
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppm* jz
L:\SueHemiiigway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
N OF QUcEFNS,5'flRY u RECEIVED
BUILDING &CO GA T. SEP 0 � 2M
Eric Goodwin REVIEWED BY
TOWN OF QUEENSBURY
),
17 K n o U s R d, DXTE ANCODE......
Queensbur , N,Y, 18804 n XE NT
C518) 798--8659 cr,our faM examlinaton,
-th our comment shal ncc COPY,n;)tCe consfrued as indicatng the
and spdricaflons are in full
pith the code.
25 Yr shlngles ----'---�
518 c d x
P(Ywood
15# tar paper
T-111 siding
Cx4 16' oc
M treated sl((
,.16 concrete block ::::
i
Monolithic '
S(ab Cross Section
Eric Goodwin
17 Knolls Rd
Queensbury, N.Y. 12804
(518) 792-8659
6/12
8`x7`
gi AHD
1 ,
1 �
12 '
Front Elevation
Scale 1/4"=1'
Eric Goodwin
ll Knolls Rd.
Queensbury, N.Y. 112804
(518) 792-8659
6/12
1
t
Rear Elevation
Scare 1/4'-l'
Eric Goodwin
17 Knolls Rd,
Queensbury, N.Y. 12804
(518) 792-8659
L 1
16/
side Devation
Eric Goodwin �
D Knolls Rd, � l
Qu,eensaury, N,Y, 12804
(518) 792-8659
16, I Monolithic
Slab I
I II JI III
12/
Foundation Plan
Scale 1/4' = 1'