2002-918 f ' TOWN OF
QVEENSBURY
742 Bay Road,Queensbuty,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256,
CE"TIFICATE OF COMPLIANCE ,
Permit Number: P2002091'8 Date Issued: Tuesday,August 30,2005
.This is to certify that work requested to,be done as shown�by Permit Number P200209.1$
has been completed.
Tax Map Number: 523400-296-010.0001-042.000-0000
Location: '37 ORCHARD Dr
Owner.. RRCHARD PENNOCK JR
Applicant: RRCHARD PENNOCK JR
This structure may occupied as a:
Shed f Storage,Sheds
By Wet of Town Bond
TOWN OF QUEENSBURX
Issuance of this Certificate of Compliance 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 Director of Building&CodeAEnfotcement
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: P20020918 Application Number: A20020918
Tax Map No: 523400-296-010-0001-042-000-0000
Permission is hereby granted to: RTC14ARDPF.NNOCK .TR
For property located at 37 ORCHARD 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: RICHARD PENNOCK JR Shed/Storage Sheds 3,000.00
37 ORCHARD Dr Total Value 3,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2002-918
er
Construction of a2Wsq ft, Oge shed per plot plan and specifications.
4V
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,November 07,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tow of Qu nsbu
At-&vember 07,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Applicatian"
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
REC E I V ED.rmit intist be obtained before beginning construction. Permit File No.2-002—qly-
No inspection will be,made until applicant has received a Fee Paid
OCT ;, 8 2002valid building permit. All applicants' spaces on this Rec. Fee Paid
application must be completed and must appear on the Reviewed By,
TOWN OF QUEENSBUR)61ication form.
BUILDING AND CODE
Applicant: Owner:
Address: 7z -leg Address:
e� jrq I/V
)e d r
7206
Phone Phone
Property Location: Lot Number: House Number Tax
/
Subdivision Name: Map Number: lo —/—/.17
0 New Building: residence /commercial Estimated Market Value of Construction,-$
L3 Addition: residence/ commercial
If an Addition, what will use ofnew addition be?
u Alteration: residence/ commercial
C3 No change to exterior size: residence t com'l
L3 Other work(describe
Check OccupancyInformation 1"Floor 2" Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
U Single family dwelling
L3 Two family dwelling
U Townhouse
U Multifamily dwelling
#of units
U Mercantile
13 Manufacturing
E3 1 car detached garage
U 2 car detached garage
0 3 car detached garage
E3 I car attached garage
C3 2 car attached garage
E3 3 car attached garage
U Storage building-
commercial
U Storage building-
residential
Other fly o,Y -PU 57
What is the proposed height of the 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 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:
Name Address Phone Number
Builder
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 tJans and specifications
submitted,are a true and complete statement of all proposed work to be done on the describe�3 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. Furth t,�understood that Uwe shall
Further,
n
requested
submit,prior to a Certificate of Occupancy or Certificate.of Compliance being issued, .r.q d by the Zoning
C-Buildin Administrator of Director of g and Codes,an As Built Survey j�-y a licensed surveyor; 3rawn to scale,showing actual
locwc.o-
new co�p� tlo,�
SigUE-1,111'e: e55�� owner,o-,,�ner's agent,architect,-Coill-tractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: am/ptn
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#: - v
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N NIA
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more c,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 '/2"
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/Hat 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 safet lazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / 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/3/4 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 Septic System/Sewer Dept.Inspection Sticker
Flood Plain CeoiftLation, if required
Okay to issue /C o C/O Temporary/Permanent
L:\PamWlBuilding&Codestlnspection Forms\Res.Final Insv.form 2.docLast printed 2/12/04
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