2000-113 TOWN OF 'QUEENSBURY
742 BayRoad,Queensbury,NY 12804.5902- (518)761-8201
Community Development'-Building&Codes (518)761.8256
AU fir ry
CCUPAN
u`ERTIF1%1.'Jf11T1E Vr ..O.
Permit Number. 2000113 Date Issued; Monday,February 05,2007
This is to cer i� that work requested to be done as shown-by Permit Number .20001,13
has been completed, r
Tax,Map Number. 523400-279.017-0002-012-000-0000 .
Location, 118 SUMSIDE RD.NORTH
Owner. KEITH BARTON ,
Applicant KEITH BARTON .
This structure maybe occupied as a; .
Unknown.
By Orrlerof Town Board
TOWN OF QdE'NSBURY
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 i result of approvals by the Director of Building&kEnfot
Planning Board or Zoning Board of Appeals; !,
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 5000 Building Permit No.�2000113
TAX MAP NO. 5 0. -1-8-8
Permission is hereby granted to BARTON, KEITH
Owner of property located at 118 SUNNYS I DE RD. NORTH
in the Town of Queensbury,to construct or place a R p 4 T T1FNT T A T. A T.TF.R A T T QN
at the above location in accordance to 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.
Owner's Address:
118 SUNNYSIDE RD.NORTH
QUEENSBURY, NY 12804
Contractor or Builder's Name:
VEYSEY WES
Contractor or Builder's Address:
61 MACARTHUR DRIVE
GLENS FALLS, NY 12801
Electrical Inspection Agency:
Type of Construction:
RESIDENTIAL ALTERATIONS
Plans and Specifications:
714 SQ FT RESIDENTIAL ALTERATION AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
RESIDENTIAL ALTERATION
$ 10 PERMIT FEE PAID THIS PERMIT EXPIRES March 24 2002
(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 o of eensb s 2 4 March 2000
SIGNE B for the Town of Queensbury
Co ent Officer
.I'O;- n Of'QIIeenshltl y - Dept. r f Cotlallu1lity Development, 712 Ikly Rurlrl, Q Iet/I.rLlny, NY 12304 1761-32561
������ 11UILDING <Sc . CODE ENFORCEMEN7'
Requirenients prior to issuance
10ftho
rutit mural lxi obtained tx form of this pet'tnii: I'LsY2A1JT/ILG NO.
w liuldo until trpplicnnt tills reevived [� Tvnlrrg Dry aril.ric!/vra PH?A4r/'/•'l./s'PAIDl.1D BUILDING PERMIT. All Aron /Uso
cntits` spaces on this upplicntigttRECREA7%ON I-LL•'1'AID.$T'bo completed and•tlto signnlurogcair
npplicnnt•Inns(npltcnr cut the REV11:1iLD BK,
t rllolttiotl fertn, rrW.a y K SI'It t Subclivislon /Other 14d1 ling bra,rrror-
ltccrctition 1'eq 1'nynicul -
/lpplicalit Owner:
Address: <.- /_11411--l�/7l�J//6u1/ 1✓ , j;iY'-' Atitiress: /c J`'d7f1�UJ�31 L°
1 lIOI1C # { -} 2 Z� " t'1►ono ir1
Property Location; //'Y' /
.Subdivisioll Nanic:' TIT Map Nt1mber
Section Illox k Nit
NATURE OF PROPOSED WORIC: ESTIMATED MARKET V L aF THE
Building: CONSTRUCTION: $ G
residence j conuaerelal
Addition to Building:
resIdence / cotntnercial OCCUPANCY xrlr6ru1nTION:
AIL-eratlon t--o Dull-cling: l,�rimary Building —
residence j connnor'cia]. .��'�S Slogle roastilly Tw�.]_13 g
Resldence / connnerclal Two Faltii.l•y llwel-I r/_ 16,�t tto cilango Lo oxI er3:ot: s.i.�e Ir.trn.t..ly i)wo].].ZitcJ
Orrice iNAF't ]I
Other jglork ,(describe belo ) Mercantile 2000
ct/r' ISO -ycrVIm tXG�s?Ic�c t� i� Yz° ! Manu f acLurirt
9 :O C c € r?;LlRY
GROSS AREA OF PROPOSED STRUCTURE: Outer ®nOi f � A"40-CODE
1sL Floor. . . . . . . . . .1'71 y sq, � . If ADDITION, What will use
2ndrFloor... . . . . . . sq. ft.
al new addition be? :
Other Floors . . . . . /VI-,) sq. ft.
(not ullf illished cellar or basement)
ACCESSORY BUI ING5:
TOTAL FLOOR AREA: SQ. FT. el:acli Garage 1, 2 car
At v Storage Building
led Garage 1, 2 car
P • a
SIZE OF NEW STRUCTURE: Cotnmere Storage Building
a FEET X _ 3 / Fstvr OC l�or
Foundation `.Type: Will any second—hand or ungraded
Number of stories: lumber be used't if so, far what.?
( flab.l.l.al�lo nptir_o only) '
Ilo.l.glil (c�rar_lo I.o r.f.c►clo) / fool: 'LXi'k; oir�ItEAT1.NU S31' STEM:) --
Numbor of fireplaces and/or wooctc;Love ( circle' all which applies)
to be installed: —m> Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is :
� �� allle I1 Cire3ss �j y� Phone
Builder: G"'G�' !'> t0� c��� j J�GG�Y/�fr�� ��jrcr sPr
Plumber:
Mclean:
Electrician,
DECLARATION Please sigh beloiv aflter you have carefully read the .statement.
'1'o the best of nay knowledge file statements conlained ill this applicittion, togellier wills the plans
:ititl specifications submitted, :u-c :1 ll-tic and coatlrlctc slatcnu:nEo1'all prolxmsccl work to be done on
the describccl twelnises and that all provisions of the liuitdinl, (:'txte, the /oltinl; Chelinanee anal all
other laws pertnittirig to tide proposed work shall be cottiplied with, whctliel' specified or noted, and
dull such work is authorized by (Ill,- owticr. further, it is undcrslocxl Iltat I/wq shall suhnli( prior to a
Certificate of Occttlt:utcy'or C::erliticate of cot oplialice being is-stied, :ill AS IICIIL`I' 111.01' PLAN by
n liecuseti stlt'Vgytlt-; ':twit to sell , sliowiltg zictual location of tlroject opt premises.
Signature:
(owner, ner's ,-Went, OcIlitect, contractor)
Queensbury Building & Code Enforcement - Residential F' I Inspection
c No.(518)761-8256 Arrive:M-a a m
Residential
face
request received; Inspector's Initials: m
NAME: P IT� #:
LOCATION: v A 1e,
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height PS"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent throw ah roof minimum 6 inches V Je
J
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails(a),stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertiLht
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below 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
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Shectrock Underside minimum Y2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door door closer
Duct work Sealed propeHy
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temp2L Kermanent v I
L:\Building&Codes Forms\Building&Codes\lnspection Forms\Residential Final Inspection Form—revised-100405.doc
GENERAL VV SPECTIO.�N REd'�7►RT
Town of Queensbury. �
Dept.of Community Development Date inspection request received:
Building& Code Enforcement-
742 lay Road
Queensbury,NY 12804 Arrive `� ain — Depart ° , a m
.�'✓� � ���`��.. Inspector's Initi
NAME:
PERMIT# --I I
LOCATIO ATE
TYPE OF STRUC
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ible for
providing protection fr freezin
for 48 hours following a place nt
of the concrete.
Materials for this purpose o si
Foundation/Wall
p�
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 dent, Attic Vent
gaming
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
793-8307
W£ SL£ Y c . VEYS£Y
BUILDING CONTRACTOR
Remodeling: — Additions 61 MacARTHUR DRIVE
New Construction GLENS FALLS, N.Y. 12801
&/.�i1 ,�
. a �
I1
MAR 21 ZU00
Copyou
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0vtIrl
Based on°v4nth �S1
r c�
,�mpliance ind►ca�►9�
not be�nsttued 'wns are in lull
plans and specit
code
��pliance v�tb t e -'
NOTICE.
FOAM rSULATION MUST BE COVERED
BY A MINUTE THERMAL BARRIER -
NOTICE F -. _' ' ,�
KRAFT PAPER INSULATION MUST BE TOWN F U,, i �°� �
,
COVERED BY NON-COMBUSTIBLE BARRIER �U`L �� � , PT.
REVIEWED BY . � -
DATE _.
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