2001-807 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010807 Date Issued: Monday, October 27, 2003
This is to certify that work requested to be done as shown by Permit Number P20010807
has been completed.
Tax Map Number: 523400-308-015-0001-005-000-0000
Location: 3 VAN DUSEN Rd
Owner: BRIAN&VICKI WARNER
Applicant: BRIAN &VICKI WARNER
This structure may be occupied as a:
By Order of Town Board
Carport TOWN OF QUEENSBURY
Director of Building&Co Enfor ment
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010807 Application Number: A20010807
Tax Map No: 523400-308-015-0001-005-000-0000
Permission is hereby granted to: BRIAN &VICKI WARNER
For property located at: 3 VAN DUSEN 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: BRIAN&VICKI WARNER Carport 500.00
3 VAN DUSEN Rd Total Value 500.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
BRIAN&VICKI WARNER
3 VAN DUSEN Rd
OUEENSBURY,NY 12804
Plans &Specifications
2001-807
250 SQ FT ADDITION ONTO GARAGE AS PER PLOT PLAN SPECIFCATIONS
$30.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,November 01,2002
(If a longer period is requited,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 wn of ueet u.,-', ,s r•Fay,November 01,2001
•
SIGNED BY , `` ' . V� for 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
A permit must be obtained before beginning construction. Permit File No S ' / 410
No inspection will be made until applicant has received a Fee Paid $ ,, dr&
valid building permit. All applicants' spaces on this Rec. Fee Paid T.
application must be completed and must appear on the Reviewed By:
application form. -
Applicant: TR A(1 W cq 2KC Owner: SA-er/e_
Address: 3 v Or\ Dse1\ ee. , Address:
Phone#( 5(8)7q -- 73 9C) Phone#( ) -
Property Location: Lot Number: / House Number 3 l 01-ri tose4 ecO.
Subdivision Name: Tax Map Number:
❑ New Building: residence /commercial Estimated Market Value of Construction: $ S.00 o b _
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/corn'! I
❑ Other work(describe ) A�,u71-�J`'/�� . c) i
Check Occupancylnformation 1st `-�Floor 2"Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
O Single family dwelling
o Two family dwelling
o Townhouse
o Multifamily dwelling
#of units RECEIVED
o Office
❑ Mercantile
o Manufacturing O C T 2 9 2001
O 1 car detached garage TOWN OF QUtENSBU�Y
❑ 2 car detached garage ILDING AND CODE
o 3 car detached garage _
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial
Storage building-
residential )-SO .25 0
•
❑ Other
What is the proposed height of the structure /c2- feet inches
Will any second-hand or ungraded lumber be used? If so, for what? N O
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: XU6
Number of Fireplaces to be installed ,M Number of Woodstoves to be installed MA
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder &iR GLIA(aerg-- 3 air/1useo , - 79a - 735-0
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. Further,it is understood that Uwe 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 constructio .
Signature: di./Ce/ owner,owner's agent,architect,contractor
R= S41t
jr•- = ft
Residential Final Inspection
. Office No. (518) 761-8256 Date Inspection reque ceived: IV
Queensbury Building&Code Enforcement Arrive: a pm D ,. a m
742 Bay Rd., Queensbury,NY 12804 Inspector's Initia : .
NAME: 4-?R1 A l3 A RIApfIT#: CO\LOCATION: \(A D�� \C —7 ,- 15
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
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
Interior/Exterior Railings 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/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
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 fmished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches •
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed 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 s_q. 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 Temporary C/0(Cert. Of Occupancy)
Okay to issue Permanent C/0(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.hispection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
i —Z • . Ott°
...• \ ,t its-- .. ,Vr- k •7-•-•z- - ic-A0,•
•
• . w '''',\::.,•,..,,,,,,.,z,.!‹.... itci. -
, It
14t\zikkk\i '‘. ._\.9.0/0,y
J .
--;-• ...,.. -v...941
• ...,. ., ,\
ii.
• 'Ik ,..,,,„ 0--i,.... . . ,,..
.• ,
•....: '.'. . ....I if, 1 . N
. . erfv •-.: 6, -f• i' ..c i,
"-xi. 1 : •
1 IF\ .c.'• kz_....)
t Y, 1‘ ..--. .' $1.-.
Ili; ',1i a
t 1 :ss ,
. ..,./1 • :••••
, 0 t ••
.z ‘ .
51 1:4-‘11,k •
...". 1 • • i‘ Ntk : '...i• i„' ".7.',: i
,•i-.. 1 i • ;
1 ..,
. • • ,t i t . .1
• .,:3r r •( •a
‘'., • • ic.
/ I' • • .A
it
i A i . z 4; - ;t i ,
i„.,., .1:1 In
y 1 ti . .!, 4 .., t ., 1
I A 1.1
4 1•
4• I.
IS .
1 • t ;
•• . ,, ." .
, h
itEifilf;uVF Wid rif,ii, 1 ;•
. ...,
.\ -
1 . ' •i ,
1 : .:.‘ }
* ' .
' : !.., •.., .
... ,
SV lit
r
t y • i
re° ifttr :. 1' 744
(i
I'1 .
: . 1
1‘ • L,
4
It tIti
\ ti
• t. ,• A.,,,
tk !I
11 1: •13 '.PI
A 1
, . •
?()*Ir ft L.....fr : ,
, . 4
N
l• I. I ,c
Of kft* °- i ..-4" 1 1 't 'I, k 't t. *. I .kt,,:g.. •
.., 1., N.
A
1 1 **', .:..i --••• ..-,,
i‘..,
It lt'" I. ,.., , • 1 .
..111h
A i
I, ..,,,,--',..--.;/,' 4,, , •.. .
-..,.,.:-..)': 4.!.' Ilti, 1:11i
i i4.
1 ,---, i - „ •
4. , .. t $ • - 1.'
Wei Sith'0.
qW11.74,60.0 . fi" 1 il .7°/ 'al .' .
40
s-- - ,, „I
) es - '. ...1. •,, i .r.,,•-•;), - ,... „.1, f ,.• .• : , ,, ,....1 • ..1 ...(a.:'iry ,. .. ..! cll , , , -N.,,'
.,,,i,. ..,•g:..;---;;--f:,-' .,.,..? ...„24 ,...,,,... /14eArli, / t i
.:,_ , • .... z..,...e...„,, - , i I. • •
c> ii I
-
., /
, -... ..,,,k, ,,3 •
•Ir . • „.1.- . •
i i: .....;:iV " , !..• •p's 4.043.01)045%) / • I `,, •
( e, ...". ;.....-.- :.•• •. : . ie .3. / f r•• ••• 4 • . -' ••;-1`'t
.. rr. .. ' ,.-/ ..'i '..0 / :"; ''•?‘ .? ' ...!. I 15 • . 4 ro, ri ?i
t .,, "". 4 ,
:,'• .. , : •i'• .- • 1
. ..,,
,/• fi./ 1
0. .
, /. ,i ,•• ./. of 4r. ;.$ . ,,,,'
, r ,
. >
caeoi- "11, . .
40— . C:32-. 67. .
RECEIVED . ..,
•
. .
OCT 2 9 2001
OF QUEENSEuRy . ... • s .•• • • •. ex.)34.7. 0(1. .. Fa erh,4 ... .
-k•••,
NG AND CODE
T•08WuiNLE), . . .
roc/dig-4
04
._ ...............__________
. • ,
, .
•
------''•••-,.<,,,....,„,
- •
a
0 `----- =' -
• \ I e,. 1041 oc. • s,,,:i R ,t-
tAi i,--. .--Lh.vve • '• '‘e' I 9-°%Je',1 •
1 kl - ,p,b oirtk .OC°9-
99-)"" c)100\
, (.6 1 • ! --
II/
. . _
. •
\
... e../
IA... il • b
C24 DI
•
trej __
t- 0 .
i -
V
• Z cOg:kUeul 4G DEMIA61
• \44 Cg 1,3,• • loto "outiottsdevoinabto ,.,
4 •
.r 4thoutcoonents.,i,neva
no, coo,:ic.ons ate il Wu
Plc: 08.1taldialit"e C°4e. .
.. 1
gO7 TUAIN 0.F QUED42:3URY .
RECEIVED
B• Y BY .,—, I7;1i -;.,..14.
OCT 2 9 2001 •
BUILDING ,7 r' f. 17- y..LEPT.
oog
•
.•
• . . DATE • . , -I-D - 46-------
.._..._..._ ..
. TOWN OF lort))..;•i,,v,1:, j.)
SIMMINSAMI+icy
............ ...;:........... w
, . . •
•
-t• . • • . • . •
. .
Lq
_ J
z J
0
W
N
`r0
ac m
gp96 c) z
co 0
$ r— 0 v
L3 g w
M OIA O co N
�eno9• a0
,p
�-
0 i � V os v - v
6.
LIV
0
M.
o
It t-
_• ti ; M t� _ a o�sr a
o oOD OD
-'
SVZ a' N G2 in O cv d` N In N M �p
1
: t