2000-463 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. 2000463 Date Issued: Friday, October 27, 2000
This is to certify that work requested to be done as shown by Permit Number 2000463
has been completed,
Tax Map Number: 523400-141-000-0001-012-321-0000
Location. 328 BIG BOOM Rd
Owner. MARK NELSON
This structure may be used as a.
Carport
By Order of Town Board
TOWN OF QUEENSBURY
r: jW k� I
Director of Building & Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury, NY 12804
County of Warren (518) 761-8256
VALUE S 500 Building Permit No. 2000463
TAX NAP NO . 141 . - 1 - 12 . 321
NELSON , MARK & BARTH , JOY
Permission is hereby granted to
328 BIG BOOM RD .
Owner of property located at
CARPORT
in the Town of Queensbury, to construct or place a
at the above location in accordance to application together with plot plans and other information hereto Mod and
approved and in compliance with the NYS Uniform Building Codes and the Quoensbury .Zoning Urdinance.
!?vffrA 1j,6OM ROAD
QUEENSBURY , NY 12804
Contractor or Builder's Name:
NELSON , MARK
Contractor or 113"der's Address:
Electrical Inspection Agency:
Type of Constriction: _ CARPORT
Plans and. Specifications:
210 SQ FT-CARPORT AS PER, PLAT PLAN SPECIFICATIONS
Proposed Use:
CARPORT
15 July 5 2002
$ PERMIT FEE PAID — TMS PERMIT EXPIRES
(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.)
..< • ._.. .. ... July : 2000
Dated at the Townof Queensbury this ______Day of
SIGNED BY for the Town of Queensbury
CodhF Enforcement Officer
Building Permit Application
''own of Queensbury - 13e1g. rt( Cryrrpnuniry Development, 742 Bf(v Ruvrd, Que ruurrv, NY 12804 1761-82561
BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance
FApormit must bfe obtained bell of this permit: PERMIT FILE ND.ning construction. No inspectionsf'ERMl7' FEE P.!!D �be made until applicant has received ZmIng Board Actioxe
a VALID BUILDING PERMIT, All Area r Use
awlicanta` spaaes on this application RECREA77ON FEE AlD
T`MUS be completed a d the casignature Q PIVini g $ford Action 1 '
of the applicant must appear n the SPR I subdivisioeh / Other REVLEWED HY. Bur►.r1nr I.r.�nrnnr
tication form. rr�t ,... Recreation Fee payment
Appliean t: { R1r�O+�-1 „ • Owner:
Address: 3 ZO& 1 C ' f az) fAJ prz, _ Address:
Phone # � _____ - Phone # 7307
Property Location: �
Subdivision Name: Tax Map Number ?�
Section 111t,ck 1 x,t
NA'r E OF PROPOSED WORK * ESTIMATED MARKET VALU F THE
Y New Building : CONSTRUCTION : $
residence / commercial
Addition to Building :
residence / commercial OCCUPANCY INFORMATION :
Alteration to Building : Primary Building
residence / commercial Single Family Towelling
Residence / Commercial Two Family Dwellin
no the a to exterior size Family D+�IUn,
� Office
vt r Work, .•( describe Blow ) r Mercantile JU 2 g 2009
Manufacturing
Other sou
GROSS AREA OF PROPOSED STRUCTURE *
If ADDITION , what will use
lst Floor . . . . . . . . � �' sq . £ t * a £ new addition be ? :
2nd .Ffoor . . .,.!4 . . sq . ft.
Other F3.uurs . . . sqq f t .
( not unfinished cellar or basement ) ACCOSSORY BUILDINGS :
Detached Garage 2 car
TOTAL FLOOR AREA : OL 10 SQ . FT . Attached Garage 1 , 2 car
Private-_ Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
I FEET X FEET
Foundation Type : Will any second- hand or ungraded
Number of Stories . f f lumber be used? If so , for what ? J�
( habitable space oryly ) I
Height. ( grade to ridge ) : _ � feet TYPE Or HEATING rSYtSTEMt
Number of fireplacet and/ or_ o0 stove ( circle all which applies )
to be installed :_ Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person respon amble for supervision of work as regards to buil ' no
codes -IS . R� c0 5 &A-.+ 2g �a+ l ra ,
Name Addresss Phone
Builders
Plumber :
Mason ;
Electricians
DE4CLARA770N.• Please sign belmv gfter you have carefully read the staterrtent.
To the best of my knowledge the statements contained in this application, together with the plans
and specillcations submitted, are a true anti complete Statement or all proposed work to be done oil
the described premises and fiat all provisions of tlhe Building, Code, the Zoning; Ordinance and all
other laws permining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is underslotxl that I/we shall submit prior to a
Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature:
( wner, owner's agent, architect, contractor)
TOWN OF QUERNSHURY [[[
BUILDING & CODE ENFORCEMENT 4 .
742 HAY ROAD ~� 4
SJURE2JSBIJRY NY I28 4/.--'
(518) 7b1-8256
-- - ARRIVE : . T ._ . DEPART :
FINAL INSPECTION REPORT RESIDENTIAL
DATE INSPEG'TIOONNJ HJ QUZST RECEIVED:
NAME / L,•"4 ',L"
LOCATIONa
DATE PERMIT N G'
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
A YESQ_�
CHIMNEY H IGHTJB VENT[HSiGHT _
PLUMBING vENT
ROK?F I'�+C
�'PL_, TF�RIOR }FINISH _
DECK/PORCH , TEE'_S RAIi INGS
BELIEF VA�T..VES - .
FU
C O W E TIN
ANTERIOR TRH VkR7VACY DOD
O
$AT . KC T FiFN WAj TIGH'
OTHii FLOORS sitare pj&13ZS
OTHER FLOORS CARPETS �--
�lIR CLSARANCjFS?1 _T IN S
SMOu E DLTE+C'{'0 $�
HP}, HT FI,0DM FA
PLUNB7NG E'IXTS,f�R'S
FO Q O IN CATION
taARA6E FIRS PROOFING
I?OOR.�CI,.OSER�
?�'�.NA.�E.I L�"CTRICAL
SITE PLANJVARIANCE RE,7
FINAltV Y pLoor P
TO ISSUg C O C
GENERAL INSP.E'CTION REPORT
( 518 ) 761 -8256
Town of Queensbury
DepL of Community Development Date inspection request received:
Building & Code :Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive am/Pm, Depa
Inspector's Initials
NAME: C- �i ee.� PERMIT # /geluz f P)L�C7 _ { IKLJL
LOCATION: DATE
-APE OF STRUC I R-E:
RECHECK
NIA YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ible for
providing protection freezing
for 48 hours following a placement
of the concrete.
Materials for this purpo on site
Foundation/Wallpiour
Reinfo nt in Place
Foundatio pproofx
Backfill ApproiVal
Plumbing Under Sim
Plumbing Venvvcnts in lace
Rough Plumbing
Heating ough-In
Insulation
Foundation Walls Inte 'or R-
Foundation Walls Ext 'or R-
Floors R-
Walls R-
P —
Ceiling R-
Duct work or piping in
unheated spaces R-
Vent, Attic Vent
rauun Z 2-x-
Jack Studs/Heade rsBraci �cl5fll+C.�.
o i�ridging
g
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour.
Penetration Sealed
Fie Wall 2, 3, 4 hour
Firestoppin
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