1999-777 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date J anu ry 7 , 2 0 n_
This is to certify that work requested to be done as shown by Permit No.
Jy 1'/.!
. has been completed.
• This structure may be occupied as a pI7p-r.mrP p/1T,r PWOM
Location 363 GURNEY LANE
Owner
i", rJtU.L, +.eians,sciid .
By Order Town Board
TAX MAP NO. 32 . -1-5 . 2
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 1200 Building Permit No. 99777
TAX MAP NO. 32 . -1-5 . 2
Permission is hereby granted to PICKETT, PAUL & CATHERINE
Owner of property located at 363 GURNEY LANE
in the Town of Queensbury,to construct or place a REPLACE POLE BARN
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:
363 GURNEY LANE
QUEENSBURY, NY 12804
Contractor or Builder's Name:
PICKETT, PAUL
Contractor or Builder's Address:
Electrical Inspection Agency:
•
Type of Construction:
POLE BARN
Plans and Specifications:
REPLACE POLE BARN (30 X 20) AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
REPLACE POLE BARN
50PERMIT FEE PAID-THIS PERMIT EXPIRES January 10 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 Town of Queensbury this 10 Day of January 2000
SIGNED BY ! 3 P� - L - for the Town of Queensbury
Code enforcement Officer
Building Permit Application
To .Town of Queenslbuiy - Dept. of Contnnutity Development, 742 Bay Road, Queensbury, NY 12804 1761-8256J
• '0 . , BUILDING & . CODE ENFORCEMENT
NOTICE Requirements prior to issuance r
A pennit must be obtained before of this permit: • PERMIT FILE NO. 99 77 7
beginning construction. No inspections
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$60 ,
a VALID BUILDING PERMIT. All Area /Use •
applicants" spaces on this application RECREATION FEE PAID$
MUST be completed and the signature n Planning Board Action '
of the applicant must appear on the REVIEWED BY:
SPR / Subdivision /Other Building Inspector plication form. Mink you. J Recreation Fee Payment
• /
Applicant: l 6 Gc � - � :- ! C �� _- Owner_ �CY, r�.7 -
. , Address: :3 6 t( lV 0 - '4'k 0 4) Address:
Phone #. (Tll) 2q - CEY�73 Phone # ( ) -
Property Location: i�x-- ut^ 14 y /et .,'
Subdivision Name:• / Tax Map Nuntbcr --/
i____L,%;;L
Section Block lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
• New Building: CONSTRUCTION: $ .17
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family-Dwel�l�irng? fir"
•Residence. / Commercial Two Family Dw9 �;ling;f'-�t+ " "� '
no change to exterior size Family Dwellin
Office D�:.L 2 '% 199g
0 her Work (d scr' b low Mercantile
`Z..pl Ci e. 0 (� peA d^J7 Manufacturing_ .
•Other :k _'..-
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor sq. ft. If ADDITION, .what will use _
2nd •Floor sq. .f.t, of new addition be? :
Other Floors .-... . . .. sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. Attached Garage 1, 2 car
• Private Storage Building
SIZE OF NEW' STRUCTURE: Commercial Storage Building
3 0 FEET X ` 0 FEET Other
Foundation T 6 r�ype: `r � f e g Will any second-hand or ungraded
' Number of Stories : lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : •
Name Addresss Phone •
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 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 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, sho ' actual location of project on premises.
IZie-
Signature: �� .0 t• I I
(owner, owner's agent, architect, contractor)
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive 212 d am/pm Depart am/pm
Town of Queensbury Inspector's Initials 0`k'
742 Bay Road
Queensbury,New York 12804
NAME S I PERMIT# 722
LOCATION �u l tiP-e DATE 0,11
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location 7
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
htterior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landint 18 in. or more
Interior Handrails stairs both sides 3 or pre risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off ex.. ed/regulai.r 18"above grade
Gas Furnace shut-off wi b 30 feet or wi above
of site
Oil Furnace shut-off at en. . - to ' ace -ea
Furnace/Hot Water Heater opera...
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main : trance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Lan t'..ng 18 in. or more
Railing across window in stairwe s
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
/
Okay to issue temp. C/O(Certif. of Occupancy)
k
Okay to issue permanent C/O(Certif. of Occupancy)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury ,
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive ?! utim/pm Depart am/pm
Inspector's Initials /y
NAME: 0,444 PERMIT# .5-297
LOCATION: (s, L_L;,-,. DATE : / 7
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl r
providing protection from f ccri
for 48 hours following the lacem nt
of the concrete.
Materials for its purpose on site
Foundation/W, (pour
Reinforcement in ' ace
am—
Foundation/Dampproo ing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in PI'cc
Rough Plumbing
Heating Rough-In_
Insulation
Foundation Walls Intcri r R- _
Foundation Walls Exterior R-
Floors R-
Walls
Ceiling -
Duct work or piping in/
unheated spaces / R-
Proper Vent, Attic Vent_
Framing_ _
Jack Studs/Headers
Bracing/Bridging
Joist Hangers o/Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Fircstopping
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