2010-365 TOWN OFQ UEENSBURY
WOO742 Bay Road Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100365 Date Issued: Friday, August 06, 2010
This is to certify that work requested to be done as shown by Permit Number P20100365
has been completed.
Tax Map Number. 523400-308-008-0001-001-002-0000
Location: 452 SHERMAN Ave
Owner. JOEL & DEANNA SHATTUCK
Applicant: JOEL & DEANNA SHATTUCK
This structure may be occupied as a:
Shed/ Storage Sheds
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the "� JI` / .P
property owner of the responsibility for compliance with Site Plan, ;;. , �, Al /
Variance, or other issues and conditions as a result of approvals bythe
PP Director of Building&Codenfore ent
Planning Board or Zoning Board of Appeals.
1� TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100365 Application Number. A20100365
Tax Map No: 523400-308-008-0001-001-002-0000
Permission is hereby granted to: JOEL&DEANNA SHATTUCK
For property located at: 452 SHERMAN Ave
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 Queens bury Zoning
Ordinance. Type of Construction Value
Owner Address: JOEL&DEANNA SHATTUCK
452 SHERMAN Ave Shed/Storage Sheds $7,000.00
QUEENSBURY,NY 12804-0000 Total Value $7,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-365
192 sq ft shed
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,July 29,2011
(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. f Queens ry; Tbu4sday,July 29,2010
SIGNED BY / )/ .. Y for the Town of Queensbury.
Director of Building&Code Enforcement
�i ^ /� OFFICE USE ONLYAP
TAX MAP NO. - —PERMIT NO.
FEE PAID_ 2� . BLDG. &CODES APPROVA T// . . ;
ACCESSORY STRUCTURE BUILDIN ERMIT APPLICATION
Use this application for any structure other than the rincipal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. ,c�-
OWNER: ��t�EG S/l /,l C C �J INSTALLER/BUILDER: J`��"- G f l,ECS i271(C/ )
ADDRESS: 7.50 afg46:7 !'/'///'.J �v6 ADDRESS:
r''c) c 9 S09d
PHONE NOS. <-> PHONE NOS.
LOCATION OF PROPERTY: 2"'90116 /`„r- YAC. z'"1L SUBDIVISION NAME: "��;�tbA/6"1
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: ST,er " /5'S /7 .v
ESTIMATED COST OF CONSTRUCTION: $ ' ' ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST: OPE& E C i C
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: t,C; ��h � PHONE:, 'C`. •-'GY4` - • -
ST ND PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
SHED /?
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO]REQUIREMENTS IF THE STRUCTURE IS LOCATED IN
THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the 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 Codes, 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, 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 construction.
I have read and agree to the ab.; J�
QUESTIONS? CALL 761-8256 OR EMAIL
Signed /%' 1( 7:5Dated: //:44 codesta?,queensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Name/Title(Printed) -/C.)e. � 7� - www.queensbury.net
7'-// „//Arj -
Queensbury Building & Code Enforcement - Residential FA'- al Inspection
Office No. (518)761-8256 Arrive: 1;"../0 am/p Depart: am/pm
teDate Inspection reque t re ' ed: InspectsInitials:
NAME: iJ�i PERMIT#: S
LOCATION: I/5-> ,S I AOC-- DATE: i -71"---
TYPE
-S'rTYPE OF STRUCTURE:
Comments:
1,(gs Ng. N!A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches f�\lvN/l r-�9
Roof Co •lete/Exterior Finish Corn. ete
Platform at all exterior doors
Handrail 4 or more risers ^
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
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/re!ulator 18 inches above !rade
Interior •ri : /trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area 4
Crawl S'aces 18 inch x 24 inch access 1 -•.ft.-150 s•.ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms .T
Flex Gas Pi•= Bondin
As Built S=• is S stem/Sewer De•t. Ins•=«'on Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Oka to issue C/C or C J O Tem•ora /Permanent
L:\Building&Codes Forms\Buitding&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
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