2010-012 TOWN OF QUEENSBURY
742 Ba Road Queensbury,NY 12804-5902 (518)761-8201
'BOO Y
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20100012 Date Issued: Monday, February 28, 2011
This is to certify that work requested to be done as shown by Permit Number P20100012
has been completed.
Tax Map Number. 523400-303-019-0001-049-000-0000
Location: 26 LOWER WARREN St
Owner. JERRY BROWN
Applicant: • JERRY BROWN
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
owner of the responsibility for compliance with Site Plan,
p ty p
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
cow 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100012 Application Number. A20100012
Tax Map No: 523400-303-019-0001-049-000-0000
Permission is hereby granted to: JERRY BROWN
For property located at: 26 LOWER WARREN St
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: JERRY BROWN
LOWER WARREN St Shed/Storage Sheds $17,122.00
QUEENSBURY,NY 12804-0000 Total Value $17,122.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2010-012
900 sq ft storage shed
$45.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,January 25,2011
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T6iii f Quee is ur ;i7;M ,January 25, 2010
SIGNED BY . ®•`` ' 4 i,v/ • ,t for the Town of Queensbury.
Director of Building&Code Enforcement
. .3 0/ ?—/ —47 OFFICE USE ONLY
TAX MAP NO. PERMIT NO. 70/0 ''O /7
FEES: PERMIT RECREATION ENGINEERING
(If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: TLLI Y P fQu jJ L7-.i) OWNER: _,,,)BRY C3h?Ow'/V
ADDRESS: v?(,p LooJ W A f?e1 J ST" ADDRESS: fbl G-
PHONE NOS. (6)0 1 q -E I l.' i PHONE NOS. Ci ) -71 r- (1/
f
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE:L ', Y 'WN PHONE:(5)&)7 9"-ffi
LOCATION OF PROPERTY: p La' GJA-Rv€N Ove-b NSr_36,(--' ( Ai `( 1G 8 /
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ,KYES 0 NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: 59",,,? 609 /? -15 -06/
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR OZ o O O a co o LL w
PROJECT
P O I— 2 F- C4 -I O I-
Uo "- ,Lw w Q o_ 2
o2Z� O � � OHNZ < Q c- �
F- LL o- 2 ot$
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS ) I
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
I
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
q fes•.
OTHER 51—()(NPI-6—e—D , I DQ 1� 1�`'' ik 961�+ 1� F�
ly
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: T (1Gg0.AnI` 4S /hJTb Pfd-i%�jS
ESTIMATED CONSTRUCTION COST: -1 ) ) 2- Z FUEL TYPE: /v f -
sir IIA—f.TS/I1.... A/ Y !Y .. .___ _ __ /?3 _ -
B 3-LGL 11-05
(azo
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? NO - .Se-, fLi/Veal._
ARE THERE EASEMENTS ON PROPERTY? NO
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above.
Signed _,/"---
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application.
iii
or
if ,i -
BUND !ec ' •DES A ..' f'TAL ZONING APPROVAL
DA E DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a?queensbury.net
Office Use Only
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Ins ecru-,-4 - ;'ve•.
Queensbury Building& Code Enforcement Arrive: -�F /Depart: _� 11)
742 Bay Road,Que_e`nsbury,NY 12804 Inspector s Initials. _,..e.,NAME: dEgs-'( i3eztzL`s (�,3-ro PA2cJ, PERMIT •• p--
LOCATION: 40 v o":,E9_, ,,,, „gQ¢Ez 5-F DATE: - -
COMMENTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumb;ig ! : .a f 6"/ : : , om.lete .'
E,i-rior Fini • rade Comelet: • �':` a'�uivalent
i nt- . xterior Guardrails 42 in. Platform/Decks
Interior/Exterior Ballisters 4 in. Spacin• Platform/Decks
x r � 1
� ]
Stair Handrail 34 in.-38 in./Step Risers 7"/Treads 11" r\ �"`"
Vestibules For Exit doors>3000 sq. ft.
All Doors 36 in. w/Lever Handles/Panic Hardware,if required ` `?c
Exits At Grade Or Platform 36 (w)x 44"(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
_ Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Lino Of Site _
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %2 doors
> 10%> 1000 sq. ft.
3/4 Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping,3,000 sq. ft. Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in.,Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.Beyond [Both sides]
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler _
Building Access All Sides by 20' /Driveable Surface 20'wide
Okay To Issue Temp. or Permanent C/O _ _ _
Okay To Issue CIC
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc