2007-708 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. P20070708 Date Issued: Tuesday, January 27, 2009
This is to certify that work requested to be done as shown by Permit Number P20070708
has been completed.
Tax Map Number. 523400-308-012-0001-011-000-0000
Location: 20 WEST Dr
Owner ALFRED J PELKEY
Applicant: ALFRED J PELKEY
This structure maybe occupied as a:
Shed/ Storage Sheds
By Order of Town Board
TOWN OF QUEENSBURY
/ P
Issuance of this Certificate of Compliance DOES NOT relieve the
owner of the responsibility for compliance with Site Plan
property 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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070708 Application Number. A20070708
Tax Map No: 523400-308-012-0001-011-000-0000
Permission is hereby granted to: ALFRED J PELKEY
For property located at: 20 WEST Dr
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: ALFRED J PELKEY
20 WEST Dr Shed/Storage Sheds $4,200.00
QUEENSBURY, NY 12804-0000 Total value $4,200.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-708
192 sq ft shed
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,November 27, 2008
(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.)
1
Dated at the own o ee u ay, November 27,2007
SIGNED BY J i for the Town of Queensbury.
Director of Building&Code Enforcement
-------- --------------OFFICE USE - -------_.-_....__.____.._.,,
NLY ., -_.._________________
TAX MAP4NO. MIT NO. ,
FEE PAIDCODES APPROVAL arnp--------- -------------.-
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION -'
Use this application for any structure other than the Principal 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. /
OWNER; �_ ) -� mil. INSTALLER/BUILDER: be--cc
ADDRESS: ( ( , t"r C ADDRESS:
PHONE NOS. PHONE NOS. -( 3 -'j' 5 5 S-
LOCATION OF PROPERTY: i } C_ SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: "C rc_
ESTIMATED COST OF CONSTRUCTION: $ ",ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
PROPOSED CONSTRUCTION n
2ND FLOOR TOTALPROPOSED
SQ.FT. SO.FT. HEIGHT
FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH'
BOATHOUSE
BOATHOUSE WITH SUNDECK
[� ` DOCK
UJCCQv►�P-E� �jC SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS:__)
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO]REQUIREMENTS 1F 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.
(QUESTIONS? CALL 661-8256 OR EMAIL1 have read and agree to a above. codelftaueensbury_netT OUR WEBS{TE FOR MORE{NFORMATION
Signed Dated: www.q�Ieensburv.net
Town of Queensbury- Community Development Office - 742 Bay Road, Queensbury, NY 12804
B 1-LGL 11-05
Community Development Office
Town of Queensbury • 742 Bay Rd.
Queensbury, New York -12804 PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
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1 SQUARE = FT.
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: &) �pm,�r t: am/pm
Date Inspection request received: Inspector's nitials:
NAME: C C /�(✓`'� PERMIT#: e
LOCATION: 1 DATE: r
TYPE OF STRUCTURE:
Comments
Yes No N/A
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
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
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
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery back-up:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s . ft.-150 s . ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum Y2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/<hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O [Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\lnspection Forms\Residential Final Inspection Form revised 100405.doc
60
Foundation Inspection Report
Office No.(518)761-8256 Date Inspecti ✓re_quest received:
Queensbury Building&Code Enforcement Arrive: Z, , am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's itials: C
NAME: 2F LKC' PERMIT#:
LOCATION: &.16-57- OR , INSPECT ON: J! /3 D-7
TYPE OF STRUCTURE:
Comments
�-
Footings Y N N/A �l r� C
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Fonns\Foundation Inspection Report-doc
Last printed 12/20/2005 9:24:00 AM