2005-875 411141A TOWN OF QUEENSBURY
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TO 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20050875 Date Issued: Monday, March 28, 2011
This is to certify that work requested to be done as shown by Permit Number P20050875
has been completed.
Tax Map Number: 523400-297-007-0001-032-000-0000
Location: 710 RIDGE Rd
Owner: ROBERT & EDITH EDWARDS
Applicant: JESSIE & CYNTHIA EVANS
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 ; �" `"
property owner of the responsibility for compliance with Site Plan,
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: P20050875 Application Number: A20050875
Tax Map No: 523400-297-007-0001-032-000-0000
Permission is hereby granted to: JESSIE &CYNTHIA EVANS
For property located at: 710 RIDGE Rd
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: ROBERT&EDITH EDWARDS
710 RIDGE Rd Shed/Storage Sheds $1,000.00
QUEENSBURY,NY 12804-0000 Total Value $1,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2005-875
264 sq ft STORAGE SHED ADDITION
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,March 28, 2012
(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 -vwn o(QueeAi butte; Monday,March 28,2011
SIGNED BY $< .' ' i''' i , , for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No. a -4YZ
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes@aueensbury.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Accessory Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction.
Any structure other than the principal structure (i.e., house), typically a garage, shed, greenhouse, dock, deck,
etc. (not necessarily limited to the list below). Refer to attached Informational Brochure No. 3
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder C1 N�j C✓A '� Owner:
Address: '7/47 f',06,L re0 , Address:
Home Phone: 71-3 " 4/c)( Home Phone:
Email Address: Email Address: __
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: 6—
Address: Phone
Location of proposed construction: Lot No. Legal Address:
Tax Map Number: 2(7`7- l- 3 2-' Subdivision Name:
Estimated Cost of Construction: $ 1/72) - - -----
Does an accessory structure currently exist on the property? _Yes / _ No
If YES, list all existing accessory structures: RECEIVED
/E
Proposed Construction 1s1 floor 2^d floor i iTtotal Proposed Height
sq.ff. sq.l4 V 0 3 g404, ft.&in.
Open Porch TOWN OF OUEENSBURY
Covered or Enclosed Porch BUILDING AND CODE
(considered floor area&must comply to FAR [Floor Area Ratio)
requirements if the structure is located in the Waterfront
Residential zone.
3-season porch is considered an enclosed porch.
Deck
Boathouse
oathouse with sundeck
DOCK
Shed A ,b ra c'N a10L (p(-1
Pole Barn
Detached Garage 1, 2, 3 car
Other Accessory Structure:
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
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 constrpt ction.
Date: //1- 5--- Applicant/Builder Signature:
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature:
L:\Sue Hemingway\Building.Permit.FORMS\Accessory Structure Permit Application.doc V:12/28/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart tO 26)am/pm
Date Inspection request.received: Inspector's Initials:
NAME: PVCC�'` PERMIT#:
LOCATION: i _ � ;. 4� / �- DATE:
TYPE OF STRUCTURE:
e Comments:
Xis Ng N/A r
4" Building Number Address visible from roadcr
!
Chimney Height PS"Vent/Direct Vent Location ' )
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches CA 6 Lc IC
Roof Complete/Exterior Finish Complete
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
tnterior/Exi Railings 34 inches to 38 inches <saJ� C�Yu Deck Bracingng I/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
8 inch clearance to sill plate --
Gas Valve shut-off exposed I regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing � Y�� f r1�r�
Interior Smoke Detectors/Carbon Monoxide Detectors w
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
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft-ISO sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation I 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 I Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum IA"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/' hour fire door/door doser
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C I 0[Temporary/Permanent
L:1Building&Codes Forms\Building&Codes\Inspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
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plans anti spe+:ifcetho are in full
compliance with the Building Codes
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