2005-951 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. P20050951 Date Issued: Tuesday, January .16, 2007
This is to certify that work requested to be done as shown by Permit Number P20050951
has been completed.
Tax Map Number. 523400-297-009-0001-003-000-0000
Location: 270 MEADOWBROOK Rd
Owner. JEFFERY GREENE
Applicant: JEFFERY GREENE
This structure maybe occupied as a:
Shed/ Storage Sheds
By Oder of Town Board
TOWN OF QUEENSBURY
9
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 BayRoad,Queensbury,NY 12i 04-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050951 Application Number. A20050951
Tax Map No: 523400-297-009-0001-003-000-0000
Permission is hereby granted to: JEFFERY GREENE
For property located at: 270 MEADOWBROOK 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: JEFFERY GREENS
270 MEADOWBROOK Rd Shed/Storage Sheds $5,200.00
QUEENSBURY,NY 12804-0000 Total value $5,200.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2005-951
408 SQ FT STORAGE SHED
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,November 06,2007
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To ofoQu- nsbu - Monday,November 06,2006
SIGNED BY � �c; 1f for the Town of Queensbury.
Director of Building&191 de E$orcement
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OFFICE USE ONLY r i
i TAX MAP NO. , s PERMIT NO.
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FEE PAID,0V BLDG.&CODES APPROVAL 7u�1Vt OF QU�G'P��SBUtZ;( � ,
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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. c
OWNER: --� `� 2 n J
Q- INSTALLER/BUILDER: �•o O � �N,�Q s
ADDRESS: � � � e a�l W�C'Oa�, �OC�
ADDRESS: re (2 'n �,o I ��
PHONE NOS. 0'-A 3 I PHONE NOS.
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LOCATION OF PROPERTY:,���m SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:
ESTIMATED COST OF CONSTRUCTION: $ )_de)ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
i
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
...............................................I..................I..................................................................................................................................................................................................................I...........................{...........
1ST FLOOR 2ND FLOOR I TOTAL HEIGHT
PROPOSED CONSTRUCTION SQ.FT SQ.FT i SQ. i
I FT.&I N: I
................................ i..........................................................................................................<................................................... ... ....
y OPEN PORCH
I...................................................................................................................................................................................................:..............................................
DECK
...................................................................................................................-................................................................................................................................'...................................................
3 SEASON,COVERED OR ENCLOSED PORCH' I
........................................................................................................................................... ....................................................................................................... ...............................................°. z
BOATHOUSE I
..................................................................................................................................................................................................................................................
... ;
BOATHOUSE WITH SUNDECK ( I i
s................................................................................................................................................................................................ ................................................................................................ ...j....
DOCK i
......................................................•......................................................:........ ,,..................................................,....................................................,....
I` IZC SHED I
CI
1N��,�a tY� ` ..............................................
I
I POLE BARN
s.....................................................<......................................................:.......................................
..............a
DETACHED GARAGE(NO.OF CARS: )
:.... ................ ............................................... ,.................................,.....,.....
i OTHER ACCESSORY STRUCTURE:
............................................................................................................................................:.....................................................:......................................................r................................................................................I..........................,
`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. QUESTIONS? CALL 761-8256 OR EMAIL
codes@aueensbury.net
I have re and agree to the above. VISIT OUR WEBSITE FOR MORE INFORMATION
www.aueensbury.net
Signed Dated: Ii __0-9
i
Town of Queensbury Community Development Office - 742 Bay Road, Queensbury, NY 12804
Queensbury Building & Code Enforcement - Residential FiAal Inspection
Office No.(518)761-8256 Arrive: am/pm
Date Inspection request received: Inspector's Ini
NAME: P IT#:
LOCATION: TE:
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 backup:
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/a hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Surve Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Va ' nc re uired
Flood PlainVertificoAign,if required
Okay to iss e C/V9f C/® [Temporary/Permanent]
L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
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SAn ed on oUr linwA examination.,
coNianee with our comments shall
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�� �t .INS plans and specifications are in psi
�l compliance with the Building Codes
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LEGEND / SPECIAL DISTRICT _ PHOTOGRAPHY TAX MAP OF
BLOCK NO. DIMENSION (DEED 100 DATE: TOV"!%' `t [ rj
_ 5 ) _ PROTECT ON MA' l■ '..
PARCEL NO. ) DIMENSION (SCALED) 100 S St ALE:
At? LY h. � - SU.n n�
FILED MAP BLOCK N0. 1211 AREA {GEED) 15 ALL IN ULLNi.r ON Fn _ r: PHOTO NO._�e C WARREN COUNTY NEW YORK
FILED MAP LOT NO'- (i2� AREA (SCALED) �5 $ PART IN QUAKER RD SEWER DIST
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PROPERTY HOOK z PART IN m—i4ND '"ARM WATER 8 SEWER 11
\\:_ 4„ IN JEENSbj , I IGHT!' I; SECTION NO.