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2004-113 TOWN OF QUEENS-BURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE (DAF7 OCCUPANCY Pernut Number. P20040113 Date Issued: Tuesday, May 24, 2005 This is to certify that work-requested to be done as shown by Permit Number_ P20040113 has been completed. Tax Map Number. 523400-226-019-0002-008-000-0000 Location: 23 SUNSET Ln Owner. STEVEN CARDONA Applicant: STEVEN CARDONA This structure maybe occupied as a: Residential Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy 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: P20040113 Application Number: A20040113 Tax Map No: 523400-226-019-0002-008-000-0000 Permission is hereby granted to: STEVF,N CARDONA For property located at: 23 SUNSET Lit 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. Tyne of Construction Value Owner Address: STEVEN CARDONA ALFRED WILLIAMS Residential Alteration $35,000.00 Total Value $35,000.00 3 LONGWOOD Dr CLIFTON PARK, NY 12065 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2004-113 REPAIR TO HOME (ROOF & SIDE WALL)DUE TO TREE FALLEN ON HOME. $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, March 30, 2005 (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 T, wn o uee ury• u day, March 30, 2004 1jL'_ SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Rec.Fee Pai application must be completed and must appear on the, Reviewed B application form. Applicant:�t �.7 l tkWid-A- Owner: (La"Co 014 Address: Z3 SvjjseT- )_N. Address: Chu,G61-G6u24 FJV. Phone#(, /8) 3-,5 - 70/3 Phone#(_) - Property Location: Lot Number: / House Number o?3 Subdivision Name: Tax Map Number: 2L2-(o- i ck 0 New Building: residence /commercial Estimated Market Value of Construction: $ 3�,DO 0 o Addition: residence/ commercial o Alteration: residence/ commercial If an Addition,what will use of new addition be? 0 No change to exterior size: residence/com'l ©' Other work(describe W6PA/!R-2-0//vyE ) Check Occupancylnformation 1' Floor 2 Ild Floor Other floor Total Below sq.ft. sq.ft. sq,ft. Square Feet ei-Townhouse Single family dwelling `706 Two famil dwellin S a Multifamily dwelling #of units o Office o Mercantile o Manufacturin 0 1 car detached garage s ., 0 2 car detached gara 0 3 car detached gars e 0 1 car attached gar4ge r Njnmj 02 car attached ge s ` ,i q 0 3 car attached gars e An 1 o Storage building- commercial 0 Storage building- residential c Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: Number of Breplaces to be installed Number of Woodstoyes to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Plumber Mason Electrician Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this 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 Code,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 Uwe 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 cti Signature owner,owner's agent,architect,contractor f Queensbury Building & Code Enforcement - Residential Final Inspection r Office No.(518)761-8256 Arrive: am/1 e m/pm Date Inspection request received: _ _ Inspector's Initials: 1 NAME: 0 Qlavr)-rAr\-, iPERMIT#: l 04-1 3 LOCATION: +„ C DATE: �„2�F—(2S TYPE OF STRUCTURE: _ Comments Y N� NIA Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum '/" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.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 Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. 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 Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing,/'/4 hour fire door/door closer Duct work Scaled properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 s . ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Buildinjz&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 r op NNW won f __