2004-189 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: P20040189 Date Issued: Tuesday, June 21, 2005
This is to certify that work requested to be done as shown by Permit Number P20040189
has been completed.
Tax Map Number: 523400-300-000-0001-029-000-0000
Location: 355 CLENDON BROOK Rd
Owner: ALBERT HOLMES LE
Applicant: JO ANN HOLMES LIVING TRUST
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,
r '� lx-k—
Variance, or other issues and conditions as a result of approvals by the Director of BUij&?&Wod1Rnfoen
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: P20040189 Application Number: A20040189
Tax Map No: 523400-300-000-0001-029-000-0000
Permission is hereby granted to: TO ANN HOLMES T,TVTNCT TRT TST
For property located at: 355 CLENDON BROOK 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: ALBERT HOLMES LE
JOANN HOLMES LIVING TRUST Shed/Storage Sheds $4 0
Total Value $4,900. 0
00
265 CLENDON BROOK Rd
TRUST
QUEENSBURY, NY 12804-0000
1
Contractor or Builder's Name /Address Electrical Inspection Agency
I
Plans&Specifications
2004-189
240 SQ FT STORAGE MAINTENENCE BUILDING FOR CEMETARY
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, May 11, 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 To o ueens s y, May 11, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Niforcement
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 $ i
valid building permit. All applicants,' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
Applicant: Owner:`=
Address: Address: 2 J� 7 ri " D
s �
Phone# Phone ( ) - r\_
Property Location:, Lot Number: / House Number /
SubdivisionName• Tax Map Number: 4p fD 0�9
v New Building: residence /commercial 'Estimated MarketValue of Construction:$
0 Addition: residence/ commercial If an Addition,what will use of new addition be?
a Alteration: residence/ commercial
C No change to exterior size: residence/com'1
to Other work(describe )
Check Occupancylnformation 1` Floor 2° Floor Other floor Total
Below sq.it sq.ft. sq.ft. Square Feet
o Single family dwelling
a Two family—dwelling
a Townhouse .
a Multifamily dwelling
#of units C E I
0 Office -
o Morcaatile ' H r Q 7
o Mauufactiuin
u 1 car detached garage -_,'ULbN88URj
e 2 car detached
0 3 oar detached garage
0 1 car attached garage
O 2 oar attached garage.
0 3 car attached garage
e Storage building-
commercial
Storage building- C__fYjo
residential
o Other 5,W,5_:D
What is the proposed height of the structure 0 feet inches
Will any second-hand or ungraded lumber be used? If so,for what? Al D
Type of Heating.Sys=. electric/ oil / gas!wood /forced hot air/ baseboard/other: A A
Number of aFdrenla:ces to be installed Number of Woodstoves to be installed A
17
List below the person(s)responsible f r supervision of work as regards to building codes:
Name Address- Phone Number
Builder
Plumber
Mason
Electrician
/?x_-S
12eplarati please sign below after you have carefully lead the statement: y
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 Itwe 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 Bullt Survey by a licensed surveyor;drawn to scale,showing actual
location o4U now construction. .
Signature. owae ,own is agent,architect,contractor
40d%& Queensbury Building & Code Enforcement - Residential Final Inspection
1
Office No.(518)761-8256 Arrive: am/p Depart; am/pm
Date Inspection request received: _ _ inspector's Initials:
NAME: PERMIT#: (Dv
LOCATION: c> DATE:
TYPE OF STRUCTURE:
Comments
Chimney Ht./"B"Vent/Direct Vent Location.
Fresh Air Intake NA
3 inch Plumb Vent throu h roof minimum 6" Y) f
Roof Complete/Exterior Finish Complete r
1
Guard 30 in.or more a),stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more !'
Exterior Finish Complete ` l
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors /
Interior Handrails stairs 2 or more risers L�
Enclosed Stairs Sheetrock Underside minimum %Z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall -v .
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/'/e hour fire door/door closer
Duct work Sealed 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 s . 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 re uired
Oka to issue C/C or C/O Tem orar /Permanent
L:\PamW\Building&Codes\Insvection Forms\Res.final Insp. form 2.docLast printed 2/12/04
iI S? WIDTH i LENGTH a�s s'w ls es uA � carnage Anodized
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6x6 •__ 4 ' frames, screens,
6x8 • crank open panes,
- 8x8 made in U.S.A.
8x10 • BARNS:
8x12, 14, 16 p y ' • 8 ft. barns come with
us for 10x10, 12,14, 16,18 20, 24 • .- • one 15"x24" 2 lite
it your 10 ft. &up barns com,
12 12, 14, 16, 18, 20 4 r with one 15"x60" 4 h-
12x28, 30, 32, 36, 8, 40, 44, 48 ' OTHER BUILDINGS
14x20, 24, 28, 30, 32, 36, 38,40, 44, 48 1 • Two 18"x22"3 lite
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r�r with shutters
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fiberglass 'wood windows, vents, extra windows, Pressure treated ramps Weathervanes, Extra doors, Doors with m
flower boxes flower boxes,vertical slide
windows 18"x27" or 24"x27" cu as extra windows It's easy to ad,
is 70°) option to malt
E BARN/GA GE Classic roof line maximizes storage space. These colors are :_ building
wedgewood blue/black roof. perfect
for you!
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See chart for
asing high _ sizes auadable—
page 4.
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3 roof prow to shelter
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Other than 2x3 studs,24'
siding, the economy bar
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