2004-294 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: P20040294 Date Issued: Tuesday, June 21, 2005
This is to certify that work requested to be done as shown by Permit Number P20040294
has been completed.
Tax Map Number: . 523400-266-001-0001-014-002-0000
Location: 63 OAK VALLEY Way
Owner: EUGENE & LEONA PETRAMALE
Applicant: EUGENE & LEONA PETRAMALE
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: P20040294 Application Number: A20040294
Tax Map No: 523400-266-001-0001-014-002-0000
Permission is hereby granted to: FI T ENF,&LEONA PETR AMALF,
For property located at: 63 OAK VALLEY 'Way
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: EUGENE&LEONA PETRAMALE
63 OAK VALLEY Wav Shed/Storage Sheds $8,000.00
QUEENSBURY; NY 12804 Total Value $8,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-294
384 SQ FT STORAGE SHED
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, May 28, 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 ueens rid y,May 28, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code -nforcement
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.0 i'1' )-9
No inspection will be made until applicant has received a Fee paid $
valid building permit. All applicants' spaces-on this Rea.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
Applicant: c�CxEi�C f 12i.�t Owner:
Address: Address:
Phone# -e,7 Phone#
Number: Z/ House Number �3 / �UG�l �/� '
Property Location: Lot Numb _�
SubdivisionName: A5mx-'W Fo d% Tax Map Number:
o New Building: residence /commercial 'Estimated Market Value of Construction:$
0 Addition: residence/ commercial If an Addition,what will use of new addition be?
o Alteration: residence/ commercial
• No change to exterior size: residence/com'1
O Other work(describe )
Check Occupancylnfo mation 1` Floor 2"3 Floor Other floor Total
Below sq.ft. sq.ft. sq.It. Square Feet
o Single family dwelling
a Two family dwelling
a Townhouse
o Multifamily dwelling
#of units ,
o Office 1
o Mercantile TWAI
o manufacturing �� !�Itir1 ��ElUSp. "
o 1 car detached garage
0 2 oar detached garage
0 3 car detached garage
0 1 oar attached garage
0 2 oar attached garage
0 3 car attached garage
0 Storage building-
ercial
o rage building-
residential L
0 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.Firenlaees to be installed Number of Woodstgyes 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.
Declarati 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,anAs Built Survey by a licensed surveyor;drawn to scale,showing actual
location of a nstructio
Signature: owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm art: a
Date Inspection request received: Inspector's Initials: p n
NAME: �/� C^_ PERMIT
LOCATION: G\ ( SKIGLI DATE: —
TYPE OF STRUCTURE:
_ Comments
Y N N/
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 cry,stairs,decks,_patios C
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more —�z
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 lazing/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 ell
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%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 required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Inso, form 2.docLast printed 2/12/04
Foundation Inspection Report
Office No..(518) 761-8256 Date Inspection rger
d: I 6t (�0` A'
Queensbury Building&Code Enforcement Arrive: aDepa
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
n
NAME: �h PERMIT#:
LOCATION: 61INSPECT ON: 0 i Q
TYPE OF STRUCTURE:
Comments
Y N ' N/A
Footings
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
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofmg/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.
LASueHemingway\Building.Codes.InspectionTORMS117oundation Inspection Report.doc January 28,2003