2004-854 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: P20040854 Date Issued: Wednesday, November 10, 2004
This is to certify that work requested to be done as shown by Permit Number P20040854
has been completed.
Tax Map Number: 523400-295-016-0001-006-000-0000
Location: 121 FARR Ln
Owner: TRA-TOM DEVELOPMENT INC
Applicant: WENDY & ROBERT LAROSE
This structure may be occupied as a:
By Order of Town Board
Shed/ Storage Sheds 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 i $
valid building permit. All applicants spaces on this Ree.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
Applicant:4y'() p�7 Owner:
Address: I rr oL Address:.
0 P
Phone#(_,_,) -
Property Location: Lot Number / House Number la
Subdivision Name: Tax Map Number: a
j
a New Building: residence 1 commercial 'Estimated Market Value of Construction. $ -31 U
`o Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial -- —
a No change to exterior size: residence/com'l
l o Other work(describe )
Check Occupancylnformation 1' Floor r° Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. are Feet
0 Single firriily dwelling
o Two fiunily dweMn
a Townhouse
o Multifamily dwelling r,� y e00
#of units
o Office
o Mercantile
a Manufacturing
o 1 car detached garage
0 2 car detached garage
a 3 car detached garage .
a 1 car attached garage
a 2 car attached Sara e
a 3 car attached garage
a Storage building-
ommercial
forego building-
residential
a 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 Rmy-laces to be installed Number of Woodstove to be installed
List below the person(i)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder
Plumber ; /
Mason I -`�
Electrician
D`claration: please sign below after you have carefully read the statement:
TI 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 promises 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,a's requested by the Zoning
Administrator or Director of Building and Codes,an&Built Survev by a licensed surveyor;drawn to scale,showing actual
location of all new cons coon.
Signature: P/J J ` owner,owner's agent,architect,contractor
i
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040854 Application Number. A20040854
Tax Map No: 523400-295-016-0001-006-000-0000
Permission is hereby granted to: WENDY&ROBERT LAROSE
For property located at: 121 FARR Ln
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: TRA-TOM DEVELOPMENT INC
677 STATE ROUTE 9 Shed/Storage Sheds $3,900.00
Total Value $3,900.00
GANSEVOORT,NY 12831-0000
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2004-854
140 SQ FT STORAGE SHED
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,November 08,2005
(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 Ton Mo a ,November 08,2004
SIGNED BY for the Town of Queensbury.
Director of Building& de E rcement
Queensbury Building & Code Enforcement - Residential Y,,inal Inspection
i
Office No.(518)761-8256 Arrive: Am/ ' Depart: tp/p -`"-
Date Inspection request received: _ Inspector's Initals:; :::
�.-..j,. 1, ` -
NAME: ��`c� `� /PERMIT#: , Q
LOCATION: --rti52 i�-`DATE: -
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Com lete
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 Railin s 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 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 E
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C 10 Temporary/Permanent
L:\PamW\Building&CodesUnspection Forn-ls\Res. Final Insp. form 2.docLast printed 2/12/04
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dal ob'ects su h as houses, wells, trees, fences, ?tc•.
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