2003-336 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
E
utRTIFIC.,AT AVFr COM
PLIANu
Permit Number, P20030336. Date Issued' Tuesday,November 06,2007
This is to certify that woik requested to be done as shown by Permit Number P20030336
has been completed. _
Tax Map Number, 523400-309-015-0001.020.000-0000
Location; 227 FIFTH St EXT
,Owner, WARREN&MARS'GOODMAN SR
Applicant; WARREN&MARY GOODMAN SR
This structure may be occupied as a;
Carport
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&Cade 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: P20030336 Application Number: A20030336
Tax Map No: 523400-309=015-0001-020-000-0000
Permission is hereby granted to: WARREN&MARY GOODMAN SR
For property located at: 227 FIFTH ST. EXT
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: WARREN&MARY GOODMAN S Carport $500.00
227 FIFTH ST. Ext • Total Value
QUEENSBURY,NY 12804 �Soo.00
Contractor or Builder's Name/Address 'Electrical Inspection Agency
Plans&Specifications
2003-336
336.SQ FT CARPORT AS PER PLOT PLAN SPECIFICATIONS
$25.00 PERMIT FEE PAID-THIS PERMIT,EXPIRES: Thursday,June 17,2004
(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 th o f Que bury; Tuesday,June 17,2003
SIGNED BY for the Town of Queensbury.
Director of Buil ' g& e Enforcement
Building Permit Application
Town of Queensbury Department of Community Development,742 Bay Rd.,Queensbury,NY 12804
(518)761-8256
A permit must be obtained before beginning construction. Permit No.: _-)_0)p3- :�'j(':.
No inspection will be made until applicant has received a Fee Paid: v
valid building permit. Form must be completed. Rec.Fee Paid:
Reviewed By:
Applicant: dQ✓tno0,0 11 Al Owner: j„li��i fZr��/ �/v//�df' [r�ti J /+I
Address: Address: ff
Phone#: Phone#:
Tax Map Number:
Subdivision Name:
(if applicable) i/�5 PECEIVED'
Lot Number: I House Number::3 a�/Street Name
OR. MAY 2 S 2003
Property Location: TOWN OF QUEENSBURY
BUILDING AND CODE
❑. New Building: Residential/Commercial Estimated Market Value of Construction: QC� .
❑ Addition: Residential/Commercial If an Addition,what will use of addition be?
❑ Alteration: Residential/Commercial
❑ No change to
Exterior size: Residential/Commercial
❑ Other work: (describe: )
Check Below Occupancy Info I't floor sq.ft. 2d floor sq.ft. Other floor sq.ft. Total Sq.Ft.
Single Family Dwelling
Two Family Dwelling
Townhouse
Multifamily Dwelling
#of units
Office
Mercantile
Manufacturing
1 car detached garage
2 car detached garage
3 car detached garage
1 car attached garage
2 car attached garage
3 car attached garage
Storage Bldg.,Comm.
Storage Bldg.,Res.
Other P0 ( :3 i Y
What is the proposed height of the structure: /-2-- feet inches (t
Will any second-hand or ungraded lumber be used? If so,for what?
No.of Fireplaces to be installed:
No.of Woodstoves to be installed:
List below the person(s)responsible for supervision of work in regards to Building Codes:
Name A Address Phone No.
Builder 6 rr . — �l3- •U� ��
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 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 ar�l�icen�ssed surveyor;drawn to scale,showing actual location of all new construction.
Signaturle�la_z'1-2_�t/ circle one,/owner owner's agent,architect,contractor)
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: A 16f'a �rt: am/pm
is Date Inspection request received: Inspect Initials:
NAME: PERMIT
LOCATION: DATE: ,/E-2—
TYPE OF STRUCTURE:
Yes
Comments 1 I,
No N/A
Building Number/Addrewvisible from road
Chimney Height/'B"Vent/Direct Vent Location
Fresh Air Intake J �l
3 inch Plumbing Vent throe h 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 morej`'�,
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: Batter backu :
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 Valves installed/Heat'Tra /Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'Is"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built S stern/Sewer Dept.Inspection Sticker
Site Plan /Var`ane required `
Flood Plain ert a tion,if required
Okay to iss C/C or C/O [Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection FormslResidential Final Inspection Form revised 100405.doc
41"11
FOundation Inspection Report
Office No, (5 18)761-825 6 Date Inspection request received-;
r -I
'Queensbury Building&Code Enforcement Arrive: am/p r, Depart: rn/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
hl
NAME: PERMIT#: -33
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: (:::7e
\k
Comments
Y N N/A
4'W\tings
Pier)
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 Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:12 inch width
6 inches above footing
6 mil of for wet areas and slab
Backfill Approval V
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes,Inspection.FORMS\Foundation Inspection Report.doc January 28,2003