2003-686 TOWN OF QUEENSBURY
742 Bap Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
: ATEu F .COMPLIANCE
Permit-Number , P2�003O686 5 : _ T -. -Date. t.f a Monday,�ctaber 24,2005
�. ' `This-isit' certify.thatvork requested-.to.be=done as;shown by P�rinit:Number ' P20030686"
has been completed.
Tay Map Number: : 5234.00-295-020-0001-007-004-0000
Location: 35 FOX FARM Rd
Owner: .: PATRICK MACEY
_.Applicant: .- PATRICK MACEY
This structure may be occupied as a:
Shed I Storage Sheds
By Order of Town Board
- Y TOWN OF QUEENSBURY
t Compliance DOES NOT relieve the
Issuance of this Certificate f C o p
property-owner of the-responsibility for compliance with Site Plan,
Variance;or.other.issues-and-conditions as a:result,of papprovals�by the-w.. ._ p;�eor of hooding$�code Enforcement
Planning Board or Zoning Board of Appeals.
s -
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030686 Application Numbet: A20030686
Tax Map No: 523400-295=020-0001-007-004-0000
Permission is hereby granted to: PATRTC;K MAC RY
For property located at: 35 FOX FARM 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: PATRICK MACEY `
KIRISTY VAN��tA1�lKEN Shed 1 Storage Sheds $1,500.00
Total Value $1,500.00
3 5 FOX FARM Rd
QUEENSBUR.Y,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-686
160 SQ FT STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 25,2004
(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 a To of Q n ury onday,August 25,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Buil.diing 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 No inspection will be made until applicant has received a Fee Paid a
valid building permit. All applicants' spaces on this Rec.Fee Paid
application must be completed and must appear on the
application form. Reviewed By:
Applicant' lsk�— 1 �` Own
_ �Y►C1�. 1( Y1�,
Address:
(ill t(?P Yl 1 f2 .i i Address:3 �ti r rv, n
Phone#C -La 3 - 4 r9 of
Phone.#��,6 (] �l
Property Location: Lot'Number: % House Number Z;�)Subdivision Name: ind tCty, d Tax Map Number:
0 New Building: residence /commercial 'Estimated Market Value of Construction: $ 1 �(30 0 Addition: residence/ commercial
o Alteration: residence/ commercial If an Addition,what will use of new addition be?
G No change to exterior s e: resislence!com'l '
"q Other work(describe _
Check OccupancyInformation V Floor 2 Moor other poor
Below sq.ft. sq,ft. Total
r sq.,ft. I Square Feet
o Single family dwellin
a Two famil dwellin
a Townhouse
o Multifam* dwelling
#of units
o Office
o Mercantile
o Manufacturin .
0 1 car detached garage
2 car detached garage
0 3 car detached garage
0 1 car attached garage
Q 2 car attached garage
O 3 car attached garage
`0. Storage building-
commercial 11po I[oU
v storage building-
residential
a Other
What is the proposed height of the structure^( x ca re
et 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 F'trentaaes to be installed Number.of Woodstoves to be in
stalled
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address
Builder - _ Phone Number
Plumber
Mason
Electrician
pecl�tien, please sign below after you have carefully read the statement: `
To the best ofmy 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 Co zoning
Administrator or Director of Building and Codes,an As. u rK ar by a licensed issued,
drawnn o sca e,showing actual
location of all upw construction.
Signature:
-- _ owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/p ep am/pm
Date Inspection requgereceived: Inspector's Initials��pe p
NAME: I-C. tG
PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimng Height/"B"Vent/Direct Vent Location C) Gy�.
Fresh Air Intake e,
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more thaw 30 inches above ade
Guard at stairwell at 34 inches or more
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 waterti ht
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: — Battely backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)inaccessible area
Crawl Spaces 18 inch x 24 inch access, I sq. ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.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 Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum Y2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/Y4hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C/0 [Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Re.sidential Final Inspection Form revisedI 00405.doc
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INDIAN RIDGE PUD
PHASE ONE
DATED JANUARY 26, 2000
REVISED APRIL 3, 2000
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
.4
STATE OF NEW YORK
u S e-n
Steves
Land Surveyors, LLC
169 Haviland Road Queensbury, New York 1281
[518) 792-8474 New York 14c. No. _ 50135
43
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NEW VORLL RATE 9DUCAIM &W
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'OLItIR1CA710M #=A= 1INION SNIFY WAY
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LAPS SIRVE"M MS CE WCAIM AN" ON ONLY
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ON IS EUNLr TC IE NIL COlAM, LIDAW ENTAL
ALENCY AM WEW POWRWMN UNU MERM AND
TO WE ASSOEES Or IE IAI M INSM ION.'
Map of a Survey made for
Patrick M. Macey
Kristy L. VanVranken
Town of Queenebury, Warren County, New York
1
91�1
JUL p 8 2003
TOWN OF QUEENSBURY
BUf 2D qNp CODE
i HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO. Patrick M. Macey
Krlsty L VaoWa►ken
TRUST ` National Association, its
sy, _ ���, alsslyns
,\Company
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i
CERTIFIED 8 w mzm �:
�ZTHEMf O;.T ICES NYS 50135
DATED: March
NO. I DATE
DESCRIPTION
S-1
FARONE
DWG. NO. IR-44