2003-782 TOWN OF ,QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
C ERTI F I CATE OF COMPLIANCE
Permit Number: P20030782 Date Issued: Thursday, October 09,2003
- This is to.certif that work requested-to be-done as shown by Pernlit Number ` P20030782
has,been completed,
Tax Map Number: .523400-295-020-0001-004.012-0000
Location: 211 FARR Ln
Owner: IRA-TOM DEVELOPMENT,INC.
Applicant: ROBIN&BARBARA SHIRLEY
This structure may be occupied as a:
By Order of Town Boatd
Shed I Storage Sheds TOWN OF QUEENSBURY
Dhectot of Building&Code En£6rc went
T TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20030782 Application Number: A20030782
Tax Map No: 523400-295-020-0001-004-012-0000
Permission is hereby granted to: ROBTN&BARBARA SUMT,F,Y
For property located at: 211 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. Tyne of Construction Value
Owner Address: TRA-TOM DEVELOPMENT, INC.
677 STATE ROUTE 9 Shed/Storage Sheds $4,000.00
Total Value $4,000.00
GENSEVOORT,NY 12831-0000.
Contractor or Builder's Name J Address Electrical Inspection Agency
Plans&Specifications
2003-782
192 SQ FT STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 24, 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 the Tov,of Q ns §t"*5
September 24,2003 _
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,.Queensbury,NY
(518)7614256
A permit must be obtained before beginning construction. Pexmit File No.- a
No inspection will be made until applicant has received a Fee Paid
valid building permit. All applicants' spaces on this Rec.Fee Pai $
application must be completed and must appear on the Reviewed
application form. . ,
Applicant: a ///W Owner:
Address: E Address- rr
�....e �.
Phone#-( ) Phone#{ 1 ). - :27
Property Location: Lot Number: / House Number.fir/
Subdivision Name: _ .�r��.g.t ram E Tax Map Number: ' �
-0 New Building: residence /commercial 'Estimated Market Value of Construction: $
a Addition: residence/.commercial a Alteration: resid If an Addition,what will use of new addition be?
ence/ commercial
0 No change to exterior size: residence/com'1
a Other work(describe
Check Occupancylnformation 1 'Floor 2.4Floor Other floor Total
Below
sq•ft• sq.ft• aq.ft. Square Feet
a Sin a farrmy dwelling
a Two family dwelling
a Townhouse
a Multifamily dwelling
#of units
0 Office
a Mercantile
0 Manufactutisl
0 1 oar detached garage
0 2 car detached garage
0 3 car detached 9=90
a 1 oar attached garage
a 2 car attached garage-
a 3 car attached garage
0 Storage building-
commercial
Storage 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 hat air! baseboard/other:
_..
Number of F-Imulaces to be installed. Number of Woodsteves to be install_ ed
List below the persons)responsible for supervision of work as regards to building codes: '
Name Address Phone Number
Builder
Plumber ------
Mason
Electricisa
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 pleas 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 Certifcat-e of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an ris Built Survey by a licensed surveyor,drawn to scale,showing actual
location
• n
Signature
' cers agent,architect,
C
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection t reqU ec " d:
Queensbury Building&Code,Enforcement Arrive. �D'.DD p e a � V pari-:M�
A ay/p�
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials- ':gr
JeQ
NAME: PE IT#:
LOCATION: D
TYPE OF STRU
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
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 Railirigs 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above g_rade
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 Valve(s)installed
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: / Batterybackup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4hour fire door/door closer
Garage fireproofing
Duct work Scaled properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I sq,ft,-150 sq. 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 A
Okay to issue C/C(Cert.Of Compliance)
Okay to issue Temporary C I 0(Cert.Of Occupancy)
Okay to issue Permanent C 0(Cert.Of Occupancy)
L:\SueHen-dngway\BLiilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
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TOWNSLIM 1ING` QUcEiV^ ..
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30 ft WOE \ 25,274 Sq..ft.
NO CLEAR ZONE \\ 0.5S -acres
ALONG REAR LOT LINES \\
sus
3 1 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 AG£NC1
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
C£RTMD TO, ROBIN J.+ BAR15ARA A. SHIRLEY
CHARTER ONE BANG.N.A..
IT'S SUCCESSOR$AND/OR ASSIGNS
CtIIGAG0411m�fi!&GE COMPANY