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2003-774 TOWN 011F QUEENSBURY 742 BayRoad,Queensbury,NY 1280002 (518)761-8201 Community Development-Building&Codes (518) 761.8256 U.L%..L IFICATE (C'OMPLIANCE Penilit Number': P2QQ3Q774 Date issued; Friday, October 01,2004 This is to certify that work requested to be done as shown by Permit Number P20030774 has been completed, Tax Map Number, 523400-308-018-0001-080-000-0000 Location; 5 SURCINGLE Rd Owner. ANN TRUST BARODY Applicant; MICHAEL&ANN BARODY This structure maybe occupied as a; By Order of Town Board Shed I Storage Sheds TOWN OF QUEENSBURY Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20030774 Applicdtion Number: A20030774 Tax Map No: 523400-308-018-0001-080-000-0000 Permission is hereby granted to: WCHAET.& ANNBARODY For property located at: 5 SURCINGLE 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: ANN TRUST BARODY Shed/Storage Sheds 27 FITZGERALD Rd Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name Address Electrical Inspection Agency Plans&Specifications 2003-774 , 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 thelevmof b day, September 24, 2003 SIGNED Y Oz- s3y A!7 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)761-8256 A permit must be obtained before beginning construction. Permit File No. 3 7-7 4/ No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Roc.Fee Paid $ application must be completed and must appear on the Reviewed B application form. ff � r nn y _yr1�C: � trvot {{ Applicant: Owner: n CTt Address: zu t^e. C� - Address: 5- cxrG i CGS �� .a-� . 2 J-BU�f , Phone# � ' �l - ixe�ns �.-4 . Nh-,�( } ' - t S Phone##( Lff �Z Nam', ate %&ZIP Properly Location Lot Number: / House Number -: :/ - Zc t`Gi.,a,�� pez_ ' 2.,,�0 � Subdivision Name: =_� ��c� � � Tax Map Number: 1-90 ®= o New Building: residence /commercial - 'Estimated Market Value of Construction: $--?! _ - ci Addition: residence/ commercial If an Addition,wh t will use of new addition be? fl. Alteration: residence/ commercial _ Q No change to exterior size: r�as'det}oa/com'l Other work(describe,'5 F 1 d+ no q Check occupan ,r1nformation 1' Floor 2a Floor oth floor Total Below other floor ft. sq.fit. sq.ft. Square Feet Q single dwelling o- Two fatnil dwellin Q Townhouse o Mnitifarnily dwelling #ofunits o Office _ o Mercantile a Manufhcturin ---• - -c-: =,-oar=dat�clred�_ ' 0 2 car detached garage a 3 car detached garage a 1 car attached gamge 2 car Attached garage. a 3 car attached garage a�Mh Storage building- commercial T Storage building o er What is the proposed height of the structure_feet inches Will any second-hared or ungraded lumber be used? If so,for what? A.)0 Type of Heating System electric/ oil ! gas/wood /forced hot air I baseboard/other: N_ C3/F1 L Number of FXMjgees to be installed, Number of Woodstoves to be installed_ List below the persons)responsible for supervision of work as rc Name Address Builder Phone Number Plumber - Masoa Electrician 12e21=1;; please sign below after you have carefully read the statement: V To the best of my knowledge the statements contained in this application,together with the plans and spocifxca#ions 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 Corapliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an 4 c AU It�s sn,e., location of all newcc ruction by a licensed surveyor;drawn to scale,showing actual Signature:.. �`-tw�eu �'IVLd% > owner,4llaer's a chitect,contractor Queensbury Building & Code Enforcement - Residential Final Inspection (R) I Office No.(518)761-8256 Arrive: a art: qt-)aepm ? Date Inspection request received: Inspector's Ini als- NAME: RMIT M 3-7 LOCATION: 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 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 Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum 1/2" 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 Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Interior pnLyacy I trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: I 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, 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 Okay to issue C/C or C/0 [Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res. 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F.• "4�'� ���t :<:" x,4 ,{ `d>d*,� 4 0. �,.� t 4' C n u' �t �$uys i sp a,r 1 +a�7ry r� ff cY Architectural Shingles ..Y� v E a �*'ty, �'t `` -yi I 1 Y�ts�t,£rtt�+• f�?'a.{Y k'�' 4,st�4 w :. �, ., t rp , i J,ct-E t! & „�i Y i x h 1r S• c-,<r•tt�„ k * �� •�� -X .i '�� y� r'k,i' a s r�, a. .�U•,f,' a i •y-. - , �,�t��"✓, �\\ try k �3.-a � si xt'�*..", r > t�"„5 £ � i.a, t ,.t��z . •e^�..;>.r a r,. x' +fir ara,,:, .t r i'f x yrkhOr4 '• - {'� .tom • x A Based on 60 . i compliance w th' is sha11 Opt) - Mt be constG ep iT T-Ving the cor I of New York State. 7776!'7 QUEE DATE a W ' e Siding Black Trim Black Shingles ,. -....� . ._.. ' ', �7 fil r :0 T-TTI ad N41'36'10°t 405,00' TeLbox STREET BOUNDARY TV box 1/2 IR R. Tronsformer 270.00' R. � � 135.00; � bec.box (flush) 00 asphalt drive stone patio Ann M. Barody, s Trustee of l evocable Trust Agreemen 0 l.1 Q83 P 6 1 .240 aCo c @ � 0 W 2 STY, WOOD FRAME OUSE 109,8' c 0 0) � �� p asp - r s (0 of?� o h 70 a 0 p 39.7° 4` POOL AND PATIO AREA r 270,00' 1 1 J5.00' ` 10V 405.,00' _edge of lawn r, S41"36 �;� Co Oo Cod00 4Q (99. ) v Q t4 8 V 97 -9 0 z 5_� 25, L Cs,S' ti R�, VO vi ri fflAPKV— .79 a 9 Qr 0 ie?s d'- rt, 1. sue' � 'rJx (Ad • 00 ev ,err A) P-LiP ot,154- ;> 75 A- E5 1k AV fr.- C, -A ........... _'fA .0I, ck 0 u k", qo* 97 3 4 L.78,54 k, 39,♦�C3. g sr.) r27 27-,C3q. s.r.) Wu Prz C. or -c-v Vi I — n 9/_ 5JAI; q10 .0 379.71 sQ.Ig. 4 04.39 I All 6" , v, a F21 ` ' �/40,298- 201.AI (2 4rc,4 s 84 030 o + z Aa 0/ v`\R1\V a:,9.��_ f,`S� f \ --�`I (� I „W�����cb��_ q �� �0 P.� h 90 oo s_-) �`Cp 7p 7A1 Q Gel-31 0• & (89) 0 kD , 4O •B(•./T' 40-ti 19 x 4z s. 0,v