2003-894 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: P20030894 Date,sued: Monday,November 10,2003
This is to certify that work requested to be done as shown by Permit Number P20030894
has been completed.
Tax Map Number: 523400-3017014-0002-021-000-0000
Location: 71 MC KAM Ln
Owner: GREGORY&CHRISTINE BALL
Applicant: GREGORY&CH USTINE BALL
This structure may be 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; P20030894 Application Number: A20030894
Tax Map No: 523400-301-014-0002-021-000-0000
Permission is hereby granted to: GRF.G0RY& C;_RRTSTTNF'BAT,T.
For property located at: 7.1 MC ECHRON Ln
in the Town of Quednsbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and mi compliance.with the NYS Uniform Building Codes and the Queensbury Zoning _
Ordinance.. Type of Construction Value
Owner Address: GREGORY& CHRISTINE BALL
71 MC ECHRON Ln Shed/Storage Sheds $1,000.00
Total Value $1,000.00
QUEENSB.URY,NY- 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2003-894
1,92 SQ FT STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
$20.04 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, November 03,2004.
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at e To_ ),of Q e ris ay,November 03, 2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
I
.Building'Permit Applicat on
Town of Queensbury-Dept of Community`Devalopment,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must bek obtained before beginning construction. Permit File No.
No inspection will be made until applicant has received a Fee paid
valid building permit. An applicants, spaces on this Rec.Fee Paid
application must be completed and must-appear on-the
application form. Reviewed By:
Applicant: -=---= — Owner:
Address; Address: .' l tu, 4-4A34C
(Maers^.)�
Phone#( ) - Phone#(vea }9'92 - 3 O
Proper[y Location: Lot Number: -;I/ J House Number / '71 A ji_-(%G�ivu�L v
Subdivision Name: t✓ Ob eava' Tax Map Number:
New Building: 0sidenc commercial 'Estimated Market Value of Construction:"$.
❑ Addition: residence/ commercial❑ Alteration: residence/ commercial If an Addition;what will use of new addxt o be?
❑ No change to:exterior size: residence/com ,
❑ Other work(describe )
Check Occupaneylnformation V Floor. 2" Floor Other floor Total "
Below sq.ft. = sq.ft. sq.ft, Square Feet
❑ 'Shagle family dwellin
❑ Two family dwelling
a Townhouse
o Multifamily dwelling
#of units
o office
o Mercantile
o - Manufacturin v
G I car detachedgarage
o . 2 car detached garage
❑ . 3•car detached garage r(JYWV OF D =a�oon..�..
❑ 1 car attached garage
0 2 car attached 9=90
p 3 car attached garage
Q Storage building-
commercial
W Storage building- p
residential
❑ . Other
What is the proposed height of the structure. tQ_ feet• inches
Will any second-hand or ungraded lumber be used? If so,for what?__NT
Tpe of Heating System: electric/ oil / gas t wood /forced hot air! baseboard/,other: IJ o k3S
Number of Fdrenlaces to be installed �D. Number of Woodst ves to be installed N
List below the person(s).responsible for supervision of work as regards to building codes:
Name Address Phone Number "
Builder
Plumber AJA
Mason N
Electrician N'
Dec, lotion:'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
Adzainistmtor or Director of Building and Codes,anAs 73utit Survey by,a licensed surveyor,drawn to scale,showing actual
location of all new construction.
Signature: owner,owner's agent,architect,contractor
Residential Final Inspection
Office No. (518)761-8256 gate Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ /�,epartt am/pmr
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: _ .
NAME: PERMIT#:
LOCATION• — DATE:
TYPE OF S FURO.
Comments
Y N N/A
Chimne Ht./"B"Vent/Direct Vent Location f /
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 Railings 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 Temsination at Newell Post or Wall
8 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
Interior privac /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:
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
a/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 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
As Built Septic Sy
stem/Sewer Dept.Inspection Sticker
Flood Plain Certification, if re uired
Okay to issue C/C(CeM Of Com liance)
Okay to issue Temporary C t O(Cert. Of Occiz anc
Okay to issue Permanent C/O(Cert. Of Occu anc
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003
TOWN OF QUEENIuDURY'7tlILDING DEPARTMENT
Based Ov odr lialfted examination, r C y
comppliance with our comments shall
0
not be construed as indicating the FIL
plans and specifications are in full _.
compliance with the Building Codes
of New York state.
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