2003-925 r
TOWN OF QUEENSBURY
742 Bay Road,Queensbury;NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
CURTIFICATE, OF COMPLIANCE
Permit Number: P20030925 Date Issued: Friday,November'14,2003
This is to certify that work requested to be done as shown by Permit Number P20030925
has been completed.
Talc Map Number: 523400-295-020-0001-030-000-0000
Location: 13 RUSH HOLLOW Ct
Owner: RICHARD&CHERYL WINSLOW
Applicant: RICHARD&CHERYL WINSLOW
This structure may be occupied as a:
By Order of Town Board
Shed I Storage Sheds TOWN OF QUEENSBURY
Director o Co& e ce t
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Developme nt-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030915 Applicatiori Number: A20030925
Tax Map No: 523400-295-020=0001-030-000-0000
Permission is hereby granted to: RTCHARD & CHERYT.WTNSLOW
For property located at: 13 RUSH HOLLOW Ct
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. Tempe of Construction Value
Owner Address: RICHARD& CIHERYL WINSLOW Shed/Storage Sheds $1,000.00
13 RUSH HOLLOW Ct Total Value $1,000.00
QUEENSBURY, NY- 12804-0000
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2003-925
240 SQ FT STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, November 12,2004
(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 To ens of November 12, 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)761-8256
A permit must be obtained before beginning construction. Pcrmit File No.
No inspection will be made until applicant has received a Fee Paid $ .
valid building permit. All applicants, spaces on this Rec.Fee Paid $
application must be completed and must appear on the
Reviewed B ��/ _
application form, S'� ' t;+✓^''"
Applicant-
Owner:
Address: o Ille Address: 13 / _j C
s !� S k 0
Phone#(,jj/�jE)79 g - Phone#(,,,_)
Property Location: Lot Num er._ l House Number /3 f �5 1' dle �4-J
Subdivision Namo:_�2Ci�i Tax Mat Number: a b-!-.3d
U
i1 New Building: residence /commercial 'Estimated Market Value of Construction:$ /'L1d 0,✓
0 Addition: residence/ commercial 0 .Alteration: residence/ commercial If an Addition,what will use of new addition be?
_
0 No change to exterior size. residence/com'1
0 Other work(describe
Check Occupancyinformatlon i Floor 2" Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
o. Sixtsie familydwallin
c Two family dwelling
cl Townhouse
0 Multifamily dwelling AVEG
#of uaits
0 Office
0 Mercantile
O 13'FAOttltin.
0 1 car detached SaM90
0 2 car detached prago
0 3 car detached garage
0 1 car attached garage.
0 2 oar attached garage '
0 3 ear.attached Sarage
0 Storage building-
commercial
Storage building
residerltlai �d �--, jf�j .
0 Other
What is the proposed height of the structure // feet inches .
Will any second-hand or ungraded lutnber"be used? If so,for what?
Types of Heating System: electric/ oil / gas/wood,/forced hot air/ baseboard/tither:
Number of Flrerslaces to be installed Number of Woodstoyes to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
_Builder Name Address Phone Number
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 Uwe 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 pis B tlt Survey by a licensed surveyor,drawn to scale,showing actual
location of all 1" on.
Signature: cf owner,owner's agent,architect;contractor
'D
Residential Final Inspection
Office No. (518)761-8256 Date Inspection requ re eive
Queensbury Building&Code Enforcement Arrive: a p., -a
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
NAME: PER t #:
LOCATION: D 1Z
TYPE OF STRUCTURt--.
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 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 Termination 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
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: / Batter y 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
%hour 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, 1 sq. &-150 sq.ft.vents
Building No./Address visible from road
Final Electrical
Site Plan Wariance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept,Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue TeLngorary C 0(Cert. Of Occiipancy)
Okay to issue Permanent C J 0(Cert. Of Occupancy)
L:\SueHemingway\Building,Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
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RECEIVED
OCT " 'J- 2003
1 TOWN OF QUEENSBURY
*00""j6 E BUILDING AND CODE
NV Eftoiins '4PP4'�x
Aaf18sN33no-qo NmOj
9 sq.ft.
.22 acres
i if Mj'!
74
f!1i;�WNO CLEAR ZONElill!
ERTIFY THAT THIS MAP WAS PREPARED
;if if
CIUAL FIELD SURVEY. W
ICA
-noN SHALL RUN ONLY To THE PERSONS 1:! if i iii; i if if J !::I;
AND ON THEIR
THE SURVEY WAS PREPARED-
THE TITLE COMPANY, GOVERNMENTAL AGENCY
IG INSTITUTION LISTED HEREON-
DNS ARE NOT TRANSFERABLE TO ADDITIONAL
S OR SUBSEQUENT OWNERS.
RICHARD L &CHERYL VANSLOW
BANKNORTH, N.A.,
IT'S SUCCESSORS AND/OR ASSIGNS
CHICAGO TITLE INSURANCE COMPANY
0-2 52"W
By
MAWWW C.�STEVES ILLS NYS 50135,
CToBER 30, 2002 Da
Sc
made for
Map of a Survey m
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