2002-310 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P2.0020310 Application Number: A20020310
Tax Map No: 523400-315-006-0001-030-000-0000
Permission is hereby granted to: DAVID &KELLY ANDERSON
For property located at: 12 FOUNDERS Way
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: DAVID &KELLY ANDERSON Shed/Storage Sheds l,OgOAq
12 FOUNDERS Way Total Value 1,000.00
QUEENSBURY,NY 12804
Contractor or-Builder's Name Address Electrical Inspection Agency
Plans &Specifications
2002-310
240 SQ FT STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
Bedford Close Subdivision
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,May 03,2003
(Ifa 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 Town of Queensbury; Friday,May 03,2002
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. Permit File No.
No inspection will be made until applicant has received a Fee Paid $ 6
valid building permit. All applicants' spaces on this Rec. Fee Patd $
application must be completed-and must appear on the Reviewed B
application form.
Applicant: r-50v,-1 41�-
Address: rA Address: 3•
U Q.
Phone# Phone
Property Location: Lot Number: House Number t I
Subdivision.Name: Tax Map Number:.
❑ New Building: residence /commercial Estimated Market Value of.Construction:$ 1,o oa.
❑ Addition: residence/ commercial If an Addition,what will use"of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l❑ Other work(describe ) RECEIVED ,
Check Occupaneylnformation I"Floor 2" Floor A"e"0120111,7 -Total
Below sq.ft. sq.ft. sq.ft. SquarelFeet
TOIU IN OF QUEENSE U
❑ Single family dwelling CODE
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
Cl Office
❑ Mercantile �
❑ Manufacturing
❑ 1 car.detached garage f
y Cl 2 car detached garage (.
❑ 3 car detached garage
❑ 1 car attached garage i
❑ 2 car attached garage
❑ 3 car attached garage.
❑ Storage building-
commercial
R Storage building- �l� ��/O
residential GA 7v S
Ct Other
What is the proposed height of the structure _feet inches
-Will any second-hand or ungraded lumber be used? If so,for what? AID
Type of Heating System: electric/ oil 1 gas/wood /forced hot air/ baseboard/other: Al Jul
Number of Fireplaces to be installed c� Number of Woodstoves to be installed I
List below the persons)responsible for supervision of work as regards to building codes:
Name Address Phone Number
p
er
ber
n
rician
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 I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Dire of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all n w co coon.
S' nature owner,owner's agent,architect,contractor
ueensbu Building & Code Enforcement - Residential Final Inspection
Q ry g +i
Office No.(518)761-8256 Arrive: am/ rn epart: _ `1 am/{P
Date Inspection request rW eived: _ r Inspector's Initials:
Y�v a Jtl --J � �E�•C3I�..S�1lL
NAME: arm�_.5 _ PERMIT#: � D
LOCATION: DATE:
TYPE OF STRUCTURE:
_ Comments
Y N N/A �
Chimney Ht./"B"Vent/Direct Vent Location AMA I
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Co m fete Cf kz
Guard 30 in.or more cry,stairs,decks patios t
Guard at stairwell at 34 in.,or more
" Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railin s 34 in.to 38 in.Platformm at all exterior doors
'��� `
Interior'Handratls stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/x" \�� ' j
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
Furnace/Hat Water Heater operating
Low water shut-off Boiler
Relief Valves installed/Heat Trap/Water Temp 110 l
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safe lazin /Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: _ / 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 Emelgency egress.below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/<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, 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 System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/Q Temporary/Permanent]
L:\PamW\Building&CodesUnspection Forms\Res. Final Inst).form 2.docLast printed 2/12/04
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