2002-333 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: P20020333 Date Issued: Monday, June 03,2002
This is to certify that work requested to be done as shown by Permit Number P20020333
has been completed.
Tax Map Number: 523400-3.08-012'0002-074-000-0000
Location: 39 STEPHANIE Ln
Owner: PETER&LORRIE ANDERSON
Applicant: WALTERANDERSON
This structure may be occupied as a:
By Ordet of Town Board
Shed I Storage Sheds Towel of QUEENSBURY
Diiector of Building&Code orcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20020333 Application Number: A20020333
Tax Map No: 523400-308-012-0002-074-000-0000
Permission is hereby granted to: WALTER ANDERSON
i
For property:,located at: 39 STEPHANIE 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. Tvue of Construction Value
Owner Address: PETER&LORRIE ANDERSON Shed 1 Storage Sheds 3,000.00
39 STEPHANIE Ln Total Value 3,000.00
QUEENSBURY,NY '12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2002-333 WALTER L ANDERSON
240 SQ FT STORAGE SHED AS PER APPLICATION
$20.00 PERMIT FEE PAID - 'THIS PERMIT EXPIRES: Tuesday,May 13,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of.Queensbury before the expiration date.)
Dated at th Tow f er� ,May 13,2002
BY �
SIGNED for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Tbwn of Qucensbury-Dept of Community Development, 742 Bay Road,Queensbury, NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. 333
No inspection will be trade until applicant has received a Fee Paid
valid building permit. All applicants' spaces on this Rcc. I-ce Paid 3i [�
application m must be completed and must appear on the Reviewed By: C � —'""
application Corm.
Applicant: Lll Y}t-rr--a L. �'rt 6fsG=S�'!^ Ownct:S� 4-Tt-TQ•r f)rld ca.rscr ti
Address: Address: _,2-6c'
Phone#'(_j::(Lff) - 1711 Phone tides -
Property Location: Lot Number: House Number
Subdivision Name: Tax Map Number: ! f
❑ New:Building: residence /commercial Estimated Market Value of C-tmslrttetivfi�*-$ Gc 1
❑ Addition: residcnce/ commercial If an Addition, what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/coni'l
❑ Other work(describe S-.x_ „T
LO0 T'.t-rwa-;k---, Cr�Y-de-� `C-�SSNs.,�t�l.v5 Ge..nou�+IHi �-�Gl/'VL
c11/tl901 n;=OIJEENSBURY
Check Oceupalicylnformation i` 1t� Eoor 2n' Floor Other-IlIv rm n gtgf`VTCRt DE
Ilchnv scj.ft. sq. fl. sq.'I'(, Squ u c t<cet
i
❑ Single family dwelling
❑ Two family dwelling _
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ Office
❑ _Mercantile
❑ Manufacturing
❑ I car cletczched garage
❑ 2 car detached garage
❑ 3 car cletczched garage
❑ 1 car attached garage
❑ 2 car attached garage i
❑ 3 car attached garage
n Storage building- — — -
commercial ---- - ---- --- — ---
X Storage building-
residential t:L Lf6 I - �fvp
❑ Other I I
Will any second-hand or ungraded lumber be used? If so, for what'l /l a
Type of Heating Systcm: electric/ oil / gas/wood /forced hot air/ baseboard/other: Nr n�-
N(miber ofPir•eplaces to be installed '6 Number of 11loorLsloves to be installed a I
List below the person(s)responsible fin•supervision of work as regards to building codes:
Name Address Phone Number
Builder
Plumber
Mason
Electrician
Declaration: please sign below aner you have carcrully rcad the statement:
To the best ofniy knowIcdge 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 clone oti the described premises and that all
provisions of the Building Code, tine Zoning Ordinance and a1I other laws pertaining to the proposed work shall be complied
with, whether specified or noted,aid Thal such Xvork is authorized by the owner. further, it is understood [fiat I/we shall
sttbmil,prior to a Certificate oroccupancy or Certificate ol-C'ompliance being issued,as requested by the Zoning
Administrator or IJirector of 13ttildiug and Codes,an its Birilt Surn,ep by a licensed surveyor;drawn to scale,showing aqua)
location of all new constrocrlyion.
�' L�9lpY9ti
Signature: � -_ — owner, 'ta:��;�;t»rtwae-l+s+•
4
RESIDENTIAL FINAL INSPECTION REPORT )
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart py�► ,�
Town of Queensbury Inspector's]Initials :--'"
742 Bay Road
Queensbury,New York 12804
NAME ` PERMIT _
LOCATION-� DATE ~3- C)�,_
TYPE OF STRUCTURE C
N/A YES NO COMMENTS
Chimney HeightP B"Vent/Direct Vent Location
Fresh Air Intake1 <
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"totgl8finAormore
Exterior Handrails,balconies,l
Interior Handrails stairs both side 'sers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulat 18"a ove grade
Gas Furnace shut-off within 30 feet o with line of site
Oil Furnace shut-off at entrance to acarea
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on sta'
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more th 3 risers
Interior privacy/trim/doors/main entrance 3
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or ore
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
s/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Filial Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
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