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2002-331 TOWN OF QUEENSBURY 742 Bay Road,Queensbuty,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CERTIFICATE OF COMPLIANCE Permit Number: P20020331 Date Issued: Wednesday,August 21, 2002' This is to certify that work requested to be done as shown by Permit Number P20020331 has been completed. Tax Map Number: 523400-295-006-0001-006-000.0000 Location: 1 OLD WEST MT. Rd Owner: MICHAEL HILL Applicant: MICHAEL HILL This structure may be occupied as a: By Order of Town Board Shed,/Storage Sheds TOWN of QUE,ENSBURY 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: P20020331 Application Ndmber: A20020331 Tax Map No: 523400-295-006-0001-006-000-0000 Permission is hereby granted to: MICHAEL HILL For property located at: 1 OLD WEST MT. 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: MICHAEL HILL Shed/Storage Sheds 800.00 1 OLD WEST MT. Rd Total Value 800.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name Address Electrical Inspection Agency Plans &Specifications 2002-331 168 SQ FT STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS $20.00 iPERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,May 03,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the 0392002 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Address:, ( _-y l Z-' Aaaress: Phone#{ ) Phone#{ ) Property Location: Lot Number: / House Number Subdivision Name: Tax Map Number: ❑ New Building: residence /commercial Estimated Market Value of Construction:$ ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ o change to exterior size: residence/com'l Other work(describe-2a_/ } Check OecupancyInformation 1"Floor 2'd Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ❑ Single family dwelling — `9V ❑ Two family dwelling ❑ Townhouse l ❑ Multifamily dwelling TOW,�j OI=OU ENSBURY #of units RI III ❑ Office u` ❑ Mercantile. ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage ❑ 2 car attached garage ❑ 3 car attached garage ❑ Storage building- mrnercia mme l toragebuilding J residential ❑ Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil / gas/wood /forced hot air] baseboard/other: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number j� Builder t 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 As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new co n �1 Signature: owner,owner's agent,architect,contractor RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: ( Z Building&Code Enforcement Dept.of Community Development Arrive am/pm Depa !/ Town of Queensbury inspector's Initials 742 Bay Road Queensbury,New York f12804 p NAME PERMIT# C 2 3? 1 LOCATION r a. DATE_ C TYPE OF STRUCTURE N/A YES NO CONBMNTS Chimney HeightfS"Vent/Direct Vent Location Fresh Air Intake ~ ? Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. - Handrail exterior stairs both sides more than 3 risers. Interior privacy/trim/doors/main entrance 36" Floor Finish BathroomMitchen watertight Interior Handrails BalconieslLanding 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 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-��. }F.inal Electrical Site Plan/Variance required J� _ Final 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) �o 3 r 3 TOWN I QUA.►.%3�:>URY BQILDING !& E EPA"® REVIEWED 13Y OAT �3 L Tfi��li�1 05 CPU''',ZwUR;'.UILD; G DEPARTMENT Bn,-�ed on our limited examination, compliance with our comments shall not be construed as indicating the plans and specifications are in full compliance mAth the code. 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