2002-455 ' TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5502 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE ,
Permit Nuinben, P20020455 Date Issued: Wednesday,July,10,2002
This is to certify that work requested to be done as shown by Permit Number P20020455
has been completed,
Tax Map Number: 523400-308-005-0001-058-000.0000
Location: 84 LAUREL Ln
Owner: PAUL SOKOL
Applicant: PAUL SOKOL
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
Nector of B ' g&Code Enfor nt
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020455 Application Number: A20020455
Tax Map No: 523400-308-005-0001-058-000-0000
Permission is hereby granted to: PAUT, SOKOL
For property located at: 84 LAUREL 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. Type of Construction Value
Owner Address: PAULSOKOL Residential Alteration 1,000.00
84 LAUREL Ln Total Value 1,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2002-455
135 SQ FT RESIDENTIAL ALTERATION.(ROOF OVER DECK)AS PER APPLICATION
.$40.0.6 Pi6IT FEE PAID-THIS PERMIT
ERMIT EXPIRES: Thursday,June 12,2003
(If a longer period is required,an application for an extension must be mad&:to-die code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the-'16 ,of uee ty esday,j..unp 12,2002
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. npgnaD —_Z4 tk-�)
No inspection will be made until applicant has received a Fee Paid $ ('y,`50
valid building permit. All applicants' spaces on this Rec.-Fee Paid $
application must be completed and must appear on the Reviewed By:
application form. i )'
Applicant: `f AD k)CS. - 1 Owner: G�C�C. ( coo L'i
Address: CL LA_v -'I Address:
Phone# (_)� �i - Phone
Email Address: Email Address:
Property Location: Lot Number: / House Number�� � /
Subdivision Name:(�� '[/i A�(�1St Tax ap Number: z S�Oc� O /�S T
U� }}
❑ New Building: - residence /commercial Estimated Market Value of Construction: $ t Q do
❑ Addition: residence/ commercial if an Addition,what will use of new addition be?
OAlteration: residence commercial
No change to exterior size: residence/com'1 t �—
tl
❑ Other work(describe }
Check OccupancyInformation 1"Floor 2 na Floor -WhL&jRoW4J0Z Total
Below sq.ft. sq.ft. TO N OF MC_-'EnfSB YSquare Feet
S ILDIM-,Akin r,
❑ Single family-dwelling
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
a 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential _
OtherA
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 t gas/wood /forced hot air f -baseboard/othet:
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
Builder
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 I/we 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 Rs Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all w construction.
Signature: to � ) 1"- i larowner's agent,architect,contractor
I
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart am/pm
Town of Queensbury Inspector's Initial7UW-
742 Bay Road
Queensbury,New York 12804`
NAME
GLv PERM T#
LOCATION GtYx r- DATE ® '--
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/'B"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
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 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
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
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)
D4�
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
.Dept. of Community.Development Request received:. Meet:
Building&Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 .ARRIVE1,11U am/pm: DEPART amtpm Notes:
(518) 761-8256 Inspector's Initials
NAME: }(���fj, So PERMIT# 2 O A
LOCATION: g� PG INSPECT ON(date): s ves
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Darripproofmg
Backfill Approval
Plumbing Under Slab
Plumbing VentlVents in Place
Rough Plumbing _ l
Heating Rough-In .
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
gaming
Jack Studs/Headers
BracingBridging
Joist Hangers ,
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
1 '
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