2001-472 Icalo
li ;) 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: P20010472 Date Issued: . Monday, July 09, 2001
This is to certify that work requested to be done as shown by Permit Number P20010472
has been completed.
Tax Map Number: 523400-295-011-0001-022-000-0000
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Location: 66 SARA-JEN Dr
Owner: LYNN & PATRICIA DREYFUS
Applicant: LYNN&PATRICIA DREYFUS
This structure may be occupied as a:
By Order of Town Board
Shed/ Storage Sheds • TOWN OF QUEENSBURY
(Daval9/, ,1/
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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: P20010472 Application Number: A20010472
Tax Map No: 523400-295-011-0001-022-000-0000
Permission is hereby granted to: LYNN&PATRICIA DREYFUS
For property located at: 66 SARA-JEN Dr
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: LYNN &PATRICIA DREYFUS Shed/Storage Sheds 1,000.00
66 SARA-JEN Dr Total Value 1,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-472
140 SQ FT SHED AS PER PLOT PLAN SPECIFICATIONS
$20.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,July 05,2002
(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 Tow eens ; Th r.d-_+ ,July 05,2001
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
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A permit must be obtained before beginning construction. Permit File No. '7�
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 By:
application form. -�
Applicant: YG-L(, L� � Owner: ' �./ e(ike, .
Address: (s 9r,r14,e.- --i DP . Address: L,(r, Gj�L/i-4-.w it -V,--
Phone#(579) 7 gf3- ?i 537 Phone# (,y�7 ) 79'8- 3, �7l C E VED
Property Location: Lot Number: 87 / House Number 6.�, / J
640
`�92001
TOW
Subdivision Name: Ct..(Pzrrf) e1C f �r>�Z2 Tax Map Number: QUEEN
BU+��N SBURY
i'7 )-s7 G AND CODE
❑ New Building: residence /commercial Estimated Market Value of Construction: $ t, 000
❑ 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 5¢//L D )
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Check Occupancylnforntation 1' Floor rd Floor Other floor Total
Below sq. ft. sq. ft. sq.ft. Square Feet
❑ Single family dwelling •
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o Two family dwelling
o Townhouse
❑ Multifamily dwelling
#of units
o Office
o Mercantile
o Manufacturing
o 1 car detached garage
o 2 car detached garage
o 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial _
X. Storage building-
residential ! `Tb.
o Other
Will any second-hand or ungraded lumber be used? If so, for what? X/C)
Type of I-Ieating System: electric/ oil •I gas/wood /forced hot air/ baseboard/other: X/o i t
Number of Fireplaces to be installed ,4/ Number of Woodstoves to be installed_VA
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder
Plumber _
Mason
Electrician
Declaration: pleasc'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,arc 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 its Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: -}'/1, A ( ik.l__ . o 'wner's agent,architect,contractor
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: 7 Oi. I
Building&Code Enforcement
Dept.of Community Development Arrive 41-`',M•of Depart 71.11
Town of Queensbury Inspector's . itt.'�
742 Bay Road /
Queensbury,New York'12804
NAME ,D f L`5 PERMIT#
LOCATION (0 ,Jj � UL-� I DATE 7 dea
TYPE OF STRUCTURE
140 s� � ee
C 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,lan.••- 8 in.or more
Interior Handrails stairs both side or .re risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/re! lator I:"above grade
Gas Furnace shut-off within 30 eet or 'thin line of site
Oil Furnace shut-off at entran >to ace area
Furnace/Hot Water Heater op•satin•
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs bo • is es more than 3 risers
Interior privacy/trim/d s/ma•• entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/L.••••g 18 in.or more
Railing across window in stairw•Us
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/a 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)
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