2002-657 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
ERTIFI ATE OF, COMPLIANCE
Permit Number: P20020657 Date Issued: Thursday,January 02;2003
This is to certify that work requested to be done as shown by Permit Number P20020657
has been completed.
Tax Map Number: 523400-290-014-0001.009-000-0000
Location: 2 CLEARVIEW Ln
Owner: WAYNE&SUSAN PELAK
Applicant: WAYNE&SUSAN PELAK
This structure may be occupied as a:
By Order of Town Board
Storage Building TOWN of QUEENSBURY
11 ki
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: P20020657 Application Number: A20020657
Tax Map No: 523400-290-014-0001-009-000-0000
Permission is hereby granted to: WAYNF,& SIJSANPFT,AK
For property located at 2 CLEARVIEW 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. T"e of Construction Value
Owner Address: WAYNE& SUSAN PELAK Storage Building 5,000.00
3678 LAKESHORE Dr PO BOX 33 Total Value 5,000.00
DIAMOND POINT,NY 12824
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-657
480 sq. ft.heated storage building with electricity per plot plan& specifications.NO CARS TO BE
PARKED IN STORAGE BUILDNG.
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 16,2003
(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 Town ueens 9q;-Q b ,August 16,2002
SIGNED BY AA-1) )� for the Town of Queensbury.
fW�0—
Director of Building& ode En orcement
Building Permit Application
Town of Queensbury-Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256 v 17
A permit must be obtained before beginning construction. Permit File No.aaora
/10
No inspection will be made until applicant has received a Fee Paid $ L
valid building permit. All applicants' spaces on this V
P
Rec.Fee Paid $ UG o a
application must be completed and must appear on the Reviewed By: ?082
application form. * (
AAfo
Applicant:Lomtip-)(E VeLQ- Owner: S�Obll
Address: ?a,. Address:
Phone# �- 4-33 U Phone#
Email Address: =,j ov, --f- Email Address:
Property Location: Lot Number: House Number, ;2 / C---'(ec-11 U,�— 4-A--
Subdivision Name: Tax Map Number:
a--New Building: residence commercial Estimated Uarket Value of Construction: $ 15-WO
L3 Addition: qre:�..p1commercial If an Addition,what will use of new addition be?
0 Alteration: residence I commercial
0 No change to exterior size: residence/com'l
C3 Other work(describe
Check OccupancyInformation I"Floor 2° Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. 'Square Feet
0 Single family dwelling
C3 Two family dwelling
U Townhouse
c3 Multifamily dwelling
#of units
0 Office
c3 Mercantile
0 Manufacturing
U 1 car detached garage
U 2 car detached garage
0 3 car detached garage
C3 I car attached garage Yqgxr woe
E3 2 car attached garage Xe4l-
C3 3 car attached garage
C3 Storage building-
commercial
ar- Storage building-
residential -LI-AP 13
Q Other
NVhat is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
oil K`ga ed hot air baseboard
Type of Heating System: electric/ o 9/,..d /forc' d other:
Number of Fireplaces to be installed C) Number of Woodstoves to be installed C)
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder U-) 5 3
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 As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of new cons
Signature: owner,owner's agent,architect,contractor
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received-
Building&Code Enforcement rr
Dept.of Community Development Arrive am/pm Depart r�}
Town of Queensbury inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME R__ PERmrT#
LOCATION C DATE t Z
TYPE OF STRUCTURER -
NIA YES NO CONUVVIEEN"fS
Chimney HeightP 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
OR Furnace shut-off at entrance to fiunace area
FurnaceiHot Water Heater operating
Relief Valve(s)installed
Headroom,6&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 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
Final Electrical
Site PlanNariance 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) r
Of Use
f f.GENERAL INSPECTION MPORT Flnwspeotor: 9- 164P,
Town of Queensbury • Ready,at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road m1p E A 7� Notes-,
Queensburj,, NY 12804 ARRIVE a A a' - A
(518) 761-8256 Inspector's Initi is
NAME: KeJd&K PERMIT A
LOCATION: Z,'O— INSPECT ON(date): ///7;71/0 2 lty
—
S
TYPE OF STRUCTURE:
RECHECK l C
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/Dampproofing_
Bar,kfill Approval
Plumbing Under Slab
Plumbing V&nt/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
0ailing R-
Duct work or piping in
I unheated spaces R-
Proper Vent,Attic Vent
Framing__
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopp,mig C--:*3
L:\SueHemiiigway'Suildiiig.Codes-Inspection.FORMS\GENERAL INSPECTION REPORT.doc
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 ARRIVE- PEP p.amlj T anj��m Notes:
-- -a
(518) 761-8256 Inspector's Initi
NAME: PERMIT#
LOCATION: bo' INSPECT ON(date): M2
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/D amppro ofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing-_
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
Framing
,"mg,----
tudslHeaders
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
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V LEFT ELEVATION RIGHT ELEVATION
CON
- - - QU��NO,-BURY
& DEFT.
Storo e-20'x24'
AJS ENTERPRISES, INC.
SCALE : 3/16*= V—e'
DATE .7/.fo2 s07
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4U�3 0 5URY
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222
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G ROOF M4TERIALS
FG. SHINGLES k 15 LB. FELT
1/2' OSB SHEATHING
AAA ROOF TRUSSES 0 24"O/C
2x6 SUBFASCIA
VENTED SOFFIT
.5` ALUM. FASCIA
DRIP EDGE
EXT. WALL MATERIALS
S
CEV9R, SIDING
7/16' DSB
2xi>STUDS®IV O/C
4` CONCRETE SLAB
,v o-
Storage 20' x 24'
AJS ENTERPRISES, INC.
SCALE : 3/16'= V—0'
DATE a�/uN2