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2002-674 i TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 E CERTIFIr ATE OF COMPLIANCE Permit Number: P20020674 Date Issued: Monday, February 09,2004 This is to certify that work requested to be done as shown by Permit Number P20020674 has been completed, Tax Map Number: 523400-301-013-0002-035-000-0000 Location: 15 PEGGY ANN Rd Owner: CARROLL LA PANN Applicant: CARROLL LA PANN This structure may be occupied as a: By Order of Town Board Residential Alteration . TOWN OF QUEENSBURY Director o Building&Code once t TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020674 Application Number: A20020674 Tax Map No: 523400-301-013-0002-035-000-0000 Permission is hereby granted to: CARROLL LA PANN For property located at: 15 PEGGY ANN 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: CARROLL LA PANN Residential Alteration 10,000.00 15 PEGGY ANN Rd Total Value 10,000.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency JEFF M LITTLE 92 BULLROCK Rd TICONDEROGA.NY 12983-0000 Plans&Specifications 2002-674 Roof alteration, 256 sq ft $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 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 the Tow ust 13.2002 SIGNED BY u Ju 4 r 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. Z'60Z---b7q No inspection will be made until applicant has received a Fee Paid $ valid building permit. All applicants' spaces on this Rec.Fee Paid $1 application must be completed and must appear on the Reviewed By: application form. Applicant: Owner: U L-0,A7&L,1dAJ Address: K-0 Address: 'A, d - 0,-.,, /J-V- /,2pov Phone# Phone# Email Address: Email Address: Property Location: Lot Number: / House Number Subdivision Name: Tax Map Numb U`0` Q �-�25 0 New Building. residence /commercial Estimated Market Value of Construction: $ 60 C2 C3 Addition: residence/ commercial Alteration: 6��c"commercial If an Addition,what will use of new addition be? U No change to exterior size: residence com'l 0 Other work(describe Check Occupancylnformation 1"Floor 2 Ud Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet JK Single family dwelling c Two family dwelling 0 Townhouse U Multifamily dwelling #of units C2 Office 0 Mercantile 0 Manufacturing C3 1 car detached garage U 2 car detached garage 0 3 car detached garage U 1 car attached garage 0 2 car attached garage 0 3 car attached garage 0 Storage building- commercial d Storage building- residential 12r Other What is the proposed heigl�t 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 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 7— Phone Number Builder t3fl, 9661- &AV,,,s 9--_ 13,,.LeW-tPd 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 1/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 all ricVconstruction. Signature: owner,owner's agent,architect,contractor L Residential Final Inspection �p Office No. (518)16 1=8256 Date Inspection request received: r Queensbury Building.&Code Enforcement Arrive: am/p e am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: �'�, PERMIT#: � Y LOCATION: DATE: i TYPE OF STRUCTURE: Comments Y N" N/A ' Chimney Ht./"B"Vent/Direct Vent Location 1 1� Fresh Air Intake 3 inch Plumb-Vent through roof Roof Co _Complete WU _ Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more (:9-0 Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors^' Interior Handrails stairs 2 or more'risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall `' 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut'-off boiler Relief Valves installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: i Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000-sf Emergency egress below grade Basement stairs closed rise>4 inches '/a hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in,x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s .ft,-150 s . ft.vents Building No./Address visible from road Final Electrical . Site Plan /Variance required Final Survey Plot Plan As Built Septic S stem/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert.Of Co liance) Okay to-issue TLm2orary C 1 O(Cert.Of Occupancy) Okay to issue Permanent C J O(Cert. Of Occupancy) L:1SueHemingway\Bnilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 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 Notes: Queensburj; AT 12804 ARRIVE am/pm: DEPART - m1pm (518) 761-8256 Inspector's Initials NAME. PERMIT# LOCATION: INSPECT ON(date): X0 ahlnl- 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/Dampproofmg__ 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 Jack Studs/Headers Bracing/Bridgmig- 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*.\SueHemingwzy\Bxvilding.%'.Odes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc L 40o1&' rNry F- ,A RECEIVED AUG o 8 2002 x TOWN OF QUr--r--NSBURY TOWN OF QUrENS8URY BUILDING DEPARTMENT. TOWN Op- t— �, fsasEd on our limited examination, QUE�NJ -RY ✓ compliancewith our comments shall B,u�(..��NG not he construed as indicating the DE plans and specifications are in full compliancQ with the code REVIEWED 8 DATE' Q� . >:Za� THIS PLAN TO BE ON , PROJECT SITE-AT ALL TIMES.FOR THE DURATIOU OF CONSTRUCTION ,Pou Pzo 4 M �.S rE Ri4;fx.r AAAGF, pOC)F 2„xG.;X.�r` cou sh :. FROND' WIN0005 , r Net (CV, t6LAS- C �5 ( Cie ipl) �►o e o 41 4- Collar L�C-5 �� rj WC)o � �-� Cl . 95 Top V1 E LJ q-SL b FiAc 'c- i .ter f 1 - RJR c- ocar-