2002-748 TOWN OF QUEENSBURY
742 Bay Road,Queensbuty,NY 12804.5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
CEIR.T. IFICATE OF COMPLIANCE
Permit Number: P20020748 Date Issued: Thursday,February 05,2004
This is to certify that work requested to be done as shown by Permit Number P20020748
'has been completed,
Tax Map Number: 523400-309-009-0001-019-000-0000
Location, 34 'CENTRAL Ave
Owner: GEORGE&SANDRA C'LARK SR
Applicant: GEORGE&SANDRA CLARK SR °
This structure may be occupied as a:
By Order of Town Board,
Shed/Storage Sheds TOWN OF QUEENSBERY
/)Ai
Director of tull i g 8z Code En teem
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020748 Application Number: A20020748
Tax Map No: 523400-309-009-0001-019-000-0000
Permission is hereby granted to: CIFORCIF,& SANDRA CLARK SR
For property located at: 34 CENTRAL Ave
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: GEORGE& SANDRA CLARK SR
34 CENTRAL Ave Shed I Storage Sheds 1,300.00
Total Value 1,300.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address „ Electrical Inspection Agency
Plans&Specifications
BP 2002-748
Construction of a 10 ft. by 16 ft. storage shed as per plot plan and specifications.
$20,00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,September 06,2003
(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 own Quee ; a eptember 06,2002 LLB;.
SIGNED BY for the Town of Queensbury. '.
Director of Building&Code Enforcement
Building Permit .Application tr
P �'EJVED
Town of Queensbury-Dept of Community Development,742 Day Road, Queensbury,NY
(518)761-8256
- AID f, 3 0 2002
A permit must be obtained before beginning construction. Permit File N
J. Y
No inspection will be made until applicant-has received a Fee Paid
valid building permit. All applicants' spaces on this Rec. Fee Paid 35
application must be completed and must appear on the
application form. Reviewed B
/A
Applicant:_0,-CovAjg-(-,,I CUY k Owner:
Address: a /L Address:
�11)f/
Phone# Phone
Email Address: Email Address:
Property Location: Lot Number: House Numb 1 ( Aye-I I 1 - q
Subdivision Name: Tax Map 1,umber: Z' e3a-l-lq
-44
u New Building: residence commercial Estimated Market Value of Construction: $
E3 Addition: residence commercial If an Addition,what will use of new addition be?
u Alteration: residence 1 commercial
La No change to exterior size: residence com'l
C3 Other work(describe
Check Occupancylnformation 1"Floor V-d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
U Single family dwelling
U Two family dwelling
c3 Townhouse
0 Multifamily dwelling
#of units
Q Office
U Mercantile
u Manufacturing
C3 1 car detached garage
13 2 car detached garage
o 3 car detached garage
0 1 car attached garage
0 2 car attached garage
C3 3 car attached garage
CI Storage building-
commercial
Storage building-
residential
13 Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what? -1
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: P
Number of Fireplaces to be installed Number of Moodstoves to be installed `\l.` � lVV/ lL/
List below the person(s)responsible for super-vision of work as regards to building codes: 094
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
b t t Certificate f 0 Certificate of Compliance being issued,as requested by the Zoning
' Gen or r a
?l�ld==.ro.-rDir..tor.f�.ildingpaanncd'Y'Cod.l,a. ,Built Survey by a licensed surveyor;drawn to scale,showing actual
location of All new construction.
Signature*. -Z�er,owner's agent,architect,contractor
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INCe
Muir Me 176 Doe Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
079112 f
Permit No..1..1.{1l14#l...1l.!lfN 101#11Hi.fl. Cert# NIM -in Card �o!it.l itf{feffffi!luii..tff.if4fl...i
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Installed By#####R1000 ..4f i..lf Rf l4#trillififfit#iftff}fiff#fiff ittiffi4fii..ititfftffiflili44YtifY
The conditions following governed the issuance of this certificate, and any certificate previously issued is
cancelled; -
This certificate onlycovers the electrical equipment and installation conditions as of date, Upon the
introduction of additional equipment or alterations, application shall be promptly trade for inspection;
inspectors of this Companyshall have the pri4roke
making " s coons at any time, and if its
p
rules are violated, the Company shall have the right thi rtif are.
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Member NAP.A..I.A.E.I.
Residential Final Inspection
Office No. (518)761-8256 Date Inspection reques ceived.
Queensbury Building&Code Enforcement Arrive: \"-2� p art: V,2,5 a
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: T#:
RMI
LOCATION: U DATE:
TYPE OF STRUC
Comments,
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in, or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
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
Furnace/Hot Water Heater operating
-Low water s-hut-*off boiler
A.Relief Valve(s)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: / Batter ybackup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plurrbiqg fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4hour 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, I sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan Wariance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if re wired
Okay to issue C/C(Cert.Of Compliance)
Okay to issue Temporary C 1 0(Cert. Of Occ-bpancy)
Okay to issue Permanent C 0(Cert. Of Occupa cy)
L:\SueHemin-gway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe -edited January 28,2003
BURY�;� rr,.; DEPARTMENT
I F?%*ed o G�,cS�L
�� n our limited examination,
O,mpliance with our comments shall
be construed as indicating the I
ications are in full '
! pliant h the C*de
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ANCHORING of MOBILE HOME
RED PER THIS L O �E I
FRAME IS REP
1
MANUFACTURERS SPECIEICa110NS ; -.... . .. ITE g 1
r � 77pn 1 Y 1Ji 11 AL
'.'TIMES
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TIDE RATIONO
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BUILDING& TOIA OF QUEENSBURY BUILDING DEPARTMENT
1' Based on our limited examination,
'REVIEWED BY
s �F� compliance*our comments shall
+
4, ' not beconshued as indicating the
uATE f '''� plans and specifiicationsare infull
compliance Oth the code,
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