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2002-771 TOWN OAF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community.Development-Building&Codes (518)761-8256 CERTIF, ICATLE F COMPLIANCEa Permit Number: P20020771 Date Issued: Friday,May 20,2005 This.is to certify that work requested to be done as shown by Permit Number. P20020771 'has been.completed. Tax Map Number: 523400-303-016-0001-003-000-0000 Location: 387 DIX Ave Owner: DONALD GAGNE JR Applicant: DONALD,GAGNE JR This structure may be occupied as a: Shed I Storage Sheds By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan-, Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN,OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P 20020771 Application Number. A20020771 Tax Map No: 523400-303-016-0001-003-000-0000 Per-mission is hereby granted to: For property located at: 387 DIX 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: DONALD GAGNE JR 387 DIX Ave Shed/Storage Sheds 700.00 Total Value 700.00 QUEENSBURY,NY 12804-0000 Contractor or Bf@der's Name Address Electrical Inspection Agency Plans &Specifications BP 2002-771 Construction of a 187 sq. ft. storage shed as per plot plan and specifications. SQ-4-3adalielt an prop 5bv_ &.erw 7 k do� �d-h" SAA $20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 12,1003 (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 To of ensll 4t ay;September 12, 2002 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury-Dept of Community Development, 7Z Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No No inspection will be made until applicant has received a Fee PP!By: $ V valid building permit. All applicants' spaces on this ; application must be completed and must appear on the Re application form.bnC 4 /' rl� T C� 1 2002 Applicant: l' Owner: Address: 3 S5'7 r,,c (�y , Address: 3 s''7 i,>< ie�ivt Of C!1l�iS Phone / ) _3 - Phone# 1 Email Address: 7 3��3 Email Address: Property Location: Lot Number: / House Number ? I" (�i vrv_a 1 a 7�8 y Subdivision Name: Tax Map Number: 3 ❑ New Building: residence /commercial Estimated Market Value of Construction: $ ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence t commercial _ � 0 No change to exterior size: residence t com'1 ❑ - Other work(describe ) U`--' c' Check. OccupancyInformation 1"Floor 2d Floor other floor eree Below;, sq.ft. sq.ft. sq.ft. ❑ Single family dwelling ❑ Two family dwelling }ram ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ i car attached garage ❑ 2 car attached garage ❑ 3 car attached garage ❑ Storage building- ercial - rage building-' residential ❑ 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`d © o-L,9... N"p- Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/othet: N 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 wee,,o Phone Number Builder a9 I ' 3 10 12 Dic yL 1,2 3 3 41� 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,area 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 all new construction. g, Signature: owner,owner's agent,architect,contractor Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: -am/p D part: t, pm Date Inspection request received: _ Inspector's Inifials: NAME: A PERMIT#: C �� / LOCATION: DATE: TYPE OF STRUCTURE: ,. _ Comments K Y N N/A Chimney Ht:/"B"Vent/Direct Vent Location /�1 Fresh Air Intake (J 3 inch Plumb Vent through roof minimum 6" Roof Complete i Exterior Finish 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 =''`'`� ("� Enclosed Stairs Sheetrock Underside minimum '/z" Gypsum i Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 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 shut-tiff boiler Relief Valves installed/Heat Trap/Water Temp 110 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: / Battery backup: Carbon Monoxide Detector Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor'truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, I s . ft.-150 s .ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Se tic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C 1 C or C/Q Temporary/Permanent L:\PamW\Building&CodesUnspection Forms\Res.Final Insp.form 2.docLast printed 2/12/04 Project Name: ^ !'\G�.CC. � G",.�l�.�.-...-- _ BP# ( .�-�'� -....._f Address: . r Building Permit Submission Multzple-.Dwdirg & C'rnrr venial P79bz Checklist All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBuilding Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed...... ... )<;s ❑ ❑ 2. Energy Form or Checkmate Energy Code Compliance Forms Complete... Ryes ❑noa 3. Energy Code Inspector's Report from Checkmate Program... ... ... ...... Ryes ❑no 4. Septic application completely filled out(if applicable)...... ... ... ... ... ... y,s Ono ❑nJa. ...... ... ... ... ... ......... ... ...... ....• 5. Electrical Inspection Form... ... ... / ❑yes [:]no >Va 6. Two(2) sets of plans showing the following: ... ............ ... ... ... ... ... ... ... Ryes ❑no nnla 6a. Floor plan(s)... ...... ... ...... ... ... ... ... ... ... ...... ... ... ...... ...... Ryes Ono ❑nla 6b. Foundation plan...... ... ... ... ...... ... ... ............ ... ... ... ... ... .....❑yes ❑no ❑n/a 6c. Gross section(s)............... ...... ... ... ... ... ...... ...... ...... ...... ... ❑yes [-]no ❑n/a 6d. Elevations ... ......... ...... ... ...... ... ... ... ......... ... ......... . Flyes ❑no ❑n/a 6e. Design loads including floor,snow load,and wind load... ... ❑yes ❑no ❑nla 6f. Seismic design(required after Jan. 1,2003)......... ... ... ... ... ...... ❑yes ❑no ❑n/a 6g. Plans signed by registered architect or engineer,signed... ... .... ❑yes ❑no ❑n/a and sealed by a registered architect or engineer 6h. Window and door schedule...... ... ... ... ... ......... ... ... ... ...... Ryes Qno [:Qnla 7. Two(2) site plans showing location of the structure to be built,... ...... s [:]no ❑nla location of well or water lines,location of septic system or sewer line with all setbacks and separation distances shown,and all improvements to the property. a 8. Solid Fuel Burning or Gas Appliance Form(if applicable)... ... ... ... .... nyes ❑noea 9. DrivewayPermit... ... ......... ... ... ... ...... ... ... ... ......... ...... ... ... .... ❑yes ❑no Date- Staff Inn L:\S y\Builds`ng.Pernut.FORMB\Generic Gieckl st.doc or 17 02 12: 11p Matthew R. Ludemann, P. C. *�(518) 745-5210 p. 2 -771. AW W444 "f ro aE �,= t. k. L Al(),eE�tICE _- U za a1 ';� q�PE.4a:.'='/St S8 ,�C.C3E1 - '•.: J:.`�• � �it�vrE•' .U04JE.�.!' 1JEEO .EXCEPT.1 y� 807y �.4 pCELJ DFIC z; ( +� ' / '- P 2002 t a I N OF j �`rcr.`wO Ot•,�poP . --�. GCQ�!/,��'L47 T. C..�". .✓krf.•+`rl.{��i�r'�h' .r11� 1.�2':J4..�- v► 1 ° ' 6 precoc,o rro✓ T-•.rr.✓c_ 2 eAW ,• 31J,E•..i"7" ,C/.T/.C` ©F �bt'Gtc',�' " .�.PC�"G••."?M�•` /.3',5•��� � J ��,•�'.0 !' ..9..P .�'.*J.+2,E"t�'O cf// fJGD ,EYrLJt'`.V!a'' � tk. � f tt.rkc •o:�t) -9 -J',, 11I1EJ7'Lii/�' of 8•Ptr�"E"�W.e�'f� "1 A-S12 "'e'OJ 1 IA.` pr 17 U2 12: 11p maztnew K. L-1-10eMann, r-- L,. tZ110.1 1-ro-ljf-lu rr Parcel Information MunicipaRky: Queensbury New Tax Map Number. 303.16-1-3 Old Tax Map Number: 110.-1-119 Location: 81 DIX AVE. IMPORTANT NOT!CE-AND DISCLAIMER Frontage. 0.00000 THIS MAP AND RAFOR VAT ON 15 PROVIDED Depth, 0,00000 AS IS AND VVARREtl CCUNTY mAx5f;NO WARRANTIES OR GUARANTEES.VPPESSED Acres: 0.68000 OR IMPLIED.!1JCLU0INO VVAaRAMTISS Of: Property Class: 210 TITLE,NON-INFRINGEMENT MERCHANITASWY.AND THAI UFFITNES� Owner: ADAM, SYLVIA FOR A PARTICULAR PURPOSE COMCFRmImo Current Land Assessment: 6300 THIS 14AP AND THE INI'ORMATION CONTAJNEOHEREIN. USER ASSUMES ALI Current Total Assessment: 60000 R -SPONSIG"T.rOR "SVZ AMC)Z Neighborhood Code: DETERMINING WHETHER THIS MAP IS 159 . SUFFICIENT FOR PURPOSES INTENDED. Year Built: 1900 018 MAPS ARE NOT LAND SURVEY$! Square Footage: 1107 .50000 rftS GIs MOP is cnmpul-94110mt9d using data aCQVFrcd ay Via Stories: 1 Warn County plannuill Department Item various Bathrooms: 1.00000 mmes and Is intended only for reference.C00C.—huti.plaerung . . ..d pr...nutti-purposes.ya.je we Bedrooms: 3 work hard to mrlude relianlo data for the stated Sewer: private p this map is..t!nl.,,ded to,dad slmlo d not be us^ 10720I.Sbell'..),b.—da,i-.Nu,..I.—t-au..[objects Water: cornm/ciublic orloprovide any whet information typically needed for con.,in IKVI,ex"vatonorany Utilities: gas&electric .(he,purp..a wimp-94n'�=4 do—,RVplins or Heal, hot air surveys am 11 required UY WN.2)required for any Style: legal document or 3)needed to assure accuracy o'd style 3:anda,v n;MaL Book: Warren County Real'Propady To..2001 R-q.Building F.ctpr.ms Page: wrero compiled from 1988*aria'pliol,19,aphy and nave Sales Dates: not been updated or chockedforac,uracy Sales Prices* J. 2 A AWN UE 1:1200 Z Z it -Ii F C= Y , 671 o, BUILDING & 0 REVIEWED s DATE x � 6 a .� t� c S r 2-° / ss - c 't Ei�l � '�rrs7s 1 i�vC, a` 116 GUILDING DEPARTUEA QQ 611:, d an our limited examination, campliance with our comments shall nat tie construed as indicating the _ plans and specifications are in full = _ compliance with the cctiie. _ pr ii uL- le-: lip Matthew N. Ludemann, H. U. L518J '/45-be11J P. J Parcel Information Municipality: Queensbury New Tax Map Number 303.16-1-3 Old Tax Map Number: 110.-1-19 Location: 8a DIX AVE. IMPORTANT NOT!CE Am)OjscLAj;,jcq Frontage. 0.00000 THIS MAP AND J-NpOrVAT ON IS PROV10r:0 Depth- 0.00000 AS IS AND WARREN COUNTY MAKES No Acres: 0.68000 WARRANTIES OR GUARANTEES EXPRESSED OR OF Property Class: 210 TITLE,NOWINFRINGEMENT, Owner. ADAM, SYLVIA MER CHANTAWLITY,AND THA I Of FITNESS l'OR A PARTICULAR PURPOSE CONCERNING Current Land Assessment 6300 TMIS MAP AND THE iNrCRMATiON Current Total Assessment: 60000 CONTAINED HEREIN. USER ASSUMESAu RISKS AND RGSPONS[Skrr"rOR Neighborhood Code: 159 DETERM114ING WHETHER THIS mAp is Year Built: 1900 SUFFICIENT FOR PURPOSES INTEnOEO. Square Footage: 1107 GIS MAPS ARE NOT LAND SURVEYS! Stories: 1.50000 Ffts GIs map is c—put.,g..—t.d­u,g data-.q.Fld ay the Warren County Pi4onhil;Deleamneni Iran,varjous BWLIlrooms: 1.00000 sources and Is intended only for relejxjlco,co,centui.plaumnq Bedrooms: 3 ' and p...nt.6­pu,"­,WN1,_ work hard l chide reliacia data for the stated Sewer: private purposes,111ilo'"'aP is not intended for and.haute Water: cornm/public not ber-d to Or to Provide any otherinfor=6on Utilities: gas&electric typically needed torcrnmorchon.ex"V31kin orany 01h.,Pulp...+410-4119i'mcmd d,4—Vstpjxus or Heat. hot air surveys Jr"11 required Oy law 2)required for any Style: legal of 3)needed to assure accuracy Book: o!O style and/or VIA$coiwin imndaws wo met. Warren County Real Property lax-200 t Rail.19,p"g Foc;ppjs Page: were—Pled from IS89 aortal phowgi aphy anc nave Sales Dates: not been updated Or chacked for accuracy Sales Prices: 2'4 5 Ali t;C- 2 :'3 S69.89 AV��NUE 1:120 0