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2002-802 TOWN OF QUEENSBURY 742 BayRoad,Queensbury NY 12804.5902 (518�761-8201 Community Development- Building&Codes (518)761.8256 0"'r utRT1F1%r...f11TE r COMPLI,A.�CE Permit Number, P20020802 Date Issued. Wednesday,August 17,2005 This is to certify that work requested to be done as shown by Permit Number P20020802 has been completed. Tax Map Number, 523400-295-020-0001-007-001-0000 Location. 19 FOX FARM 'Rd Owner, ERNEST&NANCY SIEVES Applicant; ERNEST&NANCY SIEVES This structure maybe occupied,as a; Storage Building , 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 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20020802 Application Number: A20020802 Tax Map No: 523400-295-020-0001-007-00 1-0000 Permission is hereby granted to: FRNFST&NANCY STEWS For property located at: 19 FOX FARM 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. Tne of Construction Value Owner Address: ERNEST&NANCY STEVES Storage Building 2,500.00 19 FOX FARM Rd Total Value 2,500.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2002-802 Construction of a 192 sq ft storage shed per plot plan and specifications. $20.00 PERMIT FEE PAID-T-HIS PERMIT EXPIRES: Tuesday, September 30,2003 (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 Ta of Q ensb ptember 30,2002 4 SIGNED BY for the Town of Queensh Director of Building&Code Enforcement Building Permit Application -03 Town of Queensbury—Dept of Community Developme't, 742 Bay Road,Queensbury,NY (518)761-8256 RECENED A permit must be obtained before beginning construction. Permit File No., EP 2 3 2002 No inspection will be made until applicant has received a Fee Paid $ C valid building permit. All applicants' spaces on this 2?N OF Q JEENSBURY Rec. Fee Paid; IL RUILDING NND CODE application must be completed and must appear on the Reviewed By. application form. Applicant Owner: Address: Address Phone# Phone Email Address: Email Address: Property Location: Lot Number: House Number Subdivision Name:. =!&_49e Tax Map Number: o New Building:-, residence /commercial Estimated Market Value of Construction: $ Y C'Y_-C2 c3 Addition: residence/ commercial If an Addition,what will use of new addition be? c3 Alteration: residence/ commercial U No change to exterior size: residence t com'l C3 Other work(describe Check Occupancylnformation 1"Floor 2,d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet c3 Single family dwelling c3 Two family dwelling C3 Townhouse U Multifamily dwelling #of units 0 Office c3 Mercantile a Manufacturing c3 I car detached garage 0 2 car detached garage U 3 car detached garage C) 1 car attached garage o 2 car attached garage 0 3 car attached garage C3 Storage building- commercial Storage building- residential 0 Other What is the proposed height of the structure feet inches 161/� Will any second-hand or ungraded lumber be used? If so,for what? 11"Zo Type of Heating System: electric/ oil gas/wood /forced hot air/ baseboard other: Number of Fireplaces to be installed /e_Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Z_4f 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 an odes, an As Built Survev by a licensed surveyor;drawn to scale,showing actual location of all n -x,construction.a;� construction. t Sign owner,owner's agent,architect contractor ` Queensbury Building & Code Enforcement - Residential Final Inspection Offide No.(518)761-8256 Arrive: am/pm Depart: , L am/pm Date Inspection request received: __ Inspector's Initials: NAME: PERMIT#: LOCATION: a DATE: TYPE OF STRUCTURE: Comments f Y N N/A �d Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more l" Guard at deck,porches 36 in.or more (/r Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors p Interior Handrails stairs 2 or more risers /f Enclosed Stairs Sheetrock Underside minimum %" Gypsum 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-off boiler Relief Valves installed/Heat Trap/Water Tern 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/1/4 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.-I50 s .ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood.Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamWlBuilding&CodeslInspection FormslRes,Final Insp.form 2.docLast printed 2/12/04 �T �y T Office Use GENERAL INSPECTIORT REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: t� 3 �Z Meet: .building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE a a: D A ' `� In Notes: (518) 761-8256 Inspector's Init' NAME: E' ° PERMIT# V — LOCATION: ! INSPECT ON(date): TYPE OF STRUCTURE: t RECHECK NIA 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/Wailpour Reinforcement in Place Foundation/Dampproofing 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 �w' � � Jack Studs/Headers ie— BracingBridging 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:LSueHemingwaylBuiiding.Codes.Inspection.rORMStOENERAL INSPECTION REPORT.doc 3UC' 11vc JivlU uvit SN�SfIl�.!0l�lMOl\\ � \ \ fU m (o r, _ w CIF Iiia i / €