2002-801 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFIC.aITE OF OCCUPANCY
Permit Number: P20020801 Date Issued: Monday, September 19,2005
This is to certify that work requested to be done as shown by Permit Number P20020801
has been completed.
Tax Map Number: 523400-308-010.0002-030-000-0000
Location: 17 HERALD Dr
Owner: HARRY&NANCY HORTON III
Applicant: HARRY A.HORTON
This structure may be occupied as a:
Storage Building By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy 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: P20020801 Application Number: A20020801
Tax Map No: 523400-308-010-0002-030-000�0000
Permission is hereby granted to: HARRY&NANCY 14ORTON ITT
For property located at: 17 HERALD Dr
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 aloe
Owner Address: HARRY&NANCY HORTON III
1�HERALD Dr •Storage Building 500.00
Total Value 500.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address. Electrical Inspection Agency
Plans&Specifications -
2002=801
Construction of a 144 sq ft storage shed per plat plan and specifications.
$20,00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,September 25,2003
(If a longer period is requited,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 wn o uee u ay, September 25,2002
! .3
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application 2,er62-- ,R-6i
Application
Town of Queensbury-Dept of Community Development,742 Bay Road, Queensbury,NY
(518)761-8256 RECENED
A permit must be obtained before beginning construction. Permit File No. 7.00Z-- f4P 2 B 2002
No inspection will be made until applicant has received a Fee Paid $
Paid
Fee Rec. F Pid -valid building permit. All applicants' spaces,on this R 4 6 OF GUVEENSOURY
application must be completed and must appear on the Reviewed By:
application fi
Applicant: Owner: IIAI-I-el
Address: -7 11-4e -,q.L-,o 1),e— Address: 1 1-7
cea t3 Sk 17 C(
Phone 4�1-7-,.-7—le)r2, Phone 7
Email Address: in 0-�,Jejpb�-/cYuej- Email Address:
Property Location: Lot N ber: House Number h�-,e-4- 47oe -
Subdivision Name: a— 7 Tax Map Number: 16-5--3- P
Estimated Market Value of Construction: $New Building: �residence commercial --,5 (10 rest e
/Clf- Addition: ne/ commercial If an Addition,what will use of new addition be?
E3 Alteration: residence/ commercial
U No change to exterior size: residence com'l
c3 Other work(describe
Check Occupancylnformation 15'Floor 21d Floor Other floor Total
Below(I
w sq.ft. sq.ft. sq.ft. Square Feet
U Single family dwelling
C3 Two family dwelling
c3 Townhouse
C3 Multifamily dwelling
#of units
o Office
L3 Mercantile
La Manufacturing
0 1 car detached garage
U —car detached garage
E3 3 car detached garage
C3 1 car attached garage
13 —car attached garage
u 3 car Attached garage
C3 Storage building-
commercial
Storage building-
residential Z v
C3 Other
What is the proposed height 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 J othet- /VV/t,&
Number of Fireplaces to be installed/Ulwz Number offfioodstoves to be installed 1a-9A1Z--
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder ee7- �--1 -S471-7 -"-9
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 B il g and Codes,an A&Built Survey by a licensed surveyor;drawn to scale,showing actual
ris�� u ction
location of 4 new constructio
gnature: owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential F' I Inspection
Office No.(518)761-8256 Arrive: pm e rt:Date Inspection request received: Inspector's Initials:!
NAME: E IT#: (�
LOCATION: TE:
TYPE OF STRUCTURE: � Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" n
Roof Co fete/Exterior Finish Com fete
Guard 30 in.or more a)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 %"
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 grMe
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 Temp 110 _
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety lazing/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/3/4 hour fire door/door closer
Duct work Seated pmperly
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 Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/Permanent
L:1PamW\Building&CodeslInspection FormsiRes. Final Insp.form 2.docLast printed 2/12/04