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2006-896 TOWN OF QUEENSBURY 404% 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 F4.0%, Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060896 Application Number, a20060896 Tax Map No: 523400-309-009-0001-047-000-0000 Permission is hereby granted to: FREDERICK&MARGARET RAWLINS For property located at: 63 INDIANA 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: FREDERICK&MARGARET RAWL Residential Alteration $17,000.00 63 INDIANA Ave QUEENSBURY,NY 12804 Total Value $17,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency CAPITAL DISTRICT EXTERIORS 858-1493 FAX:630-6734 220 LARK St SCOTIA,NY 12302-0000 Plans&Specifications 2006-896 residential rehab HUD $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,December 20,2007 (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 f Que b 1 A W- i‘ _ P ecember 20,2006 SIGNED BY '�` '\ for the Town of Queensbury. Director of Building&Code Enforcement i� Ii, , r . ! . " TOWN OF QUE E NSBURY O 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 , CERT ICATE OF OCCUP Y , ANC .t1 { Permit Number: P20060896 Date Issued: Tuesday, March 10, 2009 ! This is to certify that work requested to be done as shown by Permit Number P20060896 i has been completed. Location: 63 INDIANA Ave Tax Map Number: 523400-309-009-0001-047-000-0000 Owner: FREDERICK & MARGARET RAWLINS i Applicant FREDERICK & MARGARET RAWLINS This structure may be occupied as a: Residential Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the (-- ,,,,,P 4 ,0(---- , 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. j il 3 --••.................................... ............................. Tt7: �._ f j�OFFICE ONLY •... E� D MAP NO. / /Y PERMIT N0. (� 76:L._ ' ....._____________, FEES: PERMIT , 2006 RECREATION _______ENGINEERING`ENGINEERING UUttNb�1RY (If applicable) CO<tE J t!3( .............. PRINCIPAL S ....._ ...., STRUCTURE: APP'LICAT'ION FOR � .RE: .. ZONING APPROVAL & BUILDING A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATIONPERMIT REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. ���� IS SUBJECT TO APPLICANT/BUILDER: C_.__4:L` �L-- r•__ __ ' 1.-' C—x k 1 NER: I : a . )2.,t,..: I ADDRESS: 11 , 5 IT ADDRESS: 1-r) Jia I • PHONE NOS. <M" (y9 3 fivx 630 09 PHON > E NOS, b -syr _, CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: �C,, mL''d PHONE: gSS?"-/C13 LOCATION OF PROPERTY: (f..)..-) , SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z AP DECO YOUR o O g 0 dwu. z tri- 5PR ` cc i.j a = = - g U ppb o � a= z SINGLE FAMILY 65 TWO-FAMILY MULTI-FAMILY (NO,of UNITS____) Milli TOWNHOUSE 111111 BUSINESS OFFICE IIIII RETAIL- MERCANTILE 111.1 FACTORY OR INDUSTRIAL ATTACHED GARAGE(12,S) MI OTHER Mill IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS' ESTIMATED CONSTRUCTION COST: ) 7 600. . , .:FUEL TYPE:��� HEAT TYPE' C "HOW MANY FtREPLACE(S•). Q' AND/OR WOODSTOVES(S):CATEGORY: ,� ARE THERE WETLANDS ON THIS SITE? 'i'1 IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION: V 'Please complete a separate Application far"Fuel Burning Appliances&Chimneys"available in our office : s� B 3-LGL 1105 Town of Queensbury• Community Development Offiri • 74, Rai, Petty,/ n...._.. .. ,... _- -- ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPeRrY? . . . . . . , • • . . . . • • • -• - • .• ‘.. .• ,.• I acknowledge flovonttructiori I1s1I othmenced ptlVto lettuarice.of4 valid permit I certify that thirp011t a oni:plans, and supporting materials are a twit:god • complete statement/description of the work proposed,that all.work will be piifortned in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local toning regulatioils. I acknowledge that prior to occupy4lgte facilities proposed, I or my ageritt vvili obtain a certificate of occupancy I also understand that I/we are required,to provide an 4S-built survey by a licensed land surveyor of all nevly constructed facilities prior to issuaOgfof a certificate of occupancy. •. . . • I have read ciagree to,thebove. • Signed - .d • • • ,• ,. • • 4..g.iststA,*,.70:1,02.56 forimesttinsrevarding.Building Permits, construction cadet*:septic%Ate**. . • • • • • • • • , . zoning Adrninistrktor: 761-8218 (for questions regarding required permits, the permit process, applidalion requirements or t(zSchedule an.appointment) •10 dir f o OfIfff00# • .0o0w10,44,woA44.4 • I 0 0 • • I • • Permission is hereby granted to the above This application I proposed action described Applicant to erect or alter the building ; herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queenskwy • Application: 0 • . • . • • • ..• • • , • • • -• • - • 4 • • , • . 4 0 • • • • • 4 G • BUILDIN & ODROVAL , • • ZONING APPROVAL • . • : . . IDA . • • • .• • , Ef I 0 • • • - • 4 ,•• „ ; 0, DATE y • 1 4 I • I I , • . • • Winn° $7 CALI.761.8255 Olt EMAIL • • • \air buliwEsstrE FOR MOM INTONATION •VietiaggitigigiAt • • • • •• •• •.• • . . • Town of Queensbury• Community Development Office . • • 742 Bay Road, Queensbury,NY 12804 Queensbury Building & Code Enforcement - Residential Fi Inspection Office No. (518)761-8256 Arrive: \Z.=to a ( / '�-part: aml m Date Inspection request received: Inspector's Initials: nr' ' NAME: RALIM-403 PE' IT#: Oto-C6 Ctk LOCATION: to -1i 1 i D i ft tJik A\\E D' : "21- TYPE OF STRUCTURE: Comments: Yes No NIA 4' Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 Inch Plumbing Vent through roof minimum 6 Inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade , Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wail Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors I main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below trade Gas Furnace shut-off within 30 feet 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 Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/.hour fire door/door doser Duct work Sealed properly Gas LANs in Sealed or Glass Enclosure .Filatir2letigitgi4 �i'r -cah a�6 Ht.J Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required • Okay to issue C/C or C/O[Temporary/Permanent] L:IBuildiing&Codes Forms\Building&Codeslinspection Forms\Residential Final Inspection Form revised 100405.doc;Revised January 7,2008;Revised 6/26/08 ST/ TL)3 . Queensbury Building & Code Enforcement - Residential ' - -1 I = -ction Offickk No.(518)761-8256 Arrive: \ a Date Inspection request r -ived: Inspector's Initials:*pig! NAME: I Gt) I PEI #: LOCATION: • _.-.. A -• "' •"• TYPE OF STRUCTURE: Ai -. f ) J S (/ Comments: irm No WA j 4" Building Number Address visible from road 6,:),0, /2 Z© �' T`Chimney Height/"B"Vent/Direct Vent Location • Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors '�j� ��� QLD x1/4) Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more qtMZ -' - Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall a-- U1 IrrteriorlExterior Railings 34 inches to 38 inches ALE- viNCu_N_4 Q..- Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 Inches above grade Interior privacy I trim/doors I main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 Inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access,1 sq.ft.-150 sq.fL vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1.000 sq.ft. Emergency tress below grade Gas Furnace shut-off within 30 feet or within fine of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating • Low water shut-off boiler Relief Valve(s)installed/Heat Tarp/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum' "Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched . Garage fireproofing 1%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C/O[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes Inspection FormslResidential Final Inspection Fomes revised 100405.doc;Revised January 7,2008