2015-149 TOWN OF QUEENSBURY
woo 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150149 Date Issued: Thursday, June 04, 2015
This is to certify that work requested to be done as shown by Permit Number P20150149
has been completed.
Tax Map Number: 523400-289-012-0001-025-000-0000
Location: 11 BERRY PATCH Dr
Owner: DARREN & FRANCINE BOUCHER
Applicant: DARKEN & FRANCINE BOUCHER
This structure may be occupied as a:
Deck
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the ( J
lOtproperty owner of the responsibility for compliance with Site Plan, �d
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
FO,..
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150149 Application Number: A20150149
Tax Map No: 523400-289-012-0001-025-000-0000
Permission is hereby granted to: DARREN &FRANCINE BOUCHER
For property located at: 11 BERRY PATCH 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 Value
Owner Address: DARREN & FRANCINE BOUCHER Deck $11,800.00
11 BERRY PATCH Dr Total Value
QUEENSBURY,NY 12804-0000 $11,800.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2015-149
Deck 750 s.f.
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,May 15,2016
(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 T n of eens ryX 1 t► ' ,y 15,2015
SIGNED BY t \ for the Town of Queensbury.
Director of Building&Code Enforcement
ACCESSORY STRUCTURE APPWO
i� nl
DATE $ S� 2a 15-
TAxMAPID al• la-I-d5
rmi -14°l
QUEE ee
ZONING T
& C 5ES ee
HISTORIC SITE _Yes No Approvals
SUBDIVISION NAME {qtr^^ "'q'f�� C7/»ve— c Q
APPLICANT � CC r"/aa t j i'A �p OWNER D4 r cc ri r l 4�n c,..t n '✓a e C Ae r
ADDRESS 39c, Mc(sOWGn �loAcj ADDRESS it _6e rrN
u t�•�c� CX,oc
PHONE I d� 3(. I '-11 O PHONE /- Si8 ,9 a 3 - 0076
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CONTRACTOR //`/) C4rRfntr COST OF CONSTRUCTION(ESTIpMATED). $ WOO
ADDRESS: 39& /K C_fTO to An `\Ocfl BUILDING ADDRESS: /I U2rry Pt?40% Yrloe
SClpc.sl.}/'cD1�c 1 �y la I��
PHONE: SI 0 �b l /70 )
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE Zpa u;'-d )Sro w n e PHONE S-19 36
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 1�floor sq.ft. 2ntlfloor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck `750 7.50 .?y"
Detached Garage(#of cars
Dock
Pole Sam
Porch-open
"Porch—3 season,Covered, Enclosed
Shed
Other Accessory Structure(s)
"Considered floor area&must comply with FAR(floor area ratio)requirements if located in the WR zone
DECLARATION: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the
application, plans and supporting materials are a true &complete statement description of the work proposed, that all work will
be performed in accordance with the NY State Building Codes, local building laws and ordinances; and in conformance with
local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy. I also understand that Uwe are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
✓I have read and agree to the above: Print Name: //JG.,,2� I,). 6/,w -eJt Date:
Signature: ! `�`� Date:
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
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Queensbury Building & Code Enforcement - Residential Fi all Inspection �^
Office No. (518) 761-8256 Arrive: % a De a m
Date Inspection request received: W2-h5 Inspector's Initia s:
NAME: bu P IT#:
LOCATION: I► PSeX MR= D E: 20
TYPE OF STRUCTURE: ir c Y
Comments:
Yes No NIA
4" Building Number Address visible from road b2—
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 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 Wall
Intedor/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/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 to floor/Sticker on Panel
Duct work sealed property/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110 l
Enclosed Stairs Sheetrock Underside minimum W Gypsum \
Basement stairs closed rise>4 inches r Z,
Garage Floor Pitched (f
Garage fire roofin /%hour fire door/door closer 30/Gas Los in Sealed or Glass Enclosure
Final Electrical;Energy Saving Light Bulbs 50% \
Final Survey Plot Plan 40
Are Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding0�
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forns\Residential Final Inspection Form_revised_100405.doc, Reviggd
January 7,2008; Revised 6/26/08; Revised 12122/10,Revised 04/13/11
Town of Queensbury Building &Code Enforcement
Office No. (518) 761-8256
(3
Framing I Firestopping Inspection Report
Inspection request received: 5II'215
Name: tbWAI2 Inspected on:
Location: Arrive: 1 a.m.l P.M.
Permit No.: Inspector's Initials:
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
��
Tmss Specification Provided
Bracing I Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft.8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches/Holes I Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(w)16 gauge(8)16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side Y2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24in.(H)
20 in.(W)
5.7 sf above I below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing I Firestopping Inspection Report ��
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Foundation Inspection Report A
Office No.(5 18)761-8256 Date Inspection request received:
Queensbury Building Code Enforcement Arrive: aDep m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials-
NAME: lbou cJ1— PERMIT#: Z�c1
LOCATION: 11 Q�'2,v INSPECT ON: 5 1 5
TYPE OF STRUCTURE:
Comma"
NA .c� 5(0Q — 1� 2—
Footings
Piers
Monolithic Slab
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/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 R.
L:\BulWing&Codes Fors\Building&Codes\Inspection Forms\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
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