2012-208 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120208 Date Issued: Friday, June 22, 2012
This is to certify that work requested to be done as shown by Permit Number P20120208
has been completed.
Location: 69 WAVERLY PI
Tax Map Number: 523400-296-008-0001-010-002-0000
Owner: RICHARD BERGERON
Applicant: RICHARD BERGERON
This structure may be occupied as a:
Deck By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property 4
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
0.14 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120208 Application Number: A20120208
Tax Map No: 523400-296-008-0001-010-002-0000
Permission is hereby granted to: RICHARD BERGERON
For property located at: 69 WAVERLY PI
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: RICHARD BERGERON
LORI BERGERON Deck $5,840.00
69 WAVERLY P1 Total Value $5,840.00
QUEENSBURY NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012-208
224 sf deck
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, May 04, 2013
(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 Town of Queensbury; Friday,May 04, 2012
SIGNED BY � for the Town of Queensbury.
Director of Building&Co• Enfo ••-ment
r
OFFICE USE ONLY
TAX MAP NOW) • ; + I PERMIT NO.
FEE PAID • / `/ BLDG.&CODES APPROVAL
lam 912-
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
OWNER: //i C k 8 rt) (r a e c�O N INSTALLER/BUILDER: e /
1
ADDRESS: �U L ' tie f( �' PLIC:C. -e ADDRESS: 10 C he:J •' L
PHONE NOS. 7cr 8 /.S- 5 3 PHONE NOS. `7c13 • 761/ Cc a a a- a CC
LOCATION OF PROPERTY: SUBDIVISION//NAME: CU (J&. k':" /7 c c"
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: Re 2 r V[%
ESTIMATED COST OF CONSTRUCTION: _: - C ANY OTHER ACCESSORY STRUCTURES ON PROPEITTY?
IF YES,PLEASE LIST: --�-
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: 1 i,'►1 Ice ', 61 7 PHONE: 7(i 3 x'71 i (c),)?3-1)
1ST FLOOR 2ND FLOOR TOTAL PROPOSED
PROPOSED CONSTRUCTION SF SQ FT SQ HEIGHT
FT.&IN.
OPEN PORCH
r rl
DECK ,�r� �� .! /-(,�r 1„`�° l
3 SEASON,COVERED OR ENCLOSED PORCH`
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK '
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
'CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO]REQUIREMENTS IF THE STRUCTURE IS LOCATED IN
THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the 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 Codes, 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.
I have read and agree to the above-.
/n`;'^� QUESTIONS? CALL 761-8256 OR EMAIL
Signed.�li,r . ) , J! Dated: L1 `(...) c; / codes(aqueensbury.net
-�'rJJ' J 1. 7 1 VISIT OUR WEBSITE FOR MORE INFORMATION
Name/Title(Printed) 4 1 ,11CI �%7 ' �yK L tz7- Yat!t` www.queensbury.net
Queensbury Building & Code Enforcement - Residential Final Inspection (--30-h
Office No. (518) 761-8256 Arrive: am/prn Depart: '9am/pm
Date Inspection request received: ( J ( I1 Inspector's Initials:
NAME: Vey 4
PERMIT#: _G :
LOCATION: (�1 �� _ � c c-c___ DATE: 0
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road {..)/t<
Chimney Height I"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbin V t#teebtgh-r68TRrirkmum 18 inches /�
Roof Complet Exterior Finish Com to �j
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 more1
Handrail Termination at Newell Post or Wall
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/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 properly/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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum',4"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required �1
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codesllnspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
Foundation Inspection Report }° /- L.
Office No.(518)761-8256 Date Inspection request received: Z `j 7—
Queensbury
-Queensbury Building&Code Enforcement Arrive: am/pm Depart: :i pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials ,r7
NAME: 6L7 tZ,c-141 C PERMIT#: Ci(
LOCATION: (L citi 1� �'t r ;',r )' INSPECT ON: (V 2-
TYPE OF STRUCTURE: �?_'
Comments
41
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 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
_ .
TOWN OF QUEENSBURY
•
BUILDING & CODES DEPT.
Existing Porch
Revieweg By4,01'd\-77-. \----st5i....--
I .
_ Date:
,---.
Deck joists connected to existingTOWN OF OliEq!,ISSURY
---
porch sandwich beam using 1
joist hangers 16" O.C. . BUILOING D:-P..-';',,TMENT
.
Based on our kited eYamination,compliance ...
with our comments shai' not he construed as
indicafing the plans and specifications are in
full compli6nce with the Building Codes of
,----1,---- , New York State.
_,... ,--- ....
.-- 5/4 x 6 Decking
2 x 8 joists 16" 0C
•
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,
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2 x2 Balusters ...- i , 1 ....1 ----..
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2 x 10 beams - i 1,,,, J.
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1k-is I I
4 x 4 Posts
2 x 10 stringer ' - '
, • 2 x 10 x 36"
8"footings
. ' stair treads
Grade
4 8"
‘, ' . --
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Rick & Laurie Bergeron S .)
69 Waverly Place C)
Queensbury, NY DC
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4'0"
Existing
Home
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Existing Porch
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Existing Porch N
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Sandwich Beam
16'0"
12' 0" 4
posts 7'O.C.
7 71
posts 6'4' O.C. 4'0"
Railings with 2 x 2 balusters Sandwich Beam
2 x 8 joists 16" O.C.
supporting joists
16'0"
20'o"- Rick& Laurie Bergeron
69 Waverly Place
Queensbury, NY
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MAP REFERENCE:
WAVERLY PLACE SUBDIVISION
DATED AUGUST 24, 2000
LAST REVISED JANUARY 19, 2001
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JV I HEREBY GERTrY THAT THIS MAP -WAS PREPARED
AN ACTUAL FEW 5UI 4NOF UCE�GO c FROMCERTN`ICAtIOP1 SHALL RUN ONLY TO TME. PERSONS
gU1LD��'G�Nr- �f FOR WHOM TME SURVEY WAS PREPARED. AND ON.THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY.
AND LENDING 145TMMON LISTED HEREON.
33 CERTmATI®N5 ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
II TOr CATHERINE A. PURDY
CHICAGO TITLE INSURANCE COMPANY
CERTNED BYE
MATTHEW C. STEVES. LLS NYS 50135
DATED. XXX%X><%%XXX
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Scale 1'=20'
Of a Survey made for
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SHEET 1 OF i
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ibury, Warren County, New York "" PURDY
DWG. NO. 99312-31
NO. DATE DESCRIPTION,
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