2012-435 Efitia TOWN OF QUEENSBURY
•
742 Road, uccnsbu NY 12804-5902 (518) 761-8201
�� BayQ rY,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120435 Date Issued: Friday, September 13, 2013
This is to certify that work requested to be done as shown by Permit Number P20120435
has been completed.
Location: 33 WESTBERRY Way
Tax Map Number: 523400-308-007-0001-030-000-0000
Owner: PATRICK & KELLY DINGMAN
Applicant: PATRICK & KELLY DINGMAN
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 (7)/ a
Pil
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120435 Application Number: A20120435
Tax Map No: 523400-308-007-0001-030-000-0000
Permission is hereby granted to: PATRICK& KELLY DINGMAN
For property located at: 33 WESTBERRY Way
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: PATRICK& KELLY DINGMAN
33 WESTBERRY Way Deck $4,000..00
0
QUEENSBURY,NY 12804-0000 Total value $4,000.
Contractor or Builder's Name/address Electrical Inspection Agency
Plans&Specifications
2012-435
Deck 640 sq ft.
$64.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,September 13,2013
(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; Thursday,September 13,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
i
OFFICE USE ONLY
TAX MAP NO. 3 b i . ! " 0 PERMIT NO. 1 - 3 5
FEE PAID �/ ( �DG. &CODES APPROVAL
OftTVits
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: PCA r /1-1 INSTALLER/BUILDER: � T Q .n q Pi ,t1
ADDRESS: g 3 Li c 6 D ge rr f W C9/ ADDRESS: 3,? w c $r et v Ir y
PHONE NOS. �/S - 7 V y- 9S' 9 • PHONE NOS. c:/E- - / y(/ ` c1 3 171"
LOCATION OF PROPERTY: 3 3 C sr ee I V,/ (&-'a, (/ SUBDIVISION NAME:
•
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: (J C 0-F u 5 e (
?U It' Hc. t C' c to
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES ®,'NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ Y;60UJ ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? i ;-)Xe5
IF YES,PLEASE LIST: PO GL
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
1ST FLOOR 2ND FLOOR TOTAL PROPOSED
PROPOSED CONSTRUCTION SQ.FT. SQ.FT. SQ.FT. HEIGHT
FT.&IN.
OPEN PORCH
DECK 6 y0 2 /
3 SEASON,COVERED OR ENCLOSED PORCH* 7
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.
QUESTIONS? CALL 761.8256 OR EMAIL
I have read agree to the above. codes( queensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Signed . G'--- /7/1-7/7 Dated: 1^ :30—/-2 www.aueensburv.net
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Queensbury �Buildin & Code Enforcement - Residential Final InspJcLion `QCt
Office No. (518) 761-8256 Arrive: am Depart am/pm
Date Inspection request received: Inspector's Initials-
NAME:
nitialsNAME: L•.4.0 PERMIT#:
LOCATION: .3 : uk DATE: 91/ / 3
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
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 V/z:
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 I 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'/z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 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 C�
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:1Building&Codes Forms\Buiiding&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
c\9-s-\ IO-/ 01,
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:, jm/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ' lJ
NAME: a t a..( PERMIT#: I at--(-1 3 5LOCATION: 3 3 Li.) .Q,d7 ? O �r�t ( INSPECT ON: 5" /3 —/3
TYPE OF STRUCTURE: ()PZ, is J
Comments
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/Wailpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Danipproofmg
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\lnspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
TOWN OF QUEENSBUR"Y
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MAP REFERENCE:
SUBDIVISION PLAN
RICHARD P. SCHERMERHORN
DATED- FEBRUARY 11, 2003
LAST REVISED, MARCH 17. 2004
BY, VAN DU5EN + 5TEVE5
N0,11 Duse-
W
Sieves
Land Surveyors
169 llaviland Road Queensbury, New York 12804
(518) 792-8474 New York Lie. No. 50135
LOT 6
UTILITIES
�; 5D„W
1y16°44 g3' ASPHALT
244 • DRIVE
'
9
2 STORY
\J WOOD FRAMED
HOUSE
4
/ N O
l
LOT 5
46,935 sq.tt.
1.08 acres
•LWIAIn10BNl.. 111ATON OR ADOnON TO A SIN
MAP KARNO A �I.EXSED I.V10 $UP"M. SFA, 15 A
NC TON OF SE.. Nql 7201, 5J0-DINSON 1. p” NNE
NEW YIXIX STAT, EDOCATION LAW -
'CNEY Q 'S'RCY TlE OR'iDNAL OF MS SMVEY
MARKED PATH µ' OOONA, a n1E W STIRKYONS
SEAL "LL BE • ONs,B,,M TO BE Vµ10 TPVE Cmm,
'CEMMAHO”, —AnD HFAEON SV'I MAT
. $URYEY WA" FREPARED IN AC DANCE WITH THE
Ms11N0 CCOE 1r pRACMY Fpi IAN, "'y,NS "MN
BY TIE NEW YEI STATE ASSOCIAT. DP PROITSSIONAL
W!D SIRV£YCN.. y (XRWCAPOI5 5N RIM ONLY
TO THE `MSON ,O, WN THE SURWY IS PREPARED, AW
ON ITIS BEHAU " n,,'n IXkl"' 0OVTANNENTA1
AMBOY ANO Il,,,,Na w,,Tl,,,, j,,,T REREM, AND
M ME ASSOItry CF IHC t "' lxsnnnM.'
NACNETIC AS
1�4
„ �+."served, or believe I saw evitlerce of,
allrrs rTluses, wells, trees, fz�l s, elc.,shI aiso represent tilat i flava
peascr� the distances set f, th on the
r rDWI E
I HEREBY CERTIFY THAT TH15 MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THI5 CERTIFICATION SHALL RUN ONLY TO THE PER5ON5
LOT 4 FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO, PATRICK J. DINGMAN + KELLY L. DINGMAN
WELLS FARGO BANK. N.A..
IT'5 SUCCESSORS AND/OR A551GN5
CHICAGO TITLE INSURANCE COMPANY
r
r
CERTIFIED BYE -----------------------------
MATTHEW C. 5TEVE5. LLS NY5 50135
C'
DATEDI JULY 19. 2000
Map of a Survey made for
Patrick J. & Kelly L. Dingman
Town of Queensbury, Warren County, New York
Label Juiy
Scale 1''=
S-1
SHEET 1 OF 1
Dingman
NO. DATE DESCRIPTION DWG. NO. 02392-5
1..