2009-168 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090168 Application Number. A20090168
Tax Map No: 523400-239-015-0001-018-000-0000
Permission is hereby granted to: ANTHONY&MARCI JACKSON
For property located at: 4 HIGHVIEW Rd
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. Tyne of Construction Value
Owner Address: ANTHONY&MARCI JACKSON
163 TWIN HILLS Dr Porch $7,000.00
LONG MEADOW, MA 01106-0000 Total value $7,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
FORBES, WILLIAM
29 DAVIS STREET
GLENS FALLS,NY
Plans &Specifications
2009-168
203 sq ft porch
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, May 12,2010
(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 todlrR of a ns�ry;r; ay,May 12, 2009
SIGNED BY °' % / for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20090168 Date Issued: Tuesday, July 07, 2009
This is to certify that work requested to be done as shown by Permit Number P20090168
has been completed.
Tax Map Number. 523400-239-015-0001-018-000-0000
Location: 4 HIGHVIEW Rd
Owner. ANTHONY & MARCI JACKSON
Applicant: ANTHONY & MARCI JACKSON
This structure maybe occupied as a:
Porch
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance 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&06de E rcement
Planning Board or Zoning Board of Appeals.
---------------------------------------------------------------------------- ...lb _lam
OFFICE USE ONLY E /
TAX MAP NO, / PERMIT NO. l ,
FEE PAID ���'e� BLDG. &CODES APPROV / MAY I ����
1 ,
__.POW{, .pF.QJJEBNSBURY_:
BUILDING & CODES
ACCESSORY STRUCTURE ILDING PERMI ON
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: kret d IOtJLA tTsJ<50t'l INSTALLER/BUILDER:
ADDRESS: I�3 �wl�ft��1� r.. Mpc�Ow,MA OADDRESS: fJ�'1 pw.2 _*W�_� ��-'�1S \���\" [• 12�I
PHONE NOS013)2V5'— \Dc 7(o IC'A13)531—N13/�+ PHONE NOS. �%bl)--00
LOCATION OF PROPERTY: 4 IAI1 yxto 0,U-c�t SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: &�� M G � S�cl t OT OyS�
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑YES NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ ebD ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: SAI 1` 4e> PHONE:(5%)
is No PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH' �� t
BOATHOUSE �1
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
codes(ftueensburv.net
I have read Wd ee to the above.
/ VISIT OUR WEBSITE FOR MORE INFORMATION
Signed Dated: �/ 0 6 www.aueensburv.net
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Framing / Firestopping Inspection Re rt
-Lf ors
Office No. (518)761-8256 Date Inspection request received:-sh 16 1
Queensbury Building 8r Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:/r
NAME: 07 PERMIT
LOCATION: �I INSPECT ON: r—
TYPE OF STRUCTURE:__ I✓�� C.
Y N MIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing/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/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D nags each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 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%inch or 5/8 inch Type X
Garage side 518 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. CM
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forrns-OLDNBuilding&CodesNinspection FormsTraminp Firestopping hnspedion Reportdoc Revised January 7,2008