2009-285 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIMN- CE
Permit Number. P20090285 Date Issued: Wednesday, August 05, 2009
This is to certify that work requested to be done as shown by Permit Number P20090285
has.been completed.
Tax Map Number. 523400-308-008-0001-004-000-0000
Location: 7 BURNT HILLS Dr
Owner. CHRISTIAN BERNARD
Applicant: RICHARD ANDERSON
This structure may be 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&Code Enforcement
Planning Board 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: P20090285 Application Number. A20090285
Tax Map No: 523400-308-008-0001-004-000-0000
Permission is hereby granted to: RICHARD ANDERSON
For property located at: 7 BURNT HILLS 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: RICHARD ANDERSON Porch $14,500.00
DENISE W. ANDERSON Total value
7 BURNT HILLS Dr $14,500.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-285
209 sq ft porch
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,July 02, 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 the To of ensb T " r ay,July 02,2009
W
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
I--------------- <<<-- ----------------------------------
,.rlF, G / 07 Z
/, OFFICE USE ONLY , DJ-�- E 0 W E,
TAX MAP NO, L�/ PERMIT NO. �� ;
JUN 2 9 2009
FEE PAID 7 ' 6 BLDG. &CODES APPROVAL , ,
0
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TOb1lh]-OF R'�
ACCESSORY STRUCTURE BUILDING PERMIT A ODES
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 PECTIONS WILL E MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
OWNER: Lbd AJ INSTALLER/BUILDER::'y{76 e L !ra c,L'�//l o—z a
ADDRESS: ,/ v ' ,oyADDRESS: W�ei y/L f_I��(°�7(s S�c
PHONE NOS. ISM `f 311 PHONE NOS. "JA a — '79 s Z--
LOCATION OF PROPERTY: ( I/G/ si�.��SG .�( Y SUBDIVISION NAME: 'ej r-
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: vS
ESTIMATED COST OF CONSTRUCTION: $I 7° ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? 6
IF YES,PLEASE LIST: Gj �
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: !� PHONE: l _ q,3d
sr ND 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* Z® p r
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, QUESTIONS? CALL 761-8256 OR EMAIL
showing actual location of all new construction. codes(cDaueensburV.net
I have read and a ee t the above. VISIT OUR WEBSITE FOR MORE INFORMATION
www.gueensbury.net
Signed Lam" Dated: Z� O
Namerritle(Printed) Etc.` o ����w
Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
' Queensbury Building.& Code Enforcement - sidential Final Inspection
Office No. (518) 761-8256 Arrive: v - m Lnm Depart- ______amipm
Date Inspection request received: Inspector's ini ials: ��
NAME: PERMIT#: fJ
LOCATION: DATE:
TYPE OF STRI UK15-
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 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs deckspatios more than 30 inches above grade
Guard at stairweli at 34 inches or more
Guam at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracin /Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill late
Gas Valve shut-off ex Red I regulator 18 inches above grade
Interior privacy I trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety lazin /Window in stairwells safeglazing
interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic socess 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 2g.ft.-150 sq.ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation i insulation Certification
Fkxor truss,draft stopping finished basement 1,000 sq.ft.
Emernency earess below arade
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 R installed/Heat Ira Water Temp 110
Enclosed Stairs Sheetrock Underside minimum Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Gars e fireproofing/%hour fire door/door closer
Dud work Sealedproperly
Gas Logo in Sealed or GlAss EFiko—sure
Final Electrical
Final Sum Plot Pia
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 10 Temporary/Permanent
L:1Building&Codes FormslBuilding&CodeMinspection FormslResidenbal Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Rough Plumbing / Insulation 1 pection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: �am/pm rt: am/pm
742 Bay Road, Queensbury, NY 12804 inspector's Initials:
1
NAME: PERMIT #:
LOCATION: . - INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.1 for 15 minutes
Insulation/Residential Check/Commercial Check
Tyyek or Similar Exterior Sealant
it
Door/Window Sealed ft Insulation
g Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing l Insulation Inspection Report
Office No. (518) 761-8256 Date Inspectign request received: -7 Ldo I
Queensbury Building &Code Enforcement Arrive:I i S am/prn Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Q%
NAME: r � PERMIT##: a"� -C 6
LOCATION: ( INSPECT ON: 0
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing/Nail Plates
Plumbing Vent i Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
for 15 minutes
sidential Check/Commercial Check C'h� `
Similar Exterior Sealant ��
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Dud/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing / Insulation I ction Report
Office No. (518) 761-8256 Date Inspection requ ece'
Queensbury Building &Code Enforcement Arrive:��' a
742 Bay Road, Queensbury, NY 12804 Ins al
NAME: PE IT #:
LOCATION: INSPECT ON: -
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test n 1�
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping r�— -`b
5 P.S.I r 15 minutesE� T
Insulation/ esidential Check i Commercial Check
T e imilar Exterior Sealant � T
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape
COMMENTS:
Rough Plumbing insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008
lu—IL IAL)(_ e
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspectio request received:
Queensbury Building &Code Enforcement Arrive:�am/ Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#: _
LOCATION: INSPECT ON: C>
TYPE OF STRUCTURE:
Y
Framing N I NIA COMMENTS
ccess 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 naiis 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 ✓ 4101— leG-1 /
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
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuiid ng&Codes Forms-01-Muildirg;&CodesYrapedion FomisTrarning F Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report
r�
Office No. (518)761-8256 Date I request received:
Queensbury Building &Code Enforcement Arrive: % 01amlMm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspect- s Initials._�
NAME: 4 a PERMIT
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N NIA COMMENTS:
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
ft. or less on center
Ice and water shiel 4 inches from wall
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 5/8 inch Type X
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. W
5.7 sf above/below grade
5.0 sf grade
LASuikimg&Codes Fomis-=\Suildirg&CodesYnspedion FonsTramirg F"uestappag Inspection Reportdoc Revised January 7,2006
Foundation Inspection Report
Office No.(518)761-8256 Date In on request received:
Queensbury Building&Code Enforcement Arrive:l. am/pm� Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector' Initials:
NAME: 1 h C�� PERMIT#: 1' / — .
LOCATION: ►� INSPECT ON:
TYPE OF STRU TURF:
Comment
Y N N/A
Footin
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 Fortes\Building&Codes\Inspection Forms\Foundation Inspecction Report.doc
Last printed 12/20/2005 9:24:00 AM
\U - \ z
Framing / Firestopping Inspection Report V-' 0
��
Office No. (518)761-8256 Date Inspection F5�1
Queensbury Building &Code Enforcement Arrive: a rt:
742 Bay Road, Queensbury, NY 12&M Inspector's In
NAME: R Lj 0 F—i�C,I. ERMIT#:
LOCATION: -7 Rt-', ._.Li i LA, INSPECT ON: �r�j_
TYPE OF STRUCTURE:
Y N WA COMMENTS
Framing
Attic Access 220 x 31Y minimum
Jack Studs/Headers
Bracing/Bridging
)-(Joist hangers
XJack 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 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 cavq min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. CM
5.7 sf above/below grade
5.0 sf grade
L:1Buildmg&Codes Foms-01- Building&CodesUnspection FomsTraming Rostopping Inspection Report.doe Revised January 7,2008
Foundation Inspection Report (�-
Office No.(518)761-8256 Date Inspection ue 7 v
Queensbury Building&Code Enforcement Arrive: iO m Depart: H t Ip
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: /�� � PERMIT#: „ 2
LOCATION: 01 INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NA
ootings
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 Dampproofing
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
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LANDS OF I
MAP REFERENCES EDWARD 4L DURKIN
1. BURNT HILLS SUBDIVISION, DKC HALD/NGS, INC VAN DUSEN & STEVES� LLC I L. 1261 P. 277 LANDS OF
LLS, DATED XLY 23, 2001, LAST REVISED JAN. 17, 2002 GEO GE MAW
2. AMENDED SUBDIVISION OF LANDS NOW OR FORMERLY OF GLENS FALLS HOM& I L. 993 P. 83
INC, BY DAVID F. BARRASS L.LS, DATED 2/17/95.
J. WARREN COUNTY, TOM OF QUEENSBURY, TAX MAP NO. 308.06, BLOCK 1, �
PARCEL NO. 4, L. 3537 P. 132 I
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_ 20.00
:-:•_-_-:2 STORY'-: PROPOSED 4211 -
-FRAM....... ENCLOSED
a -- HOUSE•,-.- PARCH
WALK :'.':.'-- - - - 4&0'
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I� f :.':.:.:_':::.:.� :.:' LANDS OF
Q .ST(Sl�'Y:._. 1 STORY J 8. O.. SO f A�
k ��7 f MACADAM I JUTREY & JOAN LEE
DRIVE GARAGE.':........HOUSE: TO BENG SHED MOVED I L. 1171 P. 69 O
20.5'
� PROPOSED
' MACADAM OR/ICE SHED
(13 _
B E SIDE SETBACK
BASK et
❑ o HOOP 18ALL — 20.5' 0) x0
CEDAR ROW 20• FOUND CAPPED IRON P r
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LANDS OF
RUSSEI.L & DARUWE P"ER f
L. 1379 P. 116 I .�
I"P of SUR VEY
OF LANDS OF
LEGEND: RICHARD & DENISE ANDERSON
N
• FOUND IRON MARKER I J.
O SET IRON ROD WITH CAP f TOWN OF CNJEENSBURY, WARREN COUNTY,11; NEW YORK
o •
Q POI WER LINE ® * * SCALE.• )". = 20' DA 7E: MAY 8, 2009
—STONE WALL UPDATED .NNE 15, 2009 TO ADD PROPOSED
r
—= -FENCE PORCHES ON THE REAR.
ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY I LINO •
MARKED WTH AN ORIGINAL OF THE LAND SURVEYOR'S
EMBOSSED SEAL OR INKED STAMP SHALL BE
W. J. ROURKE, ASSOCIATES
CONSIDERED TO BE VALID 1RUE COPIES �
O Licensed Land Surve)vrs •
Unauthorized Alteration to this map is a 1554--- Saratoga Road, P.O. Box 1434 09-37
violation of Section 7209, Subdivision 2 South Glens Falls, N.Y. 12803
of the New York State Education Law. WILUAM J. RDUR LIC SED LAND SURVEYOR NO. 49098 JOB NO.