2003-121 ��` QUEENSBURY
TOWN OF
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building& Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20030121 Date Issued: Thursday, July 15, 2004
This is to certify that work requested to be done as shown by Permit Number P20030121
has been completed.
Tax Map Number: 523400-290-000-0001-065-000-0000
Location: 23 BROOKFIELD Run
Owner: KEVIN & JESSICA GIAMBRONE
Applicant: KEVIN &JESSICA GIAMBRONE
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
Director of Building&Code E m t
1 '
TOWN OF QUEENSBURY
: "
. Fi*
742 Bay Road,.Queensbury,NY 12804-5902 (518)761 8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
. Permit N;umber: . P20030121 - Application Number: A20030121
Tax Map No: 523400-290-000..0001-065..000.0000
- Permission:is'hereby.grantedto: ;KEV:IN:&JF,SMC;A CT,TAMBRONE
For property located at: 23 BROOKFIEL;D Run
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: KEVIN &7ESSICA GIAMBRONE
23 BROOKFIELD'Run Deck � $2 00 0
Total Value $2,000.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2003-121
384 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID- THIS PERMIT,EXPIRES: Saturday,April 03,2004
(If a longer period is requited,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 Quee bury4; T . rsday,April 03, 2003
;/ .
SIGNED BY Y for the Town of Queensbury.
Director of Building&Co!"- Enforcement
ic;z1
Porch, Deck, Dock, or Boathouse Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. No Permit File N /
inspection will be made until applicant has received a valid Fee Paid
building permit. All applicants'spaces on this application must be ;
completed and must appear on the application form Reviewed> y. J '4
10,
Applicant: G M M BR oN E . Owner: -i� ®�� 0�� �o'
Address: z3 Bi00%c l k1 R' Address: ?3 voo ,f h A-149)496,
Qivee.,slary , NY .IZ809 vee N 1 y
Phone#(s/8 ) 76/ - 253/ Phone#(5'B ) - z537
Email Address: 1,-914 (c,c&/i r 6vof Email Address; �,,.74..4 (�' GJ 6!.; ,0,mit
• Person Responsible for Supervision of Work as Regards to Building Codes:
Name /(e k) C 4 G1'7����ti c Address: 27 y c. Ge/)R - Phone 7 /-z 37
Property Location: Lot Number; 7-3 / House Number 7.3 / /..••o�/f r/o/ R�
Subdivision Name: /f;e/d Es uies _ Tax Map Number: 2 a, cc --i-
6S
Estimated Market Value of Construction:
❑ Porch
• la( Deck
❑ Dock -
❑ Boathouse
❑ Other work(describe
Size of structure to be built 3 S L square feet
Submit alone with this application:
1. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed
structure showing setback dimensions from all property lines. Show location of
water supply and location and configuration of septic disposal area.
2. Two sets of structural drawings. Indicate size of posts or studs,floor joists,
decking or flooring material to be used. Show how the porch or deck will be
fastened to the building. If a roof will be constructed,indicate the size ofposts or
studs,roof rafter spacing and span. Indicate type of roof: sloped,flat,shed,or
other. Indicate the type of material being used for the roof.
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this 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 Code,the Zoning Ordinance and all other laws
pertaining to the proposed work shall be co lied with,whether specified or noted,and that such work is
authorized by the owner.
Applicant's signature: ate Date: 34/.
1.ASueHemingway\Building.Permit.FORMS\Porch.Parch.Permitdcc 8/13/02 revised per DII
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Queensbury Building & Code Enforcement - Residential Final Inspection 11
Office No.(518)761-8256 Arrive: am/p epart:. am/pm �}'
Date Inspection request received: Inspector's Initials: \
NAME: IA eiV ; „ I\l'a m r PERMIT#: 03 �O -/
LOCATION: on DATE: 17--/5--(1
TYPE OF STRUCTURE: -- _�>141P,
�1� Comments
Y N N/A _....-
Chimney Ht./"B"Vent/Direct Vent Location 4'R AWL/1 il.)CQ
Fresh Air Intake (�
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete ./
Guard 30 in.or more @ stairs, decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in. tj/ .
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum 1/2"
Gypsum
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating I
Low water shut-off boiler
Relief Valve(s) installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area: •
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Surve' 'lot Plan
As Built Septic .'..tern/Sewer Dept.Inspection Sticker7 .
Flood Plain •rtific.tion,if required
Okay to issue C/C it C/0 [Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
• 1
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/Nm epart: t m am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's InitialsQ
NAME: e.:/� Cl C- oçrç PERMIT#: cX� —
LOCATION: -� `l` t�' j) INSPECT ON:
TYPE OF STRUCTURE: ( 1
Comments
N/A
' stings — —
-r.;
.nolithic 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
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/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:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
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