2003-321 TOWN OF QUEENSBURY
f4r0 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20030321 Date Issued: Wednesday, October 19, 2005
This is to certify that work requested to be done as shown by Permit Number P20030321
has been completed.
Tax Map Number: 523400-289-017-0001-016-000-0000
Location: 74 ASH Dr
Owner: JAMES & VALORIE POLUNCI
Applicant: JAMES & VALORIE POLUNCI
This structure may be occupied as a:
Deck
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the 4
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
FOT
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT •
Permit Number: P20030321 Application Number: A20030321
Tax Map No: 523400-289-017-0001-016-000-0000
Permission is hereby granted to: JAMES &VAI,ORIF,POUJNCI
For property located at: 74 ASH 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: JAMES & VALORIE POLUNCI
74 ASH Dr Deck $1,200.00
Total Value $1,200.00
LAKE GEORGE,NY 12845-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-321
192 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
THIS PERMIT WILL REPLACE 98-114
A SURVEY MUST BE SUMBITTBU PRIOR TO ISSUING A CERTIFICATE OF COMPLIANCE.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 09,2004
(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 Quee ury; onday,June 09,2003
SIGNED BY I for the Town of Queensbury.
Director of Buildin &Co Enforcement
rorcn, LJecK, POCK, or iioatnouse rermit tippiicatIon
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518) 761-8256
_ r ot_l
. A permit must be obtained before beginning construction. No Permit File No. >
inspection will be made until applicant has received a valid Fee Paid
building permit. All applicants'spaces on this application must be Reviewed B '
completed and must appear on the application form.
Applicant: j3/Y?PJ P epOfU/J G/ Owner: SG/r1 c /'
Address: -7 y A3 jI ,dr/VG Address: /
I-gA c (ccor e. 22/ /.z�yS
Phone# (S7 ) 7 q.s'- 7 e_ Phone # ( ) -
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name 30rnC,1 P. RTQk44 i Address: Phone
Property Location: Lot N er: 2�` I House Number 7'/ / �si 0/','�/�
Subdivision Name: �/ h Tax Map Number: 1 9 — 1 — .SS
00
Estimated Market Value of Construction: $ 11 200 D'O t,1'7 — / —/ `E0
❑ Porch
X Deck
o Dock
❑ Boathouse
o Other work(describe lQ
Size of structure to be built a square ,feet
Submit along 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 of posts 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 complied with,whether specified or noted, and that such work is
authorizes y the owner. /�
Applicant's signature: U . PCDate: 02.A3
L:'SueHemingwaygBuilding.Permit.FORMSTorch.Porch.Permit.doc 3/13,02 revised per DH
Ink Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: 't' am/pm
Date Inspection re st received: Inspector's Initials:
NAME: PERMIT#: C C.
LOCATION: � �� U� DATE: / — C
5
TYPE OF STRUCTURE: \ O -0
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location tt
Fresh Air Intake Z. � ✓ 1 I
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 V fq'K m G.--
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum YZ"
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
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: i 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/%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 Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent] 1
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Foundation Inspection Report
Office No. (518) 761-8256 Date Ins ection re t e ive :
Queensbury Building&Code Enforcement Arrive: Depart: _ ` _
742 Bay Rd., Queensbury,NY 12804 Inspector's Ini ' n i
NAME: e0 ) \-)Y1 IT#:
LOCATION: 'j L( SPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
� oting
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
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 r
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:1SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
717
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TOWN OF QUEENSBURY BUILDING DEPARTMENT G•-o• , 1•_0• I ! G -0. i'
Based on oUr limited examination, / 14
compliance with our comments shall
not construed as indicating the
plans and specifications are in full `--.„)
compliance with the Building Codes
of New York State. Tr' , ,, '
BUILDING
7 2 X 1 G DECK PLAN
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I I LANDS OF GRAVES •
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Hatched Regions Are
eet of a Water Well q LAN S NOW OR
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FOR ERLY OF ,<;;I•
+I ELI ABETH RITO FORT N
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WELL
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JDS OF HILLIARD U,l I LANDS OF PERKINS
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1:0 32 —�--I 38
LANDS OF P LUNC,I 1
•WELL
In 10 fOCT PROPER LINE SETBACK •+I
±300
•
LANDS OF MILLER
Appr7xiMate Location of L
Driveway and Parking Area GLEN L A <E
o� _
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Collapsing Abandoned Hone
Location of Well Undetectable APPROX LAKE SHORE
Ass ed Past Water Source Was Glen Lake
James&Valode Podund
EXISTING SITE PLAN SCALE: 1 - 40" 1795AstrnRIVE(MAP%289.17-1-16)
,a.a OT .Y..1o�.1. mwv�rwOwc
OVVSITE D/SPOSAL SYTBI LE4 H FIEL D
CCL/IOY/TATNn/
MAP REFERENCE:
MAP OF A SURVEY OF LANDS OF
SAMUEL J. & SHIRLEY JARVIS &
AUBREY G. & ANNA HUNTINGTON
DATED: JUNE 8, 1964
REVISED: FEBRUARY 7, 1975
BY: JOHN B. VAN DUSEN
q
IRF `
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LEGEND:
s?o°so OIPF = IRON PIPE FOUND
OIRF = IRON ROD FOUND
r8R3 3e RAF O CIRF = CAPPED IRON ROD FOUND
1pr Ov cONc O IRS = IRON ROD SET
o'� I
3 3' I
Sq2 VSN� - s"S
ROBERT J. & KATHARINE T. MARQUARDIT o
N47f03130'W �� 27.21 ��\ TO \
37 0? 30Lw �� r8• �. Yr�Q
_�
�'e•`3pAw R5 \ \ JAMES P. & VALORIE L. POLUNCI (/ 0(of,
�\ \ DATED: MARCH 179 1994 1• FF i
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atel\..,� ,� ,MtW,NCMZED ALIM71M DR ADD11ION TD A ARYEY Scale 1'=20`
j- NAP SEARIND A UMNSW LAND SURVEYORS W&IS A Map of a Survey made for
MOIAVON OF SECTION TIDY.SUS-DIVISION Z OF THE
Steve NEW YOIM STATE EDUM11ON
'ONLY "A NIOM 1NC allm�L MDft SURVIY
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SEAL 94ALL BE CONS O"TO BE VXJO TRUE COMM'
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SA E M1TTi THE
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BY itE RETY YOIM 9TAlE A590CIA1WN 6 PRDFE5.90NAL
LAND SURVEYORS.SAID CERTIRCATIONS SHAL RUN ONLY /�
TO TIE PERSON FOR ANON 1HE SURVEY IS PREPARED,AND SHWr1 OF 1
ON HIS BEHALF W THE TITLE COMPANY,OOVERHNENTAL
169 Haviland Road Queensbury New York 12804 AGE MY AND LENOINO MSIITUITION USTED HEREON,AND Town of Queensbury, Warren County, New York
tO THt A7B M25 OP Tit[UNOINO INSHTUIION.•
POLIJhIG
(518) 792-8474 New York Lic. No. 50135 1 NO. DATE DESCRIPTION DWG. NO. 03089
39-1-55 289.17-1-16 C1025