2003-661 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: P20030661 Date Issued: Tuesday, May 10, 2005
This is to certify that work requested to be done as shown by Permit Number P20030661
has been completed.
Tax Map Number: 523400-289-007-0001-019-000-0000
Location: 52 REARDON Rd
Owner: THOMAS & LINDA HEINZELMAN
Applicant: THOMAS & LINDA HEINZELMAN
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
( lati
A r .'
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
BUILDING PERMIT
Permit Number: P20030661 Application Number: A20030661
Tax Map No: 523400-289-007-0001-019-000-0000
Permission is hereby granted to: THOMAS &LINDA HF,TNZELMAN
For property located at: 52 REARDON 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. Type of Construction Value
Owner Address: THOMAS &LINDA HEINZELMAN
27 WILLOW Rd Deck $3,500.00
Total Value $3,500.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
BILL POGONOWSKI
BIRCH Rd
LAKE GEORGE_ NY 12845
Plans&Specifications
2003-661
440 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$44.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 22, 2005
(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 o uee bury;r' hur• i y/April 22, 2004
airiV
SIGNED BY 4 for the Town of Queensbury.
Director of Building&Code Enforcement
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 No. eO- (.p(9 I
inspection will be made until applicant has received a valid Fee Paid $
building permit. All applicants' spaces on this application must be Reviewed By: r�Q�
completed and must appear on the application form. v
Applicant: n�zofio%yi fe-N c Owner: 7,7,1 Xeofe/iIRC01/ ,--
Address: 38 ,./z.cA ,6/- Address: ot n >i Li
Phone#(5?1) 7 ///6 7 Phone#( )798 - 3 Ai Op r,O3
Email Address:Ca/ 7711 /3 — Email Address: "BUi a Csu r
E
ri
Person Responsible for Supervision of Work as Regards to Building Codes:
NameWt 7, ° 's'I Address: .0 4.- Phone 771i- / .c
Property Location: / House Number.5 / 1€. 47 -& eaee-4.-
Subdivision Name: Tax Map Number: 289. 7-
Estimated Market Value of Construction: $ 4/.3500
❑ Porch
•
Deck
❑ Dock
a Boathouse
a Other work(describe
Size of structure to be built /916' 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
authorized by the owner.
Applicant's signature: - / Date:
8,/i 4,3
PP g
L:\SueHemingway\Building.Permit.FORMSWorch.Porch.Permit.doc 8/13/02 revised per DH
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pc�_-Depart: , m/pm
Date Inspection request received: Inspector's Initials: V
NAME: COI NC- 0 Z0 PERMIT#: (Qll
LOCATION: S;� R-E7S -r rkr-Y-\ _ DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete Q n
41,,Lc
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.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/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
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/%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 I C or C/0[Temporary I Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
3
. 36- (ipi),)
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p D Depart. - am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: I`''
NAME: \ Q r �'�n 1 \O \VtS PERMIT#: Ic '
LOCATION: S E tc INSPECT ON: S 3 --( Li
TYPE OF STRUCTURE:
Comments
Y N N/A
Pier
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
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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Based r comments shall
comppliance with construedo as indicating the
pots andpecations are in full
plans sped
compliance with the Building Codes
of New York State.pt.e,t
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