2005-523 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4E Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20050523 Date Issued: Tuesday, August 09, 2005
This is to certify that work requested to be done as shown by Permit Number P20050523
has been completed.
Tax Map Number: 523400-279-015-0001-028-000-0000
Location: 5 AZURE Dr
Owner: SCOTT & KATHLEEN MOULTHROP
Applicant: SCOTT & KATHLEEN MOULTHROP
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
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 uilding&Code E cei t
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: P20050523 Application Number: A20050523
Tax Map No: 523400-279-015-0001-028-000-0000
Permission is hereby granted to: SCOTT & KATHT,F,FN MOTT1314ROP
For property located at: 5 AZURE 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: SCOTT & KATHLEEN MOULTHRC
5 AZURE Dr Deck $800.00
Total Value $800.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-523
250 SQ FT DECK
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, July 19, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Quee ry before t expiration d te.
Dated at the To n of urJuly 19, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No. 7 �S 3
roa7d,
tment of Community Development-Town of Queensbury Fee PpICI 44
Pee'Hatin,
R12804aueensbury.net
lone: (518) 761-8256 FAX: (518) 745-4437
4ccessory Structure Building Permit Application
kpplication & Plans subiect to review before issuance of a valid permit for construction.
kny structure other than the principal structure (i.e., house), typically a garage, shed, greenhouse, dock, deck,
;tc. (not necessarily limited to the list below). Refer to attached Informational Brochure No. 3
nstructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
nust appear on the application form. /�
Applicant/Builder ,a i-z r�N JMOUL R Owner:
Address: zLk" -t>i; - Address: '" =
., C.
Home Phone: ?93 52 Home Phone:
Email Address: Email Address: JUL 3 8 2005
Cell Phone: Cell Phone:
FAX Phone: FAX Phone: TOWN OF QUEEi�IS�UR�
BUILDING AND GUUb
Person responsible for supervision of work with respect to building and codes compliance:
Name: C %���
Address: Phone
Location of proposed construction: Lot No. I Legal Address: S 40agp_ JM cemy
Tax Map Number: oZ? C) ,)S Subdivision Name:
Estimated Cost of Construction: $ 80,Da
Does an accessory structure currently exist on the property? )0 Yes / _No
If YES,list all existing accessory structures:�� ��X?-0 ck.
I
Proposed Construction 1A floor 2°1 floor Total Proposed Height
sq.ff. sq.ft. Sq.ff. ft.&in.
Open Porch
Covered or Enclosed Porch
(considered floor area&must comply to FAR (Floor Area Ratio]
requirements if the structure is located in the Waterfront
Residential zone.
3-season Porch is considered an enclosed porch.
Deck Z Z
Boathouse
Boathouse with sundeck
DOCK
Shed
Pole Barn
Detached Garage 1, 2, 3 car
Other Accessory Structure:
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
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 nd Codes, an As-Built Survey by a.
licensed su eyor, drawn to scale, showing actual location of all new stru ion.
Date: T Applicant/Builder Signature:
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above. 'v�,A
Date: �19)� Authoriized Signature: T
L:\Sue Hemingway\Building.Permit.FORMS\Accessory Structure Permit Application.doc V:12/28/04
Queensbury Building & Code Enforcement - Residential Final Inspection l
Office No.(518)761-8256 Arrive: am/pm /�D )art: L ��Jm/pm
Date Inspection request received: 4q(J5 _ Inspector's Initials:am/pm
`� b
NAME: z PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake � �t -- C ��
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 f
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 %Z"
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 o ratin
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safet lzin
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/'/4 hour fire door/door closer
Duct work Seated 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, I s . ft.-150 s . 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 J O Temporary/Permanent
L:1PamW\Buildiniz&Codes\Inspection FormsiRes. Final Inso. form 2.docLast printed 2/12/04