2005-692 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. P20050692 Date Issued: Wednesday, February 04, 2009
This is to certify that work requested to be done as shown by Permit Number P20050692
has been completed.
Tax Map Number. 523400-290-014-0001-026-000-0000
Location: 371 HAVILAND Rd
Owner. WILFRED & DEBBIE ST AMOUR III
Applicant: WILFRED & DEBBIE ST AMOUR III
This structure maybe occupied as a:
Deck
By Oder 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&Cod Enfo rent
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: P20050692 Application Number: A20050692
Tax Map No: 523400-290-014-0001-026-000-0000
Permission is hereby granted to: WILFRED & DEBBIE ST AMOUR III
For property located at: 371 HAVILAND 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. Tyne of Construction Value
Owner Address: WILFRED &DEBBIE ST AMOUR I
371 HAVILAND Rd Deck $5,500.00
QUEENSBURY, NY 12804-0000 Total Value $5,500.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-692
640 SQ FT DECK
$64.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, September 16, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the wn of uee u , eptember 16, 2005
SIGNED BY 4�(� for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No. I?
Building&Codes Office-Department of Community Development-Town,of Queensbury Fee Paid
05 ,
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes@aueensburv.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Accessory Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction
Any structure other than the principal structure (i.e., house), typically a garage, shed, greenhouse, dock, deck,
etc. (not necessarily limited to the list below). Refer to attached Informational Brochure No. 3
Instructions: A permit must be obtained before beginning construction. No inspections, will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder Owner: bie.— � �. rytoL
Address: Address: �5 7f 12oacL
Home Phone: jig -9 . �MY gag _
Home Phone: Si$ 5
Email Address: Email Address:
Cell Phone: Cell Phone: 147 113,// 66,66;
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: `
Address: 8 Phone - L
Location of proposed construction: Lot No ' Legal Address: S-11dnd a S_06k�au�me_
Tax Map Number: Subdivision Name:
Estimated Cost of Construction: $
�1 o 2j0j
Does an accessory structure currently exist on the property2 —Yes ! No
If YES, list all existing accessory structures:
Proposed Construction 1,'floor 2nd floor Total Proposed Height
sq.ft. $
q,ft. S .ft, 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 '
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 and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of all new construction.
Date: 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. —
Date: 4ofN_Authorized Signature:
L:\Sue Hemingway\Building,Permit.FORMS\Accessory Structure Permit Application.do V:12/28/04
111111111100�_
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm D i art: --Inm/pm
Date Inspection request received: Inspector's Initials: A IL I
NAME:
PER #:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments.
Yes No N!A �
4° Building Number Address visible from road
Chimney Height/"B°Vent/Direct Vent Location t�
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches !
Roof Co late/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more '00 OF
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Brads /Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safpV glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom: f'
Outside every bedroom area:
Inter Connected: Battery bad<up:
Attic aocess 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures "
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 s ,ft.
Emergency ress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operatin
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed propedy
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
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/C or C 10 Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Fob revised_100405.doc;Revised
January 7,2008; Revised 6/26108
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart: m/pm
Date Inspection request received: Inspector's Initials:
'3 A
NAME: L-11 I
PERMIT#:
LOCATION: - DATE:
TYPE OF STRUCTURE:
Comments,
Yes No WA
4" Building Number Address visible from road
Chimney Height PW Vent/Direct Vent Location / —
Fresh Air Intake
3 inch Plumbing
Vent thTugh roof minimum 6 inches
Roof /Exterior Finish Complete
Platform at all exterior doors ✓l h 07
Handrail 4 more risers
Guards at stairs,decks,patios m&e than 30 inches above gradet Jj l
Guard at stairwell at 34 inches or more
Guard at deck,poroes 36 inches or more
Handrail Termination at Newell Post or Wall
interior/Exterior Railingis 34 inches to 38 inches
Deck B /Handcapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off evosed/regulator 18 inches above arade
Interior pnvac !trim/doors/main entranoe 36 inches
Bathroom/Kitchen watertight
Safety glazing/Wing in stairwells safe
Interior Smoke Detectors/Carbon Monoxide Detectors (\ •�( `
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Be"backup:.
Attic access 30 inches x 22 inches x 30 inches(height)in acoessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft:150 sq.ft.vents
Bathroom Fans,if no window
Plumbing factures
Foundation insulation {fin
Floor truss,draft st finished basement 1,000 .ft.
E below rade
Gas Fumace stet-off within 30 feet or within fine of site
Oil Fumace shut-off at entrance to furnace area
FumaceMot Water Heater operating
Low water shut-off boiler
Relief Va s installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum IN Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage firWoofing/%hour fire door/door closer
Duct work Sealed propefly
Gas t_ s in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Fipe Bond'
As Built Sepft System!Sewer Dept.Ins n Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporay/Permanent
L:\Building&Codes Forms\Building&Codes\lnspec*m Forms\ReWderMW Final inspection Form_revised_100405.dm Revised
January 7,2008
qL7Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart:f m/pm
Date Inspection request received: Inspector's Initials: 0_1T)_
NAME: PERMIT#:
LOCATION: ai,la _ _ DATE:
TYPE OF STRUCTURE:
Comment
Yes No NIA J /
BuildingNumber/Address visible from road / b to
Chimney Height/"B"Vent/Direct Vent Location 4.
Fresh Air Intake 5o,—, '
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete l
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade � .
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety lzin
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area: 2 C
Inter Connected: Batterybackup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft. �,.. Cc M7 r,:�-'
Emergency egress below grade
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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%:"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage.fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Lo s in Sealed or Glass Enclosure
Final Electrical
Final SurveyPlot Plan lS/
As Built Septic System/Sewer Dept.Ins ection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Oka to issue C/C or C/O Tem or /Permanent
L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
IWQueensbury Building & Code Enforcement - Residential Final Inspection
O ice No.(518)761-8256 Arrive: am/pnj De art: _wpm
Date Inspection request received: — Inspector's Initials:
NAME: (— PERMIT#:
LOCATION: 1Gt DATE:
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent throw h roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more �
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet 1
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
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
Attic access 30 inches x 22 inches x 30 inches(heigliq(height in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
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
Final Electrical
Final Survey Plot Plan
As Built Se tic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Oka to issue C/C or C/O Tem or /Permanent
L:1Building&Codes Forms 3uilding&Codes\Inspection Forms\R.esidential Final Inspection Form revised_100405.doe
i
4
t
Foundation Inspection Report
i
Office No. (518) 761-82.56 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: m
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:`
NAME: SAv PERMTT#:
LOCATION: INSPECT ON: _
TYPE OF STRUCTURE:
Comments
Y N N/A
4Y)
ootings
Piers es
Monolithic Slab
Reinforcement in Place �~
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement `
of the concrete.
Materia]s_for this purpose on site._ Y
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing 1
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.
LASuelicmingwayCBuiIding.Codes,Inspection.FO RMSwoundati on Inspection Report.doc January 28,2003
61
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169 Haviland Road Queensbury, New York 12804 "°°'°'"'°"""'°m'""""°"`�"°w-K"° Town of 'Que"bury, Warren County, New York
,o rac Aswan"or e im""ra r by St. AMOUR 01311
(518) 792-8474 New York Lic. No. 50135 NO. DATE DESCRIP77ON DWG. NO. 04193
29(3.14-i-26/54-5-627