2004-018 ` 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: P20040018 Date Issued: -Friday, June 18, 2004
This is to certify that work requested to be done as shown by Permit Number P20040018
has been completed.
Tax Map Number: 523400-308-014-0001-047-000-0000
Location: 109 PITCHER Rd
Owner: MICHAEL & CAROL GIBSON
Applicant: MICHAEL & CAROL GIBSON
This structure may be occupied as a:
By Order of Town Board
Porch TOWN OF QUEENSBURY
44 t
Director of Building&Code Enforcement
,r
A' TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040018 Application Number: A20040018
Tax Map No: 523400-308-014-0001-047-000-0000
Permission is hereby granted to: MT( HAFT,& CAROL CrTRSON
For property located at: 109 PITCHER 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: MICHAEL& CAROL GIBSON
109 PITCHER Rd Porch $8,000.00
Total Value $8,000.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-0018 352 SQ FT PORCH
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, January 20, 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 T jwn o ueen ® u day, January 20, 2004
SIGNED BY 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.� ��g f
inspection will be made until applicant has received a valid Fee Paid $ L
building permit. All applicants'spaces on this application must be d Biewe Rev
completed and must appear on the application form. y=
Applicant: Owner: ll r e S o
Address: Address: (0 1 TcH�� i �d
Phone# Phone#(Sff ) 79 Z
Email Address: Email Address::
Person Responsible for Supervision of Work as Regards to Building Codes:
Names &�� &L � � Address: SAmf�S fflilG Phone 792"gc/fld
Property Location: Lot Number: / House Number l(q /?-1�k e.F R51-
Subdivision Name: Tax Map Number. 30 V--/ 7
Estimated Market Value of Construction. $19O o
Porch j(p❑ Deck RECEIVED
❑ Dock
Li Boathouse JAN 1 6 2004
❑ Other work(describe
' TOWN OF QUEEI`1SBURY ,
Size of structure to be built 3 square feet BUILDING AND CODE
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. ,� , �1
Applicant's signature: �� "/t(�ja e- , Date: /o 0
L:\SueHemingway\,Building.Permit.FORMS\Porch.Porch.Permit.doc 8/13/02 revised per DH
"�. Queensbuly Building & Code Enforcement - Residential Final Inspection /
Office No. (518)761-8256 Arrive: am/p � part: �pm
Date Inspection request received: `t� Inspector's Initials: —� � —
NAME: ✓�� PERMIT#: ` L/
LOCATION: DATE:
TYPE OF STRUCTURE: Para
.a
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
Guard 30 in.or more cry stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete 001,
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 %"
Gypsum
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill late
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 Valves installed/Heat Trap/Water Temp 110
Interior.privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety lzin
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
Gara e Floor Pitched
Garage fireproofing/3/4 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 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/O Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insr). form 2.docLast printed 2/12/04
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
~ O q �- 0/qNAME: \ PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
ootings
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
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Irispection.FORMS\Foundation Aspect!On Report.doc January 28,2003
Framing / Firestopping Inspection Report ` \.
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p epa ' am/pm
742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials:
NAME: ' Gil PERMIT
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N /A COMMENTS
taming
Jack Studs/Headers
.Bracing/Bridging
Joist hangers s
Jack Posts/Main Beams
Exterior sheeting nailed properly v b t—
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
.1 %2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
ire wall 2, 3,4 hour
Firestopping
Penetration sealed 6
16 inch insulation in cavity min.
Garage Fire Separation
House side ''/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
0 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doe January 28,2003 LL6,t �^
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" JAN 16 2004
TOWN OF QUEENSB ! ` P)o�'
a � i BUILDING AND COpE�' I '�.,� �, bLAA o Lv+
Fa• l "�a 1 � Ambelzs�((Le.
150 !� (� \
1901,p, 0S1-11, ''Q4y ar^'.m^!;y,
36'. PEVIEWED BY .�
DATA 1 7--7 d
4zzso" TOY�N OF QUEENSBURY BUILDING DEPARTMENT
Based on oUr limited examination
i c omplianoe with our comments shah
�U not be construed as indicating the
j plans and specifications are in full
Compliance with the Building Codes
of New York State.
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