2004-301 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: P20040301 Date Issued: Tuesday, June 15, 2004
This is to certify that work requested to be done as shown by Permit Number P20040301
has been completed.
Tax Map Number: 523400-308-01870002-039-000-0000
Location: . 12 MC DONALD Dr
Owner: GERARD &MARGARET WILSON
Applicant: GERARD & MARGARET WILSON
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
4
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
Lad 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040301 Application Number: A20040301
Tax Map No: 523400-308-018-0002-039-000-0000
Permission is hereby granted to: CTERARD K MARC'TARET WTT,SON
For property located at: 12 MC DONALD 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. Tie of Construction Value
Owner Address: GERARD &MARGARET WILSON
12 MC DONALD Dr Deck $3, 00
Total Value $3,000. 0
00
QUEENSBURY, NY 12804-0000
i
Contractor or Builder's Name /Address Electrical Inspection Agency
DJP ENTERPRIZES
DAN PAOTTIN
793-2594
41 COT TNTRY COLONY Rd
OIJEENSBITRY_ NY 12804-0000
Plans&Specifications
2004-3 01
240 SQ FT DECK
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, May 28, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T o ueen F i May 28, 2004
SIGNED BY for the Town of Queensbury.
r .Y
Director of Building&Code Enforcement
Porch, Deck, Dock, or Boathouse Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. No Permit File No. ` V
inspection will be made until applicant has received a valid Fee Paid
building permit. All applicants'spaces on this application must be Reviewed By:
completed and must appear on the application form
n
Applicant: G riR/+ P, !�;. �Jt 3-0 N Owner: G-ffrPlkn . Rf� p_£ ,�J ��r✓
Address: J Z M`h v Ai g!n J) Address: 1 Z #1 }aow.t I,z IDr;t ve
G UE$NS�V�(so. N ►`��a (QV�fsN;�vr ti �y I26�L�
Phone#(S-11,) 7 j - u R I Phone#(,i 1 b ) -
Email Address: SF R P,6,e- 61fio -4,5-f- Email Address:. J#A P E� e-
Person Responsible for Supervision of Work as Regards to Building Codes:
Name',)-) �v1 J Address: `-•(I
Property Location: Lot Number;4�zx / House Number /y l M`P,Nq Iv �'�, i yr
Subdivision Name: Se°6�2r jF� �M �.��I Tax Map Number: Q� � !��_L_to •1:+'
Estimated Market Value of Construction: $
❑ Porch
Deck
❑ Dock
❑ Boathouse
❑ Other work(describe
Size of structure to be built Z 1-4 a square feet
ED
N r ? .2004
Submit along with this application: rBUl1pl F t:ENSBU
DING AND COpE Y
1
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 ofstructural-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 a id-thafall 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:
,� l/V Date: -5 . d
L:NSueHemingNvay\Building.Permit.FORMS\Porch.Porch.Permit.doc 8/13/02 revised per DH
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received: 14 ' L���
Queensbury Building&Code Enforcement Arrive: am/ Cpart: 1amm/p `
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: �-lA�
NAME:
PERiVIIT#:
LOCATION: 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
Roof 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
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 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
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 back-up:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 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(Cert. Of Compliance)
Okay to issue Temporary C/O(Cert. Of Occupancy)
Okay to issue,Permanent C/O(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.400�.3.,
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No.................. Cert. N2 76347 Cut-in Card No.....................................
Pi A-J-697Z,
Owner............. .......!......... .... ..... .................................... . ...........
1.
Location....... ;;�.. . ........................................... IV........ ...e............
'U 6 /w,
102, ge'.&60
InstallationConsisting of B ....... ................................................................................................
....................................................................................................................................................................................
.................................................
InstalledBy. e� V_ou ...........................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making i-2KFUN.' at any time, and if its
rules are violated,the Company shall have the right t arev e this c Fi
I- i�15�
......... ..
Date.... ............ INSPECTOR... ......... .............................................................................
Member N.F.P.A.,I.A.E.I.
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection reque t received:
Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials.
NAME: G y r PERMIT#: v
LOCATION: )iR
INSPECT ON:
TYPE OF STRUCT
Cotnmeints
Y N N/A
o rngsPiersMonab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this put pose 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
RE-COPY
- N
TOWN OF QUEENSBURY BUILDING DEPARTMENT T01101 i OF-' Q U E-E.—s,l�='U Y ��'
Based on our limited examination, I VED
comppliance with our comments shall
not be construed as indicating the BUILDING ®
plans and specifications are in full d 2004
compliance with the Building Codes REVIEWED BY & z� TOWN OF
of New York State. QUEENSBNRY
DATE QUI G_A11D
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33
Deed Reference
Margaret M, McDonald -
��LOTLOTt°
i 98 l Geraril R. Wilson
�y �a and
Lands N/F Daniel W. and Karianne Ryan ( I 2G4/ 1 5 1 ) Margaret A. Wilson
Book: I263 Page:.: 321
Date: 10 April 2.002
. :
Capped RQd Found
5g3.or; „
5 00 E --�
83,52r
Capped Rod Found Map ffe rence
vf...)
^� .
Gerard R. Margaret A. Wilson
by; David J, Bolster.
date: 21 August 2002
Map of Southern �xpo5ure
A 5ubdivi5ion of Lands of Robert F. McDonald
CO : Lands N/F McDonald
by: Raymond J. Buckle
4 10
LOT 18 � {FO l8
Cfl _ = dat
) e: April- 1951
CO LC f
O
20
Lands Reputedly of McDonald �. .�..
Area -� 0.43 _ acres
Mapping Note
rOn Rod found Note: Qnly title Surve�y5 bearing the maker's
ernbosped seal should be relied upon since
Q Q other than embossed-seal copies may contain
p unauthorized and undetectable modifications,
f deletions, additions, and chances.
c
Note: Unauthorized alteration or addition to a survey map
r+0 O, 2f bearing a hgensed land 5urveyor'5 seal is a violation
\ S of section 7209, sub-diwvQn2, of the New York State
` Education law-
..
4'Q
LOT 23
Certlficatlon Notes
Paved ! lay
C4rtifigations on this boundary survey map signify
that the map waa prepared in accordance with the
Drive Lands N/F Henry R. and 5u5ann H. Ho55ack current existing Code of Practice for land Surveys
r � I
4 ( I 2 2 G/ 1 1 1 ) adopted by the New York&fate Association of
Professional 5urveyors, Inc. The certification is
Ihritited to the persons for whom the boundary survey
f map rs prepared, to the title cgmparry, to the
4vern ntal a en and to le din institution
. � —�. 9 f"e 9 cY h n 9
t O a 5urve for, fisted qn this boundsry survey p sury map.
�... '
MW, 11
�— Iron. Rod Found ;
io Rargar' et O The cert►fication5 hereon are not transferable.
� N7 a m
G�Or (Bent)
5itu te, in
a,. r r r r r
T e to tion of wide
ound movements o
e r men r al known n often t
c�wn of uee�nbu Ctaunt f V1fa�r �
`�... nc.oaFh is a e not ways kno and etti mu$
im f n r i r m b I d o n m v tg
. _ e eat a s u e u d o e en o
l , r
. . 5ta e croa hments x15t r are, rho he improvements
to o Newyork �., -�., n � .� o � wn, t p ,
: or encroach ents argil not covered this certi i Cate.
f
t►Y
0 fee Dot . I T 'July 2003 /'' ve
by
, '
Certification
AA55(XIATMo
--�S�
E m�es,
1 he. .r,eb,y ce, rtify to Gerard , M
ar g
aret
A.
Wilson
LAKE GEbRGE, N YORK r 2845 United General TltI� nsurance Company and
Tw5tco E3afik, N.A. their succ agoa and/or
ashign�, that ths plat was prspared from an actial
30 1[ on the 9its nd 5 rve according to record
F:ILE'. e ipti �oJanuary 20044P
5 QU 5 0-Wip. I b . 1 Dennis L, Dickinso L.S. Date
Wilson,olwg 1/20/2004 10.-39iN AM AM EST