2004-516 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: P20040516 Date Issued: Tuesday, September 07, 2004
This is to certify that work requested to be done as shown by Permit Number P20040516 . .
has been completed.
Tax Map Number: 523400-296-008-0001-028-001-0000
Location: 16 WAVERLY PI
Owner: RALPH & JANET WILSON
Applicant: RALPH & JANET WILSON
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
Director of Building&Cod" Enfor went
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040516 Application Number: A20040516
Tax Map No: 523400-296-008-0001-028-001-0000
Permission is hereby granted to: RAT,PH 8i JANF,T VM1-SON
For property located at: 16 WAVERLY. P1
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: RALPH& JANET WILSON
16 WAVERLY PI Deck $4,500.00
Total Value $4,500.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
.T M PARKER
274 NORTHER PINES
WILTON_ NY 1'2831-0000
Plans&Specifications
2004-516
426 SQ FT DECK
$42.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, July 12, 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 ury• o day, July 12,2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code-Enforcement
Torch, 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. <1 Q
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-
Applicant: Owner:
Address: Address:
Gz�t��o _ �c�cE,rJS�✓c.��2 y
Phone#( )dui'/- o.,zw Phone#
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name Address: �J 11/� Phone..:�
Property Location: Lot Number: / House Number /
Subdivision Name: Tax Map Number:
Estimated Market Value of Construction: $U ,Porch
Deck
❑ Dock RECEIVED
❑ Boathouse
❑ Other work(describe J U L o 2 ZO O4
Size of structure to be built square feet TOWN OF QUEENSBURY
BUILDING AND CODE
Submit along with this application:
I. 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 j oists,
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 al rovisions of the Building Code,the Zoning Ordinance and all other laws
pertaining to the proposed work shall be co lied.=,Whe er specified or noted,and that such work is
authorized by the owner.
Applicant's sign a Date: -7io�/�Z
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TOWN OF QUEENSBURY BUILDING DEPARTMENT `�� 4 r -M EE €`°U RY
Based on odr limited examination,
conppliance with our comments shall t�ILDIN & COS � �-PT•
not 6e construed as indicating the
_CopyFIL E plans and specifications are infull RCvir-WED BY
_ i compliance with the Building Codes
l`F of New Yor'K State, DATE
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Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: a Depart: am/pm
742 Bay Rd., Queensbuty,NY 12804 Inspector's Initials-
NAME: . ) PERMIT#: l D
LOCATION: I lb ) DATE: `j 1 84- a4w �y�
TYPE OF STRUCTURE: I I
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake _
3 inch Plumb Vent through roof M. 1�.
Roof Complete v
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 Railhi s 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 Valves 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 backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1,000 sf
Emergency e ess below grade
Basement stairs closed rise>4 inches
'/a 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 ,1-150 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 Occir anc
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
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection re est r i d:
Queensbury Building&Code Enforcement Arrive: p Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi
NAME: P IT#: ZLq n y 7�L
LOCATION: — SPECT ON: —CM
TYPE OF STRUCTURE: t=
Comments
Y N N/A y(—
Footings
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
Bacicfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
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