2003-107 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: P20030107 Date Issued: Monday, April 18, 2005
This is to certify that work requested to be done as shown by Permit Number P20030107
has been completed.
Tax Map Number: 523400-301-012-0001-019-000-0000
Location: 18 HELEN Dr
Owner: JOSEPH& ELENA SCRIVO
Applicant: JOSEPH& ELENA SCRIVO
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY .
Director of Building&Code EnVrcemNI
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201.
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Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: . P20030107 . Application Number: A20030107
Tax Map No: 523400-301-012-0001-019-000-0000
Permission is hereby granted to:. JOSF,PH&FLF,NA SCRTVO
For property located at 18 HELEN 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. TTne of Construction Value
Owner Address: JOSEPH&ELENA SCRIVO
18 HELEN Dr Deck $4,200.00
Total Value $4,200.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
KF,N MATTSON
NY 12904-0000
Plans&Specifications
2003-107
320 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 03,2004
(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 thVr&wn of Bury Th sday,April 10,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUc"ENSBUitY a i d
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WILDING & CODES DEPARTMENT k t r((�.
APPLICATION FOR: PORCHES-DECKS- # 7
DOCKS & BOATHOUSES MAR 2 8 20p3t. cost �a;
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION g L tp X OF THE FOLLOWING:
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The undeisigne8 hereby applies for a Building Permit to do the following work which will be
done in accordance with the description, plans and specifications submitted, and such special
conditions as may be indicated on the permit. Two SETS OF. STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
` '
Owner of Property: Ar s- Y'',rS � I CIO
P.O. Address TW,-�_ Phone # 7
Property Location 1 Ham(e�r Tax Map.4 30 is-1- 1?
Subdivision Name (If applicable) �9�°0-1—
P RSON RESPONSIBLE FOR SUPERVISI N OF WORK AS REGARDa TO BUILDING CODES:
Name: �h Address/ c5l � Phone#��2"
BUILDING SPECIFICATIONS:
Type of work to be done: Porch 0eck Dock Boathouse (Circle one)
Size of Structure to be built (square footage): 2 D
Foundation Material : Width (Z toThickness "
Depth of Footing, below grade:
Size of Posts or Studs: 4- x �!!L_ x _-' Long
Size of Floor Joists: 2- x x , Span
Decking or Flooring Material :
How will Porch or Deck be fastened to building?
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: ^. x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-engineered spacing) : Span
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof:
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND. SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and aistinctly all buil ings, whether existing. or proposed and
indicate all set back dimensions from property lines. Show location of crater supply and
location and configuration of septic disposal ar a.
Size of Property: 1!g 833 ft. x IDO ft.
Existing building(s): Size 'S0 ft. x 50 ft.
Size ft. x ft.
Use of Existing building(s): F=fr0L& ,
Proposed structure, distance from property line:
Front yard ft. Rear yard JZ ft.
Side yards __ ft. and 4-2, ft.
If on corner, setback from side street: ft.
DECLARATION
To the. best of my knowledge and belief 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 not, and that such work is autho ' ed by the
owner.
DATE: a> SIGNATURE
Owner, weer s Agenc it Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
Queensbury Building & Code Enforcement - Residential Final Inspection
07
Office No.(518)761-8256 Arrive: a �epart: �pm ,�
Date Inspection request received: _ Inspector's Initials:
NAME: r ( PERMIT#: �
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 minimum 6"
Roof Complete/Exterior Finish Com lete
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
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 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/Heat Trap/Water Temp 110
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:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency a ress below grade
Basement stairs closed rise>4 inches
Garage 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 sq. f3.-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 Insm form 2.docLast printed 2/12/04
Foundation Inspection Report
Office No. (518)761-8256 Date Ins ep ctioreq e e
Queensbury Building&Code Enforcement Arrive: 1.1 a e a pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initia
NAME: SC-RI Vo IT#:
LOCATION: /' /6/V .i ye— INSPECT ON:
TYPE OF STRUCTURE: Vli'�
Comments
Y N N/A Footings
Piers I 0�b
Monolithic Slab
Reinforcement in Place
The contractor
tracto i responsible
s espons e for Q
providing protection from freezing C) ?
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 Glade 6 inch drop within 10 ft.
LASueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
r'Z
Office No. (518) 761-8256 Date Inspection re uest receive•
��
Queensbury Building& Code Enforcement Arr1ve:XU.
742 Bay Road, Queensbury, NY 12804 Inspector's Im
NAME: J Gp I'V-6 PERMIT#: 200 3- D
LOCATION: l ,lzn _ INSPECT ON:
TYPE OF STRUCTURE: —D /t�a
Y N N/A Framing COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
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
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side t/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHemingway\Building.Codes.Inspecti on.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
3 - fu COPY
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