2003-383 TOWN OF QUEENSBURY
742 Bay Road,Queensbm7,NY 12804-5902 (518)761-8201
Community Development-Building"&Codes (518)76178256
C TLFICATE OF COMPLIANCE,
:Pernut Number: P20030383 Datejoued Tuesday,July,01,2003,
This is to certify that�work requested to,be,done as shown_by Permit Number, :P20Q303$3
has been completed.
Tax Map Number: '523400-290.017-.000,1-029.000-0000 "
Location: 21 MASTERS-COMMON NORTH
Owner: DERRY&DONNA COOKE
Applicant: DERBY&DONNA COOKE
This structure may be occupied as a
By Order of Town,Board
Deck TOWN OFQUEENSBURY
Nector of Building&Code Enforcement
TOWN'OF QU ' ENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&"Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P2000383 Application Number: A20030383
Tax Map No: 523400-290-017-0001-029-000-0000
Permission is hereby granted to' DERRY&DONNA COOKE
For property located at: 21 MASTERS COMMON NORTH
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.- Ty
pe of Construction Value
Owner Address: DERRY&DONNA COOKS Deck $4,000.00
21 MASTERS COMMON NORTH Total Value $4,000.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name Address Electrical Inspection Agency,
ADIRONDACK FENCE
38 BIRCH RD
LAKE GEORGE.NY
Plans&Specifications
2003-383
360 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 09,2004
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of thc Town of Queensbury before the expiration date.)
Dated at the Toy�,
o ue
ne 09,2003
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. a(%3- 3.23
inspection will be made until applicant has received a valid Fee Paid $
building permit. All applicants' spaces on this application must be Reviewed By:, �D e completed and must appear on the application form.
V
e"ellf?44e Owner:Applicant:
Address: Address:
Phone 799 7 Phone# (_) 7YS--"7 7/0
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes.
Name Address: SZAI Phone Property Location- Lot Numb House Number
Subdivision Name: 4/ Tax Map Number:
—164
Estimated Market Value of Construction: $
u Porch
*—Deck
L3 Dock
El Boathouse
Ei Other work(describe
Size of structure to be built square feet
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 hether specified or noted,and that such work is
authorized by the owner.
Applicant's signature.*- Date:
L:\SueHemingway\Building.Permit.FORMS\Porch.Porch.Perrnit-doc 8/13/02 revised per DH
Residential Fina nspectio
Office No. (518)761-8256 Date Inspection req2 c ed-
,m
rp
�n pa
Queensbury Building&Code Enforcement Arrive: /I a a
742 Bay Rd.,Queensbury,NY 12804 Inspector's hiyial�s
NAME: 600 ie_ T E I #:
LOCATION: j Mas 6revtn, AlID&ICYNo— 6TE:!
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 Railitigs 34 in.to 38 in. V/
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Tennination 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
Fumace/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 backup:
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
1/4 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 sq.ft.-150 sq. 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 0(Cert. Of Occupancy)
Okay to issue Permanent C I 0(Cert. Of Occu ancy)
L:\SueHen-iingway\Building.Codes.Inspectioii.FORMS\Res.Final Insp.form 2,doc edited January 28,2003
Foundation Inspection Report
Office No. (51-8)761-8256 Date Insp'e'ction request received;/
Queensbury Building&Code Enforcement Arrive: -am/ It/'Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials,
NAME: PERMIT#:
LOCATION: t'jo. INSPECT ON:
TYPE OF STRUCTURE:
Comments
N N/A
Footings
tPiers
r
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: 7 4
12 inch width
6 inches above footing
6 mil of for wet areas under slab
Backfill Approval 4P
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior 'rerior
R-
Rough Glade 6 inch drop wit m 10 ft.
L;\SueHerringNvay\Building.Codes.Inspection.FORMS\Foundation Inspection ReporLdoc January 28,2003
LOT 18
Lv
� N
Nag°5214
�36 A
�J
LOT 19 ' p
31,339.95 sq ft �`rw
v o'Y
0.72 acres r.1 I y
� N Op Z O.;K- +7 O
�8S 961. / / rye l
r I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
AND LENDING INSTITUTION LISTED HEREON.
3Q0�0 ")NI p 4 BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
�a"8 3'(10�0 NMOL ^� "hd CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
£�QZ a I LOT 20 �\� INSTITUTIONS OR SUBSEQUENT OWNERS.
\ n.nr �d CERTIFIED T0:DERRY D. &DONNA 3. COOKE
_
\ /�j '����gg / / �\ IT'S CHARTER SUCCESSORS AND/OR ASSIGNS
STEWART TITLE INSURANCE COMPANY
4 D 1� VN r's� CERTIFIED BY:_MATTHEW C. STEVES, LLS NYS 50135
N N �n
DATED: NOVEMBER 1, 2002