2003-455 ~� 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: P2.0030455 Date Issued: Monday,July 07,2003
y -
-This is.to certi that work-re;uested to be done as shown) :Permit Number P20430455
has been completed. .
Tax Map.Number: 523400-296-008-0001-032-001-0000
Location: 5 MAYFIELD Ct
Owner: JAN ES&VIRGINIA MORIN
Applicant: JAMES&VIRGINIA MORIN
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBUR'Y
Director of Building&Code Enforcement
TOE OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030455 Application Number: A20030455
Tax Map No: 523400-296-008-0001-032-001-0000
Permission is hereby granted to: JAMES &VIRGINIA MORIN
For property located at: 5 MAYFIELD Ct
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: JAMES &VIRGINIA MOWN. Deck $2,250.00
5 MAYFIELD Ct Total Value
QUEENSBURY,NY 12804-0000 $2,2so.0o
Contractor or Builder's Name/Address Electrical Inspection Agency
JOE FRANCO
NY 12804-0000
Plans&Specifications i
2003-455
172 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 26,2004
(I£a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury beforc the expiration date.)
Dated at the Town oif Que sb ; T s e 26,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement r
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 Penniffile No.
OA 1 6
inspection will be made until applicant has received a valid Fee Paid $ U0
building permit. All applicants'spaces on,this application must be Reviewed By:
completed and must appear on the application form.
Applicant: Jln4 IPDrl.n' Owner: -jl**-? &I_j)
Address: S. Ln,4 y/--/E z-.o -ebcz— Address: M4 E.L b 12,9 ee gLT
/-JY /Z940Y
Phone#(!�LY ) 29Z Phone#(E-,_g ) 79 Z -j6 8 9 Y
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name J o C /7kd.,g c 0 Address: -! ',qrA7o6,,4 gp Cne SY Z.
Property Location: Lot Number: y,. J House Number. 5- 1�7,eq Z,!-f-Z &c,a 7-
Subdivision Name: wrturc2 t7 f�ILIVCC-- Tax Map Number: '4,9(o -2="— a . /
Estimated Market Value of Construction: $ Z Z-5-0,,
a Porch
K Deck
a Dock REOPRIED
L3 Boathouse
L3 .Other work(describe J U N 2 0 2003
Size of structure to be built 7 7- square feet TOWN
N OF QUEENSBURY
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.
J
er -P-
Applicant's signature: Date: U.17
L:\SueHemingway\Building.Permit.FORMS\Porch.Porch.PeriniLdoc 8/13/02Tevised per DH
M-9
Residential Final Inspection
• 4
Office No. (518)761-8256 Date Inspection equest received:
Queensbury Building&Code Enforcement Arrive: *am/pm Depart: am/pm
742 Bay Rd.,Queeen`(sbbury,NY 12804 Inspector's Initials:
NAME: t ' ` Y PERMIT#: CDs` q �5
LOCATION: A 6 DATE
TYPE OF STRU
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 Railiri 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*rating
-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: /'-Batter backu :
Bathroom Fans,if no window%
Carbon Monoxide,detector.
Pluihbing fixtures,
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency E!Rergency egress below grade
Basement stairs closed rise>4 inches
%hour fire door/door closer
Garage fire roofin
Duct work Sealed pwperly
Attic access 30 in.x 24 in,x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I 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) j vA&P .
Okay to issue Temporary C/O Cert.Of Occupancy) clQr
Oka to issue Permanent C/O Cert. Of Occu anc
L:\SueHeming�vay\Building.Codes.Inspection.FORMS\R.es.Final Insp.form 2.doc edited January 28,2003
Residential Final Inspection
Office No. (518)761-8256 Date'.Inspectio request received:
Queensbury Building&Code Enforcement Arrive: 3t Zj am/ m Depart: am/pm
742 Bay Rd., Queensbury,NY 128.04 Inspector's Initials:
NAME: ` PERMIT#:
�3
LOCATION: A DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A fl
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 Railiri s 34 in,to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade mpy 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 1nin
Window in stairwells safety lzin
Interior Smoke Detectors:
Every level: " 1 Every Bedroom:
Outside every bedroom area: .
Inter Connected: I Batte 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
%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 . //(,/Yn/J, v
Site Plan [Variance required
J
Final Survey Plot Plan
As Built Septic S stem/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,Occu anc
L:1SueHemingwaylBuilding.Codes.Inspection.FORMS\Res.Final insp.form 2.doc edited January 28,2003
Foundation Inspection Report
Office No. (51.8)761-825 6 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p F � Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
NAME: ---yAA1\-\010 N PERMIT#:
LOCATION: INSPECT ON: A; -7— 03
TYPE OF STRUCTURE:
Comments
Y '111/A
eroZ*gs
Piers -
jjl4Aolithie 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 of 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