2002-461 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-820.1
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20020461 Date Issued: Wednesday,July 17,2002
This is to certify that work requested to be done as shown by Permit Number P20020461
has been completed.
Tax Map Number: 523400-308-010-0001-056-000-0000
Location: 17 WAYNE Ct
Owner: CHARLES&ROBIN GOFF JR
Applicant: CHARLES&ROBIN GOFF JR
This structure may be occupied as a:
By Order of Town Board
DeckTOWN OF QUEENSBURY
Director of Building&Code Enforcement
f ,
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: . P20020461 Application Number. A20020461
Tax Map No: 523400-308-010=0001-056-000-0000
Permission is hereby granted to:
For property located at: 17 WAYNE Ct
in the Town of Queensbury,to constnict 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
OwnerAddress: CHARLES &ROBIN GOFF JR
17 WAYZ�IE Ct Deck 1,800.00
Total Value 1,800.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
r
Plans&Specifications
2002-461
320 SQ FT DECK AS PER PLOT PLAN-SPECIFICATIONS
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7
$40,00. PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,June 18,2003
(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 To . nsbu Tu'" s a June 18,2002
SIGNED BY 4 for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN .OF QUEENSBURY Fee Paid 1Z l2!,
BUILDING & CODES DEPARTMENT Permit
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost —
• i
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTI-ON. PLEASE ANSWER ALL OF THE FOLLOWING-
The. undersigned hereby applies for a Building Permit to do the following work which wkll be !
done in accordance with the description, plans and specifications submitted, and such special
conditions as iFmay be indicated on the permit. TWO SETS OF STRUCTURAL PLANS S1fALL .BE SUBMITTED
WITH THIS APPLICATION_
Owner of Property:
P.O. Address Phone # —?Gt . - i O-Z�'
Property Location Q��,�g,,,,-n,\D_,c Tax Map #
Subdivision Name (If,applicable),
PERSO RESPONSIBLE FOR- SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:Nty 7Q�
Name: �e y � Address 1°7 W y11� C Phone 747
4 . BUILDING SPECIFICATIONS:
Type of, work ''to be done: `Porch:_ Qee Dock Boathouse. - (CircIe one)
Size of Structure to be built'. (squ r footage) : bX`a O -D�O 5 j
Foundation Material : Width Thickness
Depth of Footing, below grade:, �--
Size of!,Posts or Studs.: x x n
Size of FIoor Joists: - x x 10 F S an
Decking or Flooring M (0 1 fj
a ,
How will Porch -or Deck-be fastened to building? - o ve
- <e�_-'1141'
`, -If Roof Will Be Installed,-A wer Foll ing Questions
Size of ,.Posts' or Studs: x x Long
.,.
Roof Rafters:. x pacing Span
Roof Trusses (pre-engineered spa ng); Span -
Type of •Roof: Sloped Fla hed Other (CircTe one)
Material. of Roof:
ZONING NFORMATION: r
TWO.PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably -to scale and att-Iched
hereto, showing clearly and distinctly al u d ngs, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply nd
location and configuration of septic disposal area.
Size of Property: ft. x ft.
Existing building{s}: Size ft, x ft.
l
Size ft. x ft.
` Use of Existing building(s):
Proposed structure, distance from property line:
Front yard 15 ft. Rear yard _ ft. -
Side yards LA ft. and 622 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 spec-ified or not, and th t such work is, authorized by the
owner.
DATE: 0 D_ SIGNATURE
wn r, OWA-dt-59—Agetty rc t, C tractor
REVIEWED'BY CODE ENFORCEMENT. OFFICER, DATE Io /c d SIGNATURE
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: 16
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depar;�—
Town of Queensbury Inspector's Initials -''�
742 Bay Road
Queensbury,New York 12804
NAME PERMIT# Lt
LOCATION DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/'"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof ol
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above gradeL_
Gas Furnace shut-off within 30 feet or within line of site.
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers V
Interior privacy/trim/doors/main entrance 36" A
Floor Finish
Bathroom/Kitchen watertight__
Interior Handrails Balconies/Landing IS in.or more
Railing across window in stairwells
Smoke Detectors:
every lev6l
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation I
'/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site PlantVariance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif of Compliance
Okay to issue temp.C/O(Certif,of Occu ancy)
Okay to issue permanent C/O(Certif. Iccup
Office Use
GENERAL, INSPECTION REPORT Inspector:
Town o,f Queensbury Ready at time:(C 4C4
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NP 12804 ARRIVE am/pm: DEPART )- am/pm Notes:
(518) 761-8256 Inspector's Initials `
NAME: PERMIT# ' OO,3—qI
LOCATION: j1 �Qf/ INSPECT ON(date): 7
TYPE OF STRUCTURE:
RECHECK
N/A i NO COMMENTS
Footings/Piers
Monolithic Pour Form
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/D ampproof n
Backfill Approval
Plumbing Under Slab
Plumbing VendVents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
'Framing
Jack Studs/Headers
BracingBridgin
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration.Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHeniingway\Buiiding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury fReady at time:
Dept of Community Development Request received:
Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE am/pm: DEPARTj6f Notes:
Kan 1p m
(518) 761-8256 Inspector's Initials
NAME: PERMIT#_ C2 0c;,1-ZAL/
LOCATION: k)4wL C/�V INSPECT ON(date):'
TYPE OF STRUCTURE: A112b 49
RECHECK
N/A YES NO/ COMMENTS
Footing iers V
qo ur�Fm 0� orm P1 (<
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
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing__ L) CA-A)
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R- C 1AA 06 67
Floors R-
Walls R-
Ceiling R- P,Lt-- F�07 R"-K C—C' F
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/BridgingJoist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway�Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
To>-lm of Queensbury
Ready at time:
Dept. of Community Development Request received. Meet:
Building c& Code Enforcement At time:
742 Bay Road
1-1 Queensbury, NY 12804 ARRIVE am/pm: DEPART��am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME:} 6 n/ o PERMIT# - y(p f
LOCATION: /'� � �l�np pri L j-J�J INSPECT ON(date): e ?0 0=; Ii �
TYPE OF STRUCTURE:
CHECK
NIA Y /tN01 COMMENTS
Footings Pie
Monolith our Form
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/Dampproofmg
Backfill Approval
Plumbing Under Slab
Plumbing VentlVents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R-
Ceiling R
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hotir
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L;\SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
4.
Yvw,
LOT 93 09 '
���' °400°• TGWN Of QUEENSBURY
BUILDING AND CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804 3g�
y0&
X10
I HEREBY CERTIFY TO: 72)MAYFLOWER DBA HOME FUNDING, EILE COPY
1)ROBIN M. & CHARLES J. GOFF,JR.
` ` �p IT'S SUCCESSORS AND/OR ASSIGNS.
\/ 3)FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YOftK,
LOT 92
* THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD
SURVEY.
i 27,560*/-SQ.F'T. THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE
VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND
ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR
9s>3 EXPRESSLY STATED HEREON,
N�?2�'.2p LOT 91
DAVID J. BOLSTER
DATE: APRIL 30, 1999
�M I
R 'n MAP OF A SURVEY OF LOT 92 HERALD SQUARE
MADE FOR
ROBIN M & CHARLES J. G OFF, JR.
MAP REFERENCE: z360,
MAP ENTITLED "HERALD SQUARE-PHASE TWO" t0'24
TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK
B0• "jp
DATED MAY 1992, REVISED 5-E-92 DA VID J. BOLSTER
PREPARED BY VANDUSEN & STELES SURVEYORS "UNAUTHORIZED ALTERATION OR A TION TO A SURVEY
FILED IN THE WARREN COUNTY CLERK OFFICE ON MAP BEARING A LICENSED'LAND SURVEYORS SEAL IS A LICENSED LAND SURVEYOR
OCTOBER 22. 1992 IN PLAT CABINET Al, SLIDE 190 VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF THE 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839
MAP #142 NEW YORK STATE EDUCATION LAW."
ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY DAB' APRIL 28, 1999 SCALE: P' = 30'
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS N.Y.S. LIC. NO. 49534
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES."
—" DWG. N0. 99048 B
I