2001-306 1 � TO742 BWNoad, QOF OUEENSBURY
ueensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010306 Date Issued: Friday, June 08, 2001
This is to certify that work requested to be done as shown by Permit Number P20010306
has been completed.
Tax Map Number. 523400-122-000-0002-006-003-0000
Location: 5 CHEROKEE Ln
Owner. BRUCE HAYDEN
Applicant: BRUCE HAYDEN
This structure may be occupied as a:
By Order of Town Board
Porch TOWN OF QUEENSBURY
(--- 4) lift
Director of Building&Code Enforcement
�!!� TOWN OF QUEENSBURY
`ora 742 Bay Road,Queensbury,NY 12 8 04-5 902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010306 Application Number. A20010306
Tax Map No: 523400-122-000-0002-006-003-0000
Permission is hereby granted to: BRUCE HAYDEN
For property located at: 5 CHEROKEE Ln
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: BRUCE HAYDEN
CYNTHIA OTT-HAYDEN Porch 6,000.00
5 CHEROKEE Ln Total Value 6,000.00
QUEENSBURY, NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
BP 2001-306
240 SQ. FT. PORCH AS PER PLOT PLAN AND SPECIFICATIONS
(see Building Permit File No. 2001-277 for canopy over concrete patio)
$40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, May 17,2003
(If a longer period is required, an application for an extension must be made to the code Enforcement
Officer
Dated at the Town f Que bu ')jhur y a 17, 2001
SIGNED BY /� for the Town of Queensbury.
Director of Building&Code Enforcement
'ow •
•
} QUEENSBIt! L TOWN OF J ® PY Fee Paid
BUILDING & CODE;
Permit #
"�y � APPLICATION FORS C�CJ3 G �
1J 6
DOCKS & BOATHOUSES Est. Cost 6400 _
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned 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. / r
Pr)rdi - cr1c P 1sf1 nc� rLoyA,)
Owner of 'Property: prrkc (,�1. ���Q��CQ� (1i
P.O. Address �C.,A€/Yn (uA14\5h ecy l2gvt/ Phone # 792 3)7/
Property Location �,��t�rnkoe .rv.e- l in tznsl)re_tu Il C( Tax Map #1 (p �3
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: C;i by / id, . r -I-JIaJ c-t Address —dert, /6 ,,1„,r4,3hone# 79a-2/7/
BUILDING SPECIFICATIONS:
Type of work to be done: 65R2D Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : 77 /'. tZic-Zc�
Foundation Material : Width % ".,5'�, rhThickness
• Depth of Footing, below grade: /
Size of Posts or Studs: 6 x 6, x L1" Long (6/ 4'(tic rt-
Size of Floor Joists: a x g x /,v Span 'rzi"/.0 5ei.`evrtprper)
Decking or Flooring Material : s/.x 6 �
How will Porch or Deck be fastened to building?
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: f x x 27 Long
Roof Rafters: A x 4 Spacing / Span
NED
Roof Trusses (pre-engineered spacing) : Span...
Type of Roof: ope Flat Shed Other (Circle opt Ti ' LZ0®1.
Material of Roof:
1rr������ 1 ���4gWfRf
ZONING INFORMATION: �U!?G1sti�,,t ��S
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly all buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Si 7P of Property: ft. ft.
Existing building(s) : Size `i ft. x $ ft.
Size y ft. x ft.
Use of Existing building(s) : .5i.► /r_ . 3i LJ r"pipMce___ lJ/
Proposed structure,. distance from. property line:
Front yard 9Z.@;1ft. .. Rear yard L.5--C+L5-) ft.
Side yardsy61060ft. and =;. ft.
If on corner, setback from side street: ?i.-40,) 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 authorized by the
owner.
DATE: L:5-7*4/ SIGNATURE 7
Own r, Owners Agenc , rc to , tractor
REVIEWED ` BY CODE ENFORCEMENT OFFICER, DATE / SIGNATURE
✓ j
RESIDENTIAL FINAL INSPECTION REPORT
Office Na(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive_am/pm Depap't
Town of Queensbury Inspector's s
742 Bay Road
Queenshury,New York 12804 NAME /� 'QL� PERMIT it C 5°6
)DOATION g tekLZ-& LA) • DATE le/Pico 1
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Heightf'B"Vent/Direct Vent Location I,
Fresh Air W /ake T R,arw,06 - 6 r\`
Plumb Vent through roof
Roof Complete
Exterior Finish Complete ✓/
Interior/Exterior Railings 30"to 36" l/
Exterior Handrails,balconies,landing 1 in.or more
Interior Handrails stains both sides 3 or e risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 8"above grade
Gas Furnace shut-off within 30 feet or within line of
Oil Furnace shutoff 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 :: 3 risers
Interior privacy/trim/doors/main en, : :36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/.ending 18 or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
%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 Plan/Variance required
Final SurveyPlot Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Calif of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
1111
RESIDENTIAL FINAL INSPECTION REPORT /All
Office No.(518)761-8256 Date inspection request received /
Building&Code Enforcement
Dept.of Community Development Arrive_am/pm Depart L ��/µq/pm
Town of Queeusbury Inspector's Initials V J���
742 Bay Road
Qucensbury,New York 128(8/�� / /
NAME C.�- / I o` L& PERMIT q I- 3O
LOCATION ` , /
TYPE OF STRUCTURE 5 gt� �R sLor--¢✓ DATE r}p C
V/r' 074/0 J4-W Vg
TI/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake , /
Plumb Vent through roof .\ ///0
Roof Complete
Exterior Finish Complete r L
Interior/Exterior Railings 3o"mc. �Vr <�(
Exterior Handrails,balconies, : .or more t!OC
Interim Handrails stairs both si. - risers
Crtade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/ >_ $: above grade
Furnace
Gas Face shut-off within3Of-- . $ line of site
Oil Furnace shut-off at trance toiip !area
Furnace/Hot Water
.
,Relief Valve(s)installed ~ .;
Headroom,6 ft.6 in.on s
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides m,' - than 3 risers
Interior privacy/trinidoors/main en. : ce 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing I: in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
a 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 PlanNariance required
Final Survey Plot Plan
A
As BuiltiltSeptic System layout required
Okay to issue C/C(Calif of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
ex-67 a" t
GENERAL INSPECT/ON REPORT
( 518) 761-8256
Town of Quceusbury
Dept.of Community Development Date inspection request received: S ?yin)/
Building&Code Enforcement
742 Bay Road //, �
Queenebury,NY 12804 Arrive Q+7 am/pm DeparP4JOafn/pm
(�/ inspector's Initials /
NAME: [ Alien PERMIT$ oo l -
LOCATION: c r�/ � DATE: j(/kij/
TYPE OF STRUCTURE: n�0 ,
RECHECK
N/A YE NO COMMENTS
Footings/Piers _) I i
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection freezing
for 48 hours followin_ , .cement
of the concrete.
Materials for this , „
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Plumbing Under :, A
Plumbing Vent/Vents in P : .-
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterio R-
Floors
Walls
Ceiling
Duct work or piping in I\
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Bather
Fire Separation I,2, 3,hour
Penetration Sealed
Fire Wall 2.3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement 7�
742 Bay Road 26
Queensbury,NY 12804 Arrive am/pm Depart2_,�tgl/pm
Inspector's Initials�t
NAME: ,I"jO6l> PERMIT V 1- %%4 -"
7Qo
LOCATION: s DATE: 5//8rt/
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
✓Footinga/Piers I I I
Monolithic Pour Form 61 TEAT- Otte. pd e f,�DT�d e
Reinforcement in Place /�
The contractor is responsible for 9ePr" i
providing protection from freezing
for 48 hours foil- rag the placement
of the concrete.
Materials for this . on site
Foundation/Wall.•
Reinforcement in P
Foundation/Dam.. . , ,g
Backfill Approval
Plumbing Under SIa..
Plumbingyent/V Place
Rough Plumbing
Heating Rough-In
insulation
Foundation Walls Iute 'or R.-
Foundation Walls Ex - :or R-
Floors
Walls -
Ceiling R
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
lack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping