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2002-611 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERT IFICATE OF COMPLIANCE Permit Number: P20020611 Date Issued: Thursday,April 15,2004 This is to certify that work requested to be done as shown by Permit Number P20020611 has been completed. Tax Map Number: 523400-279.013-0001-019-000-0000 Location:' 22 DREAM LAKE Rd Owner:. CHRISTOPHER BLAISE Applicant: CHRISTOPEER BLAISE This structure may be occupied as a: By Order of Town Board Deck TOWN OF QUEENSBURY Director of'Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020611 Application Number: A20020611 Tax Map No: 523400-279-013-0001-019-000-0000 Permission is hereby granted to: CHRISTOPHER BLATSF For property located at: 22 DREAM LAKE Rd 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: CHRISTOPHER BLAISE Deck 1384 ROUTE 9 SOUTH Total Value 800.00 KEESEVILLE,NY 12944-0000 Contractor or Builder's Name/Address Electrical Inspection Agency SPEAR_ JIM NY 12904-0000 Plans&Specifications BP 2002-611 Construction of 2 decks totalling 192 sq. ft. (upper and lower level decks on same supports) as per plot plan and specifications. $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 24,2003 (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 Town of O Qun if, , 1 24, 2002 V SIGNED BY for the Town of Queensbury. V Director of Building&Code Enforcement Building Permit Application To—pp—qdl—kiisbur'y—Dept of Community Development,742 Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Rec.Fee Paid .7 application must be completed and must appear on the Reviewed By: Owl application form. Q-0, Ap_ wner: 22 11� -olicant: avidon — &a48p- 0 Address: Address: Phone# Phone#(_) Email Address: Email Address: Property Location: Lot Number: House Number Subdivision Name: Tax Map Nuiilera 0 New Building: residence commercial Estimated Market Value of Construction: $ L3 Additioin: residence commercial If an Addition,what will use of new addition be? C3 Alteration: residence commercial U No change to exterior size: residence t com'l 13 Other work(describe Check OccupancyInformation i Floor i'Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet C3 Single family dwelling La Two family dwelling U Townhouse 0 Multifamily dwelling #of units 0 Office 0 Mercantile U Manufacturing ca 1 car detached garage 0 2 car detached garage U 3 car detached garage C1 I car attached garage U 2 car attached garage U 3 car attached garage 0 Storage building- commercial E3 Storage building- What is the proposed height of the structure r feet inches C7 -Z22 Will any second-hand or ungraded luinber be used? If so,for what? ill Type of Heating System: electric oil gas I wood /forced hot air baseboard other: Number of Fhrwlmces to,be installed Number of Woodstoves to be installed List below the person(s)'responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Plumber Mason Electrician Declaration: please sign below after you have carefully read the7 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. Further,it is understood that Uwe shall submit,prior to a Certificate of Occupancy or Certificate of-Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature: owner,owner's agent,architect,contractor Residential Final Inspection Office No. (518) 7611--8256 Date Inspection request received: � � Queensbury Building&Code Enforcement Arrive: am/ D p m/pm /�-Lfi P---. 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: J PERMIT#: ( j LOCATION: 61rz— DATE: G70 TYPE OF STRUCTURE: - � Comments Y N N/A Chimne Ht./"B"Vent/Direct Vent Location Fresh Air Intake / 3 inch Plumb Vent through roof C Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 im or more Exterior Finish Complete Interior/Exterior Railifi 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 operating -Low water shut=off boiler Relief Valvesj 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 ' 3/4 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 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 Com liance) Okay to issue Temporary C/O{Cert. Of Occur anc ) Oka to issue Permanent C/O(Cert. Of Occu anc L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.farm 2.doc edited January 28,2003 Office Use GENERAL, INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes: (518) 761-8256 _i�� e tor'sInitials - NAME: �r �'"' 'ts ! " r` �A r.,i?. 2,'Pf"PERMIT# pri-I j LOCATION: k2,1- INSPECT ON(date): TYPE OF STRUCTURE: L6�4 RECHECK I S 1&�4 0- �b jeec e;,V-e 4 �e CAGPS Ar N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Aa"/s Pei Reinforcement in Place The contractor is responsible for providing protection from freezing . AV- for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ -1-ye c-lkl Backfill Approval Plumbing Under Slab Plumbing Vent/Vents 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- er Vent,Attic Vent Framin Jack Studs/Headers Bracing/Bridgmig— 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:\SueHemingway\Building,Codes.Inspection.FORMS\GFNERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Rea Dept. of Community Development Request received: Building& Code Enforcement At time: 742 Bay Road Notes, A Queensbuty, AT 12804 ARRIVE amlpm: DEPA amlpm WW14 (518) 761-8256 Inspector's Initials NAME: S l PERMIT h' -! 4-� ^ LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A i YE NO COMMENTS M EI V I ic 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 Poundation/Wallpour Reinforcement in Place Foundation/Darapproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents 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 mi unheated spaces R- oper Vent,Attic Vent r Ig "Wa-70,QUMTT6aders Bracing ridging Joist Hangers— A)A I L- -L- Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour�_ Firestopping_ L:\SueHemiiigway\Biiilding.Codes.Inspection.FORMS\GBNERAT,INSPECTION REPORT.doc R F:c p I v,&.7 D JUL 2002 i TOM OF QUEENSSURY xq uPP `� EcX �l Ali L-V+E'Dl �k ! CPU, LT� Pos 5 Eva SBURY qq BUILDING&CODE EPT, IEWED BY i C °r DATE i � 1 i O f��4EENS8UR'IBtl1GumDEPfiic��fli�� Based onout na�aehall comp���sUued�iedu�i�9�e � � a�ibe ec�ir�t�a��n�l! i { �1aasf a j, the code. and —41 -- ....._. x LR6 +,c t , . � t t i i a ' j I i i i t I I MDNT �lf\A) N� M .. M� �.m y, • �. ._�_. ,�.�y... �. ..,. .�.w .�......... wm I oIt, ol REFERENCE: LEGEND: 1' JRVEY AND SUBDIVSION OIPF = IRON PIPE FOUND OF LAND PREPARED FOR = WELL -_Y A. KILMARTIN ): MARCH 1988 D: OCTOBER 1991 HARD W. SENNETT wo�w-�q// LAKE ROAD OFF N8 11 9 Ill I'll°33'15"E IFF 7✓1" �. 184.36' N7g�57 35.+� 3p9.21 —� o � A LANDS NIF C i H a BARDIN APPROXIMATE LOCATION �i co, OF STREAM AS PER RD _ "l.(q MAP REFERENCE 6 ,JUL 1'7 2Q02 r N F a g ' s-- 484.28, 1 S80.1X1"W LANDS N/F OF CURRIE