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
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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