2002-631 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: P20020631 Date Issued: Tuesday, January 28, 2003
This is to certify that work requested to be done as shown by Permit Number P20020631
has been completed.
Tax Map Number: 523400-308-010-0001-036-000-0000
Location: 12 HERALD Dr
Owner: DAVID&DEBORAH WITHERELL
Applicant: DAVID&DEBORAH WITHERELL
This structure may be occupied as a:
By Order of Town Board
Porch TOWN OF QUEENSBURY
Director of Building&Code Aforcem&
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20020631 Application Number: A20020631
Tax Map No: 523400-308-010-0001-036-000-0000
Permission is hereby granted to: DAVTD &DFBOPA14 WTT14FRFLL
For property located at: 12 HERALD Dr
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: DAVID &DEBORAH WITHERELL Porch 4,200.00
12 HERALD Dr Total Value 4,200.00
QUEENSBURY,NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2002-631
162 SQ. FT. PORCH PER PLOT PLAN& SPECIFICATIONS.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 01,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Qucensbury before the expiration date.)
Dated at the Town of Q7 ry* Thursday,August 01,2002
�SIGNED BY C Al".00�j for the Town of Queensbury.
Director of Building&Code orce t
TOWN OF QUEENSBURY Fee Paid
BUILDING & CODES DEPARTMENT Permit # A0,0.2- a
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost CX�
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE-.ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permitrto d6 the following work�wh -c wi-11 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.
u" 4
Owner of Property: VrL I;
Phone # -' ,•
P.O. Address
Property Location �"Z -�f- �-n �����z- Tax_Map
Subdivision Name (If applicable) 5a(o
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: 4==Addresses- -�= /%) 'tip__ . Phone# R?Z?
BUILDING SPECIFICATIONS:
Type of work to be done: Pore Deck —Dock Boathouse (Circle one)
Size of Structure to be bui 1 t (square footage): I(D tqo -
`
Foundation Material : Width i` SOA0 7U6F_ Thickness '.
Depth of Footing, below grade: Ja �=
t
Size of Posts or Studs: � x x ZZ __. Long
Size of Floor Joists: x x /0 Span
Decking or Flooring Material : -5/4 /07•` .
How will Porch or Deck -be fastened to building? )Cj6l-F
If Roof Will Be Installed, Answer Following.Questions:
t
Size of Posts or Studs: x x _ Long
Roof Rafters: 2- x Spacing Span
Roof Trusses (pre enineered spacing) : Span
Type of Roof: Slo Flat Shed Other (Circle one)
Material of Roof:
ZONING INFORMATION:
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.
Size of Property: 139 ft. X. -Zq ft. `
Existing building(s): Size 30 ft. x 5 C ft.
Size ft. x ft.
Use of Existing building(s) : ,".ggtCj_a
Proposed structure, distance from property line:
Front yard 05 ft. Reay yard - 6 o ft.
Side -yards 2_5�- ft. and ft.
If on corner, setback from si e street: ft.
1
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: p12L Z-- SIGNATURE -Aolw,
0 Owner's Agency A chit t, ntractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE , SIGNATURE
RESIDENTIAL FINAL INSPECTION REPORT
1
Office No.(518)761-8256 Date inspection request received: M`�Z._..,,
Building&Code Enforcement4,,
Dept.of Community Development Arrive am/pm Depa
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804 j
NAME PERMIT# t
LOCATION (' DATE—4,�—��—
TYPE OF STRIICTURVSY`r
N/A YES NO COMMENTS
Chimney HeightPT"Vent/Direct Vent Location f
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Failings 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 grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
FutnacelHot Water Heater operatin
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
Interior privacy/trim/doorstmain entrance 36"
Floor Finish
Bathrooin&itchen watertight
Interior Handrails Balconies/Landing 18 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
3/4 hour fire door/door closer
Garage fireproafm
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 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 Occupancy)
Okay to issue permanent C/O(Certif:of Occupancy)
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept of Community Development Request received: /S r A Z, Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT#
LOCATION: INSPECT ON(date): /d/a
TYPE OF STRUCTURE:
RECHECK
N/A YES 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/Dampproofing
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-
.Proper Vent,Attic Vent
Framing I V/
Jack Studs/Headers V/
Bracing/Bridging_ V-
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.hispection.FORMS\GENERAT,INSPECTION REPORT.doc
.1 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, AT 12804 ARRIVE-am/pm: DEPART � am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: 4 0- PERMIT# - 62--63]
LOCATION: if Z- a&L M1f. INSPECT ON(date):
3Z7\
TYPE OF STRUCTURE:
CHECK
N/A YE NO COMMENTS
Footing /Pier V
Monolil hi jPurF,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/Dampproofing_
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-
Proper Vent,Attic Vent
Framing
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:\Suel4emingway\Building.Codes.Inspection.FORMS\GF,,NERAL INSPECTION REPORT.doc
REFERENCE;
FARE SUBDIVISION 1
S D DICKINSON
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FLY 14, 1997
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TOWN OF QUEENSBURY
SCALE 1"=30'
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