2002-726 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020726 Application Number: A20020726
Tax Map No: 523400-301-013-0002-034-000-0000
Permission is hereby granted to: JOSFP14&FRANCES AMBROSINI
For property located at 17 PEGGY ANN 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: JOSEPH&FRANCES AMBROSINI Enclosed Porch 3,000.00
17 PEGGY ANN Rd Total Value 3,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Nam Address Electrical Inspection Agency
PERRY BALL
139 SARATOGA Rd
SOIJTHCTT,F,NSFAT,I,S-NY 12803-0000
Plans&Specifications
2002-726
Construction of a 300 sq ft screened in porch.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 05,2003
(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 September 05,2002
SIGNED BY for the Town of Queensbury.
V NO
Director of Budding&Code Enforcement
Porch, Deck, Dock, or Boathouse Permit Application
Town of Queensbury-Dept of Community Development, 742 Bay Road, QueensbuM NY
(518)761-8256
A permit must be obtained before beginning construction. No Permit File No.
inspection will be made until applicant has received a valid Fee Paid
building permit. All applicants'spaces on this application must be Reviewed By:
completed and must appear on the application form.
(D 5 eJn A�n�.,
Applicant: Owner: 11 n<ZIPnk 4 hn�n
Address: E Address:
el
)0L Phone9(tW va b Phone 4 &U-)7 99--
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name' -QjT-j CU AddressU 0. l one
Property Location: -Lot Number.: I House Number 4hv)
' � �JQ
'Subdivision Name: -Tax map Numbe
Estimated Market Value of Construction:
Li Porch
ff- Deck SGr2c11n2.Q mEl-'EVED
u Dock
Li Boathouse AUG 2 6 2002
C3 Other work(describe
TOWN OF QUEENSBURY
S
ize of structure to be built 30 Q square feet PAJILDIINIG A Pr)rODF
Submit along with this application:
1. Two plot plans drawn to scale,,preferably using a survey map. Indicate proposed
structure showing setback dimensions from all property lines. Show location of
water supply and location and configuration of septic disposal area.
2. Two sets of structural drawings. Indicate size of posts or studs, floor joists,
decking or flooring material to be used. Show how the porch or deck will be
fastened to the building. If a roof will be constructed, indicate the size of posts or
studs,roof rafter spacing and span. Indicate type of roof. sloped,flat, shed, or
other. Indicate the type of material being used for the roof.
Declaration: please sign below after you have carefully read the 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 50M c lied with,whether specified or noted,and that such work is
Q11 authorized by the owner.
Applicant's signature Date:
L:\SueHemingway\Building.Pennit.FORMb,.h.Porc'h.Permit.doe 8/13/02 revised per DH
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Office 176 Doe Run Road - Manhelm, PA 1754
MUNICIPAL CERTIFICATE m ELECTRICAL APPROVAL
Perni No. N 7 9 16 7 Cut-in C No.Uwm.
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The conditions following governed the issuance of this certificate, and any certificate previously issued i
cancelled, 0
This certificate onl' covers the electrical equipment and installation conditions as of date, Upon th(
inspection,
introduction of additional equipment or alterations, application shall be promptly made for
Inspectors of this Company shall have the privilege of raking ilate
ctions at any time, and if its
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rules are violated, the Company shall have the right to ev lie t is rt
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Member N.F.PlA#.lodilf
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart air;prn
Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury,New York" 12804
NAME /l�fJ Sill i PERMIT# 2,A a 7Z,
LOCATION I C DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36" f
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
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.lioth sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Vinish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells r(
Smoke Detectors: lA)
every level
every bedroom j
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 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 fro floor
Final Electrical t. 13 b Z
Site Plan/Variance requ
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)
wj\ ��NE:Cavz� Office Use
GENERAL INSPE ION REPORT Inspector: �T&h-,-
Town of Queensbury Ready at time:
Dept. of Community Development Request received: 1 Meet:
Building& Code Enforcement At time:L3ab--
742 Bay Road
Queensbury, NY 12804 ARRIVE A 6�a ,.,N
L a R K _L -
I Z�p��!/ otes:
(518) 761-8256 Inspector's Initi is
NAME- lqlAl rO PERMIT# 2 661- 7"
LOCATION: f Li INSPECT ON(date):
TYPE OF STRUCTURE: jai
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/Dampproofm
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing__
Heating Rough-In
Xinsulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
,Fkolrs R-
R
$ R-
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,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping,-
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe
Office Use
GENERAL I SSE (O REPORT � � Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received. 2,/ (f-- Meet:
Building chi Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARR1VE\U,j tum .2DEP RT a / m Notes:
(518) 761-8256' Inspector's Init
NAME: �i fTPERMIT# Z- L-/
----,
LOCATION: ` - ovo, INSPECT ON(date):
TYPE OF STRUCTURE: v`
RECHECK ICI
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/Dampproofmg
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 12-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
.Framing
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
LciSueHemingwaylBuilding.Codes.Inspection.FORMSIGENERAI,INSPECTION REPORT.doe
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road In
Queensbury,NY 12804 ArriveZl�jp a pm ep
De
pm
Ini ial
1!6(07zio
NAME: PERMIT#
LOCATION: DATE --Z-7—r-;7
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
RoughPlumbing_—
Heating Rough-InL_—
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling Rr
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist mangers
Jack Posts/Main Beam
n
Air Infiltration Barrier
m Fire Separation 1,2,;3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestoppijn
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. °f a: D A yn Notes:
(518) 761-8256 Inspector's Initia (7
NAME: �1/! ' PERMIT#
LOCATION: INSPECT ON(date):
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
Foun atio ampproo in
iIl A 1aT l fi2t
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/Bridgmg
Joist Hangers
Jack Posts/Main Beam t
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Bui]ding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc