2001-604 01166.
TOWN OF QUEENSBURY
ji'j%.
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010604 Date Issued: Monday, September 10, 2001
This is to certify that work requested to be done as shown by Permit Number P20010604
has been completed.
Tax Map Number: 523400-290-062-0001-005-000-0000
Location: 19 OVERLOOK Dr
Owner: FAMILY GOLF CENTERS INC
Applicant: ANNE GOHN
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
4 <<
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: P20010604 Application Number: A20010604
Tax Map No: 523400-290-062-0001-005-000-0000
Permission is hereby granted to: ANNE GOHN
For property located at: 19 OVERLOOK 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: FAMILY GOLF CENTERS INC Deck 9,000.00
4TH FLOOR, 538 BROADHOLLOW Total Value 9,000.00
MELVILLE,NY 11747
Contractor or Builder's Name/ Address Electrical Inspection Agency
DAVIS. DENNIS
7 ALGONOUIN DRIVE
OUEENSBURY.NY
Plans &Specifications
2001-604 ANNE GOHN
350 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,August 15,2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queens efore th xpiration da e.)
Dated at the Tow of sW ay, ugust 15,2001
SIGNED BY for the Town of Queensbury.
Director.of Building&Code Enforcement
fir (
.`" TOWN OF Q,JEENSBURY ee Paid �O,
'kr BUILDING & CODES DEPARTMENT
� APPLICATION FOR: PORCHES-DECKS- Permit # ,v,)Z)-
DOCKS & BOATHOUSES Est. Cost f �'jc:X) ,
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.
Owner of Property: N- -'\(1.('
P.O. Address ' 1 NCs \) (' ' Phone #'
Property Location 'kmG. Tax Map #
Subdivision Name (If applicable) �5 � -O O\1c(C\cr'T \ c ccCAJC`CrcS \ LTtic,
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
r
Name: l_ _)(a1c\ j Address �cy)l-yv1C- Phone#
BUILDING SPECIFICATIONS:
•
Type of work to be done: Porch (leck Dock Boathou , (Circle one)
Size of Structure to be built (square footage) : '`) 1�'
Foundation Material : Width Q_ 2-' Thickness \,--O
Depth of Footing, below grade: 4 Focy EIV
Size of Posts or Studs: 4- x , 4 x Long 4
0 2001
Size of Floor Joists: I x \C x \ ` Span AUG
Decking or Flooring Material : S/L\-j(.Lp f as ��®FC�uEEss°
T® 4ND GODE
How will Porch or Deck be fastened to building? '1_ _ , _ BLALpl�!
If Roof Will Be Installed, nswer Follo ing Questions*
Siie of Posts or tuds:, x x Long
Roof Rafters: x Spacing . . Span
Roof Trusses (pre-eng eered spac g) : . Span -
Type of Roof: Sloped Flat ' - ed Othe (Circle on
Material of Roof:
ZONING INF MATION:
1 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: , ft. x ft.
Existing building(s): Size ft.' x ft.
Size ' ft. x ft.
Use_of Existing building(s) :' (Z ��
10�\1 0\DSC'r
Proposed struc ure, distance from propert ili9e:
Front yard b--- ft. Rear yard . -� ft.
Side yards ft. and ft.
If on corner, setback from side street: 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 doneon 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 ' that such work is authorized by the
owner:
cp
DATE: r) SIGNATURE
wn , Owner's Agency, Ar i Cont
REVIEWED' BY CODE ENFORCEMENT OFFICER, DATE / SIGNATURE
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road 1110
Queensbury,NY 12804 Arrive am/pm Depart a pm
Inspector's Initials
NAME: PERMIT it01 — ('ULOCATIcr.:94r3tE\Jvv%
: OO LP76 ( f DATE : 1
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respons'. for
providing protection fr m free 'rig
for 48 hours following the place ent
of the concrete.
Materials for this purpos, on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproof n_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pla e
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior
Foundation Walls Exterior -
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Prowr Ven Attic Vent /
\; g €e� , t✓
Jack Studs/Headers 1�
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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 3
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive J!/I am/pm Depart in/pm
Inspector's Initials
NAME: lam, / PERMIT# —(Pal
LOCATION: J () DATE :
TYPE OF STRUCTURE: L C(C (357)sSicf")
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection fro g• •
for 48 hours following a.- placeme t
of the concrete.
Materials for this purpose e' site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approal
Plumbing Under Slab-
Plumbing Vent/Vents in Plaa e
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterio R-
Floors R•
Walls R
Ceiling
Duct work or piping in
unheated spaces -
Pro r Vent,Attic Vent
ming
Jack Studs/Headers
Bracing/Bridging
Joist Hangers / Cw d( d. 1 — tesk e r r G'I sL fCvzr,'
Jack Posts/Main Beam V 4fe.- /�� `/�� cl
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
LAB
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: S.
Building&Code Enforcement
742 Bay Road 1
Queensbury,NY 12804 Arrive 1-1--0o• i!•m Depart - 1! • �i_m
Inspector's Initi. ^
NAME: 1-1/1/ nr tl4 PERMIT# /0/----6 oLt
LOCATION: t ex-.44- DATE : % 4E17 /
TYPE OF STRUCTURE: )i C C
RECHECK
N/A YE NO COMMENTS
Foo A• �n ~�, I
Monolithic Pour Forth
Reinforcement in Place
The contractor is re nsibte for
providing protection om freezing
for 48 hours following e pla went
of the concrete.
Materials for this purpose en site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac-
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/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
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: /
Building&Code Enforcement /,
Dept.of Community Development Arrive am/pm Depar(/L .
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME Cn PERMIT# °/— 6
LOCATION )O> Q �>(--, J DATE '7 — /()-�.,Q C
TYPE OF STRUC <
\ N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete I
Exterior Finish Complete
Interior/Exterior Railings 30"to 6"
Exterior Handrails,balconies,I. ding 18 in.or more
Interior Handrails stairs both side. 3 or m re risers _
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regula or 18"E.hove grade
Gas Furnace shut-off within 3 t feet.r with* line of site
Oil Furnace shut-off at entran• `to ace• ea
Furnace/Hot Water Heater op. :'ling
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more an 3 risers
Interior privacy/trim/doors/main entranc- 36"
Floor Finish
Bathroom/Kitchen 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 fireproofmg
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 CIO(Certif.of Occupancy)