2002-834 ~{ TOWN OFQUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CE RT IFICATE OF, COMPLIANCE
Permit Number; P20020834 Date Issued. Monday,December 09,2002
This is to certify that work requested to be done as shown by Permit Number P20020834
has been completed.
Tax Map Number:
523400-308-008.0001.014-000-0000 �
Location: 510 SBERMAN Ave
h.
Owner: ROBERT&JOANNE KELLY
Applicant: KELLY CONSTRUCTION
This structure may be:occupied as a:
By Ordet of Town Board
Porch TOWN OF QUEENSBURY
Director of Building&Code nforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020834 Application Number: A20020834
Tax Map No: 523400-308-008-0001-014-000-0000
Permission is hereby granted to: KFLLY CONSTRUCTION
For property located at: 510 SBERMAN Ave
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. . I . .; '' , , . , I t *, Type of Construction Value
Owner Address: ROBERT&JOANNE KELLY Porch
510 SHERMAN Ave Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
KELLY CONSTRUCTION
11 WTT.T,OW ROAD
01 JEENSBT TRY.NY
Plans&Specifications
2002-834
Construction of a 240 sq ft porch per plot plan and specifications.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, October 10,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queetisbury before the expiration date.)
Dated at the/1 awn Q u de ay,October 10,2002
ad SIGNED BY for the Town of Queensb
Director of Building&Code Enforcement
Porch, Deck, Dock, or Boathouse Permit Application-
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(S 18)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 Wed By- \
completed-and must appear on the application form.
Applicant: caner: iPn f lty
Address: f/ �ii �- ci Address: 6r u,
Phone# (;�ej ) - 3a a T Phone# ( }
Email Address: i1 Address:
Person Responsible for Supervision of Work as Regards to Building Co es.
Name (�f-eI<e- A:�1ty Address: Phone 7 3 3a 2—L
Property Location: Lot Number: / House Number 9m c �
Subdivision Name: Tax Map Number: ,,law — —�
N; Esttinated 1Vlark'et Value of Consti-ilctioi $ " � � -"
C
" Porch { �' ��
❑ Deck �` � o
❑ Dock
❑ Boathouse OCT 0 2 ZOQZ
❑ Other work(describe TOtARl OF QllEENSBUT
Size of structure to be built square feet -
Submit along with this application:
t y' 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 thZallo ' gns of the Building Code,the Zoning Ordinance'and all other laws
pertaining to the proposedbe complied with,whether specified or noted,and that such work is
authorized by the owner.
Applicant's signature: Date:
l
L:\,SueHen ingway\Building.Permit.FORMS\Porch.Porch.Permit.doc 8/13/027revised per DH
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Me 176 Doe Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL AP
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The conditions follo governed the issuance of this certificate, and any certificate previously issued i�
cancelled; -
This certificate only covers the electrical equipment and installation conditions as of date. Upon thl
introduction of additional equipment or alterations, application shall be promptly made for inspection}
Inspectors of this Company shall have the privilege of making inspections at any time, and if it
rules are violated, the Company shall have the right to revoke this certificate,
Date,aa!•#R#•af .i/t'fi rj(J+,iRt fi iiRt fi.t INSPECTOR Te .t.f iffttY
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Mamhnr N G P A i AN
RESIDENTIAL FINAL INSPECTION REPORT
Office Na.(518)761-8256 0—Date inspection request received:
d,
Building&Code Enforcement
Dept.of Community Development Arrive am/pm, Depart
p
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York,12804
NAME Lo&�Cewa'kn'ch&I PERMIT# J2--,F3
LOCATION 5 0"5�� At.lc DATE II
TYPE OF STRUCTURE I,
N/A YES NO COMMENTS
Chimney HeightPT"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof 01
Roof Complete
Exterior Finish Complete
hiteriorffixterior Railings 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 gradeL__
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 fL 6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/ftin-ddoorstmain entrance 36"
Floor Finish
Batbroom/Kitchen watertight
Interior Handrails Balconics/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors: I
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
'/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 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)
Offwe Use
GENERAL INSPECTION REPORT Inspector:
Town ofQueensbury Ready at time.
Dept, of Community Development ,Request received: Meet:
Building& Code Enforcement At time:
742 BqyRo'ad
Queensbui3,, AY 12804 ARRIVE am/pm: DEPART_�,,��Ipm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT#
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A i 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
Aam�ming,- V
Jack MWPHeaders
Bracing/Bridgmg—
Joist Hangers
/Jack Posts/Main iieani
71111�34019WAW—li
Fire Separation hour
Penetration Sealed
Fire Wall 2,3,4 hour
.Firestopping_
L:\SueHemiiigway'Builditig.Codes.Inspectio.i.FORMS\GENERAL INSPECTION REPORTAOC
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: DEPA '�bam/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT# 2-062-43
LOCATION: 6-10 g-4 -4vc . INSPECT ON(date): /dko
TYPE OF STRUCTURE: pa-r— .
RECHECK
N/A YE I NO COMMENTS
'!Piers
'Tiers
�ootin
onoltiOeur 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
FoundatiorYDampproofing_
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/Bridging_
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,ho
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GF.NERAL INSPECTION REPORTAOC
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