2000-717 TOWN OF OUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 7614256
CERTIFICATE OF COMPLIANCE
Permit Number: P20000717 Date Issued: Monday, August 13, 2001
This is to certify that work requested to be done as shown by Permit Number P20000717
has been completed.
Tax Map Number: 523400-30&011-0001-058-000-0000
Location, 415 LUZERNE Rd
Owner: JO ANNE K, HUNT
Applicant: JO ANNE K, HUNT
This structure may be occupied as a:
By order of Town Board
Deck TOWN OF QUEENSBURY
Director of Building & Code Enforcement
TOWN OF QUEENSBURY
4CL 742 Bay Road, Queensbury, IVY 12804-5902 (518) 761-8201
Community Development - Building & Cedes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000717 Application Number: A20000717
Tax Map No: 523400- 126-000-0001 -007-002-0000
Permission is hereby granted to: JO ANNE K. IIIJNT
For property located at: 415 LUZERNE Rd
in the Town of Queensbury, to construct or place
at the above location in accordance with application together with plat plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tvne of Construction Value
Owner Address: JO ANNE K. F UNT Deck 100.00
415 LUZEERNE Rd Total Value 100.00
QUEENSBURY, NY 12804
Contractor or Builder's Name 1 Address Electrical Inspection Agency
Plans & Specifications
2000-717
120 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$15.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, October 03, 2002
(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 eensb ; Tues y, October 03, 2000
SIGNED BY xf for the Town of Queensbury.
Director of Building & ode &forcement
TOWN OF QUEENSBURY Fee Paid /S
BUILDING & CODES DEPARTME
APPLICATION FOR : PORCHE - DEC . Permit #
DOCKS & BOATHOUSES Est . Cost
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . PLEASE ANSWER ALL OF THE FOLLOWING�w
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 :
P . O . Address 0 Phone # -
Property Location :-� ,z � ¢ z,. A o _ Tax Map #
Subdivision Name ( If applicable )
PERSON RESPONSIBLE FOR SUPERVISION OF FORK AS REGARDS TO BUILDING CODES :
Name : Address Phone#
BUILDING SPECIFICATIONS :
Type of work to be done : Porch e*�&eck Dock Boathouse ( Circle one )
Size of Structure to be built ( square footage ) :
Foundation Material : Width & �s�, Thickness
Depth of Footing , below grade : ,
Size of Posts or Studs : L. K x _ �� ''` x _.�_ Long
Size of Floor Joists : ` _ x x
Decking or Flooring Material : '..fi
Span 2000
How will Porch or Deck be fastened to building ?
N -
If Roo Will Be Installed , Answer Following Questions :
Size of Posts or Studs : x x Long
Roof Rafters : x Spacing Span
Roof Trusses ( pre-engineered spacing ) : Span
Type of Roof : Sloped 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
I
ndicate 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 ) :
Proposed structure , distance from property line :
Front yard ft . Rear yard ft .
Side yards ft , and ft .
If on corner , setback from side street : ft .
DECLARATION
To the
plicatio
together with ethe oplans kand lSpecifications fsubmitted , are the sac true ' and completened in thisastatementn ,
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 ith , whether specified or not , and that such work is authorized by the
owner . r-�
DATE : 1 /�y SIGNATURE f
er , Owner s Agenc Ar h ontractor
REVIEWED BY CODE ENFORCEMENT OFFICER , DATE SIGNATURE
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RESIDENTIAL FINAL INSPECTION REPORT
]late inspection request received:
office No. (518) 761-8256 elwpm MP&
Buliding Code Enforcement Arrive t ,s ]xritial-3 `�
Dept. of Cammunity Development
Town of Queens'bun,
742 Bay Road l3
128D4
Queetrsbury, New York n FESLtvITT #
Tv DATE
NAU E
L.[7CATI013
TYPE OF 9TRl.1C NIA YES tad COMIv fS
Chimney neig"trW Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through Roof
Roof CamPletc
Exterior Finish Complete to 3fi
Interior/Exterior 12ai1img In*di" is in- or more
Exterior l-jandrails, balco o sides 3 More risers
Interior I;axrdrails stairs Ito
Grade 220% away ftorn t+ounda on
$" clearance to sill plate for s„ above grade
Gas halve shut--offexFx3 wi line of site
Gas Furnace shut�Pf within 30 eet area
oil Furnace shut-off at entrance
F.......11Iot Water
Relief Valve(s) installed
teadrom 61t. 6 in. on stairs
aarsernent staim* 6 ft;m ith sides ru than 3 risers
handrail exterior36"
daors/rnain en
Interior privac7'1niln/
Floor Finish
t
Baehr itchen W ater'tr tt 4„rein ism . or more�_-
lnterxor Handrails Baleome -- -s
Railing across window in stairwells
Smoke Detectors:
every levee
every bedroom
outside every bedroom
inter connected
Bathroom funs
Plumbing fixtmres
Foundation insulation�� --
3/4 hour fire doorldoor closer_
Garage t`rrepioofin
scaled
(kirage peneutte room Pr°tected (inassi�e)
Fumace inLight ventilation per room
Safety glazing 111" or less from floor
Fina1'Electr►cal
Site Plan/Varias►oe required
Final Survey Plot Plan
As Built Septic System layout retSuir�--.---------
C3kay to issue C/C (Certif, of Compliance)
fjlcay to issue temp. C/o (c/o (Cartif off. of 0=qm
Okay to issue permrurent L'/C) (Certif. of CToei c'9)
GENERAL MPECTION RE RT
( 51e ) 761 - 8256
Town of Queensbury
Dept. of Community Development hate inspection request received:
Building & Code Enforcement
742 Hay Road
Queensbury, NY 12804 Arriveam/Pm Deayi
Inspector's Initials
NAME: PERMIT #�,, X�
TYPE OF STRU
L141 DATE :
't
RECHECK
NIP► YES CONUVMNTS
Monolit 'c Po F rm —
Rainf
The contractor responsible r
providing pro n from freez
for 48 hours foil the t
lee00000
of flue concrete.
Materials for this on site
FoundationlWallpour
Reinforcement in Place
Foundatio
Back ill ApprcCwal
Plumbing Under Slab
Plurnbinlg VentfVents in P
Rough Plumbi
Heating Rough-In
Insulation
Foundation Walls Interi r R-
Foundation Walls Exteror R-
Floors R-
Walls R-
Ceiling
Duct work or piping in
unheated spaces
Proper Vent, Attic Vent
Fram4
lack SrudsJH.eaders
BracingMridgin
Joist Hangers
Jack PostsrMain Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour,
Firestoppin
r
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Oct,
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