2000-755 TOWN OF OUEENSBURY
742 Bay Road, QueensbW, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 7614256
CERTIFICATE OF OCCUPANCY
Permit Number: P20000755 Date Issued; Monday, March 26, 2001
This is to certify that work requested to be done as shown by Permit Number P20000755
has been completed,
Talc Ma Numb v
P Number. 523400- 119-000-0003-006-000-0000
Location: 60 OLD FORGE Rd
Omer: MICHAEL & LAURYL SMITH
Applicant: MICHAEL & LAURYL SMITH
This structure may be occupied as a:
By Order of Town Board
Porch 'TOWN OF QUEENSBURY
r go^
Director of Building & Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 1 2 8 04-5 902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000755 Application Number: A20000755
Tax Map No: 523400- 119-000-0003-006-000-0000
Permission is hereby granted to : MICHAEL & LAURYL SMITH
For property located at: 60 OLD FORGE 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: MICHAEL & LAURYL SMITH porch 950.00
60 OLD FORGE Rd
QUEENSBURY, NY 12804 Total Value 950.00
Contractor or Builder's Name / Address Electrical Inspection Agency
MICHAEL & LAURYL SMITH
60 OLD FORGE Rd
QUEENSBURY, NY 12804
Plans & Specifications
2000-755
128 SQ FT PORCH OVER EXISTING DECK AS PER APPLICATION
$15.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Sunday, October 13, 2002
(If a longer period is required, an application for an extension must be made to the code lEnforeement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tow of z
nsb ,r 'rid , toh r 13, 2Q00
SIGNED BY for the Town of Queensbury.
Director of Building & Code Enforcement
TOWN OF QU E#SBURY 00
BUILDING & CODES DEPARTMENT Fee Paid J �j :
APPLICATION FOR : PORCHES- DECKS- Permit #
DOCKS & BOATHOUSES Est . Cost � [j 4�'''D
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 :
P . O . Address too [�, �; _ Phone # 7A1� ?-7r. 4
Property Location S — Tax Map # 1 !E , — -- to
Subdivision Name ( If applicable )
PERSON RESPONSIBLE OR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES :
Name : �C.4 S'. _—_ Address 4�0 [,7{ RqU09 Phone# - r
BU:IIL�'D� I�.N,,G SPECIFICATIONS : -�
Type of work to be done . leePorch \gyp k UOCK ADZZChouse
( Circle one )
Size of Structure to be buy square footage ) : _ 1,,2 &
Foundation Material : Width AC Thickness
Depth of Footing , below grade : . f'T
Size of Posts or Studs : _jcp�,.. x ,jc4e---_ x Long
Size of 'Floor Joists : .�.r, x j x Span b
Decking or Flooring Material :
How will Porch or Deck be fastened to build 2 ZO170
If Roof Will Be Installed , Answer Following Questions :
Size of Posts or Studs : ' � x - 6„ x a � Long
Roof Rafters : u x �C+ Spacing �1L„ Span
Roof Trusses ( pre-en ineered spacing ) : Span
Type of Roof : lope FT t Shed Other
( Circle one )
Material of Roof : 4AP
v ZONING INFORMATION :
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED , drawn reasonably to scare and attached
hereto , showing clearly and distinctly al 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 ) :
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 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
shall be complied with , whether specified or not , and t p tuch � n4 koishauthopr�2ed by sed theowner .
DATE : -P2 6y� SIGNATUR d
O ne r s Agency t t , Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER , DATE 0 lf.- SIGNATURE
}
4 ��J
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 Date inspection request received:
Building &. Code Enforcement
Dept. of Cammunity Development Arrive �' a
Town of QQueensbury 's Initial
742 Bay Road
Queensbury, New York 12804 r ,
NAME PERNVIIT #
LOCATION DATE 2Y f
TYPE OF STRL
N/A YES NO COMMENTS
Chimney HeightPM" Vent/Lhreet Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Compl
Interior/Exterior 30" 36"
Exterior Handrails, bal es, I g 18 in" or more
Interior Handrails s both si 3 or more risers
C,rade 2°fo away frorxs oundatiuni .
8" clearancc to sill p
Gas Valve shut-off I8" above gradeL.
Gas Furnace
urnac slmt-0 within 30 or within line of site
FurnaceOil Fnace shut o to furnace any
l
FurnaceJ.l3ot Water or }
Relief Valve(s) ' ed l
Headroom, 6 R. 6 in. stairs
Basement stairs, 6 It.
Handrail eacterior stairs th sides more than 3 risers
Interior privacyftrim/doo main entrance 36"
Floor Finish
Bathroom/Kitchen watem t
Interior handrails Balceni 18 in. or more V
Railing across window in s Is
Smoke Detectors:
every level
every bum
outside every bedroom
inter Connected
Bathroom fans
Plumbing fixtures
Foundation insulation
sf4 hour fire door/door closer y
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation per room
Safety glazing IS" or less fi-orn floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue CIC (Certif. of Compliance)
Okay to issue temp. C/O (Certif. ofOoeupancy)_
Okay to issue permanent C/O (Certif. of Occupancy)
L�YAJCNIO
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