2006-590 TOWN OF QUEENSBURY
���ft 742 Ba Road Queensbury,NY 12804 5902 (518) 761-8201
BayRoad,Q rY
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20060590 Date Issued: Monday, December 24, 2007
This is to certify that work requested to be done as shown by Permit Number P20060590
has been completed.
Tax Map Number. 523400-308-005-0001-031-000-0000
Location: 390 WEST MT. Rd
Owner. ROBERT LEWIS
Applicant: ROBERT LEWIS
This structure may be occupied as a:
Porch
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the (— e4v7
property owner of the responsibility for compliance with Site Plan,
fI
Variance, or other issues and conditions as a result of approvals by the Director of Building& 44deeeEE lrrement
Planning Board or Zoning Board of Appeals.
"P\ TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060590 Application Number. A20060590
Tax Map No: 523400-308-005-0001-031-000-0000
Permission is hereby granted to: ROBERT LEWIS
For property located at: 390 WEST MT. 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: ROBERT LEWIS Porch $8,500.00
CYNTHIA CARTIER-LEWIS Total Value
390 WEST MT. Rd $8,500.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-590
216 SQ FT PORCH
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, September 06, 2007
(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 To eensb , d sday, September 06, 2006
1�!
SIGNED BY for the Town of Queensbury.
Director of Building& .de Enforcement
3 G, ss—_/...._3 OFFICE USE ONLY ' dr -
TAX MAP NO. PERMIT NO. 06^516
V
FEE PAID #40419c9 BLDG. &CODES APPROVAL AUL, 2006
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure(house)to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. 66/4_064.5.
OWNER: r,b I R I t (�!/(.c 1 ‘,15u.,/5 INSTALLER/BUILDER:� Z' &4 tt
ADDRESS: 3 9C G(.G 5I Mr f:,.•7" n I ADDRESS: 1�', G. 1gc ,,C ? ;it lig 6L. /'• Y- 1 Pte'f
4-4-1,
PHONE
PHONE NOS. }—r - 5--c 1 9 y - 57s'7y3-347U PHONE NOS. f/F---67r-66��- cir i , (jyge
LOCATION OF PROPERTY: 3 2c -/ T /ne cvdT/4fi, SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION ,9 INSTALLATION: S9,vf
ESTIMATED COST OF CONSTRUCTION: $g ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
'
IF YES,PLEASE LIST: ,
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
F TOTAL
2 sr FLOOR
Ho FLOOR
PROPOSED
I 1— PROPOSED CONSTRUCTION HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH Z 1(O ��la t� cg• /2.a /fi r
DECK
3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
SHED •
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
'CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO]REQUIREMENTS IF THE STRUCTURE IS LOCATED IN
THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the 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 Codes, the Zoning Ordinance,and all other laws pertaining to the proposed work shall be
complied with,whether specified or noted, and that such work is authorized by the owner. Further, it is understood that
I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of Building -----_
and Codes, an As-Built Survey by a licensed surveyor, drawn to scale, QUESTIONS? CALL 761-8256 OR EMAIL
showing actual location of all new construction. codesnu,queensbury.net
I have read d agree to the above. VISIT OUR WEBSITE FOR MORE INFORMATION
/' ' www.queensbury.net
Signed ! /4 % Dated: -O2 o� !�`6
Name/Title(Printed) ctl1 f R7 1' • L/Gfirc
Ow Town of Queensbury• ( omtuunihj Development Office • 742 Bay Road, Queensbury, NY 12804
•
• Queensbury Building & Code Enforcement - Residential Final Inspection
it
Office No. (518)761-8256 Arrive: am/pm De art: . . am/pm
Date Inspection request received: Inspector's Initials:
NAME: �r,J► S �� PERMIT#: h �
— r
LOCATION: _��� � /Yt l . DATE:
TYPE OF STRUCTURE:
Comments Or cr
Yes No N/A ,
Building Number/Address visible from road � ` ,i�htiv--- s90
Chimney Height/"B"Vent/Direct Vent Location /eir
/67-
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete 11/
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade • fç � / 1.5
fret''
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more a iii...
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches _
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft. vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq. ft.
Emergency egress below 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
Low water shut-off boiler
Relief Valve(s) installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum Y2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure �f.�{� •�C �
Final Electrical `�.� yam- •.i�u`
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms a Final Inspection Form_revised_100405.doc
an\-///
Queensbury Building & Code Enforcement - Residential Final Inspection
le
Office No. (518)761-8256 Arrive: am/pm De art: 1 •ZIN am/pm
Date Inspection request received: Inspector's Initials:
NAME: G(,JI PERMIT#: - �Q
LOCATION: 3 70 L 'e DATE: - ;�
TYPE OF STRUCTURE:
Comments
Yes No N/A / /oBuilding Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location t e>Fresh Air IntakeferrY1
3 inch Plumbing Vent through roof minimum 6 inches / - o n 9/24/67
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
L� Se` Qr�
Guards at stairs,decks,patios more than 30 inches above grade ucbil n
Guard at stairwell at 34 inches or more /D��007
Guard at deck,porches 36 inches or more !
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches �.f ker _ are C2-1/1
Interior Handrails @ stairs 2 or more risers )j
Grade away from foundation 6 inches with 10 feet 1 yes C e
.806
6 inch clearance to sill plate / S 6---
Gas Valve shut-off exposed/regulator 18 inches above grade (�
Interior privacy/trim/doors/main entrance 36 inches _
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area: NI\
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible arca
Crawl Spaces 18 inch x 24 inch access, 1 sq. ft.-150 sq. ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq. ft.
Emergency egress below gradeo1LnV 1�'`"�` e (((
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
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum I/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
s m led or Glass Enclosure
Final Electrical
• Surve Plo lan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:1Building &Codes Forms\Building&Codesllnspection Fon is\Residential Final Inspection Form_revised_100405.doc
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:7 7D am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /,
NAME: L1& - - PERMIT#: dillC)
LOCATION: "-.)-)9„,c.... ‘e-N) INSPECT ON: • nr_ r_,
TYPE OF STRUCTURE: _ -5Qet-
Comments
Y N N/A
Footings
Piers
Monolithic Slab
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Community Development Office
td2
Town of Qnsbury • Bay Rd.
Queensbuueery, New Yw742k •12804 PLOT PLAN 3c)0 WS�M,OU►�'rlklt\l RD
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
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