2011-220 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes. (518) 761-8256
CERTIFICATE DF COMPLIANCE
Permit Number: P20110220 Date Issued: Tuesday, June 14, 2011
This is to certify that work requested to be done as shown by Permit Number P20110220
has been completed.
Tax Map Number: 523400-301-009-0001-043-000-0000
Location: 5 WESTERN RESERVE Trl
Owner: WILLIAM &MARY ANN BERGMANN
Applicant: WILLIAM & MARY ANN BERGMANN.
This structure may be occupied as a:
Deck
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, �P6�
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
L
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110220 Application Number:. A20110220
Tax Map No: 523400-301-009-0001-043-000-0000
Permission is hereby granted to: WILLIAM&MARY ANN BERGMANN
For property located at. 5 WESTERN RESERVE Trl
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. Twe of Construction Value
Owner Address: WILLIAM&MARY ANN BERGMA
5 WESTERN RESERVE Trl Deck $1,550.00
QUEENSBURY,NY 12804-0000 Total Value $1,550.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-220
144 sq ft deck over existing patio
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 31,2012
(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 T ne'e
n ryMay 31,2011
9SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
-------------------- -E-&.E-8-'y�S
OFFICE USE ONLY
p a
i TAX MAP NO. 1 'I J PERMIT NO. -220 MAY 2 3
FEE PAID BLDG.&CODES APPROVAL
JOWN OF OUEENSBURY
ACCESSORY iTiRUCTURE BUILDING PERMIT APPLI
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 jINSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
Vy OWNER: 111 JWA _ 6 G& &M A"N� INSTALLER/BUILDER:96lJ an&,< �
ADDRESS: S PL 0 RV-j I-f,VL Q Al I— ADDRESS:.) LA'x" G et)0.5i�F yaci® , hj
PHONE NOS. �'�-3 ' a 2-1 J p PHONE NOS. _7 '1'7 -9S'J 4
LOCATION OF PROPERTY: ,S wl"57" Lo 1,63 GIZVE A ''L SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: �✓ V�%s l L A-,J )2 t-3 g VL �P �-
ESTIMATED COST OF CONSTRUCTION: $ � 'a`pn ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? 7Z S
IF YES,PLEASE LIST:,ylj L D — f/r1R�lY _4 )a d� �J�Z A 7,�x L} e.P
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
sr ND PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT SQ.FT SQ.FT FT.&IN.
OPEN PORCH 1
DECK I V4 6r-T L 1113
3 SEASON,COVERED OR ENCLOSED PORC
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 showing actual location of all new construction.
I have read and agree to the above.
QUESTIONS? CALL 761-8256 OR EMAIL
11 codesaueensbury.net
Signed()nJ � � 6 LL) U C� Dated: S 23 �/
C�
VISIT OUR WEBSITE FOR MORE INFORMATION
Name/Title(Printed) )Ali U/�� e 6 026-M kZ YJO U",111011— www.gueensbury.net
to -i2. Pedhe
Queensbury Building & Code Enforcement - Residential Final spection
4,larnlpm
Office No. (518) 761-8256 Arrive: am/pm De art:
Date Inspection request received: Inspector's Initials: //�,,
NAME: �' PER #: 1-2 V
LOCATION: L ksteCe. �V'1 DATE: -
TYPE OF STRUCTURE:
Comments:
Yes No NIA
4° Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
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/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification/Sticker on Panel
Floor truss,draft stopping finished basement 1,000 s .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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex-Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or.0 10 Temporary/Permanent
LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10
Framing / Firestopping Inspection Report
-2-
Ofrrce No. (518)761-8258 Date Inspection request received: (a 1
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initiaaisr4t
NAME: rA PERMIT#: I�
LOCATION: INSPECT ON: i
TYPE OF STRUCTURE: IDt1C C L
YN WA COMMENTS:raining
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers Jadc Posts/Main Beams
Exterior sheeting nailed properly,
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D naus each side
Draft stopping 1,000 sq.ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from.wall
Fire separation 1, 2,3 hour
Fire wall.2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%Inch or 5/8 inch Type X
Garage side 5/8 inch Type X
CeilingMall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
6.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forms-oLDNBuilding&CodesUnspeftn ForrniffrarnIng Firedopping rnspedbn RepoA.doc Revbw January 7,2=
.................. ... J.
........DECK FLOG L ...
TOWN OF QUEE������t
R
..P AN 1E C IE
BUILDING & CODES DEI' 1 . MAY 2
Reviewed.Sy: 3 2011
EXISTING BULL'DING TOWN S
OF ODEENBUR
®ate; Z y
BUILDING& CODES
6" DECKING
DECK
N
�.......2x6 RAIL CAP............
ram.- .-�
TOWN OF QUEENSBURY
BUILDING
.DEPARTMENT �4X4. POST (UNDER)----
Based on our limited examination,compliance i .
with our comments shall not be construed as p,: t
indicating the plans and s�ecitications are in i ¢¢ 2 6" DECK BOAD;S EACH
full compllance with the Building Codes of i . W
New York-State. i TR'EAC `
A1On ( �j
1 12.X.,� ................ ......
N do STEViS
RREN COUNTY
CEM E IE
MAY 2 3 2011
TOWN OF QUEENS
BUILDING &COD t °o�
LOT 1
-8b,
"I have:Seenlserved, or believe I saw evidence of, l
all oo�Fho�Ises, wells, trees, fenfes, etc., h
shc=4i :� �,t. t also
e s0n; ,n the
t o GIlSiai,t }
% l
RE
BATE 1 I ACRE
TI
Iry
2J
` V- J i
DMNAGf EAMMUff
FIAT THIS MAP WAS PREPARED
ab SURWY.
SHALL RUN ONLY TO THE PERSONS
VEY WAS � ON THEIR
COMPANY, AGENCY t)
JTION LISTED HEREON.
NOT TRANSFERABLE TO ADDITIONAL
3SEQUENT OWNERS
►M C. BERGMANN & MARY ANN BERGMANN
GO TITLE INSURANCE COMPANY
LOT 13
W 1.11 .1
yr
ASPHALT
DRIVE
OUR
1 STORY
WOOD FRAMED
HOUSE
11,000 GAL
SEPTIC TANK
LOT 12
AREA
27,046.47 �y q. ft.
,JJ/
0.02 acres /
"'""
BOX TOWN OF BUILDING & I
Revie=�"-
Date.
ryr,
4 0 41Y FA TOWN OF QUEENSBURY
BUILDING DEPARTMENT
' Based on our limited examination, compliance
with our comments shall not be construed as
indicating the plans ands specifications are in
full corrpiiance with the � Codes of
New Yolk State.
V
RY
EPT,
MAP REFERENCE:
WESTERN RESERVE. LLC / O
DATED• .JUL.Y 15. 2003 �
LAST REVISED. OCTODER S. 2004 / UTLITIES
DY• VAN DUSEN + STEWS
FLED IN THE WARREN COUNTY / q� 6►
CLERK'S OFFZEa DEMMBER 13. 2004
fV
`7/ ASPHALT
�o,� DRIVE
LOT 11
a'
/ 1 5TORY
/ WOOD FRAMED
HOUSE
/ CONCRETE
/ PATIO .
/ 10 bo
/ LOT 12
/ AREA
27, 046.01 sq. ft.
/ o0.62 acres
iww�cE r�et�n• 'G
-
a i D use
Steves
Land Surveyors
169 Haviland Road Queensbury, New York 12804
bib) 792-8474 New York Lie. No, 50135
LOT 13
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M
Hap of a Survey made for
William
C. & Mary
Ann
Bergmann
g nn
Town
of Queensbury, Warren
County,
New York
;/
MO. I DATE
DESCRIP77ON
ei Uctober 13c
v 1'=20,
S-1
8FEffT 10F 1
8trgmem
DWG. NO. o1141-12