2011-274 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110274 Date Issued: Thursday, October 20, 2011
This is to certify that work requested to be done as shown by Permit Number P20110274
has been completed.
Tax Map Number: 523400-227-014-0001-009-000-0000
Location: 121 PILOT KNOB Rd
Owner: MARIAN PHILO
Applicant: MARIAN PHILO
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,
Variance, or other issues and conditions as a result of approvals by the Director of Building&tode Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&.Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110274 Application Number: A20110274
1
Tax Map No: 523400-227-014-0001-009=000-0000
Permission is hereby granted to: MARIAN PHILO
For property located at 121 PILOT KNOB 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: MARIAN PHILO
JANE MCLAUGHLIN CATHY MCD Deck $3,700.. 0
JEFFREY PHILO Total Value $3,70000
121 PILOT KNOB Rd
QUEENSBURY NY 12804-0000
Contractor or Builders Name/Address Electrical Inspection Agency
JAMES MCCANE
798-5664 &338-6131
OUEENSBURY NY 12804-0000
Plans&Specifications
2011-274
279 sq ft deck
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 27,2012
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Qyeefabqrly before he expiration date.)
Dated at the o eef, dam;June 27,2011
� h
SIGNED BY for the Town of Queensbury.
-Director of Building&Code Enforcement
�.�.....--.--- ---- ---------------------
OFFICE USE ONLY ' 111111
"1
N0. PERMIT N0: �u��
a < S
FEE PAID BLDG. &CODES APPROVAL TOWN OF QUEENSBURY
r BUILDING
`
-------------
. ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal :Structure (house) to include, but .not IIm'I&d 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 VALIID-BUILDING PERMIT. --7� C'
OWNER: tl(AAeD�� PAr-141J f�l•(((�J INSTALLER/BUILDER: \ � 5 ! ,/��t_ �( r
ADDRESS: 2I�f Lerr KNOB�� ADDRESS: &��I1C1jP_S AY, Ca�UF—F- SC (\I
PHONE NOS. COS�0 ,3�/3t�' �_,J PHONE NOS. �7 t -J~�o CO
LOCATION.OF PROPERTY: Z 1T- eM13 i26 SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 1 Z LNOO�()
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑YES EV"NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: J( M BAN I PHONE:335 (0 i-3
si No PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK a 79'r
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, showing actual location of all new
construction.
QUESTIONS? CALL 761-8256 OR EMAIL
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 1 v Arrive: am/pm Depart: ` m/pm
Date Inspection request received: �� Inspector's Initials: " A
NAME: I PERMIT#:
LOCATION: i_ , -r V,40DATE: U
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
/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs, decks,patios more than 30 inches above grade oe
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 C/O Temporary/Permanent
L:\Building&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
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: PZ
Queensbury Building&Code Enforcement Arrive: am/pm Dep am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /I a)--
NAME: ," � PERMIT#: `� l
LOCATION: —) j INSPECT ON:
TYPE OF STRUCTURE: J` Oil Jacr
Comm n
N NA
Footings
iers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
ofthe concrete.
Materials for this pRose 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.
U\Building&Codes Forms\Building&Codes\Inspection Eons\Foundation Inspecction Report.doc
Last printed 12/20/2005 9:24:00 AM
1
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AREA
,989 sq.ft. N
1.93 acres } /
TOWN OF QUEENSB /
BUILDING DEPARTME lia ;
Based on our limited examination,c p ,
with our comments shallRAGE not be con trued as Na SE
indicating the plans and speclficatio ar f
full compliance with the uilding C de 6 of U
New York State.
TERENCE: I
IRS
E HART .M
105.84' 1¢S
TO cv 60.73� 107.11,
IARIAN J. PHILO 521,59 8"W S26'1911 W S3228•43"W 55,56'
LY 31, 1964 S3444,17 28'17
44 PAGE 368 0IRF PILOT
� nW S35•46'20"w
KNO
EFERENCE: OAD
JRVEY MADE FOR -- "I have seen or observed, or believe I saw evidence of,
J. REINBOLD all objects such as houses, wells, trees, fences, etc.,
1AY 25, 1978 shown on this document. I also represent that I have
B. VAN DUSEN (� personally measured the distances set forth on the diagram." I
SURVEYORS � ! -
�/cc�U Hof
SIGNATURE DATE
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