2010-090 ..011111A TOWN OFQ UEENSBURY
fm742 BayRoad,Ro d,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100090 Date Issued: Friday, May 21, 2010
This is to certify that work requested to be done as shown by Permit Number P20100090
has been completed.
Tax Map Number: 523400-295-019-0001-026-000-0000
Location: 13 SHERWOOD Dr
Owner: DIANA SIMPSON
Applicant: DIANA SIMPSON
This structure may be occupied as a:
Fireplace
Porch By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the cDavP 4
el
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&Co•e Enforcement
Planning Board or Zoning Board of Appeals.
" TOWN OF QUEENSBURY
f 742 Bay Road,Queensbury NY 12804-5902 (518)761-8201
irip,..ro
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100090 Application Number. A20100090
Tax Map No: 523400-295-019-0001-026-000-0000
Permission is hereby granted to: DIANA SIMPSON
For property located at: 13 SHERWOOD Dr
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: DIANA SIMPSON
13 SHERWOOD Dr Porch $19,650.00
QUEENSBURY,NY 12804 Total Value $19,650.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-090
210 sq ft porch
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, March 19, 2011
(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 Toeens , rid , March 19,2010
SIGNED BY � ,s' 41 r` for the Town of Queensbury.
Director of Building Code'` orcement
r
G/� 7 /_ZbCE USE ONLY
TAX MAP NO. f PERMIT NO. �, �
FEE PAID ` BLDG. &CODES APPROVAL 1
ACCESSORY STRUCTURE BUILDING PE Eit-POLICAT
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.
OWNER: \NI\ \y e�S ,:v INSTALLER/BUILDER: kJ�:\t
ADDRESS: 4:3\69•€,r-....-7 0•A..- i"-Ne" ADDRESS: ,7/..Lt`� �; ,�z S (Z � \e r✓ �\
PHONE NOS. PHONE NOS. Co`l -c, -7,1(0
LOCATION OF PROPERTY: ejci, , SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: Sc=•%•v.e_
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES 0 NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ t� (:07 UANY OTHER ACCESSORY STRUCTURES ON PROPERTY? V\
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: �.�ami T � •--' �5 PHONE: ci(, -G6,(9
sr No PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH* Z o Z i `Z r o
BOATHOUSE
BOATHOUSE WITIfSUNDECK
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
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APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building &Codes Office for the issuance of a Building & Use Permit
pursuant to the New York State Fire Prevention & Building Code. The applicant or owner agrees to comply
with all applicable laws, ordinances,regulations, and all conditions that are part of these requirements and
also will allow all inspectors to enter premises to perform required inspections.
IMPORTANT NOTE TO APPLICAN : OUGH-IN AN?
FINAL INSPECTIONS ARE REQUIRED. Q
OWNER: 1 1 �I�1
d Al/ INSTALLER/BUI DER: - A E c PEA t(-) rest
C�1) _7)1 .. ADDRESS: f '� 0' °Ik Cf/ 1 A)
ADDRI\, I- S U L K Q .1� / 9
PHON((E OS. 1635 PHONE NOS.
LOCATION OF PROPERTY: .S-Air) g SUBDIVISION NAME: ,�v) pokc,hLOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 1 n 3 S- S 6 4
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL
J INFORMATION
I/ STOVE
FIREPLACE INSERT
FIREPLACE, FACTORY BUILT*
FIREPLACE,MASONRY
FURNACE (GARAGE ONLY)
*IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO.
LISTED BY: NUMBER: QUESTIONS?
CALL 761-8205 or 761-8206
CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL:
firemsrshaI; queerssburv-.fet
MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE
SIZE IN FOR MORE INFORMATION
TILE STEEL INCHES vvww.queensbury.net
FLUE CHECK ONE ✓
DOUBLECHIMNEY
TRIPLE WALL INSULATED
DIRECT VENT
WALLV. LINER
CHIMNEY MATERIAL CHECK ONE ✓
**IF NON-MASONR , PLEA PROVIDE: ANU ACTURER N 61 to 0 A MODEL NO. �i '
PROVIDE, 1
ADDITIONAL NOTE. O STRUCTIO IN LLA ION M ST C• ORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR
MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE •WN OF QUEENSBURY HANDOUTS REGARDING REQUIRED
INSPECTIONS.PRESENCE OF CARBON MONOXIDE DETECTION IS REQUIRED UPON INSPECTION.
Framing / Firestopping Inspection Report 6,_la (0_,
Office No. (518)761-8256 Date Inspection request received: _ ,1 v
Queensbury Building &Code Enforcement Arrive: am/ Depart: Ilya am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 2_66sO n Lc psoh PERMIT#: 0/0 6
LOCATION: (-v r�6, INSPECT ON: '71,x,e2 4 6/.2_0/0
TYPE OF STRUCTURE: p..r2L...
Y A N -A COMMENTS:
Framing
ccess 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack 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 1A(w) 16 gauge (8) 16D nails 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'h inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Building&Codes Fortes-OLDtiBuIlding&CoderAinspection FamsW amirg Firestopping Inspection Repoctdoc Revised January 7,2008
1 -c JedieI
Queensbury Building & Code Enforcement - Residentia inal Inspection��ti��
ice No. (518) 761-8256 Arrive: am/pm Depart:'2 am/pm
D Inspection request received: Inspector's Initials:
NAME: / 1 i PERMIT#:
LOCATION: AVM _ DATE: S=/ r�,
TYPE OF STRUCTURE: ,.
Comments:
N• N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent LocationIII
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co •lets/Exterior Finish Corn. ete Rill
Platform at all exterior doors 1011111111�
Handrail 4 or more risers 1111111111�
Guards at stairs,decks,patios more than 30 inches above •rade all�
Guard at stairwell at 34 inches or more II
Handrail
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall all�
Interior/Exterior Railings 34 inches to 38 inches III
�
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet ■III
8 inch dearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above •rade all
Interior privacy I trim/doors/main entrance 36 inches III
■
Bathroom/Kitchen waterti•ht
Safety glazing/Window in stairwells safety glazin• r�
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 ..i•ht in accessible area
Crawl S•aces 18 inch x 24 inch access 1 -•.ft.-150 :•.ft.vents all�
Bathroom Fans,if no window SIII�
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sg.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 ■ ■
Fumace/Hot Water Heater o•=ratin•
Low water shut-off boiler IIIII
e)L'43/0.
Relief Valve(s)installed/Heat Trap!Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsumll C,
Basement stairs closed rise>4 inches
Garage Floor Pitched a=
Garage fireproofing 1%hour fire door/door closer
Duct work Sealed property
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Surve Plot Plan or;
Arc Fault Breaker in Bedrooms 'Al_
Flex Gas Pipe Bonding
As Built Septic System I Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C/0 j Temporary/Permanent]
L:\Building&Codes Forms\Building&CodesMnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
/ —/?
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /
NAME: PERMIT#: /(24
-0
7 0
LOCATION: / >/,�✓l��o by- INSPECT ON: 57z -- Ic
TYPE OF STRUCTURE: 3a
Comments
.2
-)Y N N/A S c? e Ve►ti n
Footings / %�
Ud1e., /S
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. _ L=' i�
Foundation/Wallpour � ,,L)-7)/ 41)0-1-0 �-
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg f
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:\Buiiding&Codes Forms\Building&Codes\Inspection Forms\Foundatian Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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asour limited examination,compliance
with our comments shall not be construed as
indicating the plans and specifications are in
full compliance with the Building Codes of
.„.. i New York 9iti
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