2010-372 TOWN OF QUEENSBURY
wors742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100372 Date Issued: Friday, October 12, 2012
This is to certify that work requested to be done as shown by Permit Number P20100372
has been completed.
Tax Map Number: 523400-290-017-0002-024-000-0000
Location: 12 POLLAZZO Ct
Owner: SANFORD & MARTHA SEARLEMAN
Applicant: SANFORD & MARTHA SEARLEMAN
This structure may be occupied as a:
Deck
By Order of Town Board
TOWN OF QUEENSBURY
d �
Issuance of this Certificate of Compliance DOES NOT relieve the (Thi /
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&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
Foo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100372 Application Number. A20100372
Tax Map No: 523400-290-017-0002-024-000-0000
Permission is hereby granted to: SANFORD &MARTHA SEARLEMAN
For property located at: 12 POLLAZZO Ct
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: SANFORD &MARTHA SEARLEM Deck $16,636.00
12 POLLAZZO Ct Total Value
QUEENSBURY,NY 12804-0000 $16,636.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-372
320 sq ft deck
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,August 02, 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 Tog n-ef•Queens ry; Monday,August 02, 2010
SIGNED BY ( ` �'11•mow 1 c`� for the Town of Queensbury.
Director of Building&Code Enforcement
C
FICE USE ONLY • •
i V(r� /
/ 372
I I
•
FEE PAID V 00 BLDG.&CODES APPROVAL
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�B'+UILDING PERMIIT.�}/� + M y� -�
OWNER: J fW °p1' J Lil4R C Com/ I%JN INSTALLER/BUILDEGR:,,GM.OUX (o,4'y/l R VC W
ADDRESS: t?• P°1-04 220 C f Q I�/1 fz�l ADDRESS: 10 W S7ft 7L" A ) !LM, %OT it v�Aiy
PHONE NOS. / 5 7f1 3 (JO t !/ PHONE NOS. 5-18 9q t /312 CCLC 5-18 /32- 3 5 ')
LOCATION OF PROPERTY: 12 POLL/42.2-04-7; 9'avitr SUBDIVISION NAME: 7'dwii/r P'C( iekT 114 J/'/L,,1 pp
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: /2 POLO z 2t? C '1v,2 1j
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL?) 'YES 0 NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ !(f0 347"'ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? NCS
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
PROPOSED CONSTRUCTION 1�FLOOR 2N°FLOOR TOTAL PROPOSED
HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
° x Cb 1 1 320 ' 3/
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
codestikweensburv.net
3-1?-,(t(25' /l'`SI /
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart: >iV�am/pm
Date Inspection request received: Inspector's Initials:
NAME: 4/- PERMIT#:
LOCATION: /7 �, G 7 ze'-> DATE: bAfTh
TYPE OF STRUCTURE:
11) Comments: /(
Yes No N/A
4" Building Number Address visible from road,f r e
Chimne Hei,ht/"B"Vent/Direct Vent Location
Fresh h AirIntakegp-23 inch PlummbingingVent through roof minimum 6 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: Bette backu•:
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/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Eme a en =,ress below •rade
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 operating
Low water shut-off boiler `
Relief Valve(s)installed/Heat Trap/Water Temp 110 ___
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%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 in Bedrooms
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 I C or C/0[Temporary/Permanent] Ci/9
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Framing / Firestoppin Inspection
Report
Office No. (518)761-8256 Date Inspiectiqq request received:
Queensbury Building&Code Enforcement Arrive:/ / am/ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: �'IeV- - PERMIT#:LOCATION: f /() -->-
1� 1';:jf(1 � � �, �� INSPECT ON: �'?�/0
TYPE OF STRUCTURE:
Y
Framing COMMENTS:
Atm ss 22'x 30* minimum
Jack Studs/Headers
Bracing I Bridging
Joist hangers
Jack Posts I 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 'A(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'A 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:1Buildirg&Codes Forms-0101BulidinQ&CodesNrapsction Fonn&Framing Firestopping Inspection Repotdx Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date lnspecpn request received:
Queensbury Building &Code Enforcement Arrive: 10'`�C CUAam/ Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:F LL
NAME: 66=te t-C 1-tt) PERMIT#:
LOCATION: fo t�L/61-1.-- INSPECT INSPECT ON: ll'
TYPE OF STRUCTURE:
Y NV NSA COMMENTS:
Framing
Attic Access 22" x 30" minimum 4 (
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 '4(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%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:1Building&Codes Forms-OLD1BuiIdirg&CodesYnspecdon Fomiscramrng Firestopping inspection Reporidoc Revised January 7,2008
Foundation Inspection Report J 32
Office No.(518)761-8256 Date Inspectioyrequest received:
Queensbury Building&Code Enforcement Arrive: am/pDepart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector'sInitials:
NAME: r76 ieL00/94,41 PERMIT#: /e7 3 71
LOCATION: `)/ Ør
' INSPECT ON: /'o
TYPE OF STRUCTURE:
Comments
Y N N/A /"
Footings `�i % ��� ()ES CS
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 hi place
Foundation Dampproofmg
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:\Buliding&Codes Forms\Building&Codes\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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CRevised 2/18/2009 ---'- --- V---Page 6 of 6
MAP REFERENCE:
HAViLAND ROAD SUBDIVISION
BY VAN DUSEN & STEVES
DATED OCTOBER 14, 2005
LAST REVISED MARCH 16, 2006
FA
LOT
25
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/ pyo• /
LOT
24
9,340 sq.ft.
0.21 acres
—tZ--QQLLAZZO CT
1
8S 98 A
H.O.A.
D us en
Steves
Lara d
169 HavUand Road
518) 792-8474
Surveyors
Queensbury,
New
York
12804
New York
Lie.
No.
50135
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14 POLLAZZO CT.
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Map made for
AMEDORE LAND DEVELOPERS,
Town of Queensbury, Warren County, New York
LOT
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Parameter List.
-----------------------------------------------------
Scanner:
HP DJ T1100 WP (1394)
Units of measure:
Inches
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Copy tab:
Center
Output tab:
Product name:
Designjet Scanner System
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ColorJBfW:
BS.W
Margins
Build 20183
Printer:
HP DJ T1100ps
Type of original:
Map
Top:
0.0'
Windows driver:
date: Dec 84 286716:17:10
Method:
Graytone
Bottom:
8.0"
HP Designjet
T1168ps 44in
Lightness:
0
Left:
8.0•
Printer profile:
HP DesignJet T1100ps
Saturation:
0
Right:
D.0'
Unprintable Area
Red:
0
Use Unprn. Area:
No
Top:
0.2..
Green:
0
Print paper border:
No
Bottom:
8.2"
Blue:
0
Quality:
Normal
Left:
0.2"
Black level:
70
Scan Quality:
Fast
Right:
8.2"
White level:
235
Print Quality:
Fast
Media width:
44.8"
Sharpen:
+2
Scan DPI:
150 dpi
Media profile:
1880
Blur:
8
Print DPI:
308 dpi
Roll:
Auto
Input size:
Auto
Ink Printer Original:
Yes
Account:
Total
Width:
20.5"
Enhance Gray:
No
Scan jobs:
1146
Height:
16.8"
Descreening:
No
Print jobs:
5
Auto Width:
Yes
Layout:
Normal
Copy jobs:
567
Auto Length:
Yes
Tiling I Paneling
Scan area:
9177.4943 sq.ft
output size:
Auto
Glue marks:
No
Print area:
3465.4623 sq.ft
Width:
20.5"
Width:
38.0'
Paper area:
5298.4667 sq.ft
Height:
16.0'
Length:
58.0'
Total Account:
Total
Auto Width:
Yes
Overlap:
0.5"
Scan jobs:
1146
Auto Length:
Yes
Nesting
Print jobs:
5
Scale:
1802
optimized:
No
Copy jobs:
567
Ualue:
188.0 %
Spacing:
0.5"
Scan area:
9177.4943 sq.ft
Print area:
3465.4623 sq.ft
--------------------------------------------------------------------------------------------------------------------------------------------
Paper area
5298-4667 sq.ft
2070-07-27 03:59.47
Setup tab:
-----------------------------------------------------
Scanner:
HP DJ T1100 WP (1394)
Units of measure:
Inches
Load:
Center
About
Product name:
Designjet Scanner System
Product version:
6.2.2
Build:
Build 20183
Component build:
28183
Scanner model:
HP DJ T1100 MFP (1394)
Scanner firmware
version:2-0-3-003
Scanner firmware
date: Dec 84 286716:17:10