2015-172 AGA TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150172-41942 Date Issued: Monday,August 22, 2016
This is to certify that work requested to be done as shown by Permit Number P20150172-41942
has been completed.
Tax Map Number: 295.14-2-74
Location: 18 DORSET PL
Owner: Patrick LaHaise
Applicant: Patrick LaHaise
This structure may be occupied as a: Legacy BP 2015-172
Deck 168 sq. ft. By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the r
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
Firim 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150172 Application Number: A20150172
Tax Map No: 523400-295-014-0002-074-000-0000
Permission is hereby granted to: PATRICK S LAHAISE
For property located at: 18 DORSET P1
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: PATRICK S LAHAISE Deck $4,500.00
KATHERINE A LAHAISE Total Value
18 DORSET P1
$4,500.00
QUEENSBURY NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
ROBIN HEYDRICK
20 ATKINSON Ln
FORT ANN NY 12827-0000
Plans&Specifications
BP 2015-172
Deck 168 sq. ft.
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, May 19,2016
(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 n of eens ,e',? ay 19,2015
f,Vf
SIGNED BY ' \ for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only
Received
ACCESSORY STRUCTURE APPLICATION Permit # _-C}L5_1 Za
E JJ \Vt Permit Fee .5Q
Date _ SI 'r I to f; Recreation Fee
Tax Map ID ZeI5.14 - 2- - -7 mA 15 2015 Approvals
Zoning E. ci;:i fl
EtJAL I
Historic Site TOWN OF OUEFNSBURY
Subdivision Name/Lot No. 61Own1-Y�d14((1S B1 UES
APPLICANT PWrgar--k L OWNER ?A'SeNiC
Address _... _ j2LES' Qk. Address it_'daizSET '-
Phone ---s.1a_ Z1L2, Phone ;-.-_ L%__hi`S=Z1/41
CONTRACTORgC -C21V-i.E � ESTIMATED COST OF CONSTRUCTION $
Address _ 1k, n,x.Q ,J.( Building Address: 1/5 €SET ft 9vEgtvsGila/ I ilasri
�� art4.27
Phone i-/e 7 Z, .. --e_tfa
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE Phone
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
151 floor sq. ft. 2nd floor sq. ft. Total sq. ft. Height
Boathouse
Boathouse with Sundeck
Deck /`9 /6 $ /6 N
Detached Garage(#of cars)
Pole Barn
Porch • Open
**Porch - 3 season, Covered. Enclosed
Shed
Other
** Considered floor area and must comply with Floor Area Ratio requirements if located in the WR zone
DECLARATION:
I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application,plans and
supporting materials are a true and complete statement description of the work proposed:that all work will be performed in accordance
with the NYS Building Codes, local building laws and ordinances: and in conformance with local regulations. I acknowledge that prior
to occupying the facilities proposed. I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to
provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy.
I HAVE READ AND AGREE TO THE ABOVE: Print Name: __ Ar_c «_- ,�.PN S' >- Date: _S/ (4. i c
Signature: _ Date: 141_13�J
Town of Queensbury Building & Codes -Accessory Structure Application - December 2014
Town of Queensbury Building & Code Enforcement i 1A
Office No. (518) 761-8256
2-^
Framing I Firestopping Inspection Report
Inspection request received: 512-b
Name: 1(A) Inspected on: 5 2 •Vi-nk'
I� ' -WO a.m.I p.m.�o rs2Lt Arrive:
Location:
Permit No.: 4, 1 "D--1+2._ Inspector's Initials: _ �i►�
TYPE OF STRUCTURE: dim.
Y N N/A COMMENTS:
Framing
Attic Access 22"x 30"minimum Pc- `se
Jack Studs/Headers
Truss Specification Provided
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 '/2(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 1/2 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
Design Professional Sign-off,if required
Framing / Firestopping Inspection Report
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 Initial •
NAME: L A/) ,i J-e_ PERMIT#: / I
LOCATION: ( r7 U( 5"C---7--- n Lk(INSPECT ON: 31-?- k. i I
TYPE OF STRUCTURE: 7 ' � G
Comments
D/YNN/A
ootings
___X„,a
-Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for I
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 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 1
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
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TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,complian --C
with our comments shall not be construed '"-
indicating the plans and specifications are
full compliance with the Building Codes f
New York State.
TOWN OF QU E SBURY
BUILDING & C D1 S P PT
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