2015-323 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: P20150323 Date Issued: Tuesday, August 18, 2015
This is to certify that work requested to be done as shown by Permit Number P20150323
has been completed.
Tax Map Number: 523400-302-017-0001-018-000-0000
Location: 15 LUPINE Ln
Owner: MICHAEL TERRY
Applicant: MICHAEL TERRY
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
4t
property owner of the responsibility for compliance with Site Plan, �d
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
4
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Flo
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150323 Application Number: A20150323
Tax Map No: 523400-302-017-0001-018-000-0000
Permission is hereby granted to: MICHAEL TERRY
For property located at: 15 LUPINE Ln
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: MICHAEL TERRY
TRACEY KIRKENDALL Deck $5,500.00
15 LUPINE Ln Total Value $5,500.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-323
Pool Deck 252 s.f.
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,July 29,2016
(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 dat .)
Dated at the T n of ens ry��f nesday,July 29,2015
SIGNED BY vv for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION
Received
DATE ^/ Tax Map ID
TAX MAP ID ` Ca .(r -1-1 Permit No. ftg, -2-° 2..5
Permit FeeZc PGS/
ZONING Rec Fee
HISTORIC SITE Yes No Approvals
SUBDIVISION NAME Lot#
APPLICANT h Jek , " ` cter OWNER
ADDRESS gL (-A-pe--r5k"''"'&y� /
ADDRESS l � +'�(-VA/
ake
PHONE 7f7(i • (037)-/-
3•)-/•"
TO
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CONTRACTOR V COST OF CONSTRUCTION(ESTIMATED): $ / . 'L/
ADDRESS: SC-4BUILDING ADDRESS:
PHONE: 7, r .3 7 T � I
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE �J (,t/h (v-ei"'� PHONE7 t /
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 151 floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck 7)Cc�L CIL ;-2.4c2
Detached Garage(#of cars_)
Dock
Pole Barn
Porch-open
" Porch—3 season,Covered,Enclosed
Shed
Other Accessory Structure(s)
""Considered floor area&must comply with FAR(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&complete statement description of the work proposed,that all work will be
performed in accordance with the NY State Building Codes, local building laws and ordinances; and in conformance with local
zoning 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: V (y w�C Date: 7-22
Signature: Date: 7-21-l5
Town of Queensbury Building&Codes Accessory Structure Application July 2014
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/p Depart: m/pm
Date Inspection request received: Inspector's Initials:
NAME: V kfa - _ PERMIT#: 1 — a
LOCATION: 16 1,5,4:41, DATE: 4'" Miter
TYPE OF STRUCTURE: t'¢
Comments:
Yes No N/A
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 / 1
Handrail Termination at Newell Post or Wall
CI 'or/Exterior Railings 34 inches to 38 inches1,//:
eck Brac�Handicapped Ramp Compliant
away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed I regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom 1 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 sq.ft.-150 sq.ft.vents
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss, draft stopping finished basement 1,000 sq.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 Valve(s) installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/,hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
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/0[Temporary/Permanent] C 1
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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, Revised 04/13/11
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received:
Name: �z�1 Inspected on:
Location: *� }ciP LA- Arrive: M;. a.m.I p.m.
Permit No.: Inspector's Initials: _
TYPE OF STRUCTURE:
N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing/Bridging
Joist hangers.
JI Beams
ExteriorackPosts sheetingMain 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 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 I below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing/ Firestopping Inspection Report
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TOWN OF QUEENSBURY
BUILDING DEPARTMENT
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Based on our limited examination,compliance
with our comments shag not
be consied indicating the plans anti speciificationstar-as
full compliancwith the Buildin ''Cin
\, ,,. ..._______________10.0-0New York State. g bodes of
TOWN OF QUEENSBURY
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Haw `pork State Rusid.ential Code,
Terry, Michael
15 Lupine Lane
Deck (pool) 252 s.f.
302.17-1-18
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