2012-322 TOWN OF QUEENSBURY
742 BayRoad,Qucensbury, 12804-5902 (518) 761-8201
111
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120322 Date Issued: Wednesday, November 07, 2012
This is to certify that work requested to be done as shown by Permit Number P20120322
has been completed.
Location: 28 JOSHUA ROCK Rd
Tax Map Number: 523400-239-019-0001-004-000-0000
Owner: PATRICIA KLINCK
Applicant: PATRICIA KLINCK
This structure may be occupied as a:
Dock By Order of Town Board
Porch TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
7(//owner of the responsibility for compliance with Site Plan, Variance, or c 1
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
O.` TOWN OF QUEENSBURY
iy 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120322 Application Number: A20120322
Tax Map No: 523400-239-019-0001-004-000-0000
Permission is hereby granted to: PATRICIA KLINCK
For property located at: 28 JOSHUA ROCK 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 Val i
Owner Address: PATRICIA KLINCK Dock
47 BREWER Pky Porch
SOUTH BURNLINGTON, VT 05403 Total Value
Contractor or Builders Name/Address Electrical Inspection Agency
GARY ZERVAS
668-3159
NY 12804-0000
Plans&Specifications
2012-322
Porch(2 season, no heat) 260 sq ft AND Dock sq ft
Repair Storm damage from 7/1/12
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 01,2013
(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 Town o ue sbury; ed d y, August 01, 2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
(7),„t - R Lir4 — Co Com- )35
OFFICE USE ONLY
Tr C/ 1,).U_ , ,TAX MAP N0. r��, il�! - J PERMIT N0. /
FEE PAID (nOr BLDG. &CODES APPROVA i E ;
2[r[/j;U , `- '�/� 5 M .ice I /
4
ACCESSORY STRUCTURE ILDING 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
ISSUANC o A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED
A VALID : 'ING PERMIT.
OWNER: I t' _ _ ( Yl INSTALLER/BUILDER: r - — ' 1
ADDRESS: ( 111111 ADDRESS: t L' S+01\5 Sal COl (P G O S �� c
'—as yo 3 LG t�1 _
PHONE NOS. r • M! +)� 1 - C�r �� S
•
LOCATION SRO T: C1Ds 1\U.4 (-1 t �� y
PHONE NOS. — 3 iIS
SUBDI�VISION NAME: '-�
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: O%b JC A14 Q r�OGk. 'Q _ 1 it ill OJ'A S
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: $ -nr^ - ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? •
•
IF YES,PLEASE LIST: v� P�C
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
1sT FLOOR 2ND FLOOR TOTAL PROPOSED
PROPOSED CONSTRUCTION SQ,FT. SQ.FT. SQ.FT. HEIGHT
FT.&IN.
OPEN PORCH
DECK
EASON, OVERED OR ENCLOSED ORCH' S rvsf"\ Q v�Q �� 67 60-4 P
BOATHOUSE 7-i
� 7-
BOATHOUSE WITH SUNDECK
DOC " f`t.
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA & MUST COMPLY WITH FAR [FLOOR AREA RATIOJ.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
constructio
QUESTIONS? CALL 761-8256 OR EMAIL
code$ Queensburv.net
I have r-ad - agree to the ab•ve.
VISIT OUR WEBSITE FOR MORE INFORMATION
Si•_- -d. '� Dated: www.aueensbunet
.. i ���' ( �, rv.
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Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date inspection request received:
i t ( -
Queensbury Building &Code Enforcement Arrive: am/pm - Depart: \ 1-` am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
��v��
NAME: +( (.I\ PERMIT#:
LOCATION: p�c . �/DATE: I i /,51)-0
i
i1 COMMENTS: ;rt. l)` kt 1'16 d'‘
Y N NA
Chimney/°B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete �. 1 3:71/ - ' 3 /J
Exterior Finish/Grade Complete 6" in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior I Exterior Ballisters 4 in. Spacing Platform I Decks
Stair Handrail 34 in.—38 in. I Step Risers 7"I Treads 11"
Vestibules For Exit doors > 3000 sq. ft.
All Doors 36 in. wlLever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44° (1)/Canopy or Equiv.
Gas Valve Shut-off Exposed &Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve, Heat Trap!Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 1/2 doors
> 10% > 1000 sq. ft.
%Hour Corridor Doors&Closers
Firewalls I Fire Separation, 2 Hour, 3 Hour Complete I Fire
Dampers/ Fire Doors
Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18" x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
/-1Handicapped Bathroom Grab Bars/Sinks/Toilets > �
Handicapped Bath/ Parking Lot Signage /J�t', -&k
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp I Handrails Continuous/12 in. Beyond [Both
sides]
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Structure/Flood Plain certification, if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4'
Water Fountain or Cooler
Building Access All Sides by 20'!Driveable Surface 20'wide
Okay To issue Temp. or Permanent CIO , `
Okay To Issue C/C
L:\Building&Codes Forms\Building&Codes\lnspection FormslCommerciai Final Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: "
L-\)
Queensbury Building & Code Enforcement Arrive: am/ m De rt: j)2 am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials A.
NAME: _____ PERMIT#: 2,� l
N: 7
LOCATIO _ - _ INSPECT ON: �-
TYPE OF STRUCTURE: � T
Framing N NIA
COMMENTS:
Attic Access 22" x 30" minimum
Jack Studs/ Headers � �-
Bracing /Bridging
Joist hangers _
Jack Posts/Main Beams (�—
Exterior sheeting nailed properly
12" O.C. ` - c-��-
Seadroom 6 ft. 8 in. \� 1 �
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/ Holes/ Bearing Walls —
Metal Strapping for Notches Top Plate
1 % (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 '/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
L:1Building&Codes Fom1s-OLD\Building&Codes inspection Fomns\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report 3fr),
Office No. (518) 761-8256 Date Inspection request received: fie l )--
Queensbury Building &Code Enforcement Arrive: am/prp part:17 m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ( � �r
e%
NAME: - ( !') <- Gt`/��G«- PERMIT#: `'�— 3
LOCATION: WO DIM 1111.311 INSPECT ON: I
TYPE OF STRUCTURE: 'u2C4-F-(-)-( cc )Y1
ei 2)6WA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing /Bridging i
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 ‘I)E--(._ "C___ --
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 %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-OLD\Suildin9&Codes'nspedion Fami&Framinp Firestopping Inspection Report.doc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date '- tion : . • • ' t:
Queensbury Building&Code Enforcement Arrive: ,Lu 411.1 Depart: E
742 Bay Rd.,Queensbury,NY 12804 Inspector's Int !i :�, �
NAME: 1 !'� C � o . . $IT#:
LOCATION: D- h I KA Ail)cL i /INSPECT ON:
TYPE OF STRUCTURE: v rc,t1
Comment4
/ tio;;a1
Footings q1‘)
Piers I
Monolithic Slab
Reinforcement in Place I 2-1-( Q
The contractor is responsible for - r
providing protection from freezing �_ t�_ �
for 48 hours following the placement
ofthe concrete.
M
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Fooling Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofmg
Fooling 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 SIab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM