2014-146 ,,A TOWN OF QUEENSBURY
4
ra 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140146 Date Issued: Tuesday, September 23, 2014
This is to certify that work requested to be done as shown by Permit Number P20140146
has been completed.
Location: 11 HICKS Rd
Tax Map Number: 523400-297-007-0001-020-000-0000
Owner: PETER DAVIS
Applicant: PETER DAVIS
This structure may be occupied as a:
Deck By Order of Town Board
TOWN OF QUEENSBURY�
Issuance of this Certificatefo T' 4 Occupancy DOES NOT relieve the propertyg61)111
J1i�owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
i`77773 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
_ Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140146 Application Number: A20140146
Tax Map No: 523400-297-007-0001-020-000-0000
Permission is hereby granted to: PETER DAVIS
For property located at 11 HICKS 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 Value
Owner Address: PETER DAVIS Deck $1,200.00
686 WEST VALLEY Rd Total Value $1,200.00
ARGYLE NY 12809-0000
Contractor or Builder's Name/Address Electrical Inspection Agency -
Plans&Specifications
2014-146
DECK 220 sq ft
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 29,2015
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town Quee bury I a,st- .. "l 29,2014
SIGNED BY ♦ t for the Town of Queensbury.
Director of Building&Code Enforcement
1
n - C EIIV E
Town of Queensbury Building & Codes office 13ni — ---- II II
ACCESSORY STRUCTURE APPLICATION Receividn ASR 2$ 2p14
Tax M4 ID: .w- ,: _tir Imo-SY
A permit must be obtained before beginning construction Tpwra u - L ,-
Permit t��.: l3�u,_ntMC &GOOF�''T'
For any structure other than residential principal structure(house)to include,but Permit Fee: �D�
not limited to: garage, shed, dock deck, carport, pole barn, greenhouse, etc. Site Plan No.:
Refer to Informational Brochure No.3 Accessory Structures-Sheds/Fences
Date 1//27/2o/y Applicant CI Dc v'
Tax Map ID 2-i - / - a° Address 47y/e_
S" es-t- c1
vc//e/ 2
Zoning MDA r!7y//e, .1/,k/, /2-toy
�' Phone O 72/- 6< 7
Owner �ef Da 0` S ContractorfAgent Pc-j Dui5 (o 'Sir aci-+o7
Address C e51 //ry 6'd Address 5-gry+c
/117Y,'c 1/If /2r' f'
Phone 7'7- VS/7' Phone ,5 4,', -e-
Contact Person for Building&Code Compliance: JOe 2vk.S Day Phone: /5� ' 2j-/
Building Street Address: 7/ // 'e AS gJ.
Subdivision Name: //'7 Lot#: 4/4 Historic Site: Yes No
Estimated cost of construction: $ */2. Co
i
Are there any other accessory structures on property? If yes,please list: /1/°
•
Type of Construction:
Check all that apply Please indicate measurements as required below
1 u Floor sq.ft. 2nd Floor sq.ft. Total sq.ft. Height
Boathouse
Boathouse with Sundeck
(beck' 22 '
c etached 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 Waterfront Residential zone.
Town of Queensbury Building&Codes Arrrssory Structure Packet 518-761-8256
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/p rt: ) am/pm
Date Inspection request received: Inspector's Initials:
NAME 3Qi) t S PERMIT#:
LOCATION: 1l 1 'Ci f DATE:
TYPE OF STRUCTURE: A?.�1/
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 f- i� ,/ /(
Guards at stairs,decks,patios more than 30 inches above grade 000 v '
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: 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
Fumace/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/'''A 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
7.....2)c\etre-
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
LABuilding&Codes Fomhs\Building&Codesllnspection Forms Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 626/06; Revised 12/22/10,Revised 04/13/11
ic) td. I -3
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:/ i/cam/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials r .
NAME: l(/PERMIT#: l U I
LOCATION: I I - t .rj�� INSPECT ON: )—.—f 7
TYPE OF STRUCTURE: o a C.ic
Comments
I
N/A
Footings
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 in place
Foundation Dampproofing
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:\Building&Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM
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SITE LOCATION MAP
DEED REFERENCE.
1) RUTH A. SMITH TO PETER DAMS, FILED IN THE OFFICE OF THE WARREN
COUNTY CLERK IN BOOK 4836 AT PAGE 255, DATED AUGUST 22, 2013.
--NOTES.- - I
1) BASE MAP PREPARED FROM A SEPTEMBER 2014 FIELD SURVEY,.
2) NORTH ORIENTATION IS BASED ON MAGNETIC OBSERVATION 2013.
3) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE AND
IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD
ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE.
4) SUBJECT TO APPLICABLE LAWS AND APPROVALS OF THE TOWN. COUNTY, AND STATE 0
REGARDING THE DEVELOPMENT OF LAND. C9
5) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND y tyto
SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.
6) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE
LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES,
7) UNDERGROUND UTILITIES, STRUCTURES AND FACILITIES HAVE BEEN SHOWN FROM
SURFACE LOCATIONS AND MEASUREMENTS OBTAINED FROM A FIELD SURVEY.
THERE MAY BE OTHER UTILITIES WHICH THE EXISTENCE OF ARE NOT KNOWN. SIZE,
TYPE AND LOCATION OF ALL UTILITIES AND STRUCTURES MUST BE VERIFIED BY
PROPER AUTHORITIES PRIOR TO ANY AND ALL CONSTRUCTION. CALL DIG SAFE PRIOR
TO ANY EXCAVATION.
CERTIFICATION:
I HEREBY CERTIFY TO:
1) TAMMY PREHODA
2) SUNMARK FCU, ISAOA
3) WESTCOR LAND TITLE INSURANCE COMPANY
THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD
SURVEY COMPLETED UNDER MY DIRECT SUPERVISION.
"THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE
VALID ONLY TO THE PARTY OR PARTES HEREON NAMED AND
ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
-_1_111 OTHER THAN AS 11 BE 10 EXPRESSLY.111 OWNERS,
EgEON
I LEGEND
j
E. HOWARD
/23/14
050540
asphi
dirlim
GRAPHIC SCALE
cwcrete
50.7,
Lands n/f
Jeffrey Benway &
Judith W. Benway
L. 4948 P. 109
hIZ3
X
0
0
AREA = o _,.
-
deck III ACRES,11, &4
in p
N89`45ll24"W
_ICKS ROAD
1 inch = 30 IL
Town, of Queensbury County of Warren State of New York
BOLSTER ,l lAND ASSOCIATES
PROFESSIONAL `'LAND. SURVEYORS
342 Main 'Street, Hudson "Falls, New York 12839
Russel E.,Howardi N.Y.S. Lie. No.�'50540 Date: 09112114 Tax Map #:297.07-1-20
Date Seated:Scale: I inch = 30 ji Revised: 09/23114 Drawing #:13051F
o IRF IRON ROD FOUND
il IRON PIPE FOUND
c IRS IRON ROD SET
11), UTILITY POLE
cDi STONE WALL
x — WIRE FENCE
I —CHAIN LINK FENCE
VINYL FENCE
0 POINT
F.P. FENCE POST
—I OVERHEAD WIRES
rill NOW OR FORMERLY
j
E. HOWARD
/23/14
050540
asphi
dirlim
GRAPHIC SCALE
cwcrete
50.7,
Lands n/f
Jeffrey Benway &
Judith W. Benway
L. 4948 P. 109
hIZ3
X
0
0
AREA = o _,.
-
deck III ACRES,11, &4
in p
N89`45ll24"W
_ICKS ROAD
1 inch = 30 IL
Town, of Queensbury County of Warren State of New York
BOLSTER ,l lAND ASSOCIATES
PROFESSIONAL `'LAND. SURVEYORS
342 Main 'Street, Hudson "Falls, New York 12839
Russel E.,Howardi N.Y.S. Lie. No.�'50540 Date: 09112114 Tax Map #:297.07-1-20
Date Seated:Scale: I inch = 30 ji Revised: 09/23114 Drawing #:13051F