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2009-133 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20090133 Date Issued: Wednesday, March 16, 2011 This is to certify that work requested to be done as shown by Permit Number P20090133 has been completed. Tax Map Number. 523400-302-017-0001-045-000-0000 Location: 40 WINTERGREEN Rd Owner. DONALD & DEIDRE OSTROM Applicant: DONALD & DEIDRE OSTROM This structure may be occupied as a: Deck By Order of Town Board TOWN OF QUEENSBURY �1 / ! Issuance of this Certificate of Compliance DOES NOT relieve the 1�vf 4property 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090133 Application Number. A20090133 Tax Map No: 523400-302-017-0001-045-000-0000 Permission is hereby granted to: DONALD &DEIDRE OSTROM For properly located at: 40 WINTERGREEN 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: DONALD &DEIDRE OSTROM Deck $6,000.00 40 WINTERGREEN Rd Total value $6,000.00 QUEENSBURY,NY 12804 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2009-133 160 SQ FT DECK $40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,April 21, 2010 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tq71 eensb Tuesday, April 21, 2009 / SIGNED BY for the Town of Queensbury. Director of Building & d nforcement r---------------------------------------- _------.......... .....� r.---..-_..>...-----------.--, OFFICE USE ONLY ' 01 /Z7 0 / c� TAX MAP NO. ? ] _PERMIT NO. ' 1 ' / / / FEE PAID ; 5LDG.&CODES APPROVAL ; ; 11................... ---------------- ...-._ _____..� ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION Use this application for any structure other than the Principal Structure (house) to include, but not limited to: garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures- Sheds/Fences. A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. J OWNER: Pea-f boa OS/rn h, INSTALLER/BUILDER: ``�c:G/G ADDRESS: t/d k.is/7�cr- 4r$e,� ADDRESS: /9.Z tsjAr�po.-v 40v'-�' �i✓ PHONE NOS. 7,� _ PHONE NOS(_/ST LOCATION OF PROPERTY: yo w.w4-ar4rdh.J SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: kO HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? DYES W-NO IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL: ESTIMATED COST OF CONSTRUCTION: $6,OOD• ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? a. DPI/e- O� IF YES,PLEASE LIST: '3AGILS;8e De-t+eus� CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: /4"a c� �i,,i�l�/� PHONE:/S�S� 1ST ND PROPOSED PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT SQ.FT. SQ.FT. SQ.FT. FT.&IN. OPEN PORCH DECK �0 /60 tb Go. i✓�j 3 SEASON COVERED R ENCLOSED PORCH" BOATHOUSE op- 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 I have read and agree to the above. codes@aueensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION Signed _ Dated: Of /Y`d� www.gueensbury.net Town of Queensbury- Community Development Office - 742 Bay Road, Queensbury, NY 12804 Queensbury BuildingA Code Enforcement�-/Residentlal Final Inspection Office No. (518)761-8256 Arrive: am/pm Depart: am/pm Date Inspection request rgwived: Inspector's Initials: NAME: ���- PERMIT LOCATION: _�;�.L,- .�r.�:�: �c' DATE: /S—// TYPE OF STRUCTURE -� �- Comments: 4' Bukdhv Number Address visible from road ��� //,e 41—Z IC) Chimney Height/'B'Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 indhes Roof Co /Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks ios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deckporches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck BmdM/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off /regulator 18 inches above grade Interior pnvacy/trim/doors/main entrance 36 Indies Bathroom/Kltdien wate ht Saglazft/Window in stairwells safe Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic aooesa 30 inches x 22 inches x 30 inches(helgLtj in acoessibie area Crave Spaces 18 inch x 24 inch access 1 .ft.-150 sq.ft.vents Bathroom Fans if no window _---- Plumbina fixtures Foundation insulation!Insulation Certification Floor truss draft stoppina finished basement 1,000 sq.ft. Emeraency earess 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 Valves Installed/Heat Trao Water Teny 110 Enclosed Stairs Sheetrodk Underside minimum'A'GypNm Basement stairs dosed rise>4 inches Geroge Floor Pltched Ga'ago fireproofing/%hour fire door/door closer Duct walk Sealed Properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pi Bondi As Built Septic System I Sewer Dept. Ins on Sticker Site Plan /Variance required Flood Plain Certification if re uired Okay to issue C/C or C 10 1 Tem /Permanent LABuildding&Codes FormsiBuilding&Codes\lnspection FormslRestdential Final Inspection Forrn_revised_100405.doc;Revised January 7,2008;Revised 8/26108 Framing / Firestopping Inspection Repo Office No. (518)761-8256 Date In �n req Queensbury Building 8�Cade Enforcement Arrive: a 742 Bay Road, Queensbury, NY 12804 Inspector's Initial NAME: S ERMIT#: — LOCATI INSPECT ON: TYPE OF STRUCTURE: Y N N/A Framing COMMENTS: i 22" x 30" minimum 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 % w 16 gauge 8 16D naps 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 Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (MI) 5.7 sf above/below grade 5.0 sf grade LASuilding&Codes Foens-0 SuNding&Codes\lnspedion Fora sTra►ning Flopping Inspection ReporLdoc Revised January 7,2006 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: a Depart: am/pm 742 Bay Road, Queensbury, NY 12804 inspector's Initials NAME: qO PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: N NIA Framing 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. 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 '/ 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 wail 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 518 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space t Bedrooms 24 in. (H) 20 in. (%M 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Forms-OLD1Building&CodesUnspection Fomns\Frarning Firestopping inspection Report.doc Revised January 7,2008 —/—// rriae -7 (— Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depar;,—,.,,h c!,.am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: I� PERMIT#: LOCATION: INSPECT ON: — TYPE OF STRUCTURE: Comments Y N N/A 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. 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Aj o0py TOWN OF QUEENSBURY BUILDING DEPARTMENT Based on our limited examination, n. compliance with our comments shall not be construed as indicating the plans and specifications are in full compliance with the Building Codes of New York State, �y L f 1 � ti a u y ry { N 1 I a :. ° teCO