2009-167 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090167 Application Number. A20090167
Tax Map No: 523400-295-020-0001-007-001-0000
Permission is hereby granted to: ERNEST&NANCY STEVES
For property located at: 19 FOX FARM 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. Tyne of Construction Value
Owner Address: ERNEST&NANCY STEVES porch $12,000.00
19 FOX FARM Rd
QUEENSBURY,NY 12804-0000 Total value $12,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-167
256 sq ft porch
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,May 14, 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.)
f
Dated at the o f bggy; j rfu ay, May 14,2009
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIMN- CE
Permit Number. P20090167 Date Issued: Tuesday, June 08, 2010
This is to certify that work requested to be done as shown by Permit Number P20090167
has been completed.
Tax Map Number. 523400-295-020-0001-007-001-0000
Location: 19 FOX FARM Rd
Owner. ERNEST & NANCY STEVES
Applicant: ERNEST & NANCY STEVES
This structure maybe occupied as a:
Porch
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
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.
-__-----_-- ------
7FI7 USE ONLY
TAX MAP NO. PERMIT NO. 7 ,
FEE PAID /� BLDG. &CODES APPROVAL MAY O 4 ZOO
TOWN OF QUEENSBURY
ACCESSORY STRUCTURE BUILDING PERMI °
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.
OWNER: 4�_ o�''r �-��yi INSTALLER/BUILDER: /c
ADDRESS: l3 ADDRESS: Z
,/
PHONE NOS. /, S- ac���� / PHONE NOS. �7 Sf O(� '!
LOCATION OF PROPERTY:/ /�f,� /r,�/� o/ SUBDIVISION NAME: 72 ���ti
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: l ef:)�e' z
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑YES ❑ NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUC ION: ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
��
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE PHONE:
1ST ND PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH'
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
Y
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 codesftueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Signed Dated: G b www•aueensburv.net
Town of Queensbury- Community Development Office • 742 Bay Road, Queensbury, NY 12804
Rough Plumbing / Insulation Insp Coon Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: �am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ��-
NAME: PERMIT#: `�-
LOCATION:. INSPECT ON:
TYPE OF STRUCTURE: 4►� ��
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
or 15 minutes
Insulation/ esidential Check/Commercial Check
_Tyvek qrSimilar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Queensbury Building & Code Enforcement - Residential Final Inspection i z
Office No. (518) 761-8256 Arrive: a I a�
Date Inspection request received: Inspectors Initial .
NAME: c RMIT#: DCA — C�-1
LOCATION: V=CZyFP�RM DATE: _1� —.-7� 1t�
TYPE OF STRUCTURE:
Comments:
Ya W 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 6 inches
Roof Co late/Exterior Finish Complete
Platform at all exterior doors _
Handrail 4 or more risers
Guards at stairs deckspatios 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 Brae /Handicapp2d 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
Safetv glazina/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/Insulation Certification
Floor truss,draft sto i finished basement 1,000 scl.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
Furriace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed!Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock underside minimum W Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed propprly
Gas LogB in Sealed or Glass Enclosure
final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bondi
As Built Septic System i Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if re aired
A"kay to issue C/C or C 10 Temporary/Permanent
LABuilding&Codes FormslBuilding&CodesYnspection FormslResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Framing 1 Firestopping Inspectio (
Office No. (518) 761-8256 Date Mn-roq i
Queensbury Building &Code Enforcement Arrive: "Z a part:
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON: �
TYPE OF STRUCTURE:
Y N A COMMENTS
Framing
s 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 wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavq min.
Garage Fire Separation
House side's inch or 5/8 inch Type X
Garage side 518 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forrns-01-Muilcift&CodesUnspection FormsTraming Fi es<opping Inspection Reimtdoc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: !1 r am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: A ' ! l— v
NAME: L il PERMIT#: --�
LOCATION: _ 1 F INSPECT ON:
TYPE OF STRUCTURE: W� � A-
Framing
Y N NIA COMMENTS:
Attic Access 22" x 30° minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jadc 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 we
Draft stopping 1,000 sq. ft. floor trusses
t!chor 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's inch or 5/8 inch Type X
Garage side 518 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. CM
5.7 sf above/below grade
5.0 sf grade
LASuiiding&Codes Forms-01-ME Icing&CodesUnspedion FomisTran ing Firestopping Inspection ftwtdoc Revised January 7,2008
Wilk
Queensbury Building & Code Enforcement - Residential Final Ins ection
Office No. (518)761-8256 / Arrive: 11niti3
O=a�amipm
Date Inspection request received: �l 4LO Inspector's NAME: S S MIT#:LOCATION: i —o t- wt rt_t� . E: _
TYPE OF STRUCTURE:
Comments:
Yn No NIA
4" Building Number Address visible from road
Chimney Height 1'13"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors _
Handrail 4 or more risers
Guards at stairs deckspatios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Irrterior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapp2d Ramp Comp liant _
Grade away from foundation 6 inches with 10 feet
6 inch cieeranoe to sill plate
Gas Valve shut-off exposed/regulator 18 inches above race
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety I /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 N.ft.-150 sq.ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emercency earess 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 Valves 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
Dud work Sear properly
Gas Logo in Sealed or Glass Enclosure
Final Electrical _
Final Survey Plot Plan
Arc fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System 1 Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification if required
Okay to issue C I C or C 10 1 Temporary/Permanent
L\Building&Codes Forms\Building&Codes\Inspection FormsWesidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 626/08
00 LAC c_
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/DM Depart: 1�am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: 07�- -7
LOCATION: INSPECT ON:
TYPE OF STRUC .
Comm n
t /
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible fo CT D
providing protection from freezin
for 48 hours following the placem t,
of the concrete. )0* ///
�-
Materials for this se on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or jSfimp
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 12/20/2005 9:24,00 AM