2005-153 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4E Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20050153 Date Issued: Wednesday, March 22, 2006
This is to certify that work requested to be done as shown by Permit Number P20050153
has been completed.
Tax Map Number: 523400-295-020-0001-064-000-0000
Location: 149 FARR Ln
Owner: ROBERT & VICKI POULIN
Applicant: ROBERT & VICKI POULIN
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
property owner of the responsibility for compliance with Site Plan, (7:�rj4le
Variance, or other issues and conditions as a result of approvals by the Director of Building&b1de En rcement
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: P20050153 Application Number: A20050153
Tax Map No: 523400-295-020-0001-064-000-0000
Permission is hereby granted to: ROBERT & VICKI POI TT,TN
For property located at: 149 FARR 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: ROBERT & VICKI POULIN
1 Deck $800.00
49 FARR Ln
Total Value $800.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-153
216 sq ft DECK
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, April 12, 2006
(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 T W Queens)Rury; Tuesday,April 12, 2005
SIGNED BY for the Town of Queensbury.
aE�
Director of Building'&C0de Enforcement
Permit No.
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes@aueensbury.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Accessory Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction
Any structure other than the principal structure (i.e., house), typically a garage, shed, greenhouse, dock, deck,
etc. (not necessarily limited to the list below). Refer to attached Informational Brochure No. 3
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder J(o be;i Z J t i N Owner: 2db.
Address: / v 9 Fix rt ( ,4-1 Address: LAN C
Home Phone: 7 9, 3- 2kZ-A Home Phone: 7 9 e
Email Address: b. ec Lt L,n 0 v e 2 a,v . ,� T Email Address: b. P :/e,,', . n e 1-
Cell Phone: !�;-g -w d'-rr Cell Phone: e Yr- c a i- 7(k-e
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: 24� ,,i ( .)t,iu
Address: 1 IL( F^,cz Phone l�
Location of proposed construction: Lot No. 7 Legal Address: / V9
Tax Map Number: 1�) 1 0 �� Subdivision Name: `NN i Div (-e, d)
e�
Estimated Cost of Construction: $ ?_0 6
Does an accessory structure currently exist on the property? _Yes / v No
If YES, list all existing accessory structures:
Proposed Construction 1n floor 2na floor tal Proposed Height
sq.ff. ft, ft.&in.
Open Porch IR
Covered or Enclosed Porch 005
(considered floor area&must comply to FAR[Floor Area Ratio] � R
requirements if the structure is located in the Waterfront
Residential zone. T WN OF QUE NSBURY
3-season porch is considered an enclosed porch.
BUILDING AN CODE'
Deck ' 7�
Boathouse
Boathouse with sundeck
DOCK
Shed
Pole Barn
Detached Garage 1, 2, 3 car
Other Accessory Structure:
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
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 c tion.
Date: 6_ d a Applicant/Builder Signature:
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature:
L:\Sue Hemingway\Building.Permit.FORMS\Accessory Structure Permit Application.doc V:12/28/04
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PLANK LAYOUT 2ELLEVUE BUILDERS SUPPLY
173USTOMER -- GENERIC CUSTOMER 500 DUANESSURG RD
DATE (03/24/05 REF Deck-05083 SCHISNE10,TADY, NY
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DATE 03/24/05 REF Dsck05083 SCHENECTADY, NY
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Post 4pacing is measured centaf-to-center.
Depth,ot concrete footers --- 48 inches.
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CUT LIST BELLEVUE BUILDERS SUPPLY
CUSTOMER -- GENERIC CUSTOMER 500 DUANESBURG RD
DATE 03/24/05 REF Deck65083 SCHENECTADY, NY
(518) 355-7190
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Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depar� v
an) n�
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: I A4 N
� 3NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing c—
Y N N/A COMMENTS
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
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 snow 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:\SueHemingway\Building.Codes.Inspection.FORIVIS\Framing Firestopping Inspection Report.doc January 28,2003
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Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: as-
Queensbury Building& Code Enforcement Arrive:��F� am/pin Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 4-l`_�
NAME: &9, i t� PERMIT#: C;�Ws — 1
LOCATION: —/4 9 4y"- c"e INSPECT ON: S >TYPE OF OF STRUCTURE: -7tCtG
Framing Y N N/A COMMENTS
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
Headroom 6 ft. 8 in. ��
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z (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 snow 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 %z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall I
Windows Habitable Space/Bedrooms
24 in. (H) i
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
I-ASueHemingway\BuiIding.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: 3:6-� am/pm Depart: am,*
742 Bay Rd., Queensbury, NY/12804 Inspector's Initials: nl1'_ \
� Qcos.
NAME: �e 6 tti. t vt PERMIT#:
LOCATION: Z- X;3 INSPECT ON: 0
TYPE OF STRUCTURE:
Comments
_ -T Y N N/A—I
Footings
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 _
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
'6 mil pol 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:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: apart: W a m
Date Inspection request received: Inspector's Imti
NAME: >���t o,� lam. IT#: t
LOCATION: ( . r l , ,... l FATE:
TYPE OF STRUCTURE: ems_,
Comments
Yes No N/A
Building Number/Address visible from road l _
Chimney Height/"B"Vent/Direct Vent Location
\
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Com lete qqj
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above Kade
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
Interior Handrails @ stairs 2 or more risers
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 waterti ht
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stop in finished basement 1,000 s .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''/z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor.Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Ins ection r
Site Plan /Variance required
Flood Plain Certification,if re uired
Okay to issue C I C or C/O Tem or !Perman t
L:\Building&Codes Forms\Building&LCooa�\'/Inspection Forms\Residential Final Inspection Form revised_100405.doc
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Q = plans and specific n full
compliance with If ode6
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TOWN OF QUEENSBURY-SUILDING DEPARTMENT
BUILDING & CO ES DEFT". pC r �aa�witlimited �tashi
REVIEWED B _ not be construed as indicating tie
Plans and specifications are m fir8
DATE of New York S�liance with e e Building Codes
1