2005-369 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: P20050369 Date Issued: Wednesday, July 20, 2005
This is to certify that work requested to be done as shown by Permit Number P20050369
has been completed.
Tax Map Number: 523400-253-003-0001-025-000-0000
Location: 1 KNOLLS RD. NORTH
Owner: STEVEN GREENS
Applicant: STEVEN GREENE
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,
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: P20050369 Application Number: A20050369
Tax Map No: 523400-253-003-0001-025-000-0000
Permission is hereby granted to: STF.VF,N GREENE
For property located at: 1 KNOLLS RD. NORTH
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: STEVEN GREENE Deck $3,000.00
1 KNOLLS RD. NORTH Total Value $3,000.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-369
480 SQ FT DECK
$48.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, June 01, 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 th own Qu s;r day, June 01, 2005
(r
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
r .
Permit No. _
3uilding &Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes@aueensbury.net
?hone: (518) 761-8256 FAX: (518) 745-4437
Accessory Structure Building Permit Application
Application & Plans subiect 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 �TG 1/C� -�t�1C� Owner:
Address: o Address:
S N V f 5 A - 12_FSd4
Home Phone: 7 �j OG q 1 Home Phone:
Email Address: Email Address: Dr.:C a 1 l Ian
Cell Phone: Cell Phone: ._. � T E__
FAX Phone: FAX Phone:
MAY �, 6 2005
Person responsible for supervision of work with respect to building and codes compliance:
TOWN OF QUEENSBURY
Name:
�,t BUILDING AND CODE
Address: Phone
Location of proposed construction: Lot No. Legal Address: klAJ!0�3 RQ- A) .
Tax Map Number: Zs3.3 I -2,5- Subdivision Name: �� oG kevoGG 5
Estimated Cost of Construction: $ 3C100. -'
Does an accessory structure currently exist on the property? —Yes / JNo
If YES, list all existing accessory structures:
Proposed Construction 1,1 floor 2^d floor Tof all Proposed Height
sq.ft. sq.ft. S .ff. ft.&in.
Open Porch
Covered or Enclose Porch
(considered floor area&must comply to FAR [Floor Area Ratio]
requirements if the structure is located in the Waterfront
Residential zone.
3-season oorch is considered an enclosed porch.
Deck 'Z
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 o truction.
Date: 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. h..
Date: Authorized Signatur L �i
L:\Sue Hemingway\Building.Permit.FOR MS\Accessory Structure Permit Application.doc V:12/28/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pa� pm
Date Inspection request received: Inspector's Initials: _
NAME: (eP—-l�I,�E= PERMIT#: 0 �P
LOCATION: <1 _ DATE: 71C? _
TYPE OF STRUCTURE:
_ Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" ! /C 6w1� L
Roof Co fete/Exterior Finish Co m lete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.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 Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
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
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches _
Garage Floor Pitched _
Garage fireproofing/%hour fire door/door closer
Duct work Seated properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/U Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: andp ( Depart. arrv'pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: .�jar ` .� r PERMIT#:
LOCATION: INSPECT ON: —71 t)5'
TYPE OF STRUCTURE:
Comments
N/A
jot5ing_Si__
Piers
Monolithic Slab
Reinforcement in PlaceA
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 _ T
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/ Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12inch 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.
LASueHemingway\Building,Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
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