2005-463 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: P20050463 Date Issued: Thursday, August 11, 2005
This is to certify that work requested to be done as shown by Permit Number P20050463
has been completed.
Tax Map Number: 523400-315-010-0001-011-000-0000
Location: 28 QUINCY Ln
Owner: WILLIAM & PATRICIA FOLTZ
Applicant: WILLIAM & PATRICIA FOLTZ
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 (': j 4
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: P20050463 Application Number: A20050463
Tax Map No: 523400-315-010-0001-011-000-0000
Permission is hereby granted to: WTT,T,TAN4&PATRTCTA F0I.T7.
For property located at: 28 QUINCY 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. Tyne of Construction Value
Owner Address: WILLIAM& PATRICIA FOLTZ
28 QUINCY Ln Deck $2,500.00
Total Value $2,500.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-463
320 SQ FT DECK
$40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, July 13, 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 ToWn of eens d sda ,July 13, 2005
k
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
, w -
Permit No.
uilding&Codes Office-Department of Community Development-Town of Queensbury Fee PaidG
'42 Bay Road,Queensbury,NY 12804
)ave Hatin,Director codes@aueensburv.net
'hone: (518) 761-8256 FAX: (518) 745-4437
Accessory Structure Building Permit A ion
4pplication & Plans subiect to review before issuance of a valid permit for construct) o.
1! ,
Any structure other than the principal structure (i.e., house), typically a garage, shed, gr3$011
e co�k?BOgk,
stc. (not necessarily limited to the list below). Refer to attached Informational Brochure F
Ry
Instructions: A permit must be obtained before beginning construction. No inspections;will be m 58
zipplicant has received a valid building permit. All applicants' spaces on this application must be complete and
must appear on the application form. 1
Applicant/Builder .1 Y 08A 2 r Owner: �rt� o d ` z
Address: Address:
i'-�`gin,i ry N-1 Y )'Zo n�( �,� r>��, -!J 1 4'
Home Phone: Home Phone: SIR ^Z
Email Address: Email Address: 1 „_ ► n�,.CS1 T
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name:
Address: �or,A C _ Phone (y�
Location of proposed construction: Lot No. Legal Address:
Tax Map Number: I 1 / Subdivision Name:
Estimated Cost of Construction: $ 2 . 16
Does an accessory structure currently exist on the property? 2!�_Yes / _No
If YES, list all existing accessory structures: bhp
Proposed Construction 10 floor 2nd floor Total Proposed Height
sq.ft, sq.ft. Sq. ft, ft.&in.
Open Porch
Covered or Enclosed Porch
(considered floor area &must comply to FAR [Floor Area Ratio]
requirements if the structure is located in the Waterfront
Residential zone,
3-season porch is considered an enclosed porch.
Deck
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 construction.
�
Date: (�6 - 2Z - (Z5 Applicant/Builder Signature: 1P,_�b���- 1� ,
The application of aced is hereby approved and
permission granted for th c nstruction, reconstruction or alt ra a b 'Iding/and or accessory structure as s'et
forth above. r
Date: , Authorized Signature: `-- �-�
Z
L:\Sue Hemingway\Building.Per it.FORMS\Accessory Structure Permit Application.doc V:12/28/04
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pr�ars and specifica6ions are in full
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Queensbury Building & Code Enforcement - Residential Final Inspection _ L
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Office No.(518)761-8256 Arrive: am/prt epart: - m/pm '
Date Inspection request received: - -ate inspector's Initials:
NAME: 2, PERMIT#: 1 ��
LOCATION: ,tl.C L; —^ DATE:
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"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more a?,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 ''/a"
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 fire roofing/'/<hour fire door/door closer
Duct work Seated properly
Gas Logs in Seated 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
lood Plain Certification, if required
a to issue C/C or C/O Temporary./Permanent
L:\PamW\Building&Codes\Insvection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: Pn�
Queensbury Building& Code Enforcement Arrive: -am/pm Depart:-- m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMME+� T
,,Framing
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
LASueHerningway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
CJ \
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/p Depart. am/pm
742 Bay Rd., Queensbury, NY 12844 Inspector's Initials:
NAME: W't (� Oawy— — PERMIT#: L>"
LOCATION: _ INSPECT ON:
TYPE OF STRUCTURE:
Comments
_....__ Y N N/A
ngs
Pier
Zii-dn'olithic 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 y
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.
L:\SueHemingway\Building.Codes,Inspection.FORMS\foundation Inspection Report.doc January 28,2003