2005-503 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFI CATE OF OCCUPANCY
Permit Number: P20050503 Date Issued: Thursday, September 29, 2005
This is to certify that work requested to be done as shown by Permit Number P20050503
has been completed.
Tax Map Number: 523400-301-006-0002-085-000-0000
Location: 11 SWEETBRIAR Ln
Owner: GEORGE & MARTHA MANN
Applicant: GEORGE & MARTHA MANN
This structure may be occupied as a:
Porch By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, yy
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: P20050503 Application Number: A20050503
Tax Map No: 523400-301-006-0002-085-000-0000
Permission is hereby granted to: GF,ORGF. &MARTHA MANN
For property located at: I I SWEETBRIAR 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: GEORGE & MARTHA MANN
11 SWEETBRIAR Ln Porch $12, 0
Total Value $12,510510.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
ADIRONDACK SITNROOMS
324 01TAKER Rd
OI TEENSBI TRY_ NY 12804-0000
Plans&Specifications
2005-503
140 SQ FT PORCH
$40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, July 13, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T� Quee ury• nesday, July 13, 2005
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
F_
Permit No.
Building &Codes Office-Department of CommunityDevelopment-Town of Queensbu
742 Bay Road,Queensbury, NY 12804
p ry Fee Paid
Dave Hatin,Director codes@aueensbury.net
Phone: (518) 761-8256 FAX: (518) 745-4437
ccessory Structure Building Permit Application
Application & Plans subiect to review before issuance of a valid permit for construction
Any structure other than the principal structure (i.e., house), typically a garage, shed, greenhouse, dock, deck,
etc. (not necessarily limited to the list below). Refer to attached Informational Brochure No. 3
Instructions: A permit must be obtained before beginning construction. No inspections, will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder f-dt"'Y'44-46 T �'t , Owner:
Address: `(' �a KQ^>R Address: r -za r -.� L�q�► e
[ ���z,�, b��� F�� id-1 JY N y i,� Kil
Home Phone: ,S'f 717' F - 2 a 4 Home Phone: �' 1$` `7>3 `.1 1y
Email Address: Email Address:
Cell Phone: Cell Phone:
FAX Phone: 070 c f' FAX Phone:
Person responsible for supervision
n ,.
of work with respect to building and codes compliance:
Name: ��Gad w,,W,
Address: A.A, Phone
Location of proposed construction: Lot No. Legal Address:_ S - br'��- �'4 ,.I C
Tax Map Number: DI - cl— 'F Subdivision Name:
Estimated Cost of Construction: $
Does an accessory structure currently exist on the property? �s / —No
If YES, list all existing accessory structures: .S
Proposed Construction 10 floor 2^1 floor Total Proposed Height
sq.ft. sq.ft. S 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, C
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: �� Applicant/Builder Signature: (IN, t,
The application of ted is hereby approved and-
permission granted for the on r�on, reconstruction or alte atio of uildin and or accessory structure as set
forth above. /
Date: / Authorized Signature:
L:\Sue Hemingway\Buil ding.Permit.FORMS\Accessory Structure Permit Application.doc V:12/28/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: � �am/pm
Date Inspection request received: _ Inspector's Initials: Ju IN
/��`
PERMIT
NAME: l/J
#:
LOCATION: DATE:
TYPE OF STRUCTURE: 1
_ 4is
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 '/"
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: I 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/3/.hour fire door/door closer
Duct work Sealed 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
Oka to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04
Foundation Inspection Report ��
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ �De art: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTUR
Comments
Y N N/A
otings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement I
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 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.InspectionTORMSToundation Inspection Repon.doc Januajy 28,2003
RECEIVED
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BUILDING AND CODE
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INSTALLERS LAYOUT SKETCH
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THIS JOB HAS NOT BEEN CONFIRMED CINI
PLEASE FAX AN APPROVAL WHEN READY TO ORDER. JUL 0 5 2005
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CC LEGACY REPORT PFC-5176
CC LEGACY REPORT ER 5262-P
ICC LEGACY REPORT NER-567
05W8016 06/28/05 ADRONDAK FLORIDA PRODUCT APPROVAL 3857
DETAILED BY: MIRHET MELKIC FLORIDA PRODUCT APPROVAL 3521
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DEALER: ADRONDAK 05W8016 PH. ) TEMO SUNROOMS, INC. ROBERT A. WALZ, PE
MANN, GEORGE 20400 HALL RD 20400 HALL RD
11 SWEETBRIAR LANE CLINTON TWP, MI 48038 CLINTON TWP, MI 48038
QUEENSBURY, NY 12804 PHONE: (586) 286-0410 (877) 218-8366 X287
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DEALER:ADRONDAK 05W8016 PH. TEMO SUNROOMS, INC. ROBERT A. WALZ, PE
MANN, GEORGE 20400 HALL RD 20400 HALL RD
11 SWEETBRIAR LANE CLINTON TWP, MI 48038 CLINTON TWP, MI 48038
QUEENSBURY, NY 12804 PHONE: (586) 286-0410 (877) 218-8366 X287
DRAWN BY: MIRHET MELKIC DATE:06/28/OS 1 SCALE:NONE FAX: (586) 286-5409 LIC #082300-1
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