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2005-585 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4z Community Development- Building &Codes (518) 761-8256 CERTIFICATE CJF COMPLI-ONCE Permit Number. P20050585 Date Issued: Tuesday, October 30, 2007 This is to certify that work requested to be done as shown by Permit Number P20050585 has been completed. Tax Map Number. 523400-289-010-0001-009-000-0000 Location: 4 JAY RD. E. Owner. MARK & ANN MARIE REYNOLDS Applicant: MARK& ANN MARIE REYNOLDS This structure maybe 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: P20050585 Application Number: A20050585 Tax Map No: 523400-289-010-0001-009-000-0000 Permission is hereby granted to: MARK&ANN MARIE REYNOLDS For property located at: 4 JAY RD. E. 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: MARK&ANN MARIE REYNOLDS Deck $3,500.00 4 JAY RD. EAST Total value LAKE GEORGE, NY 12845 $3,500.00 Contractor or Builder's Name / Address Electrical Inspection Agency Plans&Specifications 2005-585 380 SQ FT DECK $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, October 03, 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 T sbury- Monday October 03, 2005 r" SIGNED BY / for the Town of Queensbury. Director of Building&C e En cement Permit No. Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid Nam. 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 Owner: Address: Address: � � Home Phone: 1 1Lk'T' TLtci Y. Home Phone: Email Address: Email Address: Cell Phone: Cell Phone: FAX Phone: 1`{A. it.I- FAX Phone: t Person responsible for supervision of work with respect to building and codes compliance: Name: Address: Phone S 7 Location of proposed construction: Lot No. Legal Address: LA Ccur-s-c-- Tax Map Number: 1 ' l b —� Subdivision Name: Estimated Cost of Construction: $ ` 00 Does an accessory structure currently exist on the property? —Yes / No If YES, list all existing accessory structures: Proposed Construction 1,1 floor 2^d floor Total Proposed Height sq.ff. sq.ft. S .tt. 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 porch is considered an enclosed porch. Deck ® b 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 Occup cy or Cp#qcote of Compliance being issued, as requested by the Zoning Administrator or Director of i g Indde , an As-Built Survey by a licensed surveyor, drawn to scale, showing actual location of all n st tigri Date: �0— �G Applicant/Builder Signatur The application of dated is hereby approved and! permission granted for the construction,reconstruction 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:12/28104 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/prn Depar47_- am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: '�tJ J LOCATION: DATE: r TYPE OF STRUCTURE: Coin ents Yes No N/A �� Building Number/Address visible from road l0/SA 3� Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake ` 0 � 3 inch Plumbing Vent through roof minimum 6 inches t Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade ON 7111 f o. e Guard at stairwell at 34 inches or more / Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wail Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers ,,v� �i © /I PIS Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate 1 Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches 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 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 �Lk \ - Plumbing fixtures Foundation insulation Floor truss,draft stopping 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 Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched- Garage fireproofing/%hour fire door/door closer Duct work Sealed property Gas Lo s in Sealed or Glass Enclosure Final Electrical Final Surve Plot Plan As Built S tic S stem/Sewer D t.Ins ection Sticker Site Plan /Variance re uired Flood Plain Certification,if re uired Oka to issue C/C or C/O Tern or I Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doe i Foundation Inspection Report 1 �/ Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: anvp , epart.� : pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: � PERMIT#: ; LOCATION: _ <7 jSPECT ON: TYPE TYPE OF STRU URE: Comments ngs -- --- --- -_—_ --_ Pier onolithic 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 Dayiight or—Sump Footing Drain Stone: !` 12 inch width 6 inches above footing I 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. LASueHcmingway'Building.Codes.Inspection. ORMSU'oundation Inspection Report.doc January 28,2003