2005-724 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. P20050724 Date Issued: Friday, November 04, 2005
This is to certify that work requested to be done as shown by Permit Number P20050724
has been completed.
Tax Map Number. 523400-295-016-0001-003-000-0000
Location: 109 FARR Ln
Owner. JASON & JESSICA MILLER
Applicant: JASON & JESSICA MILLER
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: P20050724 Application Number: A20050724
Tax Map No: 523400-295-016-0001-003-000-0000
Permission is hereby granted to: JASON& IF,SSICA NM J RR
For property located at: 109 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: JASON& JESSICA MILLER
1 Deck $4,300.00
09 FARR LANE
Total Value $4,300.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-724
374 SQ FT DECK
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 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 Queensbu ; Tuesday, September 13, 2005
SIGNED BY for the Town of Queensbury.
Director of Building& e orcement
Permit No. o5—
Building &Codes Office-Department of Community Development-Town of Queensbury Fee Paid 01Z
742 Bay Road, Queensbury,NY 12804 t
Dave Hatin,Director codes@aueensburv.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. t�
Applicant/Builder n Owner:
Address: aag0 sr Address: k0cl tomr- L,
Home Phone: Home Phone:
Email Address: Email Address: .e6w.
Cell Phone: a3D-- Gy1`7 Cell Phone: f si€ - 3(,1- XI-)
FAX Phone: FAX Phone:
'erson responsible for supervision of work with respect to building and codes compliance:
Name: ?e 4 �Address; PC bo� a O Phone OU-60I`7
ocation of proposed construction: Lot No. Legal Address: 1 Uq FR& La, Qa,-,6,,, ill Y
ax Map Number: 2R5 J 6' -3 Subdivision Name: 7 h f�oAA,; K.vo&&'
stimated Cost of Construction: $ 930b
loes an accessory structure currently exist on the property? X Yes i ,No
If YES, list all existing accessory structures: Msclad erc,6-tJ 9,-,r-k
Proposed Construction 10 floor 2^d floor Total Proposed Height
sq.It. 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.
J
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:
,pplications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
le Building and Codes Office will allow commencement of your proposed project only after
suance of your permit.
eclaration: Please sign below after you have carefully read the statement:
the best of my knowledge, the statements contained in the application, together with the plans and
>ecifications submitted, are a true and complete statement of all proposed work to be done on the described
,emises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the
,oposed work shall be complied with,whether specified or noted, and that such work is authorized by the owner.
)rther, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
Bing issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a
sensed surveyor, drawn to scale, showing actual location of all new construction.
ate: y f- 03 Applicant/Builder Signature: 1*951-Z./
le application of d d is hereby approved and,
ermission granted for the construction, reconstruction or alteration of a building/and or accessory structure as Set
)rth above.
Date: Authorized Signature:
,Sue Hemingway\Building.Permit,FO RMS\Accessory Structure Permit Application.doc V:12/28/04
ueensbu Building & Code Enforcement - Residential Final
Q rY � 1Inspectlon
Office No. (518)761-8256 Arrive: am/pm Depart: Z,a am/pm
Date Inspection request received: Inspector's Initials6m-�--
NAME: V� C7f5( � �i► �{� PERMIT#: Q
LOCATION: )('� _ . t DATE: -
TYPE OF STRUCTU
"T Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Com lete terior Finish Com lete
Platform at all exterior.doors
Guards at stairs,decks,patios more than 30 inches above grade
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 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
Plumbing fixtures
Foundation insulation
Floor truss,draftstopping 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 11/2"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.Inspection Sticker
Site Plan /Variance required
Flood Pe S�wi if required
issu k o e C/ C/O[Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
Framing /Firestopping Inspection Report
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Anive: am/pm Depart: ?:jam/ i
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: (A PERMIT#: ^�
LOCATION: / VA INSPECT ON:
TYPE OF STRUCTURE:
Y id N/A raming COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers C�Yt �-
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams ,c
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 water 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
Foundation Inspection Report
Office No. (51"8)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/p Depart: `pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials; A�
,
NAME: PERMIT#:
LOCATION: INSPECT ON: _ e�l_ c
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings `
Monolithic Slab
Reinforcement in Place
The contractor is responsible for l
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour _ T
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/ Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone: c
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
Rough Grade b inch drop within 10 ft.
LASueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
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i MAP REFERENCE:
INDIAN RIDGE PUD
PHASE THREE
DATED NOVEMBER 15. 2002
REVISED JANUARY 24, 2003
gm—
BY VAN DUSEN + StEVES
LAND SURVEYORS. LLC
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►r 1 HEREBY CERTIFY THAT THIS MAP WAS PREPARED /L aL [o
FROM AN ACTUAL FIELD SURVEY. M Q
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS �`o
�4 FOR WHOM THE SURVEY WAS PREPARED. AND ON THEE 0.
jv BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO, JASON A. JESSICA K MILLER'
CHARTER ONE' NA.
IT'S SUCCESSOR ASSIGNS
FIDELITY NA S SURANCE COMPANY OF NEW YOM
IV `F`•.
' $ ZOOS GERTIFlE MATT" 5 NYS 50135
DATEDs DECEMBER 21CL 2 1AN0 . •
e
atec DECEMBIR 29, 2003
9NNAUTNORM ALIERATON OR ADDITION TO A SURVEY _ Scale 1'=30'
a zl Dus e NAP BEAR"A{IODISED LAND SURVEYORS SEAL IS A Map of a Survey made for
MOLAIM OF SECT"MDB.SUB-MNSM a OF THE -
i NEW YOM STATE EDUCATION LAW.' 4i
ILLY coup MOM TNC 00"AL Cr TNC"Urf
MAMW YATM AN ORIGNAL Or M LAND 5~(M
Steves SEAL SMALL TK COME=M BE VAUD TRUE COPIES.• . . � S- 1
IS SURICY WAS NDICAIED HEREON „THAT Jason A. & Jessica M. Miller -
1WS SURVEr WAS PREPARED N ACCORDANCE IITN IIIE
COST"CARE OF PRACTICE FOR LAND SURVEYORS ADOPTED .
Lan d S iA r v e y o r s LA TIE NEW ft STATE ASSOCATIION SN TNNDFEN MY -
i LAND SURVEYORS SAD CERTIFICATIONS SHALL RUN piLY ..
TO THE PERSON FOR WOM THE SURVEY 6 PREPARED,AND SHEET 1 OF 1
ON NIS BENMF M THE I TIE COMPANY,OO OMMENTAL
169 Haviland Road Queensbury, New York 12804 ",AM ,a .�;,,,�N"°�°"'AND Town of I�ueenatury. Warren County, New York
}. MILLER
DWG. No. IR-27
(51 ) 792-8474 New York Lic. No. 50135 NO, DATE DESCRIPTION