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2005-840 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 (zt Community Development - Building & Codes (518) 761-8256 CERTIFI CATE OF COMPLIANCE Permit Number: P20050840 Date Issued: Thursday, April 13, 2006 This is to certify that work requested to be done as shown by Permit Number P20050840 has been completed. Tax Map Number: 523400-309-010-0001-040-000-0000 Location: 18 PINE St Owner: RAYMOND & SYLVIA PALMER Applicant: RAYMOND & SYLVIA PALMER This structure may be occupied as a: Carport 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: P20050840 Application Number. A20050840 Tax Map No: 523400-309-010-0001-040-000-0000 Permission is hereby granted to: RAYMOND & SYLVIA PALMER For property located at: 18 PINE St 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: RAYMOND & SYLVIA PALMER 18 PINE St Carport $1,000.00 Total Value $1,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2005-840 216 sq ft CARPORT $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, November 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 r f Que r OT y, November 03, 2005 for the Town of Queensbury. SIGNED BY Qu �' Director of Building&Code Enforcement Permit No. �S Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid 742 Bay Road,Queensbury,NY 12804 Dave Hatin,Director codes@gueensbury.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 0At/j n � M M-_ Owner: Mo nib Wm �✓L Address: S' N4171AA-' �'' Address: Home Phone: 79CE-� 7 /L-1 Home Phone: 76 /--a 7252 Email Address: Email Address: Cell Phone: Cell Phone: FAX Phone: FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: Name: me-12 y Address: I✓4T1� ,�,i S-t 1 Phone ' �� Location of proposed construction: Lot No. Legal Address: Tax Map Number: . U� Subdivision Name: j] _ . `�-o EC Estimated Cost of Co str�ction:, $ / ()Co. 06 EWE Does an accessory structure currently exist on the property? ­Y Yes / _ No OC I 4 2005 If YES, list all existing accessory structures: SS10 ,I-i !fir S-A c .j) TOWN OF QUEENSBURY UILDING AND CODE Proposed Construction 10 floor 2^d floor Total Proposed Height sq.ff. 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. 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: C o?/6 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, a s-Built Survey by a licensed surveyor, drawn to scale, showing actual location of all new constructio 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. © ``\ Date: Authorized Signature: r ) � LASue Hemingway\Building.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 Depart12 r 3Q p m/ m Date Inspection request received: Inspector's Initials: NAME: PERMIT#: �� 0_ LOCATION: DATE: TYPE OF STRUCTU : 1 14 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 Complete/Exterior Finish Complete 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: JA Inter Connected: Battery backup: Carbon Monoxide Detector — �- Attic access 30 inches x 22 inches x 30 inches(height)in accessible area A M,rl 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,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 Valve(s)installed/Heat Trap/Water Tern 110 Enclosed Stairs Sheetrock Underside minimum%s"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/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 F 'fication,if required O /O Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Foundation Inspection Report �, v Office No. (518) 761-8256 Date Inspection refd: Queensbury Building&Code Enforcement Arrive: a Depart: a m 742 Bay Rd., Queensbury,NY 12804 Inspector's InitialNAME: � . J_ L 0 LOCATION: _ _ INSPECT ON: — TYPE OF STRUCTURE: Comments —T '----- Y N N/A Footin ---------------------- I— P Monolithic 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 Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areasunder slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway`14uiIding.Codes.Inspection.FORM S\Foundation Inspection Report.doc January'A.2003 Q0 Framing / Firestopping Inspection Report Office No.(518)761-8256 Date Ins c request received: Queensbury Building&Code Enforcement Arrive: am/p a art: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: C� LOCATION: INSPECT ON: TYPE OF STRUC Y N N/A COMMENTS raming Attic Access 22"x 30"minimum 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 '/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 'h 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 - Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm/ „X gpart: am/pm Date Inspection request received: _ Inspector's Initials: NAME: PERMIT#: ✓_ l LOCATION: DATE: TYPE OF STRUCTURE: 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 y�'� 41/ 0/Q �r •V Roof Complete/Exterior Finish Complete �� �G���/N� Platform at all exterior doors �C Guards at stairs,decks,patios more than 30 inches above grade / Guard at stairwell at 34 inches or more / 0—/A Guard at deck, orches 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 2rivacy/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,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 Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%x"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%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 Plain Certification,if required Okay to issue C/C or C/O Temporary/Permanent L:\Building&Codes FormslBuilding&Codes\Inspection Forms\Residentiai Final Inspection Form revised 100405.doc } 2 ,2 -,-�' TOWN OF QUEENSBURY � _et�7 BUILDING & CODE DEPT. f REVIEVVE !3Y c DATE FILE COPY n. R VO o C ED , 4 2005 TOWN BU/D NG ULpNsBUR �Np C�pE Y � I6 L RECEIVED OC I ? 4 2005 TOWN OF QUEENSBURY — 16 ` -- BUILDING AND CODE a\ / �3 33 og v t,W ld� y ; RECEIVED OCT ?^Q5 TOWN OF QUEENSBURY BUILDING AND CODE pav81L o� 1 I T i ECEIVED OU 2 4 2005 N OF QUEENSBURY lLDING AND CODE e i - 0ou p, p v2 C-- I { _------y/ Ir 1 j l 1 � I I I I r RECEIVED OC 12 4 2005 TOWN OF QUEENSBURY 6 S e BUILDING AND CODE 7d� 17 1 U lar a• yY 04) RECEIVED OL 114 ?005 TOWN OF QUEENSBURY BUILDING AND CODE C4 �b