2004-129 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: P20040129 Date Issued: Wednesday, April 13, 2005
This is to certify that work requested to be done as shown by Permit Number P20040129
has been completed.
Tax Map Number: 523400-308-011-0001-066-000-0000
Location: 112 VAN DUSEN Rd
Owner: FREDERICK GRANGER JR
Applicant: FREDERICK GRANGER JR
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
Director of Building&Code Enf ceme
TOWN OF QUEENSBURY
tr �
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040129 Application Number: A20040129
Tax Map No: 523400-308-011-0001-066-000-0000
Permission is hereby granted to: FREDF.RTCK GR ANCTER JR
For property located at: 112 VAN DUSEN Rd
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: FREDERICK GRANGER JR
112 VAN DUSEN Rd Deck $3, 0
Total Value $3,800. 0
00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-129
384 SQ FT DECK (replacing the 2 current decks to become one full deck)
$40.00 PERMIT FEE PAID-.THIS PERMIT EXPIRES: Friday,April 15, 2005
(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 Tov� of Queen ury; h sday,April 15,2004
SIGNED BY `�" for the Town of Queensbury.
Director of Building Code nforcement
Porch, Deck, Dock, or'Boathouse Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. No Permit File No.
inspection will be made until applicant has received a valid Fee Paid r
building permit. All applicants'spaces on this application must be Reviewed B
completed and must appear on the application form Y.
Applicant: r Owner: s-t
Address: Address: //
Phone It(_) - Phone#(_)ti�3 - q/� ` T
Email Address: Email Address::
Person Responsible for Supervision of Work as Regards to Building Codes.-
Name J Address: Phone
Property Location: Lot N ber. / House Number
Subdivision Name: Tax Map Number: j�
Estimated Market Value of Construction: $ J, �(�(c-)
❑ orch
ecks a')
❑ Dock
❑ Boathouse
❑ Other work(describe
Size of structure to be built square feet
Submit along with this application:
1. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed
structure showing setback dimensions from all property lines. Show location of
water supply and location and configuration of septic disposal area.
2. Two sets of structural drawings. Indicate size of posts or studs, floor joists,
decking or flooring material to be used. Show how the porch or deck will be
fastened to the building. If a roof will be constructed,indicate the size of posts or
studs,roof rafter spacing and span. Indicate type of roof: sloped, flat, shed, or
other. Indicate the type of material being used for the roof.
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this 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 Code,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. /,-
Applicant's signature: /G' Date:
L:\SueHemingwaylBuilding.Permit.FORMS\Porch.Porch.Permit.doe 8113/02 revised per DH
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Foundation Inspection Report
Office No. (518) 761-8256 Date Inspect�ni
eceived:
Queensbury Building &Code Enforcement Arrive: , Depart: 61 • 1--
742 Bay Rd., Queensbury,NY 12804 Inspector's I
NAME: PERMIT#:
LOCATION: C 1 INSPECT ON:
TYPE OF STRUCTUR
Comments
\ PN Y N N/A
1
Piers
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 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
-v
Queensbury Building &-'(ode Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: ' a eD'pa a
Date Inspection request received: _ Inspector's Initia S.
�� -
NAME: �C-�' G'��'�ri � P/ RANT#:
LOCATION: I 1 \ k } R DArE:
TYPE OF STRUCT E: -A S
Comments
Y N/A -'
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Co m lete
Guard 30 in.or more @ stairs, decks,patios �L
Guard at stairwell at 34 hi. 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 V
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
Y�
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 fireproofing/'/<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/0 Temporary/P •manent
L:\PamW\Building&Codes\Inspection Forms\Res. Fin al-Instr.-form-2-.dvcL-a rrtn�2/04
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TOWN V QUEEN-80—BUIL WDEP tip; --
>- Based on oUr limited examination
LU Qw compliancewitho rco.. shai�nis
-�-�--\ o o not De construed as indicating the
Z v plans and specifications are in full
compliance with the Building Codes
of New York State.
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t HAP OF A SURVEY MADE FOR
4 JAcK � �/ E�uS 'Cc)Eg3
TOWN OF Q�EZ056.2l wn,22�a COUNTY, N.Y.
N 83.. SCALE, l" 40 DATES -5-, 19`ti
VanDusen & Steves
LAND SURVEYORS,GLENS FALLS,NEV YORK
Y P' OnW",,,e N.Y. STATE LIC. NO. 35617 i.¢-s-: _ _ SeT
+ _
TOMN OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
531 Bay Road
ti
Queensbury NV 12864 PLOT PLAN
518-745-4447 SEPTIC SYSTEM
SEPTIC DISPOSAL SYSTEM INSPECTION
Notice: The following statement must be "stamped" on your plot
plan. This sheet of paper may be used fo purposes of
Name ._,��`o �.Y/lCi drawing your plot plan. After drawing su h plot plan,
atement and sign it. If you choose to
please read the st
Location_ ])-` 1�Q��Ui�. use other pa er for yo r plot plan, the office wilik
eta ,•�
those plans for your ignature. t\ ,ei
-ZLI- Permit Date qq '
SOIL TYPE: Sand-Loam-Clay- 4A
Results of Percolation Test-
,_----�-----= U � • fit
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD:.Total Length ;2sp i
Length of each trench Ya
Depth'of trenches 2 •Size of stone—
SEEPAGE PITS: Number-.
Size -. ft f r
Stone.
PIPING: Size .. Type
.l B dg. 'to-Tank .
Tank. to Dist. Box y v`... — �.
Dist. Box to'Fie1d/Pi `
Openings Sealed?:. es No Partial
LOCATION/SEPARATIONS:
Foundation "to Tank feet �L Pc 0 I U/
'Foundation to Absorption feet ��
f
_f_ =
Separation of Pit ` _ Y
Conforms as per. Plot Plan e No j � ���0
s eet =
.LOCATION OF SYSTEM.ON PROPERTY:
(circle one)
Front - Rear.- Left.Side
Middle Front - Middle Rear
a: .. COMMENTS: -
1.��6 t o�
1,�� ®� ; � �,� ����{ [haseen or observed,or believe I saw evidence of,
ts such as houses,wells,trees,fences,etc.,
Q�I�� °Sa' 4 ; �� t CREPT• n this document.I also represent that I have
SYSTEM USE APPROVED:. NO . ly•measured the distances set forth on lie diagram:'
a
Arrived: rtEVl_�'!F� BY
Departed: DATE Q SIGNATURE UhIE
Building Tn pect r