2004-194 TOWN. OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
__.. ER -IFICATE.: O- F_ .00CUPANCY
_.: :Permit,Number
P20040=194 - Date Issued; Wednesday,<May 11, 2005
-.-This-is.Waertify thatwork"r''equested,.to-be-done as shown by Permit Number ; y' P20040194
has been completed.
Tax Map Number: 523400-296-010=0001-060-000-0000
Location: 8 ST. ANDREWS Dr
Owner:: :_ _ - ---_ EDWARD HEBENSTREET
Applicant: _ ED.WARD HEBENSTREET
This structure may be occupied as a:
=_ By Order of Town Board
Porch - -TOWN OF QUEENSBURY
Director of Building&Code Enforcement
ter-, TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040194 Application Number: A20040194
Tax Map No: 523400-296-010-0001-060-000-0000
Permission is hereby granted to: EDWARD HF,BENSTREET
For property located at: 8 ST. ANDREWS Dr
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: EDWARD BEBENSTREET
KATHLEEN ZACHMANN Porch $17, 0
Total Value $17,289289.00
8 ST. ANDREWS Dr
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
ADTRONDACK SUNROOMS
55 LT 7ZERNE Rd
OT TEENSBT TRY_ NY 12804-0000
Plans&Specifications
2004-194
160 SQ FT SUNROOM
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 21, 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 To of eens ;� ,April 21, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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.
m
inspection will be made until applicant has received a valid Fee Paid $
building permit. All applicants'spaces on this application must be Reviewed By:
completed and must appear on the application form.
Applicant: U('e 1U rick c 1: Sv Mk(-1wr S 1i Owner:k�L,r d fiel ausI.,re•c-1
Address: -K LLo2zrm d C�ee�iuyldv'nq Address: 'R' ST
QUe ti K IQYo ll
Phone#(51�S ) ' - o?7�(o! Phone#Q 1 ) -
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name A�1�o,v,ra,c k SoN t�r1t =C_ Address: Phone
Property Location: Lot Number: House Number
Subdivision Name: Tax Map Number:
Estimated Market Value of Construction: $ �l c?$ j I/lz —/✓
❑ Porch _ L�
❑ Deck
❑ Dock
❑ Boathouse
Other work(describe Sou r6 O yvi
Size of structure to be built 160 square feet
Ile ��NENS[3ugy
li' CQD' '
Submit along with this application: -�-f--y-�_� .
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. 1
Applicant's signature: -- Date: "7 3
L.\SueHemingway\Building.Permit.FORMS\Porch.Porch.PermiGdoc 8/13/02 revised per DH
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Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection requestreceived-
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: �-
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 4 hours following the placement
oiaterials
e concrete.for this purpose on site.
oundation/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
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Foundation Inspection Report
Office No. (51S) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: aop� Depart: f m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: V
NAME: _ PERMIT#: �U�../ L
LOCATION: - INSPECT ON:
TYPE OF STRUCT .: _
Comments
Y N N/A
otings
Piers
Monolithic Slab
Reinforcement in Place
The.contractor is responsible for
providing protection from freez' g
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 Dairipproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 roil 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.
LASueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
Queensbury Building & Code Enforcement - Residential Final Inspection
Office.No.(518)761-8256 Arrive: am/p D art: pm
Date Inspection request received: _ Inspector's Initials: _` J�
NAME: d�, rc� PERMIT#:
LOCATION: -s DATE:
TYPE OF STRUCTIG
Comments
V 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 Com lete
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 %Z"
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: / 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
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res, Final Insp. form 2.docLast printed 2/12/04
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Tax Map No. 66-6-1
OLD ORCHARD SUBDIVISION No. 5-84 "
.Section No. 3 - 7 lots Orchard Drive
---- ..__.........................
_.---- - -- ...... __.-._. .._... -.. ..
Surveyor: Coulter and McCormack
Date sketch plan submitted: 6-6-84
Date ro n sketch pl
an appvalz
.._.._.__. __. _..- . _... - r,Y
Date of Public Hearing:
._._.._. .. ._...
Date of f inal approval: P,-��( 1're/. /�i��r��� lf�b
_....Date.-Plans _.stamped:
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VERIFY ALL FILL MEASUREMENTS BEFORE CUTTING
NOTICE:
THIS JOB HAS NOT BEEN CONFIRMED. 4"`C '
PLEASE FAX AN APPROVAL WHEN READY TO ORDER. )
J I I RELEASE APPROVED BY
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DEALER: ADRONDAK 04W3561 PH. ( ) TEMO SUNROOMS, INC. LYNN TWEDT, PE
HEBENSTREET, EDWARD 20400 HALL RD 20400 HALL RD
8 ST ANDREWS DRIVE CLINTON TWP, MI 48038 CLINTON TWP, MI 48038
QUEENSBURY, NY 12804 PHONE: (586) 286-0410 (877) 218-8366 X287
DRAWN BY:MIRHET MELKIC DATE:04/08/04 1 SCALE:NONE FAX: (586) 286-5409 LIC # 063611
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QUEENSBURY, NY 12804 PHONE: (586) 286-0410 (877) 218-8366 X287
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DEALER:ADRONDAK 04W3561 PH. ( ) TEMO SUNROOMS, INC. LYNN TWEDT, PE
HESENSTREET, EDWARD 20400 HALL RD 20400 HALL RD
8 ST ANDREWS ORWE CLINTON TWP, MI 48038 CLINTON TWP, MI 46038
gUEENSSURY, NY 12804 PHONE: (586) 286-0410 (877) 218-8366 X287
DRAWN BY: MIRHETMELKIC DAM04/12/04 1 SCALE:NONE FAX: (586) 286-5409 LIC #063611