2004-330 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040330 Date Issued: Tuesday, July 13, 2004
J
This is to certify that work requested to be done as shown by Permit Number P20040330
has been completed.
Tax Map Number: 523400-296-008-0001-027-001-0000
Location: 10 WAVERLY P1
Owner: JOHN &NANCY HAYES
Applicant: JOHN &NANCY HAYES
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
Director of Building&Code Enforcement
Porch, Deck, Dock, or Boathouse PermitApplication
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbuty,NY
(518)761-8256
A permit must be obtained before beginning construction. No Permi=o. —
inspection will be made until applicant has received a valid Fee Pabuilding permit. All applicants'spaces on this application must be Reviecompleted and must appear on the application form.
Applicant: Z a4 by Z". �A ft aS Owner:-70 0 -:: H A VEs
Address: to WWv P ' Address: 10 LUAY✓k _
Phone#(41g ) -12,r O Phone#(318 )
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name jot-w-w- W Address: JA WA9F,R,4 k&_,je: Phone 16
Property Location: Lot Number; 5--f / House Number /O
Subdivision Name: V/AVF_PL--q eLA'," Tax Map Number: 5a 3-N no z916 .8-j.-27,�1
Estimated Market Value of Construction: $ /06a �>=s• c3 • ��' F
❑ Porch
V Deck
❑ Dock
❑ Boathouse
❑ Other work(desmbe
Size of structure to be built Q41,Z5' square feet
Submit along with this application:
t
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.
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 sign�ah� _ � Date: J
L%ueHemingway\Building.Permit.FORMSTorch.Porch.Pennit.doe 8113/02 revised per.DH
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5962 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040330 Application Number: A20040330
Tax Map No: 523400-296-008-0001-027-001-0000
Permission is hereby granted to: JOHN&NANC'Y HAYF,S
For property located at: 10 WAVERLY PI
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: JOHN&NANCY HAYES
10 WAVERLY Pl Deck $1,000.00
Total Value $1,000.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-330
289 SQ FT DECK
$40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, June 04, 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 June.04, 2004
Quee
SIGNED BY .7/� u yl for the Town of Queensbury.
Director of Building&Code Enforcement
ueensbu Building & Code Enforcement - Residential Final Inspection
p e Q rY g P ,���
Office No. (518)761-8256 Arrive: am/pm epart: -Sam/pm
Date Inspection request received: _ Inspector's Initials: fY—�--
NAME: - PERMIT#: tt r 33C)
LOCATION: DATE: �7—;f_���
TYPE OF STRUCTUR : - /"Jy-
YComments 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 Complete
Guard 30 in.or more c,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 Y"
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/'/4 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 Se t' stem/Sewer Dept.Inspection Sticker
Flood Plain Certific tion, if required
Okay to issue t/C kr C/® Temporary/Permanent]
L:\PamW\Buildin.R&Codes\Inspection Forms\Res. Final Insp.form 2.docLast printed 2/12/04
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /A]
Queensbury Building&Code Enforcement Arrive: am/p� Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: l PERMIT M
LOCATION: INSPECT ON:
TYPE OF STRU TURE:
Comments
Y N N/A
o 'ngs
Piers
M olithic 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:\SueHeiningway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
RECEIVE®
MAY 17 2004
TOWN OF QUEENSBURY
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MAP REFERENCE:
WAVERLY PLACE 5UBDIV15ION
DATED AUGUST 24, 2000
LAST REVISED JANUARY A 2001
BY VAN DU5EN + STEVES
LAND SURVEYORS. LLGAS PSR �p ��ryrRSNCB
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8,334 sq.ft. h •�
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RECEIVED
.IA�I 2 0 2004
TOWN OF QUEENSBURY
BUILDING AND CODE
yj Of NE*
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-�r-� January 5, 2004
•UNALI,HMM ALMUnOW OR Aoo TM TO A SURD Scale 1'=30'
YAP BEARMG A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for
NOLATroM OF SECT4N 7209,SUB-DINSION 2.a THE
NM YW STATE EDUCAUM LAW
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Land Surveyors BY THE NEWSURVEYORS.
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LAND E I FOR SAID �"VEY PARM AND SHEET 1 OF 1
ON wS BEHALF TO THE TITLE COMPANY•OOYOWMENTAL
AGENCY AND UDSWO B,B,ITI„ION LISTED N�O,E AM Town of Queensbury, Warren County, New York
169 Haviland Road Queensbury, New York 12804 THEM3NGi• m N. MlGhneis
ro ASS ar UNXW MITUn •
(518) 792-8474 New York Lic. No. 50135 NO. DATE DESCRIPTION DWG. NO. WAVERLY-54