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2004-533 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes-(518) 761-8256 _ CEA RIFICATE OF COMPLI-ANCE - ermit Number:_.-_- P20040533 = _ Date Issued: Wednesday, August 25, 2004 This-is--to certify that work requested to-be done as shown by Permit Number P20040533 has been completed. - _ - Tax Map Number:- ,,,,. 523400-295-010-0001-029-000-0000 Location: �_ 1069 WEST MT. Rd Owner: _ :._ _ MICHAEL &DARLENE HAYES Applicant: - MICHAEL &DARLENE HAYES This structure may be occupied as a: By Order of Town Board Gazebo ��OF EENSBU Y Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)161-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040533 Application Number: A20040533_ Tax Map No: 523400-295-010-0001-029-000-0000 Permission is hereby granted to: " MTCHARL&DARTYNE HAVES For property located at: 1069 WEST MT. 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: MICHAEL&DARLENE HAYES 1069 WEST MT. Rd Gazebo $8,600.00 QUEENSBURY,NY 12804-0000 Total Value $8,600.00 Contractor or Builder's Name /Address Electrical Inspection Agency MTCHAEL PARK 36 MAPLE Dr OTTEENSBTTRY_ NY 12804-0000 Plans&Specifications 5004-533 638 SQ FT GAZEBO $56.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, July 19, 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 n of Q ensb n ly 19, 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 n Izr- A permit must be obtained before beginning construction. No Permit File No. �3 inspection will be made until applicant has received a valid Fee Paid $ building permit. All applicants'spaces on this application must be Reviewed By: � 533 completed and must appear on the application form Applicant: Owner: C�f}e roc, k- M 1,K¢.. Address: 3(,, ines t?le•._ 1 ri Ve_ Address: l Ube{ . �Je g fi yll°- R aU 4�0ec°1,15 b%,,%e%1 Q0ee►y,6urV 1��t Phone# -°IK)M— - P&t`? Phone#( )'I9 t - Email Address: ;h K: rno C,� 'c, ,YJr- Email Address: Person Responsible for Supervision of Work as Regards to Building Codes: Name Mk-I)eA0 pGf fV, Address: 36 M c,a c_ k),r.Ve. Phone Property Location:* Lot Number: / House Number.)0 6 oR Subdivision Name: Tax Map Number: ')If 2,!� Estimated Market Value of Construction: $ S&i ola ❑ Porch ia Deck ❑ Dock ❑ Boathouse ��' p1 Other work(describe (��Z�U� VED Size of structure to be built square feet JUL 12 2004 TOWN OF QUEEN sg� Submit along with this application: BUILDING AND CODE 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;. L:\SueHemingway\Building.Permit.FORMS\Porch.Porch.Permit.doc 8113/02 revised,per DH Ib to vj REVIEWED BY DATE d RECEIVED JUL .1 2 2004 o�d d M1 ASOURY WILDING DEPARTMENT TOWN OF QUEENSBURY 6- 04f liffiR~� examination, � With BUILDING AND CODE l dm !1?l 4 tint comments shall ai 1. l;`iltik at 'ndicating the '' are in full S iildeng Codes lob C j ��4ts OF wt- 33 CUM L .1 '2 2004 E , TOWN OF QUEENSB BUILDING AND CODE Y k i r - ly4 Co\)efee�. s i i �—�ctr)�*1e- �a y�S I Ofo� LJ�y�r �'1'r �c�ctci SCE►VL® s JUL 1-2 2004 TOWN OF QUEENSBURY f t.� Te f -k-v;',�r ©tJ e.rJ ,'re- �'aQ t7o BUILDINGAND CODE CSC., ._- T.___._ _� x e��f C. a 9.1 Ito0) jr 1 F)C 4\ ----- _.__ ...._- ,... .... ..._ i fly x be ,'v 4T o1X or 'Floor Sa;a3 16" of f�oN�J�c 4 f i f Framing / Firestopping Inspection Report ?_104 Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/ art: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: Q Ll-S LOCATION. ( INSPECT ON: TYPE OF STRUCTURE: \ Y N lv/a COMMENTS min 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 '/2 (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 snow 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 LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report C? d Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a p epart: c am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: 1 PERMIT#: `7 �S 3 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS rack ing Studs/Headers acing/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 %2 (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 snow 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 %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 LASueHeminoway\Building.Codes.Inspection.FORM S\Framing Firestopping inspection Report.doc January 28,2003 C 1- Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: .� Queensbury Building&Code Enforcement Arrive: am/ epart: pm cool 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials: 1-7 NAME: PERMIT#: ✓��� LOCATION: t Lo. fit. INSPECT ON: TYP OF STRUCTURE: mac: Y 'N/A COMMENTS f—RY S 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 1/2(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 snow 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 LASueHemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003 1 Framing / Firestopping Inspection Report Z Office No. (518) 761-8256 Date Inspection request received: qj 5 n 4 d or,,t- Queensbury Building& Code Enforcement Arrive: am/ m epart: m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: � ) - ) PERMIT#: LOCATION: D f, INSPECT ON: �(J /;�-�', TYPE OF STRUCTURE: ;a I Y N N/A COMMENTS aming Jack Studs/Headers Bracing/Bridging Joist hangers LC^DEC Kn 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 %2 (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 snow 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (51-8)761-8256 Date Inspection requeq received: r 33+ 7Li Queensbury Building&Code Enforcement Arrive: am/pn Dep rt: „�aml ni p 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: lush A a tt J PERMIT#: LOCATION: INSPECT ON: 'OD TYPE OF STRUCTURE: Comments Nk Y N N/A vo tin gs Pier gpblithic 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 s 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 Bacicfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch.drop within 10 ft. L:\SueHemingwayV3uilding.Codes,Inspection.FORMS\Foundation Inspection Report.doc January 28,2003