2004-547 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040547 Application Number: A20040547
Tax Map No: 523400-295-016-0001-003-000-0000
Permission is hereby granted to: JASON&JF,88TC;A MTf,T,F.R
For property located at: 109 FARR LANE
in the Town of Queensbury, to constructor 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: JASON& JESSICA MILLER
109 FARR LANE Porch $15,000.00
Total Value $15,000.00
QUEENSBURY,'NY 12804-0000
Contractor or Builder's Name /Address ',Electrical Inspection Agency
ADTRONDACK SUNROOMS
TOM KTJRTSH 798-2261
10 HOLDEN Ave
OTJEENSBTJRY_ NY 12804-0000
Plans&Specifications
2004-547
169 SQ FT PORCH
I
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, July 23, 2005
i
(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 o nsb,f Q r , y 23, 2004 i
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Torch, 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 $ o
building permit. All applicants'spaces on this application must be Reviewed By:
completed and must appear on the application form
Applicant: Ad t ro, 446C Owner. 0--qso�j PAt I kz f
Address: S 3 -�z�f� YLA. Address:. l o-i F+/:-- 1-4-%c
cf l d-eo`-f \ Q U.e 6-7.1 'c,✓ /mil'-( Id-6-0 f
Phone#( ) '7,9 8 - Z Phone#(S�t-) 3 7 Y S
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name-Tn o:�.q.� l�
II u f i S (.� Address: 5,3 Lu zero aA Phone
Property Location: Lot Number: / House Number /
Subdivision Name:'7-1 ✓U ci-g Tax Map Number:.
Estimated M et Value of Construction: $
❑ orch
00000
LiDeck Li Dock RECEIVE®
❑ Boathouse-E1�6t 6r work(describe 1 J-GLV- J U L 14 2004
}}
Size of structure to be built c square feet TOWN OF QUEENSBURY
BUILDING AND CODE
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 I 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. (D
Applicant's signature: Date: — `"f �I
L:VSueHemingway\Building.Permit.FORMS\Porch.Porch.PermiLdoc 8/13/02 revised per DH
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: Mam/pm
Date Inspection request received: Inspector's Initials:
NAME: �..-�ti.(;1—z _ PERMIT#: �=
LOCATION: lr)q 'EIA-R4 ei. DATE: 1
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
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:
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 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
Flood Plain Certifica0n;if re uired
Okay to issue C/C VVC/® ['temporary/Permanent]
L:\Building&Codes Forms\Building&CodesUnspection Forms\Residential Final Inspection Form revised_100405.doc
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/lj�pt Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: \ ell PERMIT#: _
LOCATION: � _ INSPECT ON: _
TYPE,OF STRUCTURE:
Comments
Y N N/A
-#onolithic
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/W allpour
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.
LASueHemingway\Building,Codes.InspectionTORMSV'oundation Inspection Report.doc January 28,2003
c
INSTALLERS LAYOUT SKETCH
VERIFY ALL FILL MEASUREMENTS BEFORE CUTTING �..
NOTICE:
THIS JOB HAS NOT BEEN CONFIRMED. _
PLEASE FAX AN APPROVAL WHEN READY TO ORDER.
RELEASE APPROVED BY
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JUL l 4 2004 NOT TO SCALE
3 COPYFILE TOWN OF QUEENSBURY
BUI!DING AND CODE ICBO EVALUATION REPORT PFC-5176
ICBO EVALUATION REPORTER 5262-P
NER-567
DETAILED BY: STEVE SALTER UL 58SL
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DEALER: ADRONDAK 04WB600 PH. ( )`7y TEMO SUNROOMS, INC. LYNN TWEDT, PE
MILLER, JASON S 20400 HALL RD 20400 HALL RD
109 FARR LANE CLINTON TWP, MI 48038 CLINTON TWP, MI 48038
QUEENSBURY, NY 12804 PHONE: (586) 286-0410 (877) 218-8366 X287
DRAWN BY:STEVE SALTER DATE:07/09/04 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 04W8600 PH. ( ) TEMO SUNROOMS, INC. LYNN TWEDT, PE
MILLER, JASON 20400 HALL RD .20400 HALL RD
109 FARR LANE CLINTON TWP, MI 48038 CLINTON TWP, MI 48038
QUEENSBURY, NY 12804 PHONE: (586) 286-0410 (877) 218-8366 X287
DRAWN BY. STEVE SALTER DATE:07/09/04 1SCALE:1/4"=1' FAX: (586) 286-5409 LIC #063611
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