2004-561 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. P20040561 Date Issued: Wednesday, July 25, 2007
This is to certify that work requested to be done as shown by Permit Number P20040561.-_..
has been completed.
Tax Map Number. 523400-309-007-0001-034-000-0000
Location: 23 FELD Ave
Owner. ROBERT & JAYNE GILMAN
Applicant: ROBERT & JAYNE GILMAN
This structure maybe occupied as a:
Deck
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
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 $ `ID
building permit. All applicants'spaces on this application must be Reviewed By:
completed and must appear on the application form.
Applicant: e Owner: 5 ,
Address: ,kh 4U� Address:
( -i �( `
Phone Phone#(_) - t i
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name KeU;"*A ,< re,- Address: Phone 57 c;,, �o
Property Location: Lot Number: / House Number /���� oUe--
Subdivision Name: Tax Map Number: -- - 1
Estimated Market Value of Construction: $ 3 d-W .O Q
❑ Porch
•4 Deck
❑ Dock
❑ Boathouse
❑ Other work(describe 9
Size of structure to be built M o square feet Er1SBUR
SOWN 0' Q AND OODE
gU1LD1NG
Submit along with this application:
1
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:
` Date: 7-
L:\SueHemingway\Building.Permit.FORMS\Porch.Porch.Permit.doc 8113/02 revised per DH
Queensbury Building & Code Enforcement - FReSidel1 Inspection �o
Office No.(518)761-8256 Arrive; am/pm
Date Inspection request received: Inspector's InitiaNAME: ,LOCATION:
TYPE OF STRUCTURE:
BuildingYes No ITT/A Number/Address visible from road 7� ��
ChimneyHeight/"B"Vent/Direct Vent 'Location G-
Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches P pe(—fKl
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(hei ht)in accessible area
Crawl Spaces 18 inch x 24 inch access, I s .1-150 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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%2"Gypsum
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
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker _
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/® Tempor /Permanent]
L:\Building&Codes Forms\Building&Codeslinspection Forms\Residential Final Inspection Form revised_100405.doc
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection re st r ceiv
Queensbury Building&Code Enforcement Arrive: m/p e art: ' a p
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi s:
JJ
NAME: E IT#: Q (�
LOCATION: �y D TE: Q')
TYPE OF STRUCTURE:
ICY—
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location 10
Fresh Air Intake /ly
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more @ 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
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 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 C. a
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
-Low,water shut-off boiler
Relief Valve(s)installed \iz�)QZi
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:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door,closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 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(Cert. Of Compliance)
Okay to issue Temporary C/O(Cert. Of Occupancy)
Okay to issue Permanent C/O(Cert. Of Occupancy)
L:1SueHemingwaylBuilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
scrard 140YA
RECEIVE®
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1tjC. �-4N�" � , , FQU E S�aURY BU!!DirlG DFPARTMENT13UILINIG & 0Based on oUr limited examination,
comppliance with our comments shall "
REVIEII E BY �, not be construed as indicating the
plans and specifications are in fulls
,DATE compliance with the Building Codes
of New York State.
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