2004-575 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902. (518) 761-8201
_ Community Development-Building & Codes (518) 761-8256
R rl-CAT.E .rOF COMPLIANCE
_. -_ Perrrit Number- {p20.040575. DateIssued ,Wednesday;September 22, 2004
__ � .._.. _
_This isao'certify_that work requested to.:bel�done as shown-by PermY_t Number P20040575
has been completed.
Tax-Map Number - 523400-296-008-0001`021-002-0000 w:
Loeatiori:_ 12 CHELSEA Pi
NUCHAEL & GILDN SIEGEL
Applicant:
-- NHCHAEL & GILDA SIEGEL
_ This structure may be occupied as a:
By Order of Town Board
-
Deck - — - --- - TOWN OF QUEENSBURY
_ _-_.- -_.. .._ . .
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040575 Application Number: A20040575
Tax Map No: 523400-296-008-0001-021-002-0000
Permission is hereby granted to: MTC T4AF,T,& CTTf,DA ST-FCTF,T,
For property located at: 12 CHELSEA 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: MICHAEL& GILDA SIEGEL Deck $1,000.00
12 CHELSEA Pl Total Value
QUEENSBURY,NY 12804-0000 $1,000.00-
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-575
360 SQ FT DECK
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, July 27, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Quecnsbury before the expiration date.)
Dated at the Town of Queensbury; ' Tuesda , July 27, 2004
SIGNED BY \ r �• for the Town of Queensbury.
Director of Building&Co nfo �ement
.Porch, Deck, Dock, or Boathouse Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. No Permit File No. �
inspection will be made until applicant has received a valid Fee Paid OD
building permit. All applicants' spaces on this application must be
completed and must appear on the application form. Reviewed By:
Applicant: �� J� � Owner: /�9l c� f� r G�Z-P,4
Address: / lws`�A pti c�— Address: eA a c 2
�-U e�49i rl,� /Y �l 1 L ed`f
Phone#(4� ) - ! tom Phone#(3
Email Address: M,/C-e 5104,o_�- -R J-vt d. Cw/ Email Address: S
Person Responsible for Supervision of Work as Regards to Building Codes:
Name airZ, l Address: !y ciS4Js eA /��!/c�Phone���
Property Location: Lot Number: / House Number. � / C#ZIVX,�-
Subdivision Name: -WAVA4k y d!!~,6c P_ Tax Map Number:
Estimated Market Value of Construction:$ /e e-fl
❑ Porch RECEIVED
KDeck
❑ Dock
❑ Boathouse JUL 2 3 2004
❑ Other work(describe
TOWN OF QUEENSBURY '
Size of structure to be built square feet 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 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: -?iL Date: O
L:4SueHemingway\Building.Permit.FORMS\Porch.Porch.Permit-doc 8/13/02 revised per DH
. t
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection requ st eiv
Queensbury Building&Code Enforcement Arrive: 'pup m part:
742 Bay Rd., Queerisbury,NY 12804 Inspector's Initia s: el
NAME: ,i�'- �iL- P IT#: /V
LOCATION: a D TE:
TYPE OF STRUCTURE:
r
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
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
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut=off boiler
Relief Valve(s)installed
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
Emer, ency 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:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ftm . Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspectors Initials. t 1i
NAME: PERMIT#: S7V
LOCATION: INSPECT ON: o. d
TYPE OF STRUCTURE: r
Framing Y N N/A COMMENTS
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 %z(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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: htl,) am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 hispector's Initials:
NAME: PERMIT#: o q—S Z5
LOCATION: INSPECT ON: —3-0
TYPE OF STRUCTURE:
Y N N/A COMMENTS
raming
Jack Studs/Headers
Bracing/Bridging �22'U wof
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 % (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 /
USueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
a�
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: c am/pn Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: C
�J f
NAME: iC_ _ PERMIT#:
LOCATION: � _ INSPECT ON: \TYPE OF STRUCTURE: LIP
Comments
Y N N/A
otings
Piers
Monolithic 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 SIab
PVC/Cast/Copper
Foundation Insulation'Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codcs.Inspection.FOItms\foundation Inspection Report.doe January 28,2003
' .,
a
.. ._..----. .. _ _.. .... .. . .._.. .....__TOWN OFQUEENSBU Y BUILDING'DEPARTMENT - - � � L-;?- u�
.. ._..._ ....._.... .. -coed on o—Jr imite'd examimplian wito urci e-n sbhoanll..._-_:_.:._....._.... ....... _. -
e M
>,.i1�8 , iC� �f �`. .. ... .. .. .. . not be constru d as indicating. the_..............__._-_. _.. ..._..._._.._,..plans and spe" cavons are in full
_ compliance wit the Building.Codes .......
._.__...__.._._..__.:.---..-
ofNew' York Sta e
Fi s,1,FP..'N, .. . .. . :�: _
_._.
ire /`
c .. .... _.. _. .. _ ...... ----- -
00
J._.
_..
V o
BUILDING &
REVIEWED BY
LATE
PIS
DOOR
e 1 •.
4` ,�.. •a�.a �..__,� -: A °CAI {
7 a i t
47
i
al.7'jai" ._.. Wo//
b•�
ol
. . ...... ....
ED
cR rTl
o� c
o !r
-L 4 RA S,
cn
,
p 11 I�P
pvgOit
CPI
RAi
Ily
•
w�
..... .. I .i_ �=-»rt.r-�..•.,.•..y.....r'Nw...,..�,.._w{..w �....,..w�.:,•...swv..sm..sa..�.ww. i -...�i...•�..�e..,..+� w.. '. ..•. .. .. .j ..
�O � ' �.,-:....- ..... ..._�.._.- .....-•..-1-.........�. �........ ..._._��.t=.-0�--�--_..__I-,.�. � � - - - --it , .. :
00
Z-n,or,)!
o .
zh7'
•
,
Z. �. �... I. . ;_....., f. .
co 0
® i '
i
,
i
f •
•
Tv.RA
Cilr;lVs 4, vcTv,kr-,
t;1,1,-
E7-
IL
IT
are
co
90
am `� 1 D
vl
Lands'of AgIrondack Community.
••COIIeg® IYYW
COMMON OP4N' SPACE
—PARCEL "Al,
+_.,_• _ AREA '11CII. _. .... '•_ . .,.._,...,.
j may be•dedloatedto the Town oiQusensbury ;`; ;�; ;;:;�; ,• 1 • .,. ..;1;.,:.,�:,: :';:.:::•.::.:.:.:.:::::..:;,::::;::::: '_.,...•_.._.,_,._r�
Parks'&Recreation upon :•::,.::: •,:•,:
�;•:.I,1,.11,,,..1,••.'; 1.11.,,,,,.,.11.,11.11111,1.111..1;:;1:1.1:1;1,:• 11,:,,, ...
` !final approval.of future J ,.,;,,•,,,,;,,,, ��� � �;
YR. ,.,r..r,•,,, ,... ,•• •::;:::is:l�•�i:::,�i'ii':r••,• • •':,ii•,r::i ii:':1•„•,•
j development :....1::.:...,.•.:. ,. ;,.,,.;.,,','. ;
.1.1,,,.,1.1.•,,, ,..11lr11111,.1:::",: ,:.I, 1.1,,.1....,..1...11.1.,...,1•
tti; Iproposed for
n f, ..........1; .,,., .'•i,,r,1.1•.;1,,1,1,1.1.n,.u,11;:1:1 '1::,1 1:,',11,..,,,:1':.1,:.•:.:.,,:.•r,��i1�.:•.,:,'..�,:.,�il:,l',:.i..:,,:' , . •, ,. ;,In„,rr 1n1,,1.,u.,u.,l,,.n1,•.,.n,.r.,.•.1,1.r..I1.f .:I:,:n;•,';
rrn1.::1.:::•........Araas"n"p "B" l•,,,, ' 1..,1,1.,.,11,,,,.•1,1. �:;;�';�;:';;'���'� �:�':�•:;;:;':::::;�::�'::;::,:�::,�:i':; r,:•:,;��:1�•1�::: 1
,::�:::;��� ; :,.'; ,��,'1�'1��,�,'�,1�',111'�•�..1,•,11.,,.,.11,.I,.,I,r,.,.•.' ':::,�:::::::�:::�: :'1;��::.;;':1�;1:�::::.; :::,��:::I:r,�,::.1:1::::::::::::::::.�::
�•:�:�'�:�:;:, ,•1 •:'::': •I•'.::::'�:.::.::.:....1.�::::::,;,,,1.,1r1..,' ':;'���;�;���;� ;;�;�•,,.,,,.I.I,,..I,.,,r11.1,.,1,,,,,,..,.1,.1.111,.1.,1.1•..•11.,, '
„•,,,,,,,,,,,,,•,,, •„ .. ,.. . . . ,1. .,1,i�;rrlr•r1..rr,..
._ : '•IIIi1. ., ......1.11,•,,...1„.1•.1....,,::::::'1,:..., '::::::::::::::�•,:::,:„1�::'
. 11,.. . .;.,,,. 11,:11,111.,.•.,1,.,.r.11..1.,...,.,....•..,.,....,.:�.. .•.. .,:;'..,......,•,.,,r•,•.,I1,,,,• .,,,,...,•,.,
. 11.1,.,,•.,1.,•.1,.,,.•.,,,,•,,,.•,1,•:;;'::.• ':I.,,•11•,.,1..,•,..,,,..,,1,•.. .1.1::'::•.;;..,
....I,,::::1::::1:.11 r1.1.1 t.11•rllll.,rllllr„1.,,.11, I..r.l,.1.1..,...,•,1•,1.11.11.1.,1,,, ,:1,;;'.,•: �,
•:•1 1:1:: 1':::::::• ,111;;.•,1,.,,1 ,Ir,•,.;1,;,;•,1.,1,1,;,;1.1.,,.,,1\,1,•111.1,I.•,.r.,l,l„
• ,;1;:1: ` + 11,1,11, '1,111,111.1.11111 1111111.,111:11.. 1,111.1..,•. .1,.1,I,1• • :.1
•'1,• ' Ilr„1.;.;.,::,..I.,,r11.,,.,1..:1:.,.I11.111•,::.,,111r1,,;,:•
hi 1 ' 11/1.:• 1 f • •Ir.r..1..,1r,1..•,..,,•,Ir1111.1,•.111••„Ir,l.l.1 ,
1 11•.•111 11•,••I.I I,II.I.I,i:1r..,•,.111,,.1„
'',:1::I:,Ii I'r � i,\ I)/ "'•.....",•�' ,•1.1,.,•11,1 "::•i':"�::::•'
�.. j 'N:.;�.;.r..;. ..d, Orr�,, '� '"• !1. ':::: If 11 r
:r•. ; _ ::�.,.. :i. AREA A
I AREA•• ''�•,. !' ,r.. .':.,;;
.COIViMION;:OPEN SPACE
•. .PARCEL `-a'
c Sl 'AF-S ,
00 c
rJ
a
z m :�D 1C�
0w o ` �
MC r
' o�wNa eeau o