2004-935 TOWN OF QUEENSBURY
co y Road 742 Bay Que
ensbury,Qu nsbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Pernut Number., P20040935 Date Issued: Friday, December 15, 2006
This is to certify that work requested to be done as shown by Permit Number 'P20040935
has been completed.
Tax Map Number. 523400-227-017-0001-050-000-0000
Location: 119 SEELYE Rd
Owner. ROBERT & GERALDINE MIDDLETON
Applicant ROBERT & GERALDINE MIDDLETON
This structure may be occupied as a:
Dock
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, /11
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code E or`en'e
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040935 . Application Number: A20040935
Tax Map No: 523400-227-017-0001-050-000-0000
Permission is hereby granted to: ROBERT & GERAI,DTNF,MTDDT,ETON
For property located at: 1.19 SEELEY 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: ROBERT & GERALDINE MIDDLE?
Dock $10,000.00
2746 HAMBURG St
Total Value $10,000.00
SCHENECTADY,NY 12303
Contractor or Builder's Name/Address Electrical Inspection Agency
JAMES NEAT, SCHOONOVER
2594 STATE ROUTE 9T, -
OT JEENSRI TRY.NY 12804
Plans &Specifications
2004-935 -
TOP REPAIR OF DOCK
$30.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,January 28,2006
(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 f Queens ry; i y,January 28,2005
SIGNED BY for the Town of Queensbury.
Director of Building Code nforcement
: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 $
building permit. All applicants'spaces on this application must be Reviewed By:
completed and must appear on the application form.
e-
Applicant: 'a h r I I)1/%0 4 7—w Owner: 2? ,I e r 7 f2)D
Address: 02 7 y6 /Q m i ef r f 3 7- Address: Sia , e—
Sc/?dy. /Y}� /2.3 G 3
Phone#(i/ ,3,'5= Phone#(_) -
Email Address: - Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name Ti, C i-4,0 if®ii6v; _ AddresstAn yMi j L Phone 50 - -
Property Location: Lot Number: / House Number //, / ey/e /?/ �:°Cl r%
Subdivision Name: .Tax Map Number: 721. 01 .1.."
rt
Estimated Market Value of Construction:$ /�1 6 0 C'
❑ Porch
• ❑ Deck �ECEI VP
❑ Dock
❑ Boathouse � �r p � DEC ® 1
❑ Other work(describe IC, - .si a 7i C9 2004
` �QUf TOWN OF QUEENSBU'
Size of structure to be built n square feet BUILDING qNp CODE Y
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: "' *iole/��'�4P-1"-) Date: /45/ OJ
L:\.SueHemingway\Building.Permit.FORMS\Porch.Porch.Permit.doc 8/13/02 revised per DH'
Queensbury Building & Code Enforcement - Residential Final Inspection
Offic o. (518)761-8256 Arrive � m/p n Depart: am/pm
Date Inspection request received: Inspecto 's Initials: `�
NAME: �(, � [/� PERMIT#: / 5
LOCATION: ,(cj See Ly{.— DATE: (p
TYPE OF STRUCTURE: ���(�=1 \ /
Comments
Yes No N/A
Building Number/Address visible from road y�
Chimney Height/"B"Vent/Direct Vent Location , 7p\
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 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.
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%:"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/0 [Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
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