2004-672 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: P20040672 Date Issued: Tuesday, October 12, 2004
This is to certify that work requested to be done as shown by Permit Number P20040672
has been completed.
Tax Map Number: 523400-296-008-0001-019-001-0000
Location: 17 WAVERLY PI
Owner: KENNETH & MARY COLLYER
Applicant: MICHAELS GROUP LLC THE
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
'VP
Director of Building&Code Enforcement
T TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040672 Application Number: A20040672
Tax Map No: 523400-296-008-0001-019-001-0000
Permission is hereby granted to: MICHAELS GROUP LLC THE
For property located at: 17 WAVERLY P1
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: KENNETH&MARY COLLYER Deck $4,000.00
17 WAVERLY Pl Total Value
QUEENSBURY, NY 12804-0000 $4,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
JIM PARKER
274 NORTHER PINES
WILTON, NY 12831-0000
Plans&Specifications
2004-672 KENNETH COLLYER
280 SQ FT DECK
$40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, September 07, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of die Town of Queensbury before the expiration date.)
Dated at the Town�f Queens es ay, September 07, 2004
SIGNED BY � i 1 r<, for the Town of Queensbury.
Director of Building&Code*Enforcement
Torch, Deck, Dock, or Boathouse Permit Appllcat2o1l
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. O 14—l9 o-�
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 artd must appear on the application form
Applicant: �W, '.� Owner:
Address: 02 Address: y/
i�Ta•✓ Gf�vc—�Js.O���
Phone#( )Stl/ - Phone# -
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name Address: Phone
Property Location: Lot Number: / House Number /
Subdivision Name: Tax Map Number:
Estimated Market Value of Construction:$
❑ Porch 1 f crw
®--Deck
❑ Dock
❑ Boathouse RECEIVED
❑ Other work(describe
Size of structure to be built "ZP square feet A U G 3 1 20 04
TOWN OF BUILDING AND CODE
Y
Submit along with this application:
1. Two plot plans drawn to scale,preferably using a survey fnap. 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 end that-affprvvisieas af=Building Code,the Zoning Ordinance and all other laws
pertaining to the proposed work shall be complie whether specified or noted,and that such Work is
authorized by the owner.
Applicant's signs Date:
L:1.SueHemingway\Building.Permit.FORMS\Porch.Porch.PermiLdoc 8/13/02 revised per DH
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TOWN OF QUEENSBUW BUILDING DE P N
Based on our limited examination,
comppliance with our comments shall
not be construed as indicating the �— -
plans and specifications are in full
compliance with the Buildin Co; -
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Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 c� Arrive: am/pm a rt: �am/pm
Date Inspection request received: Q D Q Inspector's Initials:
NAME: PERMIT#: 14.
LOCATION: DATE:TYPE OF STRUCTURE: Commens
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location ®.
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish 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
Enclosed Stairs Sheetrock Underside minimum %"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 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 1
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
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:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 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 or C/O Temporary/Permanent
L:\PamW\Buildiniz&Codes\Inspection Forms\Res. Final Insm form 2.docLast printed 2/12/04
c�-
Foundation Inspection Report Q
Office No. (518) 761-82.56 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/prr ,� Depart: - m/ppm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: 17A
NAME: _ PERMIT#:
LOCATION: _ �V _ II�TSPECT ON: =-O-L
TYPE OF STRUCTURE: __T
Comments
% _ ------ Y N N/A
Piers
nolithic 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 pose 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 Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHcmingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doe .January 28,2003