2004-762 TOWN OF QUEENSBURY
742 Bay Road,QueensburV,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040762 Date Issued: Monday, October 17, 2005
This is to certify that work requested to be done as shown by Permit Number P20040762
has been completed.
Tax Map Number: 523400-301-0,19-0001-084--000-0000
Location: 28 FERRISS Dr
Owner: JAMES & JODI FIOR U
Applicant: JAMES & JODI FIORINI
This structure may be occupied as a:
Garage - 2 Cars Detached
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040762 Application Number: A20040762
Tax Map No: 523400-301-019-0001-084-000-0000
Permission is hereby granted to: JAWS & JODT FTORTNT
For property located at: 28 FERRISS Dr
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: TAMES & JODI FIORINI
28 FERRISS Dr Garage-2 Cars Detached $6,000.00
Total Value $6,000.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-762
672 SQ FT 2-CAR DETACHED GARAGE
$67.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 01, 2005
(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 n of eens ; 'd , October 01, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
i
A permit must be obtained before beginning construction. I
Permit File No •
No inspection will be made until applicant has received a Feo Paid $
valid building permit. All applicants' spaces on this Roc.Fee Paid
application must be completed and must appear on the Reviewed By:
application form.
�App eft �4�LQS �I- -LEA �,ur;�� Ow n=�,A_ t3� �r;A>: A.L) 13
Address-OK F-Q 22►s I Address:Z!K
Z, 1 Z O
Phone# 61 2x Phone# ) ,3_-
W. Hou_se PropetyLocatio * � 4-/o,,'r�-e^
Subdivision Nim -` _ Tax Number: 3ca/. /9-/-�' • --
o New Building: residence /commefcial 'Estima d�vlarket- aluc of Coz stzuotion. $: G�VCY0.(Y)
G Addition: residence/ commercial
a Alteration: reaidoace/ commercial 1f ddition,what will use o of ew addition be?
0 No change to oxtador ize: residence rl�1� •
i c1�61theraw-ork: , � I
Check OCCupancylnformation _ .1' Floor 2° Floor Other floor Total
Below sq.ft, sq.ft, sq.ft. ua�re Feet
o Single A%nily dwelling
0 Two family dweMn
0 Townhouse
0 Multifamily dwelling ` F QUEENSB
Y
#Of units UILDING AND CODE
0 Office
o Mercantile
cl Manufacturin
0 1 car detached garage
2 car deta®^chd ;raffia,
o'� car detached prage, . J
0 1 oar attached garage
0 2 car attached gate e
0 3 car attached garage
0 Storage building-
commercial
o Storage building-
residential ,
o er
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil / gas!wood /forced hot air/ baseboard/other:
Number of Fireniaoes to be installed Number of oWo dstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder
Plumber
(Mason.
Sleetrician
D.ecl=tiow please sign below after you have carebLy 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 oa the described promises,and that all
piovisions 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. Further,it is understood that Uwe shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Adanistrator or Director of Building and Codes As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction..
r
Signature: _ _ 'wner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/p ear . a Ppm
Date Inspection request received: _ Inspector's Initials:
NAME: PERMIT#: '�1'✓
LOCATION: � ri ` DATE: ��
TYPE OF STRUCTURE:
Av��
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent throw h roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
;74—
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 %2"
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
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 l
Crawl Spaces 18"x 24" ccess, Vsq. ft.-150 s . ft.vents
Building No./Add Ws ib e om
Final Electrical k� / 4fPk�)(I.
Site Plan /Varianc e uired A)t�(�
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\Building&CodeslInspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p" epart: am/p
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: i M PERMIT#:
LOCATION: S ZS INSPECT ON:
TYPE OF STRUCTU E:
Comments
Y N NIA
outings
Piers
Monolithic Slab
Reinforcement in Place i-W5-
The contractor is responsrblcIfor)
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 Slab
PVC/Cast/Copper
Foundation .Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\ tiilding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: a>ii/pm Depart: !�.'�,c a
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME:(li A I PERMIT#:
LOCATION: A2 l+ SS ✓c—_ INSPECT ON:
TYPE OF STRUCTURE:
Y N N/� C®lY ME1�TS
Fram' g
tuds/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 '/z 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
L:\SucHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
I
MAP REFERENCE f
MAP OF A PROPOSED SUBDIVISION KNOWN AS
QUEENSBURY FOREST PHASE III '
BY VANDUSEN & STEVES
DATED SEPTEMBER 19, 1991
LAST REVISED 4-22-92
FILED IN WARREN CO. CLERKS OFFICE
PLAT CABINET A. MAP 1-185 LOT 23
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4 S83"38900'°E '
zz.00•-IN
IAFREBY -ERTjFY 0
9 LOT 26 DAMES M. & JODIE L. r IORINI
40,897.3 SQ.yFT. TROY SAVINGS BANK IT'S SUCCESSORS AND OR ASSIGNS
VVY'' 0 • f 4^ LOT 22 OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD
(� SURVEY ACCORDING TO RECORD DESCRIPTIONS AND SHOWS
�$ 0 1. l' s G '� LOCATIONS OF BOUNDARIES AND IMPROVEMENTS ON THE
7 ,k PREMISES AND THERE ARE NO ENCROACHMENTS OTHER �q
kA SHOWN a,
THIS SURVEY AND THE CERTIFCATIONS HEREON SHALL BE
VALID 0 �ILOM1 PARTY OR PARTIES HEREON NAMED AND
O ARE E TO ADDITIONAL INSTITUTIONS OR
SUB TL THEIR THAN AS MAY BE OR
�r" O
EX A 1'�� N
r` HOUSE v
s try RECEIVED
DA
lit m !o' fQo� Jr LOT 21 DATE��/ �u� ;:'1993 SEP 2 7 2004
'OWNOF QUEEN b.y co
o ... � �'- .S BUItIN�Ar SBURY
r n E4 STRIVE DRIVE --
c.T.V. --�_ N89'3 'S1"lf MAP OF A SURVEY MADE FOR
ELEC.
, ° �� 0
LOT 27 LOT 2 JAMES M. & JODIE L. FIORINI
f
I TOWN OF QUEENSBURY COUNTY'OF WARREN NEW YORK
DA VID J. B OL S TER
"UNAUTHORIZED ALTERAT`ON OR ADDITION TO A SURVEY LICKNSRD LAND SURWOR, QUR NSDURY, NEW YORK
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB-DNISION 2, OF THE T „�
NEW YORE; STATE EDUCAT ON LAW." DATE NOV. 8, 1993 I SCALE , 1 = 50 N.Y.S. LIC. NO. 49534
"ONLY COPIES FROM TH: ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINA'_ OF THE LAND SURVEYORS JOB NO. 93053 B
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES."