2003-139 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: P20030139 Date Issued: Friday, September 19, 2003
This is to certify that work requested.to be done as shown by Permit Number P20030139
has been completed.
Tax Map Number: 523400-295-010-0001-044-000-0000
Location: 15 JACQUELINE Dr
Owner: WILLIAM & JULIE VALENZA
Applicant: WILLIAM & JULIE VALENZA
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
Director of Building&Code Enforce ent
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
i
BUILDING PERMIT
Permit Number: P20030139 Application Number: A20030139
Tax Map No: 523400-295-010-0001-044-000-0000
Permission is hereby granted to: WTT,T,TAM &TIJT,TF,VAT,F,NZA
For property located at: 15 JACQUELINE Dr
in the Town of Queen sbuty,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: WILLIAM&JULIE VALENZA
15 JACQUELINE Dr Deck $3, 0
Total Value $3,500. 0
00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
BTLL POCTONOWSKT
BTRCH Rd
LAKE CTFORCTF,_NY 12845
Plans&Specifications
2003-139
350 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 10,2004
(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 Town of Queensbury; Thursday,April 10,2003
SIGNED B for the Town of Queensbury.
Director of ode Enforcement
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 $ (>O
building permit. All applicants' spaces on this application must be, Reviewed By:
completed and must appear on the application form U
Applicant: � �/."', `� ° Owner: ,/r ///f-ci0 It-e- 4leor t e-f
Address: e-ti ' Address:
/29f5- alie eo il,vn
Phone# (�t�) 793 - IIX 7 Phone# ( ) ff
Email Address: — Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name <// Address: ::�8/a 4/9q,/- Phone
7 t¢-- ,iG f3-f
Property Location: Lot Number: / House Number /'e—/ ,,x l;�g•&?1V I+ �Urr
Subdivision Name: Tax Map Number:-r
Estimated'MarketValue of Construction: $ -3,
—oo1DjC) - � -
❑ Porch
Deck
❑i Dock s `
❑ Boathouse
❑ Other work(describe APF� 0 Z 2003
Size of structure to be built 3349' square feet 'ro"OF 0'1U=S1'V8BU8y
�UiLDIFuC�4°VD COD=
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.
.y
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 complie ith,whether specified or noted,and that such work is
authorized by the owner.
Applicant's signature: Date: D
L:\SueHemingway\Building.Permit.FORMS\Porch.Porch.Permit.doc 8/13/02 revised per DH
Residential Final Inspection
Office No. (518)761-8256 Date Inspection requ eceiv
Queensbury Building&Code Enforcement Arrive: a p e rt: a
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial . .
/ 1
NAME: !)'(&�lti. cr-• [L`'vt ZA, PE #: Q
LOCATION: j IL D T14
TYPE OF STRUCTURE:
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/Uot Water Heater operating
- j
Low water shut-off boiler
Relief Valve(s)installed S P Z CUU�
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
'/4 hour fire door/door closer
Gara e fire roofm
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:\SueHenungway\Building.Codes.Inspection.FORMS\Res.Final Insp.form_.doc edited January 28,2003
,, ' Residential Final Inspection '
office No. (518) 761-8256 Date Inspection re nest r ceiv � `�3
Queensbury Building&Code Enforcement Arrive: e rt:
742 Bay Rd., Queensbury,NY 12804 Inspectors itia
NAME: Pz� PE T#: c "�'��`
LOCATION: j AG Lrz% Z,� DATE: Flo
TYPE OF STRUCTURE:
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 awa 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
Emergency egress below grade .7
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 Occit anc
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
4xi
Foundation I;ispection Report
Office No. (518) 761-8256 Date Inspection request received: 3
Queensbury Building&Code Enforcement Arrive: arn/ W part: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: V�'�"lL L� PERMIT#:
LOCATION: / INSPECT ON:
TYPE OF STRUCTURE:
5 Comments
Y N N/A
o sf
Ie s
Mo Ithic 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
Backf`ill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\3uilding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
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146 Dascomb Road Hudson Valley Commercial Paris 125 Chestnut Street 203 Read Street
1-800-222-7981 1-800-222-7303 1-800-922-0191 1-800-442-6734
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Fax: 1-800-242-4533 Fax: 1-800-222-7304 Fax: 1-800-922-0296 Fax: 1-800-443-0331
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38 0-4,-, Rd
Lake George NY 12845
(518) 798 6964
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MAP REFERENCE: 1
LEHLAND PARK
BY D.L. DICKINSON ASSOCIATES
FILED NOVEMBER 3, 1987
CABINET A SLIDE 128
33 34
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2 STORY I3
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WOOD CJ FRAME o
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86.90'
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Z 20,422 sq ft - (�
0.47 acres L�!
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. ASPHALT DRIVE
200.00' o W
N84'44_10"W o IRF
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I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS .�
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON. 4 36
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL