2003-423 TOWN OF %EENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
�t
RTIF:ICA' E4 : 1 0UANCY
CE
tr ::Perrivt Number: P'2Q03042`3 t r Dade zssued: ednesday, Qetober 05,2005
x : > Thsis.to--cernfyjthatwoxk requested to:be,done as shown;by Permit Number P20030423
has been completed. r
Tax Map:N.umber:,,,: 523400.301-006-0001-014-000-0000
r
>Jocaton: n 12 PINION PINE U
wowner: FRANCIS GIFFORD
_._" ,x Applicant: FRANCIS GIFFORD
structure may be occupied as a:
Porch _.. :_... ..__....: .. . _.__:. By Order of Town Board
- ._. .._ . : TOWN OF QUEENSBURY
Issuance�o'fthi's Certif"icattof Occupancy DOES NOT relieve the
property.owner of the responsibility.for compliance with Site Plan,
Variance-or other issues and;cond�tions as a result of a royals b. the,.-_.
? ply Director of Building&Code,En£orcement
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: P20030423 Application Number: A20030423
Tax Map No: 523400-301-006-0001-014-000-0000
Permission is hereby granted to: FRANCIS GIFFORD
For property located at: 12 PINION PINE Ln
_in the Town of Queensbury,to constructor 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
i, A;"r1 ;`r� i �a . S
Ordinance. � !1 '
Tie of Construction Value
Owner Address: FRANCIS GIFFORD Porch $5,000.00
12 PINION PINE Ln Total value
QUEENSBUR:Y,NY 12804 . $5,000.Op
Contractor or Builder's Name/'Address f �' _ Electrical Inspection Agency
JOHN JOHNSON
7705 BURGOYNE Ave
HUDSON.FALLS.NY 128.39-0000r
Plans&Specifications (
2003-423
253.75 SQ FT PORCH AS PER PLOT PLAN SPECIFICATIONS
x
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,June 20,2004
(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 To n o eens 1d e,20,2003
SIGNED BY f6=the Town of Queensbury.
Director of Building&Code Enforcement .
Mudding Permit Applicatiosl
Town of Qucensbury-IDcpt of Colulnurlily Development,742 Day Road, Queensbury, NY
(518)761-8256
A I)CI-Illit MUST be obtained beli}re beginning construction. Permit Pile No.� .
No inspection will toe made until applicatlt IIaS 1"eceived a I--ec Paid $ _
valid building permit. All applicants' spaces on this Rce. Pce Paid
applicationl must be completed and rlulst appear on the
application lornl. Rcvicwcd By: -
Applicant: 'So�,z—__�r� 40�2 (�wticr: FY,vr,� is t�,•�,��•}s.-�
Address: _7 millZ, 4/,- �,zrctat/l�lr- Address: jG2 P,r,rs�r P.r1 e A n» E.
. aC3.'S0>n
Plaonc;t! tL51ff� ��/7- ZFSs33 1'1lollc/E if C7
------� -,-
Property Location: Lot Number: I I-Iousc Number—1_ I Pl»lo y y gam,yt,or
Subdivision Nanle: Tax Map Number:
u New I3uilding: residence /commercial L'stirnated Market Value Of ConSti tiCtioll: $
Addition: residence/ conlnlercial
frail
Addition, what will use n bc1u Alteration: ICSIdGl[CI conuucrcial onevditio u No cluulge to exterior size: residence/colll'1 RECEIVED
A Otlier work(describer •,P✓r_� ,jnt ly'
JUN 1 2 2003
TOWN OF QUEENSBURY
Check III) 1'rt t{}ur - - 2"' Floor A Uthcr Itoi D 1a:rlGGDE
Below silo ft• Sq. I'(, sq. ft. Square Fect
Single family dwelling
u rwo family dwelling
u 'Townhouse
u Multifamily dwelling
Y of units
Ll Office
u Mercantile
❑ Manufacturing
u 1 car detached garage — -
u 2 car delached garage
u 3 car detached garage
u 1 car attached garage
u 2 car attached garage —
u 3 car attached garage
u Storage building-
commercial
u Storage building- —
residctltial
We Other .2 3
Will ally second-hand or ungraded lumber be uscd't If so, for what?
Type or I(eating Systcul: electric/ oil / gas J wood /forced Ilot air l baseboard/other:- /yiq
Number of Fireplt/cc.v to be installed Number of II'ootdvtrrves to be installed
List below file perSon(s)1'CSpOI1SIbIC fvr silpervision of work as regards to building codes:` - --
I3uiider Nam er
e Address" Phone Numb cTnh
Plumber �4/7-78'3
Mason
Efectriciatl
llcclaration: please sign below after you have Carefufly lead the sta lellleat:
" -To the best of my knowledge the st}Itenlenis contained illthis applicationl,together wit],the plans and speciJicalions
submitted,are a true and conlpletc slatenletlt of' proposed work to be done on(lie described premises and(Ira)all
provisions of the Buildiag Code, the:toning Ordinance and all other laws pertaining(o the proposed work shall be complied
will),whether specified or noted,anci that such work is authorized by the owner. l�urther, i(is urlciclslood that Ihve shalt
subulit,1}I'IQI'to a CCPIIfIC;ItL'of Ucetlpallcy of Cc'(ificate of'Co alpliance being issued,as requested by the Lowing
Adnlinis0'ator or Uircclor of 13tlilding and Codes,all As lluitl.Srr,'rer by a licensed surveyor;drawn to scale,showing actual
location nrall 14`1Y COIIs ractiol}.
Signature: 1n� owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - ResidentialFinal Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: _A)r)
NAME: PERMIT#:
LOCATION: r DATE:
TYPE OF STRUCTUR :
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
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
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 safetK 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 buss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched _
Garage fireproofing/'/e 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 . f3.-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.Ins ection Sticker
-A
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamWlBuilding&Codesllnsvection Forms\Res.Final Inso.form 2.docLast printed 2/12/04
TOVOV OF QUEENSBU RY
742 Bay Road, Queensbury, NY. 12804-5902
www.gpeensbury.net
Permit Applicant Property Owner
FRANCIS GIFFORD
12 PINION PINE Ln
QUEENSBURY,NY 12804
The permit listed below expired on : 06/20/2004
Application Number Permit Number Permit Tyne
A20030423 P20030423 Porch
Please contact the Town of Queensbury Building,and Codes Office at'761-8256,to,renew your permit.
Also;please contact us to update any inspections that may be required as part of this permit.
If the project is complete,please call for a final inspection so we may close out the permit,otherwise'
there is a$25.00 permit renewal fee. This can be mailed to the Town of Queensbury in the form of a
check or money order payable to'the Town of Queensbury.
Sincerely,
Town of Queensbury Building and Codes Department
09/28/2005
"Home of Natural .Beauty ... A Good Place to Live "
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: -am/ )epart/. -P 4sf am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 1161"s PERMIT#:
LOCATION: ,�pi, "d n Pm e*_ INSPECT ON: -7
TYPE OF STRUCTURE:
Y N N/A
ra ming
J COMMENTS
0
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 V2 (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 scaled
16 inch insulation in cavity min.
Garage Fire Separation
House side '/2inch 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:\SucHemiiigway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTTJk-E:
Comments
Z
Y IN N/A
xaotings
Piers
onolithic 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 Dampproofmg
Foundation/Waterproofing
Type of Danipproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil of for wet areas under/ab
Backfill Approval
Plumbing,Under.Slab
PVC/Cast 7'5opper
Foundation Insulation Interior Exterior
R-
Rough Glade 6 inch drop within 10 ft.
L;\SueHemingway\Building.Codes,Inspection.FORMS\Foundafion Inspection ReporLdoc January 28,2003
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