2003-525 '+ TOWN'OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&,Codes (518)761.8256
CERTIFI%.rilaTLEOFOCCUPAN%rilI
Permit Number: P20030525 Date Issued: Sunday,August 03,2003
This is:to.certify that-:work�requested.to kdone as shown by,Permit Number ; P20030525
lias been completed.
Tax Map Number: 523400-295-020-0001-007.004-0000
Location: 35 FOXFARM Rd
Owner: PATRICK MA.CEY
Applicant: PATRICK MACEY
This structure may be occupied as a:
Porch By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy 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 o£Building&Co Ye Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY"
742 Bay Road,Queensbury,NY 12804-5502 (518)761-8201
Community Development-Building.&Codes (518) 761-8256
BUILDING PERMIT
Permit Number:- P20030525 Application Number: A20030525
Tax Map No: 523400-295-020-0001-0071.O64-0000
Permission is hereby granted to: PATRTCK MACF,Y
For property located at 35 FOX FARM 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: ' PATRICK MACEY-
KIRISTY VAN VRANKEN Porch $9,600.00
35 FOX FARM Rd Total Value $9,600.00
QUEENSBURY,NY. 12804-0000
Contractor or Builder's Name/Address - Electrical Inspection Agency
DAVTD STOCKMAN
2306 STJMMF,R WAY
FT ANN.NY
Plans&Specifications
2003-525
224 SQ FT PORCH-AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,July'30,2004
(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 of Quee bu W dnesday,Judy 30,.2003
SIGNED BY for the Town of Queensbury.
Director of Buildin &Ae Enforcement
Porch, Deck, Dock, or Boathouse Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road, Queensbury,'NY
(51-8)761-8256
for'iV Mrmit File No.A permit must be obtained before beginning coxE E V
inspection will be made until applicant has recei ' 1
a vale Fee Paid $
building permit. All applicants' spaces on this applica MUST
completed and must appear on the application form. MIL 0 2003 Reviewed By:
TOWN OF QUEENSBURK
Applicant: %RLDING AQW=FJ-A-r
Address: ),:z.v,rz c, i 6 Address: .3S
NY 12-SZ7 NY
Phone# Phone#(9 )-71.3
Email Address: Nt,,C-6A Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name 'DA,'J'p -S-r-04n4-/ Address: 1-94^vr-- Phone fa
Property Location: Lot Number: ` House Number 3 Fit-,�t,
Subdivision Name: < � Ay. Tax Map Number:
Estimated Market Value of Construction: $ 00 01
Porch �o 71
L3 Deck
Li Dock
Ll Boathouse
Ll Other work(describe
Size of structure to be built Zq square feet
Submit along with this application:
I 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 0 Applicant's signature- Date:
L-\SueHemingway\Building.Pennit.FORMS\Porch.Porch.Permit.doc 8/13/02 revised per DH
.1�
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Office 176 Doe Run Road - Manhe'im, PA 17545
MUNICIPAL CERTIFICATE Y ELECTRICAL APPROVAL
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The conditions following governed the issuance of this certificate, and any certificate previously issued is
cancelled; -
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations, application shall he promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated, the Company shall have the right to re ke
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Date.., INSPECTOR .ttfl f 4ii#f}i41#1/1##fltlitt/f##tt##f#tirllt#!i#fii
' Member NARA,,LAID,
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received
-?
Queensbury Building&Code Enforcement Arrive: amj/ e�rt: L am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: C),Q7 Kj-, PERMIT#:
LOCATION: DATE:
TYPE OF STRUC RE:
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 Railmgs 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/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 lazing
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: _ / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backu' :
Bathroom Fans,if no window
Carbon Monoxide detector
Numbing fixtures
Foundation insulation
Floor truss,draft stoppjag fmished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4hour fire door/door closer
Garage fireproofing
Duct work Scaled properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24",Accey, I sq.ft.-150 sq.ft.vents A
Building No. AddrQpF jVisib from roa�-
Final Electrical
Site Plan /Variance LCuir
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/0(Cert. Of Occupancy)
Okay to issue Permanent C/0(Cert.Of Occupancy�
L:\SueHemingway\Btiilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: ari,/pra Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: f�G /'7 PERMIT#:
� e?
LOCATION: INSPECT ON: 6f
TYPE OF STRUCTURE:
Y N N/A COMMENTS
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 W s
Metal Strapping for Notches
Top Pl to
1 1/2 (w) 16 gauge (8) 16D n ils each ide
�Draft stopping 1,000 sq. ft. ffll or tru ses
Anchor Bolts 6 ft. or less on ce ter
h7teld 24 inches fr wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
.Penetration sealed
16 inch insulatio *n cavity min.
Garage Fire Separation
House side 1/2 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 ..........
LASuel-lerning-way\13 ui Idin g.Codes.Inspection.FORM S\Frarni ng Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: -am/ m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: m1f ce--Ir 03. PERMIT#: e 3
LOCATION: 5_71�0 j�41eA-_ /Cb, INSPECT ON:
4A/d
TYPE OF STRUCTURE: IS,
z -
-Y of N N/A
Framing COMMENTS
Jack Studs; Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.(:
Headroom,6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
4Ndtehft/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
2;.(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 Y2inch 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:\SueHeminalvay\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doe January 28,2003
Vj
Foundation Inspection Report
Office No. (5 1*8)761-825 6 Date Inspection reqiKst received: /3
P F
Queensbury Building&Code Enforcement Arrive: am/ Depart: m/pm.
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials.
NAME: C ob
PERMIT
LOCATION: INSPECT ON: ?-4 TYPE OF STRUCTURE: 9,
Comments
A
�ngs
Piers
lithic 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 of 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.
U\Suellerningway\B uilding.Codes,Inspection.FORMSToundation Inspection Report.doo January 28,2003
INDIAN RIDGE PUD
PHASE ONE
DATED JANUARY 26, 2000
REVISED APRIL 3, 2000 ,�O
BY VAN DUSEN do STEVES
LAND SURVEYORS, LLC
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STATE OF NEW YORK \ �i 100,
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\\ 39,576 sq.ft.
\ 0.91 acres pp
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NO CLEAR ZONE \
\ 0.
e� 1 �e�2,. �,,.-�' P` i'�2�• I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
\O �, �"' � THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
kD in 7�•33' �J BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
SFER
INSTITUTIONSS OR SUBSEQUENTTIFICATIONS ARE NOT OWNER TO ADDITIONAL
r�--- CERTIFIED T0: Patrick M. Macey
`S (�� Kriaty L VcN)Wonken
TRUST :,National Association. its
- F. su ,�4 ,assIgns
JULCompany2003
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"" AMIMIMPN" ""WIN I` Kristy L. VanVranken
onaTMq CODE w FRW M;I'm LAND PAMYDMS ADOpm
Land Surveyors , LLC TO ` ow71 AN `M�'w '"
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AOEMM AM`OMO DaMnt W LIM MEM M NO Town of Queensbury, Marren County, New York
169 Havilaad Road Queenab ury, New York 12804 Tom A aT THE I�vwwww FARONE
(518) 792-8474 New York Lfe. No. 50135 NO. DATE DESCRIPTION DWG. N0. IR-44