2003-547 TOWN OF QUEENSBURY
742 Bay RoA Queensbury,NY 12804.5902 (518)761.8201
Community Development-Building&Codes (518)761.8256
FrC0MPLIANkC*'rE
Permit Number. P20030547 Date Issued; Friday,March 16,2007
This is to ce?k that work requested to'be done as,shown by Permit Number P20030547
has been completed,
Tax Map Number. 523400-290-013-0001-015-000-0000
Location: 87 MASTERS COMMON NORTH
Owner; LEONARDO&SYLVIA CHIRIBUGA
Applicant- MICHAEL&AMBER PALLESCHI
This structure may be occupied as a:
Deck z
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 QiJEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development Building&Codes (518) 761-8256
BUILDING PERART
Permit Number: P20030547 Application Number: A20030547
Tax Map No: 523400-290-013-0001-015-000-0000
Permission is hereby granted to: MICHAEL&AMBER PALLESCHI
For property located at: 87 MASTERS COMMON NORTH
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 Yalue
Owner Address: MICHAEL&AMBER PALLESCHI
87 MASTERS COMMON NORTH Deck, $1,800. 0
.
QUEENSBURY,NY 12804-0000 Total Value $1,80000
4
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-547
400 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,July 31,2004
(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 Quee ury rsda ,July 31,2003
1
SIGNED BY for the Town of Queensbury.
Inv 1111�
Director of Building&Code Enforcement
Y
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.07
inspection will be made until applicant has received a valid Fee Paid s o�
building permit. All applicants'spaces on this application must be Reviewed By:
completed and must appear on the application form-
Applicant: 111ce- -1—-Pl1�'ck'. Owner: M re_A Qc1 Rlle4c4p'
Address: 81 /`'rgsA-,s Al Address: �&?I /)4s�s Al�.,,.�,�
0%&e,erLS.bt0.r AV� y i -zyoq L� nS�t r4 . N( L 2 OOLI
Phone#(541} 7 ys-- 8'7 3 Phone#{,S1g) 795 - g?813
Email Address: 'v Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name Address: Phone
Property Location:' Lot Number: 3 / House Number �' l iqa, 1&3 esm woA A)-
Subdivision Name: /-/,land- Pao Tax Map Number: 5c;3goo- *jp-0 1-s-cow-o's
Coo- 6000
Estimated Market Value of Construction: $ 1_ aOD•'!e
❑ Porch
X Deck
❑ Dock _ rRECEIVEJ
❑ Boathouse
❑ Other work(describe - J,UL: 1.3 2003
Size of structure to be built L ny% square feet TOWN OF QUEENSBURY
BUlL& AND CODE
Submit along.with thisiRplication:
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.
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 co whether specified or noted,and that such work is
authorized by the owner.
Applicant's signature: Date: ? W02
L:\SueHemingway�Building.Permit.FORMStPorch.Porch.Permit.doc 8/13/02 revised per DH
Queensbury Building & Code Enforcement - Residential Final Inspection
e*/O Office No.(518)761-8256 Arriv --A am/ ,Depart: am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE: tL
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
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
Attic access 30 inches x 22 inches x 30 inches(height)in accessible'area
Crawl Spaces 18 inch x 24 inch access, I sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency eEess below grade
Gas Furnace shut-off within 30 feet 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/Heat Trap/Water Temp, 110
Enclosed Stairs Sheetrock Underside minimum V2,"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofin /3/4hour fire door/door closer
Duct work Scaled properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\inspection Forms\Residential Final Inspection Form—revised—I 00405.doc
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/pVi, Depart, , am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
G = 7l /��d .v
NAME: Qm PERMIT#: 0 3
LOCATION: !�n (YNa--SJtP 4,0 INSPECT ON:
TYPE OF STRUCTURE:�'— S )2 CA(
N N/A COMMENTS
arcing
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stair-wells 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 sealed
16 inch insulation in 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 , I
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHerni ngway\B u i Iding.Codes.Inspection.FORMSTrarning Firestopping Inspection Report.doc January 28,2003
�c�
1�raring Firestopping Inspection Report
Office No. (51 07�61- 56 Date Inspection request received:
�11 a C 1) Q rt V 4.
Queensbury Bui **,g&Code Enforcement Arrive: am/ in epa at�/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N ' ^/A COMMENTS
Framing
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 A)J7_ JA62_
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Pl\e
1 V2(w) 16 gauge(8) 16D nails each si
Draft stopping 1,000 sq. ft. floor trusse
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 Y2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
'T 24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LAS ucHernin gway\8 ui Id ing.Codes.Inspection.FORM STrarning Firestopping Inspection Report.doc January 28,2003
Framing 1 Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/:��Depart: arn/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials
NAME: r�7 PERMIT#: 0 / 'r
LOCATION: C.(,, INSPECT ON: E5 i5 /6-3
TYPE OF STRUCTURE:
Y N N/A
Framing COMMENTS
Jack Studs/Headers
Bracing/Bridging C— RQ
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. ' I
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top VNe
1 V2(w) 16 gauge(8) 16D nails ea sip
Draft stopping 1,000 sq.ft. floor tr sse
\
Anchor Bolts 6 ft. or less on center\
Ice and snow shield 24 inches from II
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 V2 inch or ype 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:\SueHemingway\Buildina..Codes.Inspection.FORMS\Fi-aming 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: NqL
NAME: �H' � ,` PERMIT#: 7
LOCATION: W'-tt , rn..._ d ` INSPECT ON: D 3
TYPE OF STRUCTURE:
Comments
Y N/A
F ot" gs
Piers
Monolithic 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 Dampprooting
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:1SueHemingway\Building.Codes,Inspection.FORMS\F•oundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (5 1S)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/
742 Bay Rd,, Queensbury,NY 12804 Inspector's lnitials:� Depart: I-tQF am/pm
NAME: PERMIT#: e>3
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
y N N/A
Footings
Monolithic 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 pli2ose 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
Bacldill Approval
Plumbing Under,Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspcetion,FORMS\Fouiidation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (51-8)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: ar�� C- Depart: anvpm
P-,; �
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON: 0
TYPE OF STRUCTURE: � �C-1 PJ6
Comments
Y N AN/A
'Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placemen
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.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Fouiidation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (S 1)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/mrt epart: f a Vpin
742 Bay Rd., Queensbury,NY,.12804 Inspector's Init7als:� `�
NAME: / '1LGG rSGle/ PERMIT#:
LOCATION: 9 -7 - INSPECT ON: /
TYPE OF STRUCTURE:
Comments
Y N /A
iers Ir,,
Monolithic Slab �%'
� t
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
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingway\Building.Codes,InspectionYORMSToundation Inspection Report.doc January 28,2003
ER 1
t
MASTERS COMMON NORTH
IRF N06°26'30"E IRf
173.00' UTIUM5
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0 LOT 3 31,202 41sq ft
J�� 9 2Q03 0.72 acres a
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FRAME HOUSE
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173.95,
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I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SMALL 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 MEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR 5UB5EQUENT OWNERS.
CERTIFIED TOE MCMAEL PALLE"
AMBER PALLE5CHi
ABN AMRO MORTGAGE GROUP. INC.. ITS
SUCCESSORS AND/OR ASSIGNS
MONROE TITLE INSmmcE COMPANY