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2003-673 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: P20030673 Date Issued: Wednesday,June 25,2008 This is to certify that work requested to be done as shown by Permit Number P20030673 has been completed. Tax Map Number: 523400-290.014-0001.010-000-0000 Location: 6 CLEARVIEW Ln Owner: ROBERT&JEANNETTE JENSEN III Applicant: ROBERT&JEANNETTE JENSEN III This structure may be occupied as a: Deck 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. t Y 'y;r' TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NI'12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20030673 Application Number: A20030673 Tax Map No: 523400-290-014-0001-010-000-0000 Permission is hereby granted to: RnRF,RT&JF,ANNF,TTF,.FNgF,N TTT For property located at: 6 CLEARVIEW Ln 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: ROBERT &JEANNETTE JENSEN I Deck $1,200.00 6 CLEARVIEW Ln QUEENSBURY,-NY 12804 Total Value $1,200.00 Contractor or Builder's Name/Address Electrical Inspection Agency PAT TL YORK 309 ANCTEL Rd CORINTH_ NY 12822-0000 Plans&Specifications 2003-673 288 sq ft DECK AS PER PLOT PLAN SPECIFICATIONS $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 26, 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 rj7 Quee s sday,August 26,2003 SIGNED BY for the Town of Queensbury. Director of Building&Code 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 $ U building permit. All applicants'spaces on this application must be Reviewed By: completed and must appear on the application form. APP licant: 11f a2 , Owner: 1i&�� Address: W►tf,�6-1- e,0 Address: Phone#(Z�j Phone#(r78-) 2-F?- 7Y7J Email Address: Email Address: i f Person Responsible for Supervision of Work as Regards to Building Codes: Name Address: Phone Property Location: Lq�Number; oG. I House Number Subdivision Name: Q Od_3 ¢ ; Tax Map Number: Estimated Market Value of Construction W '"40 . ❑ Porc - Deck V 2,a u ELj ❑ Dock ❑ Boathouse 4 2003 ❑ Other work(describe l� 2 �� 11"t' t '. sBURY Ai11D Size of structure to be built square feet - ��G �BE 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. 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 owner. �J Applicant's signature: Date: L iSueHemingway\Building.Permit.FORMS\Porch.Porch.Permit.doc 8/13/02 revised per DH Foundation Inspection Report q1Office No. (5 18)761-8256 Date Inspection request received: 2, .6 Queensbury Building&Code Enforcement Arrive: —am/pn\ Depart: fir-ftIpm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 3--�&73 LOCATION: D4>P7ECT ON: /-; TYPE OF STRUCTURE: Comments Y N N/A roo t ing , Piers Monolithic Slab Reinforcement in Place The contractor is resplsibllr� 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 Darapproofing 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 slab Backfill Approval Plumbing Under.Slab PVC/Cast/Copper Foundation Insulation Interior J Exterior R- Rough Grade 6 inch drop within 10 ft. LAS ueflerningway\Building.Codes,Inspcction.rORMS\Foundation Inspection ReporLdoe January 28,2003 ' 1 Foundation Inspection Report Office No.(518)761-8256 Date Inspection rep eiv Queensbury Building&.Code Enforcement Arrive: pm epart: pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's NAME: IT#: LOCATION: INSPECT ON: — 5<=02 TYPE OF STRUCTURE:- —Comments Y N N/A otings 1 �, 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 Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 1.2 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC 1 Cast/Copper Foundation Insulation Interior/Exterior f R- Rough Grade 6 inch drop within 10 ft. L\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 r 3 T e Foundation Inspection Report - Office No. (S 18)761-8256 Date Inspection request recei ed: Queensbury Building&Code Enforcement Arrive: any/ Depa mipm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: Qn,-- PERMIT#: LOCATION: > INSPECT ON: — D TYPE.OF STRUCT Comments _------ Y IN N/A Pi- r5 :. 4lithic Slab Reinforcement in Place The contractor is responsible for ti providing protection from freezing for 48 hours following the placement of the concrete. Materials for this puzgse on site. Foundation/W allpour 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 rnil,poly for wet areas under slab Backfill Approval Plumbing Under SIab PVC/Cast/Copper Foundation Insulation~Interior 1 Exterior R- Rough Grade 6 inch drop within 10 ft. G:\,SucHemingway\Building.C:odes.Inspection.FORMSV'oundation Inspe ion Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Insp#ectionques r e' ed: 111A SOL '3 Queensbury Building&Code Enforcement Arrive: a DepArt: apepm 742 Bay Rd.,Queensbury,NY 12804 Inspector's tial !P73 NAME: PERfMrTr#: LOCATION: eLMLVjojj J)'Q4Ue— INSPECT ON: I 1�10 /0-_/9:00 TYPE OF STRUCTURE: Comments N N/A tings 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 Dampproofing 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 slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SucHeniingway\Building.Codes.Inspection.FORMS\Foundation inspection Repoil.doc January 28,2003 Queensbury Building & Code Enforcement Residential R al Inspection "a,kial Inspection Office No. 518)761-8256 Arrive: a art: am/pm Date inspection request received: Inspecws initials. IT#_ < NAME: PE T M LOCATION: D E: -EY> 3 TYPE OF STRUCTURE: Comments- Yes No WA /� f/C-�'�1 47 Building Number Address visible from road ep Chimney Height 1"B'Vent/Direct Vent Location Fresh Air Wake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors H Handrail 4 or more risers Guards at stairs,decks,p!!tios 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 Deck Bracing/Handicapped Ra!Ep Compliant 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 I doors f main entrance 36 inches Bathroom/Kitchen watertight Safe lazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access,I N.ft:I 50 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within fine of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed f Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W G sum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System f Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C 10[TemporarA Permanent I LABuilding&Codes FormsNBuilding&CodesXInspection FormsNResidential Final Inspection Foffn-revised-100405.doc,Revised January 7,2008 I STORY BRICK BUILDING NOW OR FORMERLY BERNARD C & B£VERL Y ROGGE 1134120 TAX MAP.- 54-5-6.52 �o L A W N DRILLED a / WELL CAPPED 10.8' IRONS S82 33 39 E FOUND AWED MACADAM tED�E....... PARKING LOT — — I I o U Q, I WOODED o � Ia a o: 0 LAW'! 20' MIN. SE78ACK UNE 240.00' L A W N W t CLEA� O A LOT 2� ). 306 ACRES-+ W. S TAX MAP: 54-5-6.512 � tW q: r1 A W k I A NOW OR FORMERLY ' CHURCH OF LA TIER DAY SAINTS ^ '_ 5271230 TAX MAP. • 54-5-19.2 i AL IRON RO FOUND MACADAM PARKING LOT IF PotMED t l VMT rOLNOA "M I`o%7s'�/o"01) _— -,.- WOODED W MAP REFERENCE 1) MAP EN777LED ICLEARNEW ESTA7FS� OWNED BY RONALD & MARY RAVIVOR' MADE BY NORTHEAST LAND SURVEY & LAND DEVELOPMENT CONSULTANTS, P.C., DA7ED OCIOSE 22, 1991 AND FILED MI THE WARREN COUNTY CLERICS OFFICE ON APRIL 13, 1992, IN PLAT CAB. A-1, SUDE 182. DEED REFERENCE CHAD M RAYIVOR 70 ROBERT E. JIVSEN, N & JEANNETTE JENSEN DID. MAY 15, 1997 BK. 1024, PC. 130 MUTE "as AMP was PROwEv Wrpia f BMW OF AM Up -In -DOE MEE lAVVW M ABSTRACT AF TALE AND 6 SLOArT TO NF IFWW FACTS MY BE REWAUD BY SAID DOCLNAV s. .......... . ....... N82'3339 "W 240.00' NOW OR FORMERLY WA YNE & SUSAN PELAK 1117/'141 TAX MAP: 54-5-6.511 LOT 1D CLEARVIEW ESTATES (VACANT PARCEL) NOTES: 1) RESIRIC7IVE DEED COVENANTS SHOULD BE CAREFULLY EXAMN ED BEFORE CONSTRUCTION TAKES PLACE ON THIS PARCEL. 2) REFER TO MAP REFERENCE NO. 1 FOR OTHER SUSO WSION NOTE'S AND FEATURES. ZONING INFORMA 71ON ZONE: SR -IA ONE ACRE MIN. SINGLE- FAMILY D*-WNG LOT WD IH. 150' FRONT YARD SETBACK. • 30' SIDE YARD SETBACK- 30' OR MORE IW 7H A 10' MN. REAR YARD SETBACK.- 20' PERMEABLE AREA: 50% MIN. BUILDING HEIGHT 40' MAX. I HEREBY CER7IFY TO. RO W r E. .,E/VSEN. If AND .rEANN£rTE ZNSEN, AND M & T MORTGAGE CORPORATION, INAT -- TN S ' WAS PREP-ARED AN_Aa7UAL _ nu rear r-Pru run a IRW Y ACCORDING TO PALE NM3 NYT3 u . IRON ROD FOUND (BENT) 3 POLE NYr2 2 INOW OR FORMERL Y MICHAEL R. do JANICE L BARDIN 9241222 LOT Q CLEARNEW ESTA TES TAX MAP: 54-5-6.1 s Qc qlK FOUND (BEN T) 2 o g a' �) a o 0 4 2 U S �0 2 DRILLED Oo,-' WELL � 03—�73 RECEIVED `A IRON RWN OF QUEENSBURY FOUND _BUILDING AND CODE NOW OR FORMERLY JUDIIN PREIBERGER 7221155 TAX MAP.• 54-5-6.7 h POLE NM1 NYT1 I(6 lrr IVED I MAP JAN t 4 2001 OF LANDS OF TOWN OF OUEENSBURY BUAW CE R08ER T E. JENSEN, lI AND JEANNETTE JENSEN BEING LOT NO. 2, CLEARWEW EVA TES SI7UA TED IN TOWN OF OUEENSBURY, WARREN COUNTY, NEW YORK SCALE: I" = 30' OCTOBER 25, 2000 SINVEYMAP BY