2003-783 TOWN OF%EENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20030783 Date Issued; Wednesday, October 08,2003
This is to certify that work requested to be done as shown by Permit Number P2003070
has been completed.
Tax MapNumber: 523400-301-013-0002-080-000-0000'
Location: 20.CHIPPEWA Cir
Owner: GEORGE&GRACE BERTOLOTTI
Applicant: GEORGE&GRACE BERTOLOTTI .
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QdENSBURY
Director o g&Code E rcem
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P24030783 Application Number: A20030783
Tax Map No: 523400-301-013-0002-080-000-0000
Permission is hereby granted to: GFORGF,& CYRAC"F BFRTOLOTTT
For property located at: 20 CHIPPEWA Cir
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: GEORGE& GRACE BERTOLOTTI
20 CHIl'PEWA Cir Deck $1,700.00
Total Value $1,700.00
Q�JEENSBURY;NY 12804-0000-
Contractor or Builder's Name/Address Electrical Inspection Agency
ANDREW LEWIS
107 DIAMOND POINT Rd
LAKE GEORGE' NY 12845-0000
Plans&Specifications
2003-783
196 sq ft deck as per plot plan specifications.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES; Sunday, September 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 Town of Queensbury; Friday, September 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. � ` 7 83
inspection will be made until applicant has received a valid .Fee Paid $J O t)
building permit. All applicants'spaces on this application must be Reviewed By:
completed and must appear on the application form.
Applicant• ' AC 16,!:-:-otec4e- 1 ota i-r 1 Owner:6R Cam'(,k to 6, lk-ler0 '7
Address:,AC) Address: - �
Phone#(�1 4� Phone#{ o_�W-.$4*—C
Emaif Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes_:
Ia 7 57e
Name l�N/ R� �- k�r S Address: f ro,� 1��ne 6 a 3
Property Location: Lot Number. / House Number J, 1 (M5 1/9PRQ--)
Subdivision Name: ,�!/ "ZA100j 5 Tax Map Number: -401 . � �.�- •�. -"$�
Estimated Market Value of Construction:$ d�• CC
❑ Porch
-.�K-Deck
❑ Dock❑ RECENED
' Boathouse
❑ Other work(describe
/ SEt 17 206`3
Size of structure to be built _square feet
TOWN OF OUEENSSURY
EU1LD1NG AND CODE
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 w rVshall be comp ' with,whether specified or noted,and that such work is
authorized by the owner.
Applicant's signature: / / Date: e� (.�..:�
L:\.SueHemingway\Building.Permit.FORMS\Porch.Porch.Permitdoc 8/13/02 revised per DH
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received: `
Queensbury Building&i Code Enforcement Arrive: a 7art: Lpm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: 1-361R-1-~ L..-0 PERMIT#: 763
LOCATION: ry t A- y2� DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
r
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more @ stairs,decks,patios IV
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
Fumace/Hot Water Heater operating
-Low water shutoff 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
Plumbin fixtures
Foundation insulation
Floor tntss,draft stopping finished basement 1,000 sf
Emergency egress below grade
_ 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)
Oka to issue Temporary C 1 O(Cert. Of Occit anc
Oka to issue Permanent C/O(Cert. Of Occu anc
L:1SueHemingsvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m epart• ` am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: I�.JC%{ - c 1'a 1 PERMIT#: ,
LOCATION: INSPECT ON: 4,
TYPE OF STRUCTURE:
r
Y N ^LA COMMENTS
(/ Framing V /}
Jack Studs/ Bridging
Headers
Bracing/Bn 6- Ax c_..t ow-'-
"" ���
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 %z(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 %z 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
Framing Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: arn/Drn Depart: I.-.. 5wpm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: O�- -79 .
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
OtN/A Y N co NT
/Praming
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 3 6 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
I 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 V2inch 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:\SueHemitigway\Building.Codes.inspection.FORMS\Praming Firestopping Inspeefion Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/T S C Depart:_ _j,
prn
742 Bay Rd., Queensbury,NY 12 804 Inspector's Initial V--
NAME: PERMIT#:
LOCATION: ff K-5-ov-pr- (-L4 r2r-- - INSPECT ON: t
TYPE OF STRUCTURE:
Comments
- 'Zepart-
Y /N N/A
7FO/t—ings'
t r Piers
'd
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:
12 inch width
6 inches above footing
6 mil of for wet areas under slab
Backfill Approval 4
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L;\SueHemingway\Building.Codcs,lnspection.FORMS\Foundadon Inspection Reportdoc January 28,2003
r t9 Al
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: l0
Queensbury Building&Code Enforcement Arrive: am/p Depart: m
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: �0 PERMIT#: cQ 0.3 7P3
LOCATION: d INSPECT ON: 6 12
TYPE OF STRUCTURE:
Co ent
otin sK" Z
Y N N/A
o
rs 1 t
.' Monolithic Slab
r
�'- 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 a
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Glade 6 inch drop within 10 ft.
L,\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003