2001-179 TOWN OF QUEENSBURY E ComY
ET
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development -Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit.Number: P20010179 Date Issued: Friday, June 28, 2002
This is to certify that work requested to be done as shown by Permit Number P20010179
has been completed.
Tax Map Number: 523400-301-017-0003-018-000-0000
Location: 10 AUTUMN Ln
Owner: PHILIP &MARCIA GENGEL
Applicant: PHILIP &MARCIA GENGEL
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
Director of wilding&Code Enftrce�t
l ` . TOWN OF QUEENSBURY
-- - 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010179 Application Number: A20010179
Tax Map No: 523400-121-000-0015-002-000-0000
Permission is hereby granted to:. PHILIP &MARCIA GENGEL
For property located at: 10 AUTUMN 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: 'PHILIP &MARCIA GENGEL Deck 800.00
10 AUTUMN Ln Total Value 800.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-179 '
120 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$15.00 PERMIT FEE PAID THIS PERMIT EXPIRES: Thursday,April 24,2003
(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 o eensb ; Tuesd ,April 24,2001
SIGNED BY for the Town"of Queensbury.
Director of Building&C de En rcement
GU
TOWN OF QUEENSBURY Fee Paid
"art.V' BUILDING & CODES DEPARTMENT
APPLICATION FOR: PORCHES-DECKS- Permit #
DOCKS & BOATHOUSES Est. Cost
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description, plans and specifications submitted, and such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS. SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: Ali A. Ge.A
led
P.O. Address It7 „ »,,AA LekYte Qoae4:5hb;,�. 1�i Phone # 7L 3-D555
Property Location Tax Map # / ' n
Subdivision Name (If applicable) Sher,nr►cin 7;nzs
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Address Phone#
BUILDING SPECIFICATIONS:
•
Type of work to be done: Porch Dec Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : IaU sc, .�F
Foundation Material.: Width Thickness
Depth of Footing, below grade: ,4 6"
Size of Posts or Studs: x A x �; ,41 Long
Size of Floor Joists: ), x v x 1� Span APR 1 8 2001
Decking or Flooring Material : 5/4 ‘it (c, i Z' TOWN OF QUEENSBURY
' BUILDING AND CODE
How will Porch or Deck be fastened to building? 2...)( S A a ---
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-engineered spacing) : Span- -
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof:
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly all buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: ft. x ft.
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ft. and ft.
If on corner, setback from side street: ft.
DECLARATION
To the best of my knowledge and belief 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 not, and that such work is uthorized by the
owner.
DATE: � �5�01 SIGNATURE `, - '
• I w er, wn�'s A• •ncy �r i ect Contractor
REVIEWED ' BY CODE ENFORCEMENT OFFICER, DATE Dq SIGNATURE N.
VU&I
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement Ctih
Dept.of Community Development Arrive II
I,1Dm/pm Depart
Town of Queensbury Inspector's Initi s
742 Bay Road
Queensbury,New York 12804
NAME \\ \ c;em e.9 PERMIT r o)- '- r
LOCATION ) (7 C N c \\)�A �,DATE P-- -�)
TYPE OF STRUCTURE p p r ,V
N/A YES NO COMMENTS
Chimney Heightl"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete /
Interior/Exterior Railings 30"to 36" it///
Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation •
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area l \
Furnace/Hot Water Heater operating Relief Valve(s)installed \
.
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in. \/I
Handrail exterior stairs both sides more than 3 risers r/\
Interior privacy/trim/doors/main entrance 36"
Floor Finish a/I\
Bathroom/Kitchen watertight A
Interior Handrails Balconies/Landing 18 in.or more J
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing •
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan •
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance) /
Okay to issue temp.C/O(Certif.of Occupancy)_ ✓/ -
Okay to issue permanent C/O(Certif.of Occupancy (?1)--
•
Office Use
GENERAL INSPECTION REPORT Inspector: P
Town of Queensbury Ready at time: I, mg_
Dept. of Community Development Request received: Meet: U
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE \'-a m p O I 'PA'T V:),D amt Notes:
(518) 761-8256 Inspector's Initials
NAME: G_P,11 t PERMIT# I / 7 9.
LOCATION: / !mot-(i\---( V,n )---Ctif\—Q / INSPECT ON(date): —
TYPE OF STRUCTURE:
RECHECK
N/A YE (NO COMMENTS
otings/Piers
Monolithic Pour Form
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/D ampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
( L) 0/uly ,
FIRE I6ARSHAL
, pia' TOWN OF QUEENSBURY
30 QUEENSBURY, NY 12804
� (518) 761-8205
lMfJt (�-1 I
FIRE MARSHAL INSP�CTIGIN REPORT
REQUEST RECEIVED 3 I PERMIT# C [—J71
NAME 5
LOCATION 7 IA 5
SCHEDULE INSPECTION ON J/II 02
1 Ov PM ANYTIME
APPROVED
NIA YES NO
EXITSc\\\
)�
AISLE WIDTHS
EXIT SIGNS A.
EMERGENCY LIGHTING
FIRE EXTINGUISHERS - �(
FIRE ALARM SYSTEM (
FIRE SPRINKLER SYSTEM'
FIRE SUPPRESSION SYSTEM �(
HOOD INSTALLATION x
INTERIOR FINISHES x
STORAGE: A,
CLEARANCE TO SP INKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY x
WOOD STOVE �(
FIREPLACE-MASONRY X
FIREPLACE-FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
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MAP REFERENCE : •
MAP ENTITLED "SHERMAN PINES SUBDIVISION"
DATED JAN. 25, 1993, SHEET 1 OF 12 • / /i
MADE BY MORSE ENGINEERING P.C. LOT 1 I
FILED IN WARREN COUNTY CLERK'S OFFICE ON I
JANUARY 29, 1993, PLAT CABENET A SLIDE 197
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UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
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MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
. VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW." /.
"ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.'
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