2001-211 A
TOWN OF QUEENSBURY
` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building & Codes (518) 761-8256
CERTIF•ICATE OF COMPLIANCE
_Permit Number: P:20010211 Date Issued: Friday, May 13, 2005
This-is:to_certi that-work-requested:to.be done as.shown byPr
. emit Numbera P20010211
has been completed.
_ Tax Map Number:
-- -- " - ...,:.__.. ... - -- �523400-295-007-0001-017-000-0000
Location: = 53 SARA-JEN Dr.
Owner:: :.. ROBERT &KATHLEEN CINA
Applicant: ROBERT &KATHLEEN CINA
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, . r
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.
ier
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010211 Application Number: A20010211
Tax Map No: 523400-074-000-0002-080-000-0000
Permission is hereby granted to: ROBERT&KATHLEEN CINA
For property located at: 53 SARA-JEN Dr
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: GUIDO PASSARELLI Deck 3,000.00
40 LEHLAND Dr Total Value 3,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-211
170 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$16.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,May 02,2003
(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 of Queensb ry; Wed i esday,May 02,2001
SIGNED BY for the Town of Queensbury.
�f Y
Director of Building&i rodeo forcement
4 , TOWN OFQUEENSBURY Fee Paid
�� rail BUILDING & CODES DEPARTMENT {��a n
' °' APPLICATION FOR: PORCHES-DEC r cgi Permit # 4 6/-c7)/
DOCKS & BOATH ES �"'`� Est. Cost 360
PR 212001 1
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTROOTAQypc4 EASE ANSWER ALL OF THE FOLLOWING:
BUILDING , NSBURY
The undersigned hereby applies for a Building Perin t—t:o-c�e bi2fg lowing 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: Q-G 4" r Q' , ,a ,,, in ce..nz .
P.O. Address , eve.ed ,,A,e / j n tY ) Phone # •7 ij_.'3 7 -
Property Location ® / Tax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: .,af . Ci, ,?— Address 62r/4 J', _,A Phone# MP-5"-yoj
/.2 ' 1 41 "
BUILDING SPECIFICATIONS: 66.:?-��30
•
Type of work to be done: Porch ec Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : Oa o /��
Foundation Material : Width Thickness /o .- pe
Depth of Footing, below grade: Mfg"
Size of Posts or Studs: Li x x (i Long
Size of Floor Joists: a x 4 x x• Span
Decking or Flooring Material : ',i4ii <
How will Porch or Deck be fastened to building? Z,, pzi
r
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: /40 ft. x o26D ft.
Existing building(s) : Size cf ft. x SS ft.
Size ft. x ft.
Use of Existing building(s): % mi
Proposed structure, distance from property line:
Front yard ,jR ft. Rear yard G 41 ft.
Side yards ,u, ft. ands 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 11 provisions of the
Building Code, the Zoning Ordinance, and all other laws pertaini .,vto the proposed work
shall be complied with, whether specified or not, and hat :ic ,ork is authorized by the
owner. j
DATE: SIGNATURE -G� --. 7
a
_I n r, Owner s Agenc , I o, Contractor
REVIEWED' BY CODE ENFORCEMENT OFFICER, DATE 5 1/ 0 SIGNATURE . A
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: 1'=' eirvpm
Date Inspection request received: Inspector's Initials:
NAME: Obi' a 1 VIATIALEO CAA PERMIT#:
LOCATION: 4-)F A T s nR , DATE: \;71—fi5
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location �C�11 RPp9zJEX)
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios ,^ f {7•
Guard at stairwell at 34 in. or more V/ v4
Guard at deck,porches 36 in.or more
Exterior Finish Complete J
Interior/Exterior Railings 34 in.to 38 in. a
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %Z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 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/Heat Trap/Water Temp 110
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:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
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
Attic access 30 in.x 22 in.x 30 in.(ht,)In accessible area
Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq. 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 or C/0 [Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insn. form 2,docLast printed 2/12/04
01,:j0 kA
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: T
Building&Code Enforcement
742 Bay Road 9' d5
Queensbury,NY 12804 Arrive am/pm Depart
Inspectors Initials
NAME: 1 r)C� �.„, i PERMIT# ( )�
LOCATION: ...SA-/ PE 7 �i /
TYPE OF STRUCTURE:
RECHECK
N/A YES 7COMMENTS
ti gs/Piers
uc r Fonn
Reinforcement in Place
The contractor is responsible fo
providing protection from free.ing
for 48 hours following the play ement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
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
MAP REFERENCE:
LEHLAND ESTATES SUBDIVISION
FINAL LAYOUT PLAN - PHASE 3
DATED: APRIL 27, 1999
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
� an D u s en
Steves
Land Surveyors, LLC
169 HavWmd Road
Queenabury,
New
York
12801
i518) 792-8474
New York
Lie.
No.
50135
SARAH JEN DRIVE
'LNAUTIMM ALTERATION OR ADDITION To A SURVEY
MAP BEARNO A UCENlFD LAND SIRVEYORS WAL 6 A
NOLATION OF SOMM 7200. SA-DIVLSON 7. OF THE
NEW YOB( STATE EDUCAIION LAW.'
*ONLY OOS! PROM IHE COMM OF TMS SUNZY
MAM¢D WNH AN ORKNAL OF M LAD SLaVCYOR,
SEAL SYLL BE CONSIDERED 70 BE VALID IMff COMM
CFIInFICATRYb SWA70 HMVN mOnFY THAT
TM SAtWY WAS PREPARED N ACCORDANCE MIN THE
OWING CODE OF PRACUE FOR LAND SURVEYORS ADOPTED
NY THE NEVI YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SUR*-tU . SAD CERTIFICANNS SNNL RUN ONLY
70 IHE PERSON FOR WHOM THE SRIVEY IS PREPARED. AND
ON HIS ENALF To THE n7LE COMPANY. GOVERNMENTAL
AGENCY AND LENDING BISUTIATI N LIM HEREON, AND
Map of a Survey made for
ROBERT J. & KATHLEEN M. CINA
Town of Queensbury, barren County, New York
U
LU
r�
IY TMAT TMIS MAP WAS PREPARED
1L FIELD SURVEY.
ION SMALL RUN ONLY TO THE PERSONS
SURVEY WAS PREPARED. AND ON THEIR
TITLE COMPANY. GOVERNhENTAL AGENCY
..5TITUTION LISTED "MON.
CERTMATK*b ARE NOT TRANSFERABLE TO ADDITIONAL
NSTITUMIS OR SUBSEOLIENT OWNERS.
MUM TOM Robert J. ♦ Kathleen M. CAN
GwAgo Tale. k
Gmpmy
o
DATM March 19. 2001 NAW 0
501W
Scale 1"=30'
S-1
SHEET 1 OF 1
C 4A
DWG. NO. 89423-80
NO. I DATE
DESCRIPTION