2002-474 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: P20020474 Date Issued: Wednesday,July 17,2002
This is to certify that work requested to be done as shown by Permit Number P20020474
has been completed.
Tax Map Number, 523400-295-019-0001-033-000-0000
Location: 18 PINEWOOD Ave
Owner: ELIZABETH RAUNER
Applicant: LANGE,EDWARD&BETTY ANN
This structure may be occupied as a:
By Order of Town Board .
Deck TOWN OF UEENSBU Y
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20020474 Application Number: A20020474
Tax Map No: 523400-295-019-0001-033-000-0000
Permission is hereby granted to: LANGF.EDWARD&BETTY ANN
For property located at: 18 PINEWOOD Ave
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: ELIZABETH RAUNER Deck 3,000.00
C/O LINDA PARAIZO Total Value 3,000.00
11758 LAKE SHORE PI
NORTH PALM BEACH,FL 33408
Contractor or Builder's Name J Address Electrical Inspection Agency
Plans&Specifications
2002-474 EDWARD J. &BETTY ANN LANGE
384 SQ FT DECK AS PER PLOT PLAN,SPECIFICATIONS
$40.00, PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 11,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Qiieensbury before the expiration date.)
Dated at the Town of Quee sbury; Tuesday,June 11,2002
SIGNED B for the Town of Queensbury.
)( . /
Director of Bavg?&%e Enforcement
�-e
I�
TOWN OF QilcENS[3URY Fee Paid I
BUILDING & CODES DEPARTMENT '
APPLICATION FOR: PORCHES-DECKS-, Permit # c`} �12 i
DOCKS .& BOATHOUSES Est. Cost,QQ�_
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF 711EFOLLOWING:
The undersigned hereby applies- ti for a Building Permit to do the following work which will be
done in accordance with the description, plans an specifications submitted, and sick species
conditions is may be indicated ,on the permit.. TWO SETS OF STRUCTURAL PLANS SIIALL <6E SUI3MIT7
WIT11 TIIIS APPLICATION. I4
Owner of Property: /�Q�,¢,ea ✓;,�- ,",�f-rr�iy� , ir E
P.O. Address /%" Phone # s-r�r
Property. location �uFfiySi3v�y ,/y.y j3ye�
�1 Tax ._Map # S i E�yyt►
Subdi,vision .Name (if applicable) 560Tra� 3
PERSON ;RESPONSIBLE FOR SUPERVISIONAF WORK AS REGARDS TO BUILDING CODES: I
Names Address Phollne#
BUILDING SPECIFICATIONS, T 7�►J(Ii
Type of work to be- done: Porch Deck Dock Boathouse '(Circle one)
Size of Structure to be bui 1 t (square ootage}:
Foundation- Material : Width .. 8-b Thickness !/ <y
Depth' of Footing, below gradez
Size of Posts or Studs: �� x X Long �� ±
Size of Floor Joists: v2 x " x 2}Span i
Decking' or FIooring Materi_ 'a7• 5 2�02
How 1441 Porch or Deck be fastened to building? _ A/67 )w
Tov
If Roof
Wilt-Be- - -- - Inst- alled-,, _Answer_ F-o ll_owi.n
9--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 stole anti aLt.,checl
hereto'. show ng c ear y .an< c st 'n�Ty aain�js, whether existing or proposed .end
indicate all!: set .back dimensions Pro,,, proper boos. Show location of water supply and
location and'; configuration or
Septic disposal area.
Size of Property: /&a �. ft, x aho 3G' ' ft.
Existing buildings): . Size ,eft. x' 3 ft.
Size ft. x ft.
Use of Existing building(s): o,vp s,—e,- �„p��, F.Ftt,�-ryF ✓��s
roposed struc ure i stance from pro
-per l^ty_ nes_,_
- - -- _ Front yRard--- -f t_ Rear. Yard !a7 l ft.
Side yards Al,j— ft.. and ft.
If on corner, setback from street: ft. 1
I
I)ECLARATI ON
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 or the ,
BuildingCode, the Zoning Ordinance, and all other laws pertaining' to the proposed work
shall be coa,nliecl. with. whether specified- or not,. and that such work is authorized -Liy Lite.
owner.
DATE: SIGNATURE �
w er, Owners Age A ctor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE E� I/ 'Z-�'`JSIGNATURE - I
k�S i
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: �—
Building&Code Enforcement k
Dept.of Community Development Arrive am/pm Departd
Town of Queensbury spector's Initials (/
742 Bay Road
Queensbury New York 12804
NAME PERMIT# 7q
LOCATION DATE 1 �
-TYPE OF STRUCTURE
NIA YES NO COMMENTS
Chimney Height!"&"VentlDirect Vent Location ]
FreshAir Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior 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 J
FurnacelHot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in. /
Handrail exterior stairs both sides more than 3 risefs_
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. more
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 prot cted(in garage)
Light ventilation per room
Safety.glazing 18"or less fr floor
Final Electrical
Site PlanNariance requir
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Ce of Compliance)
Okay to issue temp.C/O!(Certif:of Occupancy)_
Okay to issue permaner}t CIO(Certif of Occupancy)
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE am/pm: DEPART I` �am/pm Notes:
(518) 761-8256 Inspector's Initials,
NAME: 11 PA PERMIT# .9002— Ljjq
t'A.,G,-, —1 q e s
LOCATION: PtAA'QAA sod d INSPECT ON(date):�(a4 d) &bps
TYPE OF STRUCTURE:
I eG�'
RECHECK
N/A YES NO Co NTS
Footings/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/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
10yraniing
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_
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TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance i.-vith our comments shall
not be construed as indicating the
plans and specifications are in full
compliance with the code.
�5
RE Cj'PNPY
TOWN OF QUEENSSUR�d
BUILDING & PT
REVIEWED BY
DATE
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