2001-323 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 128045902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010323 Date Issued: Thursday, April 01, 2004
This is to certify that work requested to be done as shown by Permit Number P20010323
has been completed.
Tax Map Number: 523400-308-010-0001-062-000-0000
Location: 5 WAYNE Ct
Owner: JEFFREY & KERRY ZIEGLER
Applicant: JEFFREY& KERRY ZIEGLER
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queenshury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010323 Application Number: A20010323
Tax Map No: 523400-125-000-0009-098-000-0000
Permission is hereby granted to: JEFFREY&KERRY ZIEGLER
For property located at: 5 WAYNE Ct
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: JEFFREY& KERRY ZIEGLER Deck 1,000.00
5 WAYNE Ct Total Value i,000.00
QUEENSBURY,NY 12804
Contractor or Buikiei s Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-323
280 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, May 29,2003
(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 T wn o �uee/�re upy; y s y, May 29,2001
SIGNED BY awl/ 4/1 / for the Town of Queensbury.
Director of Building&Code Enforcement
f
TOWN OF QUaENSBURY Fee Pai
AV ;;V` BUILDING & CODES DEPARTMENT �1
APPLICATION FOR: PORCHES-DECKS- D J Permit # I—�L
DOCKS & BOATHOLICal ',t
st• Cost 1
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PL 1S O,ONSWER ALL OF THE FOLLOWING:
701/14
The undersigned hereby applies for a Building Permi.018.0p,xlieEtkalt6mtng work which will be
done in accordance with the description, plans and spedffiValfargOBbmitted, and such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTDRAt PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: a �j 1fIj 2 i
P.O. Address Phone -
1(),30i
Property Location
j a-YVIQ kCAAIN c ae��n (LA/ Tax Map #
-
Subdivision Name (If applicable) N \ &f M Iz(1 C,
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS`tO BUILDING CODES:
Name: J e.
�� z`'rtP1r Address Scvv..Q_— Phone# Wit.-�'�C
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : yr:}(' 280
Foundation Material : Width Thickness
Depth of Footing, below grade:7
Size of Posts or Studs: y jr x err x (2. Long
Size of Floor Joists: 2" x O<< x x4< Span
Decking or Flooring Material : s/q ,c6
How will Porch or Deck be fastened to building? '��n
9• , v � 'd7CJvtC4 9
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 build) nl is, 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 complie with, whether specified or not, and that such work is authorized by the
owner.
DATE: SIGNATURE
_ 11.)r/
Owne s gc• ! ► r ct, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE Z� SI NATURES
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection re. .-st r ceiv
•
Queensbury Building&Code Enforcement Arrive: .m/p e. : . • rpm
742 Bay Rd.,Queensbury,NY 12804 TT Inspector's Initial . —
NAME: 71F_(S .F 2- tevp`l 7.FF • • IT#: -2Dnl—"72-,
LOCATION: _� .�R�IpF Cr %ATE: t -
TYPE OF STRUCTURE:\etd . Fr-,YC
Comments
Y N N/A_
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
. 3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or Inure
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 shut-off 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: i Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Bathroom Fans, if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
%hour fire door/door closer fj k
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(lit.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq.ft-ISO 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(Cert.Of Compliance)
Okay to issue Temporary C/0(Cert.Of Occupancy)
Okay to issue Permanent C/O(Cert. Of Occupancy)
L:SueHemingway\Btu lding.Codes.Inspectionl:OIDdS\Rm.Final Insp.form 2.dec edited January 28,2003
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: m D
742 Bay Rd., Queensbury, NY 12804 Inspector's In' al..
NAME: IT#:
�'39) 3
LOCATION: DATE: 'r]' a-o3
TYPE OF STRUCTURE: -?O at
l- Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed
Interior privacy/him/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
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed nse.i4 ches 7'
a%hour fire doo`c.4-thie;closer � '7% \
Garage fireproo rf ng �..
Duet work Sealed properly
Attic access 30 in.x 24 in.x 30 in,(M.)In accessible area
Crawl Spaces IS"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(Cert.Of Compliance)
Okay to issue Temporary C/0(Cert. Of Occupancy)
Okay to issue Permanent C/0(Cert. Of Occupancy)
L:\SueHemingway\Suilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
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,...
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road ' /
Queensbury,NY 12804 Arrive am/pm Depart I- I iy j
Inspector's Initials t
NAME: "+Y u R 4 \ / C PERMIT# 01 " 7--3
LOCATION: �,� ...00&, NAA-5 DATE: On '
TYPE OF STRU Jft���
RECHECK
N/A YES NO COMMENTS
Footings/Piers ( 1 I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible o
providing protection from •-i
for 48 hours following the • ,•• . nt
of the concrete.
Materials for this purpose on site
Foundation/W pour
Reinforcement in ace
Foundation/Dampp
Baclfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P .•-
Rough Numbing
Heating Rough-In
Insulation
Foundation Walls Interio1 R-
Foundation Walls Exteri• R-
Floors
Walls -
Ceiling •-
Duct work or piping in
unheated spaces R-
oper Vent,Attic Vent
Stamina
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Bather
Fire Separation 1,2, 3,hour
Penetration Sealed
ire Wall 2,3,4 hour
./Fireatopping
,,,7
GENERAL INSPECTION REPORT
( 518 )761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road t:/
Queeusbury,NY 12804 Arrive am/pm Depart( grg�gm
Inspector's Initial �•(/�
LOCATION: -
AME: r_1x/R..l-,� -aU f'{`j�C Q,f1`�•,,� PPERMIT# 0 I/
- -
TYPE OF STINT
T1JRE: 1-�r \�jfj
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 I I
Monolithic Pour Form
Reinforcement in Place
The contractor is , i for
providing protection -�ing
for 48 hours following,•- , „m
of the concrete.
Materials for this purpose ,
Foundatioa/Wailpour
Reinforcement in Place
Foundation/D: ., „
Backtill Approval
Plumbing Under Slab
Plumbing Vent/Vents in PIaFe
Rough Plumbing
Heage' o?ugh-in
`Yr-�—,n_
Foundation Walls Interi r R-
Foundation Walls E ar R-
Floors R-
Walls R- lf�-
Ceiling R-
Duct 2�
work or piping i /
unheated spaces R- ,//
r Vent,Attic Vent /
Sack Studs/Headers //
Bracing/Br�nK (N*tWL- Li QVA9( 860 Jl e,
Joist Hangers �/l fJS ,cam
lack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3, hour
e on Sealed
Wall ''4 hour
Fiestopping 701h Lrt6f e /A� N 6c ufcn
‘ Qeio
GENERAL INSPECTION REPORT
( 518)761-8256
Town of Queensbury
Dept of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road �/—'•
Queensbury,NY 12804 Arrive 11=1g'7uyl001 Depart
Inspector's
NAME: PERMIT# O ff—
LOCH : j U f Yl `/ DATE: — I
TYPE OF STRUCTURE: _ 5"
RECHECK
N/A NO COMMENTS
oLlithi ic s Pour Form , s1EZv� EN p�1
Reinforcement in Place U
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/Walipour
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
Bated spaces R-
r Vent,Attic Vent
ranting
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Nlain Beam
Air infiltration Barrier
Fire Separation I,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
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l i � TO%Cc QUEENSBURY Bti� NEPARTMENT
Based on our limited exam
?�CoYYGM.., �i _.. .t /� compliancevritl,our comments shall
not be construed as indicating the/
" \ / plans and specifications are 11114
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