2002-578 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CE RTA IFICATE OF COMPLIANCE
Permit Number: P20020578 Date Issued: Friday,July 16,2004
This is to certify that work requested to be done as shown by Permit Number P20020578
has been completed.
Tax Map Number: 523400-296-014-0001-039-000-0000
Location: 10 EDGEWOOD Dr
Owner: ROBERT&SHARON KELLY
Applicant: ROBERT&SHARON KELLY
This structure may be occupied as a:
By Order of Town Board
Porch TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY ,
742 BayRoad,Queensbur3,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020578 Application Number. A20020578
Tax Map No: 523400-296-014-0001-039-000-0000
Permission is hereby granted to:
For property located at: 10 EDGEWOOD 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: ROBERT & SHARON KELLY Porch 2,800.00
10 EDGEWOOD Dr Total Value 2,800.00
QUEENSBURY,N.Y. 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2002-578
Screened-in porch, 192 sq. ft. per specifications
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,July 15,2003
(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 To o eens nay,July 15,2002
SIGNED BY for the Town of Queensbury.
Director of Building Kodeltkforcement
TOWN OF QUcENSBURY ' ��� � Fee Paid
BUILDING & CODES DEPARTMEN Permit # -
APPLICATION FOR: PORCHEMV&K-40-5 /�
DOG - & BOATHOUS�nF Est. CostURY
t�Q
A'-PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTI:OLT_,QQ�'CEASE ANSWER ALL OF TfiE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work -which :wi11 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: R04e,__/_ xe, h�/
P.O. Address Phone #
Property Location l)h_cke Cpo b" Tax Map
Subdivision Name (If applicable) -G �R�
PERSON RESPONSIBLE FOR SUPERVISIO OF WORK AS REGARD TO BUILDING CODES:
Name: Address Phone#
BUILDING SPA F CATIONS:
. Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) :
Foundation Material : Width Thickness.
Depth of Footing, below grade: q
Size of Posts or Studs: Lq x y x Long
Size of Floor Joists: x x Span
Decking or Flooring Material :
How will Porch or. Deck be fastened to building?
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: 1 2 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 32 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-As authorized by the
owner.
DATE: SIGNATURE
wn r, wner s ATceyrchr, Arch test, Contractor
REVIEWED'BY CODE ENFORCEMENT OFFICER, " DATE 0�2-- SIGNATURE Ia,
Queensbury Building & Code Enforcement Residential in Inspection
Office No.(51$)761-$256 Arrive: p Dep pm
Date Inspection request received: Inspector's Init' s: _ r-
NAME: P IIT#:
LOCATION: 6 r E: -- -- Q)
TYPE OF STRUCTUR :
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish 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
Enclosed Stairs Sheetrock Underside minimum '/a"
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Tern 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: / Banery 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
Gara e Floor Pitched
Garage fireproofing/1/4 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 s . ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required ;
Final Survey Plot Plan AAA
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required q,
Okay to issue C/C or C/C} Temporary/Permanent
L:\PamWlBuilding&Codesllnsvection Forms\Res.Final Insp.form 2.docLast printed 2/12/04
Office Use
GENERAL INSPECTION REPORT Inspector V-C!
Town of Queensbuty
Ready at time:
Dept. of Community Development Request received: -74 0 10' Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbuty, NY 12804 ARRIVE 143o am/pm: DEPART -am/pm Notes:
(518) 761-8256 Ins ector's Initials.
NAME: L4 I Qr'UYN" PERMIT# �b)2-5173
4
LOCATION: 1' 1 IN ECT ON{date}: c
TYPE OF STRUCTURE:. ! —, JZ
RECHECK
NIA YES O COMMENTS
Footings/Pier
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
Framing
Jack Studs/Headers
Bracing/Bridgmg
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:1SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
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JUL o 5 2002
16TOWN OF OU":ENSBURY
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