2000-848 TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 7G1-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20000848 Date Issued; Monday, April 03, 2006
This is to certify that work requested to be done as shown by Permit Number P20000848
has been completed.
Tax Map Number. 523400-301-019-0001 -019-000-0000
Location: 28 PASCO Ave
Owner: STEVEN & BERTHA SUMNER
Applicant: STEVEN & BERTHA SUMNER
This structure may be occupied as a:
Porch
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the )i k
property owner of the responsibility for compliance with Site Plan, f�
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.
TOWN OF QUEEENSBURY
742 Bay Road, Queen9bury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8255
BUILDING PERMIT
Permit Number: P20000848 Application Number: A20000848
J'ax Nlap No: 523400- 121 -000-0002-007-002-0000
Permission is hereby granted to: STEVEN & BERTHA SUMNER
For property located at: 28 PASCO 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: STEVEN & BERTHA SUMNER porch 500.00
28 PASCO Ave Total value 500.00
QUEENSBURY, NY 12804
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans & Specifications
ti.
2000-849
192 SQ FT PORCH AS PER PLOT PLAN SPECIFICATIONS
$16.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, November 15, 2002
(Ifa 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 Qu nsbu ed a , November 15, 2000
SIGNED BY `�^" o For the Town of Queensbury.
Director of Building & Cade En rcement
TOWN OF QUEEKSBURY Fee Paid 1
BUILDING Er CODES DEPARTMENT Permit # F
APPLICATION FOR : PORCHES- DECKS-
DOCKS & BOATHOUSES st . Cost r
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCT een R THE FOLLOWING :
The undersigned hereby applies for a Building Permit ,ry�p t ollowin work which will be
done in accordance with the description , plans and sp Yi'i azzsubmitted , and such special
conditions as may be indicated on the permit , TWOi0 , UCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION . HUIL.D1 AND COp�V
Owner of Property : j5ivC+tCZ:7r— S u sLT ►1 'r r
P . D . Address ZSe f rt sr Al Phone # ? 9Z 3 Se,
Property Location 2- e pet scd / v Tax Map #
Subdivision Name ( If applicable )
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES :
Name : kx '�7 a r' Address Phone#
BUILDING SPECIFICATIONS :
Type of work to be done : <tgrCffl Deck Dock Boathouse ( Circle one )
Size of Structure to be built ( square footage ) :
Foundation Material : Width 10 Thickness / .Ir`S iLr'v
Depth of Footing , below grade ; � � rr
Size of Posts or Studs : Z- '` x �'�`� x r Long
Size of Floor Joists : Zr'` x "� x fz ' Span
Decking or Flooring Material : % 42lZwO o�
How will Porch or Deck be fastened to building ? S Gyrw�
�s
If Roof Will Be Installed , Answer Following Questions :
Size of Posts or Studs : x it 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 FLANS 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 authorized by the
owner ,
C:�) '
DATE : . SIGNATURE -
Ufh5rs, Owner ' s Agency , Architejctt Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER , DATE ./ SIGNATURE � ', j
Queensbury Building & Cade Enforcement - Residential Final Inspection
_--,� 0 MJA
Office No. (S 1 $) 76I-$256 Arrive: am/pm, 4 Depart: � L� am/pm
Date Inspection request received: _ Inspectox's initials: I __ r "
NAME: - v� v�.. l3 m i1..s v PERMIT #: Cyc-s s. g V
LOCATION- _ DATE:
TYPE of STRUCTU
Comments
Yes No NIA
Building Number I Address visible from road
Chimney Height / "B" Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete / Exterior Finish Complete
Platform at all exterior doors
Guards at stairs, decks, patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 lunches
Interior Handrails P, stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed / regulator 18 inches above grade
Interior privacy / trim / doors / main entrance 36 inches
Bathroom / Kitchen watertight
Safety glazing / Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backu
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches (height) in accessible area
Crawl Spaces 18 inch x 24 inch access, I s . ft.-ISO sq. ft. vents
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1 ,000 s . ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area ` -t , (L
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s) installed / Heat Trap/ Water Temp 110
Enclosed Stairs Sheetrock Underside minimum '/s" Gypsum l
Basement stairs closed rise } 4 inches [^
Garage Floor Pitched -- .- - '
Garage fireproofing / 3/4 hour fire door / door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System / Sewer Dept. Inspection Sticker
Site Plan / Variance required
Flood Plain ation, if required
okay to is e C7 C C / Temporary / Permanent
L:1Building & Codes FormslBuilding & Codesllnspection FormslResidential Final Inspection Form_revised_100405_doc
+Queensbury Building & Code Enforcement - Residential Final Inspection
r ' -, }
Office No. (518) 761 -8256 Arrive: am/pm epart: � i i m/pm
Date Inspection request received: Inspector's Initials:
NAME; ti. �hh� _ PERMIT #:
LOCATION: -z.��_��,r�,�-, DATE:
TYPE OF STRUCTURE: �4-
Comments
Yes No NIA
Building Number / Address visible from road
Chirtmey Height / '"B" Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through ro Lmimum 6 inches
Roof Complete xterior Finish Cornplejp.
Platform at all exterior doors �` ' ti► }'�'�t`�-4
Guards at stairs, decks, patios more than 30 inches above grade _
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more
Handrail Termination at Newell. Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails stairs 2 or more risers y
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill late
Gas Value shut-off exposed 1 regulator 18 inches above grade
Interior privacy / trim / doors / main entrance 36 inches -- --
Bathroom / Kitchen waterfi ht
Safety lazin / Window in stairwells safety gwing
Interior Smoke Detectors:
Every level: Every Bedroom: 1
Outside every bedroom area: e,
Inter Connected: Batterybacku : �.__ :� ,l ,,"i�c --' f Z7
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches height) in accessible area -
Crawl Spaces 18 inch x 24 inch access, 1 s _ ft_-150 sq. ft. vents .•3
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1 ,000 s . ft.
Emergency caress below grade
Gas Furnace shut-off within 30 feet 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 / Heat Trap/ Water Tem 110
Enclosed Stairs Sheetrock Underside minimum '/2" Gypsum
Basement stairs closed rise > 4 inches
Garage Floor Pitched
Garage fireproofing / '/d hour fire door / door closer
Duct work Sealed properly
Gas Lo sin Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System / Sewer Dept. Inspection Sticker
Site Plan / Variance required
Flood Plain Certification, if required
Oka to issue C I C or C / 0 TemporLuy I Permanent
L,:\Building & +Codes Forms\Building &, Codeslinspection Forms\Residential Final Inspection Form revised_ 100405.doe
RESIDENTL&L FINAL INSPECTION REPORT
Office No. (518) 761-8256 Elate inspection request received:
Building & Code Enforcement
Dept. of Community Development Arrive 0
Town of Queensbury Insperctor's Ini
742 .Bay Rosa
Queensbury, New York 12804
NAME PERMIT (DO
1-A7CATiCIN DATEv�-
TYPE OF STRUCTURE4
NIA YES NO COIv11vffiNT3
Chimney HeightPM" VentlDirect Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Inter
Exterior
xteriorHAndra ls,balconies
ies to 36" ` p N � LJ� VS,C
Exterior Iiarmdrails, balconies, landing18 in. or rn�e �++.J
Interior handrails stairs. both sides a ate risers.
8rrade1 clearance
2% sway ill pr foundation �� [ k � r �
S" clearance to sill plate f =)
Gas Valve shut-off exposed/rrg�tl 18 ve grade
Gas Furnace shut-ofFwithirr ro feet wi line of site �w � - 1 �--
Oil Furnace shut-off at entrance to
Furnace/Hot Water Heater operating � '� r— �.�j
Relief Valves) installed
Headroom, 6 ft. 6 in. on stairs
Basement stairs, 6 ft. a in.
llandrml exterior stairs bath sides me a an 3 risers
Interior privacy/trun/doorslmam en 36"
Floor Finish
Bathroom/Kitchen ma, t
Interior Handrails Balconi 1 in. or more
Railing across window in stairwells
Smoke Detectors.
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans_
Plumbing fixtures
Foundation insrriatiorr
3/4 hour fire door/door closer.
Garage fixreproofm
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 (Certf£ of Compliance)
Okay to issue temp C/O (Certir of t7c cupanvy)_
Okay to issue permanent C/O (Certif. of Occupancy)
RESIDENTIAL FINAL tNSPECIION REPORT
Office No. (518) 76148256 Date inspection request received: 4w
Building 2flr. Code Enforcement yh p�
Dept of Community Development Arrive axa/1eptxrt '� C
Town of Queensbury kor's Initials
742 Bay Road
Queensbury, New Yo 12804
NAME
LOCATION DATE
TYPE OF STRUC l`t.1R.E
N/A YES NO COMMENTS
Chimney HeightP13S" to t Vent Location
Fresh Air Intake
Plumb Vent through roo
Roof Complete
Exterior Finish
Complete
Interior/Exterior Railings " to 36 eel
Exterior handrails, balcoui , Ian 18 in, or mare
Interior Handrails stairs bo sides 3 or more risers
Grade 2% away `rlotom founda on
p" clearance to sift plate
Gas Valve shut-off a or IS" above grade
Gas Furnace shut-off'within 30 or within line of site
Oil Furnace shut-offal en furnace area.
FunwiceMot Water lien
Relief Valve(s) ' ed _
Headroom, 6 ft. 6 in, on stairs
Basement stairs, 6 ft. 4 in. - —
Handrail exterior stairs both aides xore than 3 risers I
Interior privacy/trim/doors/main en cc 36"
BatFloor Finish t
Bathroom/Kitchen watertight
Interior Handrails Balcordes/L ndino in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom faus
Plumbing fixtures
Foundation insulation
3/4 hour fixe door/door closer
Garage fireprootnn
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 (Cent £ of Occupancy)
GENYEl #L INSPECTII7NY REPORT
( 518 ) 751 - 8256
Town of Queensbury
Dept! of Community Development Date inspection request received:
Building & +Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive%Ol Z an pzn Depart
in tor's Initial
NAME: PERMIT
LOCATION: DATE Iti-31
TYPE OF STRUCTURE: CjF�
RECHECK
NIA YES - NO COMMENTS
Footing Rers L I I
Monolithic Pour Form
Reinforcement in PI
The contractor is nsible
providing protection in fireez
for 48 hours folio tl►e t
of the concrete.
Materials for this paurpose n site
Foundation/Wallpour
Reinforcement in Place
Foundatio
Backfxll Apprarval
Plumbing Under Slab
Plumbing Vent/Vents in Plac
Rough in
Heating Rough-In
Insulation
Fourxlation Walls Interior -
Foundation Walls Exterior
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Frarni
Jack Studs/Headers
Bracing/Bridging �_ ►� V S 1 �JCQ fir �']
Joist Hangers
Jack PostsJMai.n Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 32 4 hour
FirestoMn
GENERAL INsPECTIOJN REPORT
( 518 ) 761 - 8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensbury, IVY 12804 Arrive CIN4 aan/pm Depart am/pm
Inspector's initials —
NAME: L1/yLne�'_ PERMIT'# c,`� d 7ip
LOCATION: DATE :
TYPE OF STRUCTURE: ;
RECHECK
N/A YES NO ' COMMENTS
Monolithic Pour Form _ -
Reinforcement in Place _
The contractor is responsib for
providing projection from frc ,ing
for 48 hours following the pla lent t
Of the concrete.
Materials for this purpose Fount]ation/Wallpour d y ucds
Reinforcement in Place
Foundalion/Dampprooring�� `_ r'% V �//r .�i (r1�' C t/rcr't 6�s•e1'�'•- �u'."
Backlill Approval_._
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_ -- �sl 21C�r il7u E'4cL �7w�I�
Heating Rough-In /
Insulation_
Foundation Walls Interior R-- '
Foundation Walls Exterior R-
Floors R- --
Walls R- ^ _ —
Ceiling R- lei -
Duct work or piping in ;•
unheated spaces R-
Proper Vent, Attic Vent
Jack Studs/Hcaders -
Bracing,/Bridging_. - T --- ---
Joist Hangers_ —
Jack Posts/Main
Air Infiltration Barrier,
Fire Separalion 1 , 2, 3, hour
Penetration Scaled_
Fire Wall 2. 3, I hour -- — -
Firestoppi ng-- _
RESIDENTIAL FTNAI.. INSPECTION REPORT
Office No. (518) 761,$256 Date inspection request received;
Building & Code Enfbreement
Dept. of Community Development Arrive Pit
Town of Queensbury 's Ini
742 Bay Road
Queensbury, New York M04
NAME P # C}
LOCATION DATE
TYPE OF STRUCTURE.
N/A YES NO CO MIENrS
Chimney Height/"B" Vent/Direct Vent Location k'4i t'S r 1
Fresh AirIntake
Plumb Vent through roof . t S L 1 -- 1� 'CA25 1
Roof Complete f�13 Ta— c"' r l
Exterior Finish Complete
Interior/Exterior Railings 30" to 36"
Exterior Handrails, balconies. landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
tirade ran% away from foundation$" clearance to sill plate
Gras Valve shut-off exposed/regulator 18" above grade.
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut at entrance to furnace area
ttrnoperating_
FaceJi Iot Water
Heater o
Relief Valves) installed
Headroom, 6 ft. 6 in. on stairs CIL>
Basement stairs, 6 ft. 4 in.
Handrail exterior sburs both sides more than 3 risers c> ` fz)%A A)
Interior pnvacy/trimldoorshrram entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing Balconies/Landing 18 in. or 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 fireproof
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation per room
safety glazing I H" Or less from floor
Final Electrical
Site Plan/Variance required
Final survey Plot Plan
As Built Septic system layout required
Okay to issue CfC (Certif of Compliance)
Okay to issue temp. C/O (Certif. of Occupancy)__
Okay to issue permanent CIO [Ceriif of Occupancy)
TOWN OF � � ��, �` 4 %'>BURY cR606 now RAIg
BUILDING CODE EPT. FILE COPY
REVIEWEC Bar /'
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