2010-355 .11% TOWN OFQ UEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20100355 Date Issued: Monday, August 30, 2010
This is to certify that work requested to be done as shown by Permit Number P20100355
has been completed.
Tax Map Number: 523400-301-012-0003-061-000-0000
Location: 7 ZENAS Dr
Owner. THEODORUS DE HAAN
Applicant: THEODORUS DE HAAN
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, YY
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.
1�` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100355 Application Number. A20100355
Tax Map No: 523400-301-012-0003-061-000-0000
Permission is hereby granted to: THEODORUS DE HAAN
For property located at: 7 ZENAS 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: THEODORUS DE HAAN
7 ZENAS Dr Deck $6,000.00
QUEENSBURY,NY 12804 Total Value $6,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2010-355
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,July 26, 2011
(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 OQueensb , Monday,July 26, 2010
SIGNED BY 111 , 4 „ �,.� for the Town of Queensbury.
Director of Building Code" orcement
/. ?Z_ OFFI USE ONLY
TAX MAP NO. ✓ �// A PERMIT NO. /0 - 3,55
FEE PAID i r DG. &CODES APPROVAL
ACCESSOR STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure(house)to include, but not limited to:
garage,shed,greenhouse,dock,deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. rn L
OWNER: 7-4 e 0 D(2_, )4C_a h INSTALLER/BUILDER.PRIpte-5414„._ — lie el3een �h trU.c,116,1
ADDRESS: 17 Fences T-Drc v-e_ Os)3 ADDRESS: g -Ctwt D -,€ S_.`'Cten5
PHONE NOS. 0) ) '113 -9'234 J/ PHONE NOS.(5/Y0/4g'33.3� C ii(C( )' &'is//
LOCATION OF PROPERTY: #7l�e rl a s . 0 cL iSUBDIVISION NAME: j h
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 9 Y)o c t h C�de- B-S- 1010 r�+
ESTIMATED COST OF CONSTRUCTION:
$G! O "ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? y F'S
IF YES,PLEASE LIST: a I XI8 S h e d
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
PROPOSED CONSTRUCTION
ST FLOOR 2m)FLOOR TOTAL P HOQQ D
HT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK OCa D „s-v.cfi
3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
'CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO]REQUIREMENTS IF THE STRUCTURE IS LOCATED IN
THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge,the statements contained in the application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Codes,the Zoning Ordinance,and all other laws pertaining to the proposed work shall be
complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that
I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued,as requested by the Zoning Administrator or Director of Building
and Codes,an As-Built Survey by a licensed surveyor,drawn to scale, QUESTIONS? CALL 761-8256 OR EMAIL
showing actual location of all new construction. codesaqueensbury.net
I have read agree to the above. a VISIT OUR WEBSITE FOR MORE INFORMATION
1� ` `� www.queensbury.net
Sig �D, Q. Dated: / oCO- t
T
Name/Titie(Printed) e b tel./a I''1 GL0.Y‘
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received: 1
1
Queensbury Building &Code Enforcement Arrive: am/pm Depart: ) if Q am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's intials: et,
of Q 353 [v
NAME: PERMIT#:
LOCATION: 17 G"t (�`�`r�"� f INSPECT ON: 3-:St.)--/c)
TYPE OF STRUCTURE: porcH
7 (- -/$'/i
mi ) Y N N/A COMMENTS: �--
Attic Access 22" x 30" minimum
Jack Studs/Headers �Bracing/Bridging af3't
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C. ��x}JCA
t
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Building&Codes Forms-OLDBuilding&Codes1Inspection Fomn Framing Firestopping Inspection Reportdoc Revised January 7,2008
(L- V /p'1
Framing / Firestopping Inspection Report l _3 /°
Office No. (518) 761-8256 Date Inspection request received: '&11(1)4 I d
Queensbury Building &Code Enforcement Arrive: am/pm Depart-am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .C._.,64)
NAME: 136\Ct.
G ►1 PERMIT#:
LOCATION: /- r' S INSPECT ON: 11M ;
TYPE OF STRUCTURE:
cPAy
WA COMMENTS:
Framing
Attic Access 22°x 30" minimum C e%V1/ .- 1
-1 a - 1
Jack Studs/Headers / 1
Bracing/Bridging
Joist hangers R- J� (,
Jack Posts/Main Beams J" Co k�-
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more ?' ,
Exterior Deck Bracing
Headroom 6 ft. 8 in. or
,
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 16D nails each side e_ CAA—n^— c2
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
(5K/'S
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:Building&Codes Forms-0LD1Building&CodesUnspection Form&Framing Firestopping Inspection Report.doc Revised January 7,2008
0130 )
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection - =yy ed:
Queensbury Building&Code Enforcement Arrive: 1 Z=CD ► *Part: V pm
742 Bay Rd.,Queensbury,NY 12804Inspector's Ini• : ,�i��
NAME: h f Iii PERMIT#: V —3s 3-
LOCATION: e KA S INSPECT ON: 7 70
TYPE OF STRUCTURE:
Comments
Y N N/A
Piz
C `�
id e,. Do `rte a'�- yoo r
Monolithic Slab y
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
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BUILDING TMN
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Bas on our limited examination,compliance
Al 1k r with our comments shall not be construed as
1 \ indi ting the plans and specifications are in
h k 411 full pmpliance with the Building Codes of
$ Ne York State.
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