2010-551 IA411111stok 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: P20100551 Date Issued: Thursday, February 02, 2012
This is to certify that work requested to be done as shown by Permit Number P20100551
has been completed.
Tax Map Number: 523400-302-017-0001-030-000-0000
Location: 16 WINTERGREEN Rd
Owner: TODD & STACEY CRAWFORD
Applicant: TODD & STACEY CRAWFORD
This structure may be occupied as a:
Porch & Deck
By Order of Town Board
TOWN OF QUEENSBURY
/
Issuance of this Certificate of Compliance DOES NOT relieve the \,,, .1 r l.�
property owner of the responsibility for compliance with Site Plan, "J "`
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.
41114A TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FON
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100551 Application Number. A20100551
Tax Map No: 523400-302-017-0001-030-000-0000
Permission is hereby granted to: TODD & STACEY CRAWFORD
For property located at: 16 WINTERGREEN Rd
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: TODD & STACEY CRAWFORD
Porch&Deck $8,000.00
34 PROSPECT Dr Total Value $8,000.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2010-551
144 sq ft deck&224 sq ft porch
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,December 27,2011
(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 o ee itry ;�1z%loll December 27,2010
/
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
TAX MAP NO. PERMIT NO.
. !N}UV r 2010FEE°AID ' (� BLDG.&CODES APPROVAL '�'"
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATAON
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 VAUD
PERMIT.NO INSPECTIONS WILL BE MADE UNTIL TVE APPUCANT HAS RECEIVED A VALID BUILDI RMIT.
OWNER: 1OC1�7� C-iC1� �V{ XJ}1\ INSTALLER/BUILDER:
ADDRESS: l WW1-4e f Ceo v`l RCA ADDRESS:
PHONE NOS. 79 3-LI 1 c1S 13V f- 1 1'z j PHONE NOS.
LOCATION OF PROPERTY: 1(o W I hf erbf F2, ! /SUBDIVISION NM€:
LOCATION OF PROPOSED CONSTRUCTION AND/OR I TALLATION: (0 w AJ rc�{4,Q y.. Ra
ESTIMATED COST OF CONSTRUCTION: $ Dap ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST: C P
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: "Tock1 I i` C(C7 PHONE: 193-`1�l S(3301-17 s d-
PROPOSED CONSTRUCTION 1a FLOOR 2'FLOOR TOTAL PROPOSED
HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.B IN.
OPEN PORCH
DECK 1 Lig I LI Li (.7-C4
a
3 SEASON,COVERED OR ENCLOSED PORCH' Q Q.14 I 9
BOATHOUSE /
BOATHOUSE WITH SUNK C-77 %A L- 16
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 ail 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 Uwe 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 showing actual location of all new construction.
I have read and ag above.
" QUESTIONS? CALL 761-8256 OR EMAIL
Signed Dated: codes(a,queensburv.net
a� • VISIT OUR WEBSITE FOR MORE INFORMATION
Names- (Printed) --10-61 C r-C' www.queensbury.net
,s- TUS 4,1i��7
Queensbury Building & Code Ent'cement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: am/pm
Date Inspection req st received: Inspector's Initials:
NAME: 1 LL L PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments:
tim
4' Building Number Address visible from roadsC%_.%)./) /-C-eCi•
Chimne Hei•ht/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches l"/
Roof Co •tete/Exterior Finish Corn•ete l //
Platform at all exterior doors _
Handrail 4 or more risers
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 I r\--rj
Handrail Termination at Newell Post or Wall ��
Interior/Exterior Railings 34 inches to 38 inches Pi
Deck Bracing 1 Handicapped Ramp Compliant eCr
Grade away from foundation 6 inches with 10 feet
8 inch clearance to sill plate / ��
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors I main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom: Cf Se 0 07-1
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft:150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation I Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/.hour fire door/door doser
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C I 0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
WI1
Queensbury Building & Code Enforcement - Residential Final Inspection La
s .
Office No. (518) 761-8256 Arrive: am/p a arty 'am/pm 'A
Date Inspection request receied: 11(1 41sir Inspector's Initials:
Odd_ :;0rc -5Yl
NAME: . PERMIT#:
LOCATION: 16 1j/Y1 DATE: 11 (ii/i 4,i
TYPE OF STRUCTURE: JtaLt-t'
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade ki/
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
Deck Bracing/Handicapped Ramp Compliant
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/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification/Sticker on Panel
Floor truss,draft stopping finished basement 1,000 sq.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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3A hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
"Ae/f
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CCERTIFICATE - ELECTRICAL APPROVAL
Permit No.
�
�1�,!7 Cert. N210 942 Cut-in Card No.
Owner t C.nl --tI-J ,
Location //' 44;/lei;- s _Ci/2- fi"), L L
Installation Consisting of 61 fl; d' 12-a- Pt 1 LI fats
Installed By C Ain Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of maki • spections at any time, and if its
rules are/violated,the Company shall have the right to ev e th' certi icate.
Date. /1�_i1 INSPECTOR
Member N.F.P.A.,I.A.E.I.
2--41 7/L C. 0
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart' pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:6,1,..9
NAME: :•;.� -%/�') ,. PERMIT#: /(2 T !
LOCATION: iiCREJ 4. ,-7(-e., INSPECT ON: 12-3 C--''f O
TYPE OF STRU r .-.4 1`)
Conimentt
l' Piers -.4111 001.,/t-,6%1,,C1) 0:
3.7.7rithic Slab 11111 U1" t,,c' li ° ` l
Reinforcement in Place - "t.
�/
The contractor is responsible for L" 't 1,1---;,t I ,,, s! ;
providing protection from freezing e-2 5
for 48 hours following the placement i:; rip �s
of the concrete. CPki 1:11%-k
Materials for this . , ,. onsite. . "
Foundation I Wallpour r I
Reinforcement in Place INN PO Py,.
Footing Dowels or Keyway in place - i i N04 S \
Foundation Dampproofing l- e.A
Foundation Waterproofing
Footing Drain Daylight or Sump S7f2J'b (Z
Footing Drain Stone: -t— ,t
12 inch width
6 inches above footing fi,; zsf7---
6 mil i•1 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\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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Ajnukeende ectors are required in bedri ts,
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;(---vel incuding cellr or baseto :nt —
‘Ik- elz"(2-1 -k.l•-.7c--
All smok detecrs r)oil rnon• i
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°' Coinmunit Deveio*ment Office
te ' Town of Queensbury . 742 Bay Rd.
. ' , Queensbury, New York 12804 PLOT PLAN
Plot Plan: Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
SIDE PROPERTY LINE
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MAP REFERENCE:
MAP OF SECTION TWO OF
OLD FORGE PARK
DATED: FEBRUARY, 1963
BY: COULTER & McCORMACK
LEGEND:
OIPF = IRON PIPE FOUND
--
,a—= WOOD FENCE LINE
— x = METAL FENCE UNE
= UTILITY POLE
= FIRE HYDRANT
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Map of a Survey made for
TODD R. CRAWFORD
Town of Queensbury, Warren County, New York
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169 Haviland Road
Queensbury, New York 12804
roTTu Aeewaats°rTrle laorwrmnn+lnr:
;518) 792-8474
New York Lie. No. 50135
1--150.00
N84°48_00 NW
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TODD R. CRAWFORD
Town of Queensbury, Warren County, New York
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