2002-126 TOWN OF QUE E NSB URY
742 Bay Road Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20020126 Date Issued: Tuesday, September 26, 2006
This is to certify that work requested to be done as shown by Permit Number P20020126
has been completed.
Tax Map Number. 523400-289-011-0001-017-000-0000
Location: 12 HALL RD. EXT
Owner. MARTIN G GALLUP
Applicant: MARTIN G GALLUP
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code nforce`ent
Planning Board or Zoning Board of Appeals.
011011k TOWN OF QUEENSBURY
ION 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020126 Application Number: A20020126
Tax Map No: 523400-289-011-0001-017-000-0000
Permission is hereby granted to: MARTIN G GALLI JP
For property located at: 12 HALL RD. EXT
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: MARTIN G GALLUP
711 TRIMONT LAKE Rd Residential Alteration $25,000.00
Total Value $25,000.00
FRANKLIN, NC 28734-5846
Contractor or Builder's Name / Address Electrical Inspection Agency
FRANK MYERS
BOX 483 BLACK CREEK Rd
SALEM. NY 12865-0000
Plans&Specifications
2002-126
550 SQ FT RESIDENTIAL ALTERATION AS PER APPLICATION
C IL.JR7"\k,1-'
$55.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thurs , March 01, 2007 j
(If a longer period is required,an application for an extension must be made to the code Enforce t Offic
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Friday, March 01, 2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
BayRoad,Queensbury,
��� 742 NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020126 Application Number: A20020126
Tax Map No: 523400-289-011-0001-017-000-0000
Permission is hereby granted to: MARTIN G GALLUP
For property located at:
12 HALL RD. EXT
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.
Owner Address: MARTIN G GALLUP Tie of Construction Value
3070 FULTON Rd Residential Alteration 25,000.00
FRANKLIN, NC 28734-4936 Total Value
25,000.00
Contractor or Builder's Name/ Address
Electrical Inspection Agency
FRANK MYERS
BOX 483 BLACK CREEK Rd
SALEM, NY 12865-0000
Plans &Specifications
2002-126
550 SQ FT RESIDENTIAL ALTERATION AS PER APPLICATION
$55.00 PERMIT FEE PAID - THIS PERMIT EXPIRES:
a longerSaturday,March 01,2003
(If 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 Town o ueensbu ; Friday,March 01,2002
6 SIGNED B f 1F4{� for the Town of Queens bury.
Director of uildin\& Code Enforcement
Building - II/
Town of Queensbury—Dept of Community Developtri n! `'Ir. ,;: Road e
( tl
A permit must be obtained before be 7 ,.9 ki -i
tthtici .06i30 P
No inspection will be made until applicant =re CODF V Fee Paid $
valid building permit. All applicants' spaces on this ---- .
application must be completed and must appear on the Rev. Fee Paid
Reviewed By:application form.
Applicant: fro//* 7 -ers Owner: ar7,n 6410 L/
Address: go y y 13 me* e r-e_ ,1 Address: °f/2- Hq//
S'4/.9h, /V, yr /z8"kr- (a/417 Lam ao-UlsIt,�� /VX!
Phone#(S_IT) 'S-1- P736 Phone#(ff1) 79A 2 73 f
Property Location: Lot Number: / House Number 71F/Z / l/2
Subdivision Name: Tax Map Number:.
o New Building: residence /commercial Estimated Market Value of Construction:$ 2- 00 O
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
Alteration: residence/ commercial
te. No change to exterior size: residence/com'l
o Other work(describe )
Check Occupancylnformation 1"Floor , 211d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
o Single family dwelling
o Two family dwelling •
O Townhouse
o Multifamily dwelling
#of units
O Office
o Mercantile
a Manufacturing
o 1 car detached garage
1 0 2 car detached garage
o 3 car detached garage
O 1 car attached garage
O 2 car attached garage
O 3 car attached garage
o Storage building-
commercial
❑ Storage building-
residential
OtherSiffrim-ex Carnf .S`,SO () 0 .5 S0
What is the proposed height of the structure g feet inches
Will any second-hand or ungraded lumber be used? If so, for what? j O
Type of Heating System: electric/ oil /0 wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed 0 Number of Woodstoves to'be installed 0
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder f pa/t/c fh�-1r� ao>e Yg3 - S�/Id Ai/ lsS'S�Y` 77 3G
Plumber Fr nu k .lh y.ers
Mason /? 0/1-�
Electrician l='ran/c wry-erg,
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge 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 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,showing actual
location of all new construction.
Signature: % i L/ "1—. owner,owner's agent,architect,contractor
_ _ 00 bile,
RECENFD
ENERGY CODE COMPLIANCE APPLICATION FEB 2 7 ?002 •
3_ TOWN OF QUEENSBURY, WARREN COUNTY TC
9000 HEATING DEGREE DAYS
RRZEIVED
t75 @Stl i'yte Pt` ,yAICy
Compliance Methods : PART 5 - Acceptable Practice Method —
1&2 Family Dwellings (orb f0C asSBURY
PART 6* - Thermal Rating - Compon- 490TtCDE
1&2 Family Dwellings; Multi-Family .. ..
Dwellings ( 3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheet )
APPLICANT' S NAME : PROPERTY LOCATION:� 1p� La4e
FrQnl� /4/'S 12, f/Q// /`a F ' e,i 5/04 a v.. -eft 49,
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - .--r° square feet
2 . Type of Heat - Electric Oil V Gas Other
3 . Is building mechanically cooled? Yes V No
4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED: + ,, ram,
a. Roof R 2(0 fs.H
b . Exterior walls R f/ - 2,1( ri°4
c. Glazed areas R 7
d. Exterior doors R S`r�-�rC - 7./
e . Floors over unheated spaces R 1?
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R
i . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device /
Conforms to minimum efficiency per code V Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
A olican ' s Signature Date Phone Number
INSPECTOR' S REMARKS :
r — st e "-.tom
'N svlaiofj
1,./nJ0t4 °' J 06,0g-r
l -i �. ticloNl , -- 9-96
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 /„ Arrive: am/pm Depart: t(�, m/pm
Date Inspection request received: -/j-0(� Inspector's Initials:
a Z -
NAME: q PERMIT#: Q 1 ZC
LOCATION: ZC Sl%' DATE: r�
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/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 stadeck, ell at 34 inches or more
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 <� c /,c
Grade away from foundation 6 inches with 10 feet G
6 inch clearance to sill plateAST e ,k 41- 5
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 backup:
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 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
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%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/a hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical 7 OCe
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood PI ' Certification,if required
ay to issu`'"'et 1 C or C/ [Temporary/ an
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residentla Final Inspection Form revised 100405.doc
__ ieensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 1
Arrive: am/pm Depart: ptn
Date Inspection request received: Inspector's Initials:(
NAME: `•--�C.1\\ �( _
� a PERMIT#: c_Y �`� t� d4_f)
LOCATION: l - �...f;�L s.\A ( DATE:
TYPE OF STRUCTURE:
Comments
Yes No N/A (�\
Building Number/Address visible from road �� 3
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 graded � c�'�'2-[+� ►(
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall ,�[��,L
Interior/Exterior Railings 34 inches to 38 inches j. /
Interior Handrails @ stairs 2 or more risers —F
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 backup:
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 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
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%z"Gypsum ' `
AR-
Basement stairs closed rise>4 inches h-.}
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 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
Office Use
GENERAL INSPECTION REPORT Inspector:
c),_ 10 )/rr\\
Town of Queensbury Ready at time:
Dept. of Community Development Request received:
Building& Code Enforcement Meet:
742 Bay Road At time:
(
Queensbury, NY 12804
ARRIVE am/pm: DEPART(r)am/pm Notes:
,--7 ( , /-%
46(518) 761-8256 Inspector's Initials'"
r
NAME: �<�
7.; \C' -p PERMIT# c>12)6c)- - 1 c;)- co
LOCATION: ) `- `\ Q-NA, C2C-1---'-
INSPECT ON(date): 3-/9 c
TYPE OF STRUCTURE ,
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible fo
providing protection fro free ing
for 48 hours following t e pig/cement
of the concrete. '
Materials for this purpose o 1-site
Foundation/Wallpour
Reinforcement in Place
FoundationlDampproofing
Backfill Approval__
Plumbing Under Slab — i
Plygthing Vent/Vents in Place
Plumbing
Heating Rough-In
vInsulation 'D K'S, E ,,,5
Foundation Walls Interior R
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
eated spaces R-
ro r Ve 'c Vent
aming! `I
Jack Studs/Headers
Bracing/Bridging
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:4SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
GENERAL INSPECTION RE PORT ofnCe Use
_ ) � Inspector:
Town of Queensbury
Dept. of Community
DevelopmentReady at time:__
p Request received:Building car Code Enforcement -- Meet:
742 Bay Road At time:
Queensbury, NY 12804 ARRIVE
am/pm: DEPART U, 4m/ m Notes:
(518) 761-8256 Inspector's Initials _..,,,,,"s..v
NAME:C ��
•
PERMIT#
LOCATION:
INSPECT ON(dated 6
TYPE OF STRUCTURE: `'G�
RECHECK
Footings/Piers N/A YES NO COMMENTS
Monolithic Pour Form _ =-
Reinforcement in Place
The contractor is responsible for
providing protection from freezi g
for 48 hours following the place i ent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour_
Reinforcement in Place w� i
Foundation/Dampproofing am
Backfill Approval D�>� c /`//
l/ - U; `tj jA✓�
Plumbing Under Slab _II
P Vent/Vents in Place/`PlumbingH tin Rou /Aii,4-c L Id,- A)1 E 5 (-7--)
g Rough-In
- /
elation al 1
Foundation Walls Interior R- _E �� ) � ,
Foundation Walls Exterior R- T- `-- e
Floors R_
Walls R- li i 3
Ceiling R- e J
Duct work or piping in
unheated spaces R- I
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging �
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:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL.INSPECTION REPORT.doc
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