2010-362 TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100362 Date Issued: Friday, October 12, 2012
This is to certify that work requested to be done as shown by Permit Number P20100362
has been completed.
Location: 2 CHEROKEE Ln
Tax Map Number: 523400-301-017-0001-019-000-0000
Owner: CHARLES & JEANNE MOSHER
Applicant: CHARLES & JEANNE MOSHER
This structure may be occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property <0 /I 11;e4
owner of the responsibility for compliance with Site Plan,Variance, or r'
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
411%
TOWN OF QUEENSBURY
` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100362 Application Number. A20100362
Tax Map No: 523400-301-017-0001-019-000-0000
Permission is hereby granted to: CHARLES &JEANNE MOSHER
For property located at: 2 CHEROKEE Ln
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: CHARLES &JEANNE MOSHER
2 CHEROKEE Ln Residential Addition $18,000.00
QUEENSBURY,NY 12804 Total Value $18,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-362
480 sq ft residential addition
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,August 02,2011
(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 of Queensbury; nday,August 02,2010
SIGNED BY ,, / Vci.‘ifor the Town of Queensbury.
Director of Building&Co2fe Enforcement
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OFFICE USE ONLY ;
MAP /-p�� �36� ;
TAX MAP N PERMIT NO. e
FEES: PERMIT RECREATION ENGINEERING ,
(If applicable) , ;
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. MM,,,,,�..�w.�
APPLICANT/BUILDER: L``UQ-0 \ par OWNER: Q yt 4. eipa c1bj
ADDRESS: ---7 ADDRESS: D Nac m
PHONE NOS. - -" PHONE NOS. +'GIS . 1&C "90 110
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PHONE: �y h P.i
LOCATION OF PROPERTY: a Q \2 oQ VJt• Queatstytixu TA• (2.5 ,
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES i 0
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z cC Cld a i -
APPLY TO YOUR z O ug cn a) w
PROJECT O F- •
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SINGLE FAMILY /
/ LI g° li "D
TWO-FAMILY v C/
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
! BUSINESS OFFICE
RETAIL-
MERCANTILE
! FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
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Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:g 000 FUEL TYPE: Ga.'5
HEAT TYPE: *HOW MANY FIREPLACE(S): ( AND/OR WOODSTOVES(S) ` Cp � .
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? 1
IS THIS A HISTORIC SITE? ( d
PROPOSED USE OF BUILDING OR ADDITION: I I V I h q (0 0 W
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? 1\ 0 •
ARE THERE EASEMENTS ON PROPERTY?
`Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above.
Signed OctaidsW
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
r
\.. / 7/
BUILDING & CODES APPR AL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesAqueensburv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
Operating Permit Issued: Yes No
Occupancy Type: 'ID;-�\ Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury* Community Development Office* 742 Bay Road, Queensbury NY 12804
,Slai (--1:5 /1:157,,WIRt
Queensbury Building & Code Enforcement - Residential Final Inspection
Office Nb. (518)761-8256 Arrive: am/pm Depart:`�- -.)am/pm
Date Inspection request received: Inspector's Initials:
NAME: /tLoJier--
PERMIT#: A ..7LOCATION: �1 A. DATE:
TYPE OF STRUCTURE: _ i' f
.. �r...A Comments:
Yes No N/A
4" Building Number Address visible from road I ( -
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake Mall `7 _1(
3 inch Plumbing Vent through roof minimum 6 inchesn ?— -
Roof Corn.lete/Exterior Finish Com•eteil�
Platform at all exterior doors ■Alla�
Handrail 4 or more risers III
�
Guards at stairs,decks,patios more than 30 inches above •rade
Guard at stairwell at 34 inches or more mal
Guard at deck,porches 36 inches or more mal
Handrail Termination at Newell Post or Wall 11.11111
Interior/Exterior Railings 34 inches to 38 inches ■�■
Deck Bracing/Handicapped Ramp Compliant
Grade awa from foundation 6 inches with 10 feet MIME
6 inch clearance to sill plate �M_
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior•rive /trim/doors I main entrance 36 inches �
B:t •.-. / « , i. t IIII�
Safety glazing/Window in stairwells safety glazing rIla�
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 hei•ht in accessible area
Crawl S*aces 18 inch x 24 inch access, 1 ft.-150 s•.ft.vents ==
Bathroom Fans,if no window
Plumbing fixtures III�
Foundation insulation I Insulation Certification
Floor truss,draft stopping finished basement 1,000 s•.ft. ala
Emer e e :a ress below !rade all�
Gas Furnace shut-off within 30 feet or within line of site IIII�
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating I 6AA....cosz.),&
Low water shut-off boiler <-�'
Relief Valvee(ss))installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 1A"G •sum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/' hour fire door/door loser
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure 1
Final Electrical VI
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms ■
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Ins.- ion Sticker
Site Plan /Variance required AIIIIIIII
Flood Plain Certification,if required /
Okay to issue C/C or C/O[Temporary/Permanent] i
L:\Building&Codes Forms\Building&Codes\Inspection Forms1Residential Final Inspection Form_revised 100405.doc;Revised
January 7,2008; Revised 6/26/08
'/
Framing / Firestopping Inspection Re
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:L am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: V\
NAME: 05/� -- PERMIT#: f l� -:34:2_
LOCATION: 2 Je v ke j l�_ INSPECT ON:
TYPE OF STRUCTURE: N
-)Framing COMMENTS:
-Atticless 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts!Main Beams
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.
•
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'A(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
6 fk or lesson center
I=and water ield 24 inches from wail
1, 2, 3 hour
Fire wail 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1 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:1Bulidlrg&Codes Forms-OLD1BuNdinp&Codesllnsipedion Fomis1Fnrning Flrsetoppi g Inspection Repoitdoc Revised January 7,2006
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:itlits
am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:___
taj./ .?
NAME: diyi4.._k, --�
'� �''� PERMIT#:
LOCATION: ' ,p INSPECT ON: a. -- - a°
TYPE OF STRUCTURE:
gm &A COMMENTS:
Framing //
c.
ccess 22" x 30° minimum
Jack Studs/Headers
BraJoist dging
Joist hangers —
Jack Posts/Main Beams
Exterior sheeting nailed properly
1T O.C.
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 6(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. (VV)
5.7 sf above/below grade
5.0 sf !rade
L:1Buiiding&Codes Forms-OLDatiiding&Codes\nspection Fo vnslFraming Firestopping Inspection Report.doc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Ins. ti request received:
Queensbury Building&Code Enforcement Arrive: "i di am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto s itials: -�/
NAME: 11 / e PERMIT#: V
LOCATION: ? 7. INSPECT ON:
TYPE OF STRUC :
Comment
YN N/A
Footings r _
1 -
Monolithic Slab
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 Fonms\Building&Codes\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
RPVisPri 4/14/9010
PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
r SIDE PROPERTY LINE
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