2015-220 TOWN OF QUEENSBURY -
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20150220 Date Issued: Friday, May 20, 2016
This is to certify that work requested to be done as shown by Permit Number P20150220
has been completed.
Location: 15 PARK VIEW Ave
Tax Map Number: 523400-302-014-0003-045-000-0000
Owner: JASON & NATALIA CARUSONE
Applicant: JASON & NATALIA CARUSONE
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
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150220 Application Number: A20150220
Tax Map No: 523400-302-014-0003-045-000-0000
Permission is hereby granted to: JASON &NATALIA CARUSONE
For property located at: 15 PARK VIEW 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: JASON &NATALIA CARUSONE
15 PARK VIEW Ave Residential Addition $10,000.00
QUEENSBURY,NY 12804-0000 Total Value $10,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-220
Residential Addition 192 s.f.
4-season sunroom
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 10, 2016
(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 To' o : eensb ; :• i�sda ,June 10,2015
SIGNED BY for the Town of Queensbury.
V
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APDL CA._ ca _
l Office Use Only
o, (Received
Date:
4.414. .O
� !S - I�`HI292015 �TaxMapID ' 3Z. 14—/ — - Permit No. ZO IS_ i A
Tax Map ID 30J. I '3-45 TOWN OF QUEENSBURY Permit Fee J�
BUILDING&CODES '
Zone - _ Rec Fee
Historic Site Yes No Site Plan#
Subdivision Name Lot# Subdivision#
TOWN BD. RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS - SINGLE
FAMILY, DUPLEXES/TWO-FAMILY, MULTIPLE FAMILY, APARTMENTS, CONDOMINIMUMS,
TOWNHOUSES,AND/OR MANUFACTURED&MODULAR HOMES,BUT NOT MOBILE HOMES. THIS
IS IN ADDITION TO THE PERMIT FEE.
Applicant '-
--C4.<5 Or) C 2-u517/U� Owner
Address 15 p4,- V/ems , Address
CLig_EAvsaue—y
Phone/E-mail 51 - 8-34- _9 35 Phone/E-mail
J CArY56wL.@gofai/.co y.
Contact Person for Building&Codes Compliance: Phone
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration 1"floor sf 2"d floor sf Total sf Height
Single Family cf2_11'a?‹
Two-Family
Multi-Family
(#of units )
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(1, 2, 3, 4+)
Other
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
If commercial or industrial please indicate of business
Proposed use of building or addition `f Jee 0/7 6" QDcr--ki
Source of Heat (circle one) Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys
Are there structures not shown on plot plan? A/0
Are there easements on the property? A/04/G x/Liai-ty
Site Information
a. Dimensions or acreage of lot azre
b. Is this a corner lot? Y-E-5
c. Will the grade be changed as a result of construction Yes 7( No
d. Public water or Private well pa,.//c
e. Sewer or Private Septic System Pi/V5- _'4-i C.-
Value
Value of all work to be performed (labor or materials) $,app
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval.
3. 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 NYS Building Codes, local building
laws and ordinances, and in conformance with local zoning regulations
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy.
5. 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:
PRINT NAME: _Jq 901 C9-2-U550/j/e DATE: J-j 2ql
f
„,„„iier
SIGNATURE: l�w DATE: J—/Z`j Z(,/S
For office use only
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
Town of Queensbury Building&Code Enforcement ' CA\
Office No. (518)761-8256 e ,
Rough Plumbing I Insulation Inspection Report
Inspection request received: 1.*2-'14:2-CAr
Name: �✓u � Inspected on: 112
Location: \ 5 PcuALVke Arrive: i�� a.m. / p.m.
Permit No.: Inspector's Initials: 111
•
Type of Structure: -- fid.
COMMENTS
Y N NA
Plumbing under slab ` � ���._t�
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes T7v1,c51:512_
Pressure Test
Water Supply Piping
Air/Head 1 L
50 P.S.I for 15 minutes
Insulation / Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation) V
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
Rough Plumbing/ Insulation Inspection Report
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256 e2
Framing 1 Firestopping Inspection Report
Inspection request received: �\ ),2-CAS
Name: Inspected on: �` I
Location: \5k Otnl ) Arrive: , a.m.l p.m.
Permit No.: 1 5-22O Inspector's Initials: .. .0111
TYPE OF STRUCTURE: -
Y /N NIA
F – — COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers \./ cQ S'r-Ar � os56
Truss Specification Provided
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 fRicwk.•, 1 �;
Exterior Deck Bracing
Headroom 6 ft.8 in. C . _
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate •
1 1/2(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 1/2 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
Design Professional Sign-off,if required
Framing / Firestopping Inspection Reportc)/
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received:
Name: e_14 \-) _: Inspected on: VS t S
Location: (� 1 Apicv . Arrive: ' a.m.l p.m.
Permit No.: if ':2-0 Inspector's Initials: _
TYPE OF STRUCTURE:
N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided CO/a., P'4'"Z4Z,Bracing/Bridging -- tl �
Lji
Joist hangers
Jack Posts/Main Beams lJ`'o U — _ r355
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 1/2(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 1/2 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
Design Professional Sign-off,if required
Framing/Firestopping Inspection Report
T
Foundation Inspection Report 6
Office No. (518) 761-8256 Date Inspection request received: 4. 21 15
Queensbury Building&Code Enforcement Arrive: am/pm Depart:3,...„ a m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: r.
_
NAME: Cay uaolvv PERMIT#: 1 ' "220
LOCATION: 5 Q)YL V 1 cvd INSPECT ON: 1" - I s
TYPE OF STRUCTURE: QS .Ma -
Comments
Y N N/A
Footings
Piers
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.
ifFoundation/Wallpour .\//
CReinforcement in Place
v
Footing Dowels or Keyway in placeV . -L--- tR.T31 '
Foundation Dampproofing -T°1\A
Foundation Waterproofing
Footing Drain Daylight or SumpR.J.D-t- .) -1-6
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 Report.doc
Last printed 12/9/2014
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: P41 204 5
Queensbury Building&Code Enforcement Arrive: am/pm Dep. at pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: i1.1.5s0'Yv- ' PERMIT#: S "21
LOCATION: \5 C)CAY\Uff�& INSPECT ON: Z-12045
TYPE OF STRUCTURE: Qt - ftrAci.
Comments
Y N N/A b6,0d1 9 3Z_52,- zI1�
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing �'�l►v `e� ,�for 48 hours following the placement
of the concrete. �p�
Materials for this purpose on site. �/"
crz/4-t _
•Foundation/Wallpourr+CL
Reinforcement in Place
Footing Dowels or Keyway in place 11
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump PI-1 —
Footing Drain Stone: C50�
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper e-Nd- -L
Foundation Insulation Interior/Exterior _
R- � hY
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
010141)
Foundation Inspection Report / 3
Office No. (518 761-8256 Date Ins ection reg . ed: ° r ��
Queensbury Bui ding&Code Enforcement Arrive: V-� wed:
. r' Depart: a 4110
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi. .��'.-�!.1"i
NAME: / RMIT#: C
AI
LOCATION: INSPECT ON: or Er 41 5
TYPE OF STRUCTURE: '11°"_4
Comments
Y N N/A
ooti :s 7)) ( 2),‘ S,kv1U -
Piers
(51r) `73; -
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. It5 - 113
Foundation/Wallpour UV \\
Reinforcement in Place
Footing Dowels or Keyway in place Vk6OTB F B f\ f L
Foundation Dampproofing O . —"AE
Foundation Waterproofing .-\b v\ fj (_ \--�1
Footing Drain Daylight or Sump -171 f
Footing Drain Stone: ,bt tJ- - `va'
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper 1-16;152C-0.2V---_
Foundation Insulation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014 I�— M b-3 c?---\ � �
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BUILDING & CO n S li PT. '1 COTEREC BYA 1 INuTE
Reviewed 14 y: _MAN Il HERMAL BAR B
Date: / c1,IK„, IIIZ ,,J ,I
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TOWN OF QUEENSBURY I
BUILDING DEPARTMENT I _ —_- 11 ',��
Based on our limited examination,compliance \-.11j.
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with our comments shall not be onstrued as -�~ 1 ''0
indicating the plans and specifications are in II ii
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