2015-125 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,I'12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
C ERTIFICATE OF OCCUPANCY
Permit Number: P20150125 Date Issued: Wednesday, March 02, 2016
This is to certify that work requested to be done as shown by Permit Number P20150125
has been completed.
Location: 16 TINA Ln
Tax Map Number: 523400-308-017-0001-044-000-0000
Owner: JANET DE CHICK
Applicant: JANET DE CHICK
This structure may be occupied as a:
Commercial Addition By Order of Town Board
Residential Addition 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
.4101111A
wow 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150125 Application Number: A20150125
Tax Map No: 523400-308-017-0001-044-000-0000
Permission is hereby granted to: JANET DE CHICK
For property located at: 16 TINA 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: JANET DE CHICK Commercial Addition
16 TINA Ln Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-125
garage addition for storage 240 s.f.
$150.00 PERMIT FEE PMD-THIS PERMIT EXPIRES: Sunday,May 08, 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 T wn of een `V j
i ►A ay 08,2015
i
SIGNED BY ' \ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION
Receiveq
DATE , Tax Map ID
TAX MAP ID 30k i7..-- %' Pe-r'it ). 20 Ze
ZONING AC. APR 28 2O 1 Pe i zee
$1a�1 Kg VeCNc1
HISTORIC SITE YesI, ' No O rOV81e
SUBDIVISION NAME erA 1Li �l 4,1;4 (Ma. TQI�{Ii OF QUEENS URY
BUILDING&CO CS
APPLICANT eaKte C®iosOWNER 1-41,61- V e%Ciil
ADDRESS h r*am- Love ADDRESS hp Dun- Lel.)--t
Cp'[�C{'wS�S�bG ltif lL f ( 7-&i �Gt�77 `��
PHONE ✓iv�2"-(.�iZt1 PHONE C`� 32-/ —ZG/1
CONTRACTOR / COST OF CONSTRUCTION(ESTIMATED): $ 02
ADDRESS: BUILDING ADDRESS: 4S 0Wim _
PHONE: f y�
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE 6n11-# ('DIUO✓//M' PHONE 8•13 - J2 Q
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 1st floor sq. ft. 2`ci floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars )
Dock
Pole Barn
Porch-open
**Porch—3 season,Covered,Enclosed
Shed
Other Accessory Structure(s) A •
** 99ekvrc e,c t\-\ -r S
�Cdnside�d floor area&must comply FAR(floor area ratio)requirements if located in the WR zone
DECLARATION: 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 & 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: Print Name: V/�
1 f 00)s Date:
Signature: elZLZA411Date:
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
Town of Queensbury Building & Code Enforcement ID- I Z
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received: 612.11
_( k -
Name: Ck C Inspected on: 6 z-t- •`3
Location: I LTOrk 1 • Arrive: ' II -
Permit No.: I 12 S Inspector's Initials:
TYPE OF STRUCTURE: VAL- , c;ltti /
Y N NIA COMMENTS:
9 Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers Gia 31 - 6 7-1
Truss Specification Provided
Bracing/Bridging �j
Joist hangers �d,� Nik
Jack Posts/Main Beams L‘,`V7
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 I 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''/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
I Design Professional Sign-off, if required
Framing / Firestopping Inspection Report YOU
MOINI
10 — IZ
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection re•ue, •e'e. ed: • 5
Queensbury Building&Code Enforcement Arrive:\ ••4. .,• f Depart: V. • a
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial .
NAME: CV,\ PERMIT#: I S"-I Z5
LOCATION: \ tc4A INSPECT ON: o\f5A Za l
TYPE OF STRUCTURE:
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.
Foundation/Wallpour 4,, 2, tI_
Reinforcement in Place ''l�t
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 Report.doc
Last printed 12/9/2014