2015-152 a TOWN OF QUEENSBURY
two742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20150152 Date Issued: Monday, August 31, 2015
This is to certify that work requested to be done as shown by Permit Number P20150152
has been completed.
Location: 462 STATE ROUTE 149
Tax Map Number: 523400-278-019-0001-009-001-0000
Owner: PATRICK & RUSTY-ROSE MELLON
Applicant: PATRICK & RUSTY-ROSE MELLON
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 ( ow704 "digt-
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
Flfirrg
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150152 Application Number: A20150152
Tax Map No: 523400-278-019-0001-009-001-0000
Permission is hereby granted to: PATRICK & RUSTY-ROSE MELLON
For property located at: 462 STATE ROUTE 149
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: PATRICK & RUSTY-ROSE MELLO
462 STATE ROUTE 149 Residential Addition $100,000.00
LAKE GEORGE,NY 12845 Total Value $100,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-152
Residential Addition 540 s.f.
$108.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, May 14,2016
(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 Tow eensb ; �/ i i r i J a ► ay 14, 2015
�lAir
SIGNED BY ' for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATIONrr� ��, `�.,�office Use Only
Date: t� V� I� Lateived
Map ID Z Dr I
Pedmit No. 2015 - 152—
Tax
5ZTax Map ID MAY 1 1 2015 ,hermit Fee lab , •
Zone Re•Fee
Historic Site Yes No TOWN OF QUEENSBURY Sit,Plan#
BUILDING& CODES Subdivision#
Subdivision Name "mot#"
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 ` Owner
-PA'r2�c�c. Mk\\s 3 SA rte?
Address Address
1462 srq TC i2 r�"(5
/,A6t-2,rs< A/y ,264ir
Phone/E-mail 5"Q —36►- ' a sg Phone/E-mail
p •l•ca•-•
Contact Person for Building&Codes Compliance: Phone
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration 1St floor sf 2nd floor sf Total sf Height
Single Family
X SC S—go /
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
Source of Heat(circle one) Gas Oil Pop ne Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys
Are there structures not shown on plot plan? N
Are there easements on the property? N J
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot? N 0
c. Will the grade be changed as a result of construction Yes k No
d. Public water or Private well Wel
e. Sewer or Private Septic System Se Pk;c-
Value of all work to be performed (labor or materials)
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: ?Pv ;t .cic DATE: – 1 k
SIGNATURE:�� �`�— DATE: S /e — zo1,-
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
11W -RA
Queensbury Building & Code Enforcement - Residential Final Inspection 1U1.w
Office No. (518) 761-8256 1 Arrive: am/ epar. " am/pm
Date Inspection request received: '(�fi\2_Q.XE Inspector's Initials:
NAME: MELS Ni PERMIT#: 2.D i rJ 13 2--
LOCATION: 4L S 14'(1 DATE: 6 2-8L2-GAS
TYPE OF STRUCTURE: ' �. C
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 �Z
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
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more VzoV
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches ,r
Deck Bracing/Handicapped Ramp Compliant Itj
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: V Ev Bedroom: •
Outside every bedroo rea:
Inter Connected: Battery backup: 4
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 1(
Foundation insulation to floor/Sticker on Panel ✓
Duct work sealed properly/Blower Door Test 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
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/3/4 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50% - -(I)
j '
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
Flood Plain Certification, if required ,
Okay to issue C/C or C I 0 [Temporary/Permanent]
- \ r U,SS t 6 S '1 -\&�c� o j l 6 19 r n P—cc�c�
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, Revised 04/13/11
Town of Queensbury Building&Code Enforcement MtN
Office No. (518)761-8256 I
yvi
Rough Plumbing I Insulation Inspection Report
Inspection request received: x)15
Name: 1P)(1 Inspected on: 1140
Location: Lj la - 141 Arrive: p
.m .
.
a
/ m.
1
Permit No.: 15 Inspector's Initials: A 1.11
OP'
Type of Structure: Q-2`� . fid
COMMENTS
Y N NA
Plumbing under slab
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
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation / Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant t f,
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation �..�^ �-�V'
-
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 �S
Rough Plumbing I Insulation Inspection Report
I '
Inspection request received:
Name: 4\1\f,1(CC Cv-`- 1 Inspected on: / Le 0
411°M Location: P_ R.OU 1111/-41 Arrive: a.m. I p.m.
Permit No.: ✓ 15 — f5J- Inspector's Initials:
Type of Structure:
COMMENTS
Y N NA
Plumbing under slab
i.:Rough Plumbing / Nail Plates `/.
Plumbing Vent/Vents in Place
1 % 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
Pressure Test
Water Supply Piping
Air/ Head (1-1(
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)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test C ��
Air Sealing
(Hs
Rough Plumbing I Insulation Inspection Report
Town of Queensbury Building & Code Enforcement ✓/ /7
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received: ( i7/ j
Name: Y "\ t 1,U ed Inspected on:
Location: Z((1 X()()V l e- l"'t Arrive: / eft a.m.l p.m.
Permit No.: 15 - i Inspector's Initials:
TYPE OF STRUCTURE: if)r'\Thik)
N N/A COMMENTS:
`gaming
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
BracingI Bridging
99
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 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
IO�IZ
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 12 11'\ 5
Queensbury Building&Code Enforcement Arrive: am/pm Depart: a m
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: Lib- U • 14`1 INSPECT ON: b 11512 CL'F:'
TYPE OF STRUCTURE:
Comments
Y N N/A eti�
Footings
Piers
Monolithic Slab
Reinforceme t i Place
The con m cto is responsible for
providin prot: tion from freezing
for 48 hours fol owing the o acement
of the concrete.
Materi.i s for this .urpose .n site.
•Foundatio /Wallpo
Reinforce ent in Plac-
Footing Dowels or Ke y in place
Foundatio Dampproof
Foundatio Waterproo int
Footing P ain Dayli: t or 'ump
Footing D ain Ston:.
12 inc width
6 inch:, above ooting
6 mil poly for et areas un.-r slab
Backfill • ,.prov:l
C Plumbing n. •r Slab
PVC/Cas / opper
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
_
bkAA
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 3 t5
Queensbury Building&Code Enforcement Arrive: am/pm Depar pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial •' (�� ` 3
NAME: Aqx n PERMIT#: 15
LOCATION: 1 (P2- INSPECT ON: b L 212O1/43
TYPE OF STRUCTURE: ,-
Comments
N N/A CAL___ 6 " (e 2-t
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
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump Y
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval ily/
P.laitfig 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: 4-51-2-42115
Queensbury Building&Code Enforcement Arrive: am/pm Depart: . pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:/`
p,A9
NAME: l''1l�—�5 2—
�r n PERMIT#:
LOCATION: 2 1 .Q.-@ut , ILO INSPECT ON: 517__L;)17.-QA a
TYPE OF STRUC'TURE: (LQ!,- U.
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 Z
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
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 ti
PVC/Cast/Copper
,----
Foundation
Foundation Insulation Interior/Exterior
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
1