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2015-280 }� TOWN OF QUEENSBURY 742 Bay Road, Queensbury,NY 12804-5904 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20150280-42086 Date Issued: Wednesday, January 31, 2018 This is to certify that work requested to be done as shown by Permit Number P20150280-42086 has been completed. Tax Map Number: 295.19-3-21 Location: 19 OWEN AVE Owner: Marcia Pooler, Bruce Pooler Applicant: Bruce Pooler This structure may be occupied as a: Residential Addition 250 s.f. By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the lJ property owner of the responsibility for compliance with Site Plan, �d Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. A.h4 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150280 Application Number: A20150280 Tax Map No: 523400-295-019-0003-021-000-0000 Permission is hereby granted to: BRUCE &MARCIA POOLER For property located at: 19 OWEN 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: BRUCE & MARCIA POOLER Residential Addition $15,700.00 19 OWEN Ave Total Value QUEENSBURY,NY 12804-0000 $15,700.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2015-280 Residential Addition 250 s.f. $100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,July 16, 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 n of een ry 4 ,' : ,July 16,2015 i SIGNED BY II for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL.,STRUCTURE APPLICATION Office Use Only DATE j 1 \ j Received .,`_._.((ff..��- '�,, ,,ff Tax Map ID TAX MAP ID c9c . \c ^ �' 1� lb 15 11 Perrrit.No. 2,015- 2130 P-;r i F-e le9Da• ZONING • - JUN 3 0 2015 R: e P / Si an# HISTORIC SITE Yes ✓ No TOWN OF QUEENSB �� division # BUILDING&CODES SUBDIVISION NAME Lot# TOWN BD. RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS, INCLUDING SINGLE FAMILY DWELLINGS, DUPLEXES OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED&MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE. � 1 APPLICANT a+CC;cA QC.e-7O0``l e - OWNER J C a G[31 Csr ADDRESS V=A D\,Jec\ AveNThVe ADDRESS \ \ UVJ enAven<3e 11Z04-1 fa.. Q"er-‘5‘ca.D.,Cit PHONE/E-MAIL mo.«►qr\orlCP vFr�c,oc�. Corn PHONE/E-MAIL '�( r'c4 ..5,(-) �c„�rypo Cprr1 CONTRACTOR `r Lc�C\G��i`J COST OF CONSTRUCTION(ESTIMATED): $ 5, -ICC ADDRESS: 11�5 �l � � }�\� ` BUILDING ADDRESS: J`...r e c ciAXre55 A\\--c=.cnor • \a�o9 PHONE/E-MAIL ( 5 Y It-\ (1�dOCe`e .1/40\•ccirr, CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: \ec\ ">C\L5 PHONE(5-‘8)9(-H-°353 TYPE OF CONSTRUCTION � Cr)e socev )e'�fi5 Check all that apply Please indicate measurements as required below New Addition Alteration 1st floor sq. ft. 2"d floor sq. ft. Total sq. ft. Height Single Family a6 Two-Family Multi-Family (# of units ) 7/C, Townhouse ti;27) Business Office Retail - Mercantile Factory - Industrial Attached Garage (# of Other 1 Proposed use of building or addition � ` n9 �JVo.0 Source of heat (circle one) 0A) Oil Propane Solar Other Fireplace: complete a separate application for Fuel Burning Appliances & Chimneys Are there structures not shown on plot plan? rva Are there easements on the property? Site Information a. Dimensions or acreage of lot , -I acres b. Is this a corner lot? c. Will the grade be changed as a result of construction Yes ✓ No d. Public water or Private well '7v\0` e. Sewer or Private Septic System 6eses- C_ 5.15 -e 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 NY State 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: \\"lcArc-\c,‘Reib`e,r DATE - 6 SIGNATURE: ...J c1 _18cb DATE '1 -k '"t� FOR OFFICE USE ONLY Operating Permit Issued: Yes No Occupancy Type Construction Classification Assembly Occupancy Limit _ Special Conditions 9 gc3cD9 Rough Plumbing I Insulation Inspection Report Inspection request received Name Inspected on Location 1 Ca � / �4rrive �( am I pm Permit No. t 5— a ( Inspector's InitialT9 J. Type of Structure vq--017 C-D cDD� COMMENTS Y N NA Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent /Vents in Place 1 V2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent (1. Air/Heade 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 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 Air Sealing Town of Queensbury Building & Code Enforcement Office No. (518)761-8256 C.+-) Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 r C Framing I Firestopping Inspection Report Inspection request ceived: O� l ZQAA Name: 1-60)\07 Inspected on: •_t Q g$ Location: O-V\.O✓'l ) 1/ Arrive: • a.m.I p.m. Permit No.: 15"SU Inspector's Initials: K4k-A.A7 TYPE OF STRUCTURE: ` A N NIA COMMENTS: } Framing / C Attic Access 22"x 30"minimum / ✓ � ���j Jack Studs/Headers ✓ / I —�� el L Truss Specification Provided V 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 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 Foundation Inspection Report --- Office Office No. (518) 761-8256 Date Inspection request received: 7(/ -S Queensbury Building&Code Enforcement Arrive: am/pm Departpm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: pool�� PERMIT#: LOCATION: ¶ 010`. 1�VC - INSPECT ON: [1t ( 15/ TYPE OF STRUCTURE: F � AA-f) Comments Y N N/A Footings Piers Monoliths Slab Reinforce 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 ` Mr 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 yj3ackfill 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 1 Mk2,4 1O- l2__ Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: }I I Queensbury Building&Code Enforcement Arrive: am/pm Depart: / pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: / :� NAME: Poo PERMIT#: 5- 2-bp LOCATION: 1.1 ©vv:exl A-V. INSPECT ON: $112_,04,5 TYPE OF STRUCTURE: . Comments N N/A tj 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 N7/- 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 Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/9/2014 FLA 9- 11 Foundation Inspection Report Office No. (518) 761-8256Date Inspection request received: 1"1 2Cil�� Queensbury Building&Code Enforcement Arrive: am/pm Depart: j pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: lope/ PERMIT#: 15"2 LOCATION: 1°1 OINR.x1 k�, . INSPECT ON: 3i17-"°'tc" TYPE OF STRUCTURE: Q q.,S, A-ad.• Comments Y N N/A T Footings 1 eb 9L —()53 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 V 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 1.'0-2007 12 : 36 PM JODYROUGAM 518 494 3898 06 _1111C-1\.7-L-te(r.ri. 4,2 5,,,,,,,,,,,,,) 0 1,4.8 46 AC A Va"Ati,A- tL? 4/1 /-•:; 0 ,., . ,0 ./4..4/ 4( 44,,xr.„( ' — Aro' 97'to ./rod,geda -190Z1L6f/i,48/‘c:f3.5;z 0 Z4 PA/4 ) d'':*'re.;4ir ili'vire 1 i (P A1I I 4I( ,-44-.1r, J '.1- 'r D4/Ve , . . 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DEPT & CODES Reviewed Bye ., '� _ + ,mow.. .. _, :1,.(.\..di \\ aYra ' h 'A4 0,./ j.. /7 - /.$I e. 111 L,�JN,Zr 1t!'iP', ,9 i',r, - I A) e .f 7-L.9 AKO - _re e 1"70,e/ /•5" s. ,,,n i,�r.,;, ' jis s,:L 4 P4rf.e 4'.0. e /t✓A,ey.A 41444/.e`DEor �.._ /,i'!t'� , ro +r , g z o4ter,vcE C. 4/ ,P!/,"',i' J' ,PDJJ,sw'. .+7 /z 0. r/r//o r a° _1-4 VAr Zo ,......__-_ I A/E.e6dy CE,er/iccy rb -Ledily -rdVi l/d'r 8,44ht; Ti r.0 E U.f-4, _44 rgd-e-1.a/Ck' L . '.I- 7"iv..; .44/4 e.e/.4.N r: i --re-140eAr C. ,410,0rdr.44/>.tvdr re%r A,44l.0 1444(1-.4.41,1.Ir .c410,4'-seAr Aler.0d.t J-1-44f1.1.4y OA,,'VE' a.. e/v.44o, 4?Ccd.d'1)/,V y» e6cd.ea l»J'c.ei,ar.em✓.r .4440..JA/a ,/ r t/.E /i'C 1 770,1-1 4,c m0" goua',o .4"it'J .®.4,/z) res/.( /. Is.'A.e.0 v.-',..4',,4IYJ mar r,44,1 ,A.e 1'4:,A.I.e.,r., ,?,✓z, r.K-17-- 7-v g.dre--404te- gita A-A/c..eduivivew.4ra".yrs es)VeA° rrV,. 4r Rr,.,r dv Am 1mrt'.x',4',D.+12