2015-021 .4 ` TOWN OF QUEENSBURY
too 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20150021 Date Issued: Tuesday, February 03, 2015
This is to certify that work requested to be done as shown by Permit Number P20150021
has been completed.
Location: 185 BIG BAY Rd
Tax Map Number: 523400-316-013-0001-027-000-0000
Owner: TREVOR & VERONICA BARBER
Applicant: TREVOR & VERONICA BARBER
This structure may be occupied as a:
Fireplace By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property c....\LV owner of the res onsibili for com liance with Site Variance, or
responsibility P Plan,
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
itaki
tririg 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150021 Application Number: A20150021
Tax Map No: 523400-316-013-0001-027-000-0000
Permission is hereby granted to: TREVOR&VERONICA BARBER
For property located at: 185 BIG BAY Rd
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: TREVOR& VERONICA BARBER Fireplace
185 BIG BAY Rd Residential Alteration $23,100.00
QUEENSBURY,NY 12804 Total value $23,100.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
BP 2015-021
576 sq. ft. residential interior alterations; conversion of garage into living space (living room use) and new
bathroom, and gas fireplace.
$86.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,February 03,2016
(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 Town of ueetry; esti', ',)`/
n tary 03,2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
DATE 1 2 /S Received
c/ / Tax Map ID 3i�•1 !'�' �-7
TAX MAP ID 5)3W0 3/6-/3/-a7 Permit No. oO/S' °?"/ /
Permit Fee cpe. /� plNr
ZONING Rec Fee
Site Plan#
HISTORIC SITE Yes / No Subdivision#
plus j-44 ilt-13(te.e
SUBDIVISION NAME Y✓l e tADC9 t,..r- 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.
APPLICANT ,`' � � �� r"- OWNER I y�'`'L 1.� c
ADDRESS L 5�-'� (3 c ` ADDRESS g7
PHONE/E-MAIL 57.1 ' O — 9 73/ PHONE/E-MAIL 7I� ^ '71'_37
CONTRACTOR COST OF CONSTRUCTION(ESTIMATED): $QJll��
ADDRESS: BUILDING ADDRESS: /gc 81, R,c c
P4yVieJ At i l 17 r'
PHONE/E-MAIL
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE-4/44- PHONE
TYPE OF CONSTRUCTION
��✓cs-f U(tet iqz �, O n
Check all that apply Please indicate Yneasurements as required below
New Addition Alteration 1st floor sq. ft. 2nd floor sq. ft. Total sq. ft. Height
Single Family • t I(
Two-Family 4e .
Multi-Family law %spit-Ge ' 4//'
Qo -lie '
(#of units ) 1 /"-/1(4 S i.
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(#of )
Other
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business
Proposed use of building or addition
Source of heat (circle one) Gas Oil Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances &
Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information
a. Dimensions or acreage of lot
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
e. Sewer or Private Septic System
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: /3;v dt- (,&7s.-/-"- DATE //2)---75
SIGNATURE: / � �✓� DATE k r7r S
FOR OFFICE USE ONLY
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building&Codes Principal Structure Application July 2014
FUEL BURNING APPLIANCE & CHIMNEY Office Use Only
APPLICATION
Received
Tax Map ID -310. 13 1—z7
DATE Permit No
TAX MAP ID d 38010 3/6 / ("T7 Permit Fee
- T
ZONING
OWNER: `a, / PHONE/E-MAIL 5fo ' 3 r
ADDRESS / 7-- 63, 4, 67-2 Cileart 4 /c2jr,
INSTALLER/BUILDER: PHONE/E-MAIL
ADDRESS:
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE:— t PHONE ' �y
BUILDING ADDRESS: AS/ -
Fuel Burning Appliance Information Wood Coal Pellet Gas Oil NOTE: ROUGH-IN & FINAL
Stove INSPECTIONS ARE REQUIRED.
Fireplace Insert
Fireplace, Factory built*
Fireplace, Masonry
Furnace (Garage Only)
*If Factory lockjilt provide manufacturer name: /4- ; model#: Qv j 6 i3'fi
Listed by: )4-zG ti h ('1� Number: .5— '— cj -
Chimney Information
Masonry** (check one) Block Brick Stone
Flue Tie Steel Size in inches
Material Double wall Triple wall Insulated v Direct Vent Chimney Liner
**If Non-masonry provide manufacturer name: model#:
DECLARATION: Construction / installation must conform to NYS Fire Prevention & Building Code and / or
manufacturer requirements. The applicant or owner agrees to comply with all applicable laws, ordinances,
regulations, and all conditions that are part of these requirements and also will allow inspector's to enter premises to
perform required inspections.
I have read and agree to the above: Print Name. ir Date: k7y
Signature. Date: (--7X.- -5
5
Town of Queensbury Building&Codes Principal Structure Application July 2014
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials:
NAME: r /'z4. 4 � PERMIT#: ' '�
LOCATION: /615- DATE: 2 �S
TYPE OF STRUCTURE: J
Comments:
Yes No NIA_
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
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
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
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: _ Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
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
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/'/,hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50% •
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 I Variance required \frf
Flood Plain Certification, if required
Okay to issue C/C or C/0(Temporary/Permanent]
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
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