2012-182 9.4411111ft TOWN OF QUEENSBURY
742 Bay Road,Quecnsbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120182 Date Issued: Monday, January 14, 2013
This is to certify that work requested to be done as shown by Permit Number P20120182
has been completed.
Location: 3 MABEL Ter
Tax Map Number: 523400-308-010-0001-075-000-0000
Owner: BACKES FAMILY TRUST
Applicant: BACKES FAMILY TRUST
This structure may be occupied as a:
Porch By Order of Town Board
TOWN OF QUEENSBURY
4
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.
00h4 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
IOW
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120182 Application Number: A20120182
Tax Map No: 523400-308-010-0001-075-000-0000
Permission is hereby granted to: BACKES FAMILY TRUST
For property located at: 3 MABEL Ter
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: BACKES FAMILY TRUST Porch $14,000.00
3 MABEL Ter Total Value $14,000.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012-182
197 sf 3 season porch
insulated/no heat
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, April 30, 2013
(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 o ensbury; /Monday,April 30,2012
SIGNED BY /! for the Town of Queensbury.
Director of Building&C.11- n ��, ement
OFFICE USE ONLY .......................
TAX MAP NO._�bQ. It�- - ---
r �_PERMIT NO. c�. -_ j
FEES: PERMIT '' ApR 2 RECREATION 3 2012
ENGINEERING
(If
...........
applicable)
PRINCIPAL STRU .LLi..._DI,NG .: -, Q,S
JRY
CTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CO PERMIT
REVIEW BEFORE ISSUANCE OF A VALID PERMI FOR CONSTRUCTIIONAPPLICATION IS SUBJECT TO
APPLICANT/BUILDER: / ISE 1 ' Ent n(
�� riA. ' S OWNER; C/PrAkC
ADDRESS: I i •: !
'' `'. 0,1,1 ADDRESS:
PHONE NOS. .AZ
PHONE NOS. �c
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE (ito PHONE;
LOCATION OF PROPERTY:
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL?. ❑ YES k NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOURO
PROJECT z ~ p O Oj
P:
O � � � 07 � � W
p W _t LL 11 oft: W -� � _ _
W p
Q
Z < Q r- Q N O f-' 0 l- � W z
Ou_ F- LL a206
SINGLE FAMILY in
f 61
TWO-FAMILY --------
MULTI-FAMILY _
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE •
RETAIL- --
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL- ME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: 4(A00It
FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S): ---' AND/ OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? 14
IS THIS A HISTORIC SITE? 0
PROPOSED USE OF BUILDING OR ADDITION: (4 4O14\
*Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office
—
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
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 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. 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 r d and agree to the above.
Signed QAp-S2 � 0,e-re-c7
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said
Application: zoning Laws of the Town of Queensbury.
BUILDING & CODES APPROVAL
ZONING APPROVAL
DATE
DATE
QUESTIONS? CALL 761-8256 OR EMAIL
Office Use Only Codes au
at7eenrysbunet
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No Www.aueensbury net
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
Queensbury Building & Code Enforcement - Residential F : pection
Office No. (518) 761-8256 Arrive: C'• r am .• .art: = a
Date Inspection request received: Inspector's Initials: /i
NAME: C3C't(�, [,C_`3 PE' � T#: � `I g,�
LOCATION: • 3 '\o ci✓16 (e1 -r Or•< 6= D E: 1 — ly-><
TYPE OF STRUCTURE:
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
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 I doors 1 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 1 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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap!Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%"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 -fa t
Flex Gas Pipe Bonding c
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required /-
Flood Plain Certification, if required
Okay to issue C/C or C/O[Tempora /Perman
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
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
1 X.'4 X MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. .p Cert. No 20467 Cut-in Card No
Owner ,[.1 +-C-g
tur
yy
Location.) al�l8eg-- n � LL19Y
. , r 4r
Installation Consisting of. 1 �
( �/v 02 3 1
...
5 . c" 0 / 1Caee
Installed By #t Iu le'/L' /b Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privi ege of ma: _ pections at any time, and if its
rules are violated,the Company shall have the right r ke t• - nate,
Date..f Z-1"7-- INSPECTOR. f... ,
Member N.F.P.A.,I.A.E.I.
d ai- /I
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: amlpm Depart ,t�am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials�r ,,))
NAME: 06 K�s PERMIT ##: /01--/ S
LOCATION: S (�1 I `t r- rc � INSPECT ON: 7-3-a
TYPE OF STRUCTURE: ?4 540-)
Y N N/A v-- is 1/Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place 1 (15
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain 1 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
Tyvek or Similar Exterior Sealant
Proper Vent, Attic V,;;
Door/Window Se led (No Insulation (yy
Duct/Hot Water Pi• ! • . -
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
(46 ,,G\
Rough
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Ins•ecti• • =• .= ed:
Queensbury Building & Code Enforcement Arrive: = = /00 -part: It 1`$? Jpm
742 Bay Road, Queensbury, NY 12804 Inspector's In" •
NAME: (.. 0(0, K Q S PERM T #: /014 S' .
LOCATION: � M -re r INSPECT ON:
TYPE OF STRUCTURE: 0 'r Ps 1c�h
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent I Vents in Place
1 34 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 L�
Water Supply Piping
Air/ Head
50 P.S.1 for 15 minutes
Insulation/Residential Check/Commercial Check jr*--\
Tyvek or Similar Exterior Sealant ft$34Proper Vent, Attic Vent
Door/Window Sealed (No Insulation) ._
Duct/Hot Water Piping Insulation �J
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
'74" I
COMMENTS:
Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
/1;3 fri--
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 3 C�i
Queensbury Building & Code Enforcement Arrive: am/pm Depart: a /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: M
NAME: G L , PERMIT#:
LOCATION: INSPECT ON: 1
TYPE OF STRUCTURE: ,S-c7
�1 - 1
.),Y N N/A COMMENTS: 7ff. $
naming / '
cress 22" x 30" minimum / I
Jack Studs/ Headers
Bracing I 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 '/z(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor-Belt . or less on center yir
ce and waters Id 24 inches from wall
ration 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 'A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilin! all
Windows Habitable Space/ Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/ below grade
5.0 sf !rade
L:\Building&Codes Forms-OLD\Quilding&Codes'nspection Famis'Framinp Firestopping Inspection Report.doc Revised January 7,2008
-ID
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection r• : i
Queensbury Building&Code Enforcement Arrive: : :, , epart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Iiu : s:
NAME: \� RMIT#: a $ a
LOCATION: 3 (\�1n r INSPECT ON: / 5—f a
TYPE OF STRUCTURE: 3 ecn
Comments
( ' Y , NLA
Footings ,,,
��
•
IllWrolithic 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
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 12/20/2005 9:24:00 AM
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Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
.. . - ..22.31V40 C7
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LOT 22
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O0 3561'1 y®R^:•
o. •.,�F OF N��,.••
'UNAUTHORIZED ALTERATION OR AWWO N TO A SURVEY -
�E'p MAP BEA MNO A LICENSED LAND SURVEYORS SEAL 15 A
VIOLATION OF SECTIO( 7209. SUB-DPAMON 2. OF :THE
3' NEW YORK STATE EDUCATION LAW.'
'ONLY COPIES FROM THE ORICINAL OF. TWS SURVEY
MArJSEAL S ILLI All ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VAIJD TRUE COPIES.'
`CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
SURVEY. WAS PREPARED IN ACCORDANCE MITI THE
` •� 49STIND CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
I HEREBY CERTIFY TO LAND SURVEYORB. SAID CERTIFICATIONS $HALL RUN ONLY
RICHARD. J. & MARY ANN BACKES - - TO THE PERNK FOR WNDM THE SURVEY IS PREPARED, AND
STATEWIDE FUNDING CORPORATION, ON HIS BEHALF TO TK TITLE COMPANY, GOVERNMENTAL
IT'S SUCCESSORS AND/OR ASSIGNS- - AGENCY AND LFNDNO IHST[ MTION LISTED HEREON;^AND
CHICAGO TITLE INSURANCE COMPANY TO THE A951q M Of THE LENDING INSTITUTION.'
THAT THIS MAP WAS MADE FROM AN ACTUAL SURVEY ON
THE GROUND ACCORDING TO RECORD DESCRIPTIONS AND MAP OF A SURVEY MADE FOR
SHOWS LOCATIONS OF BOUNDARIES AND IMPROVEMENTS
ON THE PREMISES SHOWNAND THERE ARE NO ENCROACHMENTS NCH
, h J.
n � "� � �
OTHER THAN SHOWN. lAi1KF/!J! J ,UEC lA'(
T�Wt OE`' QUEENSBURY COUNTY OF WARREN N,Y.
LEON M. STEVES SCALE 1 -30, DATE, FEBRUARY 10. 1993
DATED: FEBRUARY 10, 1993
Vadwen & Steves
jL LAND SURVEYORS,GLENS FALLS,NEW YORK
N.Y. 'STATE LIC. NO. 35617 �—