2012-205 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: P20120205 Date Issued: Wednesday, November 27, 2013
This is to certify that work requested to be done as shown by Permit Number P20120205
has been completed.
Location: 36 HILLCREST Ave
Tax Map Number: 523400-301-008-0002-085-000-0000
Owner: JESSAMYN A CLIFFORD
Applicant: DANIEL & JESSAMYN CLIFFORD
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property (--- a/v.P 4 ,45t—
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.
ANA, TOWN OF QUEENSBURY
742 Bay Road,`uccnsbury,NY 12804-5902 (518)761-8201
F
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120205 Application Number: A20120205
Tax Map No: 523400-301-008-0002-085-000-0000
Permission is hereby granted to: DANIEL&JESSAMYN CLIFFORD
For property located at: 36 HILLCREST 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: JESSAMYN A CLIFFORD
Residential Alteration
36 HILLCREST Ave
QUEENSBURY NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012
Roof Alteration due to ice damage
406 sf
$60.90 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 e •nsbury• Mo i s y pril 30,2012
SIGNED BY i_ t Alk7 for the Town of Queensbury.
Director of Building&Co.e Enforcement
f
OFFICE USE ONLY
TAX MAP NO._ L C_1—Z..---85 -._.PERMITNO.__ OC_p D —_ - —_ APR ? U 2012
FEES: PERMIT II,,,,,,_�OO RECREATION ENGINEERING
(If applicable) ;
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: Pt CI 1FR-)RD OWNER: '- -'1 tf\ t-tb
ADDRESS: 3( U \.,f S o ADDRESS: kr j(0 \-1\1\(
PHONE NOS. LjZ 1 1 l l PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: I I�(")-*,1E C SHONE: 791
LOCATION OF PROPERTY: <.3(c) Lam(' V cE��' cR
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z p 0
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C� CJ o
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PROJECT OO � w _' 0 =
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¢ \¢ � � C•4 O � OH � a = 0s
• SINGLE FAMILY j�i,Gq` �
�siti�"
QJ
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-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: FUEL TYPE: C�
HEAT TYPE: (-, f 1) *HOW MANY FIREPLACE(S): AND/ OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION:
B TU PCI- V„ 0P\
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
"Please complete a separate Applrcatrcn for..Fuel Burning A •plianc:s&Chimneys' available In cur office
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, l 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.
Signed 1SJ ' C ' 11i d
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 zoning Laws of the Town of Queensbury.
Application.. l,
BUILD ' '&COD 5 APPROVAL ZONING APPROVAL
DATE
DATE
• QUESTIONS 7 CALL 761-8256 OR EMAIL
codesPqueensbury.net
Office Use Only . VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
Operating Permit Issued: Yes No
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 - "n- • spection
Office No. (518) 761-8256 Arrive: t'=tom a /p s a.art: IA- ill /pm
Date Inspection request received: Inspector's Initials/kg AA
NAME: ! PE• IT#: Q,rj
LOCATION: ie 11 > * D
TYPE OF STRUCTURE: .. - :
U 4 Comments:
Yes No- N/A
4" Building Number Address visible from road /r
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish CompleteNY'
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/5`"kr"vo st e n
Floor truss,draft stopping finished basemen 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'/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing 1%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 ti i4 i
Flex Gas Pipe Bonding o
As Built Septic System I Sewer Dept. Inspection Sticker /z
Site Plan /Variance required
Flood Plain Certification,if requiredI ---
Okay to issue C/C or C/O[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codesllnspection ForrnslResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08; Revised 12122/10, Revised 04/13/11
• RX Date/Time 11/26/2013 16:05 5185436156 P.001
NOV-26-2013 04:58 FROM:STEITZ 5185436156 TO:7454437 P. 1
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Rood-Manhelm,I'A 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Pcrrnil No.... f ..Ctrl '5 6 8 ..ut-in Card No.
Owner ,f,g.a./M....1F.. 4j • / e' 42-Ct
Location t.J.SP .. ,l,c..rZ '. ..7-/.. ..e.. C
r.I PIA.e.e.l4.. ...7.16,4 •
Installation Consisting of
`- , N4:.. ........................
Installed By.. .,r.-r Lit.No...................................................
The conditions following governed the issuance of this certificate.and any certificate previously issued is
cancelled.-
This certificate only covers die electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations.application sh II be promptly ma for inspection.
Inspectors of this Company shall have the privilege f ma ng inspections at y time, and if its
rules arc violated,the Company shall have the right to oke t a ccrtific . '
Dote..// 17^/ 3 INSPECTOR / WA /
Mc cr N. P.A.,I.A.R.I.
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Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection re. 1 •
Queensbury Building &Code Enforcement Arrive: I I. ( o f i• .art: tv am�
742nr'
Bay Road, Queensbury, NY 12804 Inspector's In4tlal: ��
NAME: C,LFFt0 _ PE" IT #:
LOCATION: �� ` �������F�� ' IN. 'ECT ON: 1 _\ -��
TYPE OF STRUCTURE:
Y N N/A
----
Rough
Rough Plumbing I Nail Plates
Plumbing Vent 1 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
50 P.S.1 for 15 minutes
Insulation / Residential Check/ Commercial Check r ` Z... \
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct I Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace 1 �,
Duct work sealed properly I No duct tape I
rte_
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 16, 2005, revised January 7, 2008
Framing J Firestopping Inspection Re.•rt.-;
Office No. (518) 761-8256 Date Inspection req_ :st ;s:i : •:
Queensbury Building &Code Enforcement Arrive: u- . - ,+ part: ( Lv—, am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initia s: , ^ -"-
NAME: PERMIT#: \ Z-7--CL7
LOCATION: ,� i INSPECT ON:
TYPE OF STRUCTURE:
Y N 'N/A COMMENTS:
Framing �`'
Attic Access 22" x 30" minimum
Jack Studs/ Headers k‘67-m)G D t IJt KGvootA
Bracing I Bridging \OH L
Joist hangers
Jack Posts/Main Beams (\t•k •v3N. b
Exterior sheeting nailed properly
12" O.C. C1 l� F �C
Headroom 6 ft. 8 in.
Stairwells 36 in. or more 1tir ' 611s.<
\{1_
Exterior Deck Bracing
Headroom 6 ft. 8 in. fYV V--0 -_. l
Notches/ Holes / Bearing Walls .z-"Y-6" (TuD SJR+ TO C3G G=R —t�D
Metal Strapping for Notches Top Plate b-c% Jr,p O -_`' IZE tE• R—‘1
1 '/z(w) 16 gauge (8) 16D nada eachside gam- 1 w1hX'Pt��FD �+,
Draft stopping 1,000 sq. ft. floor trusses ���
Anchor Botts 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 'A inch or 5/8 inch Type X
Garage side 518 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 In. (H)
20 in. (W)
5.7 sf above / below grade
5.0 sf grade
L:1Building&Codes Forms-OLD\Eiuilding&Codes\Inspedion Forrns\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspectio, R= •.rt
Office No. (518) 761-8256 Date Inspection AB, - = ived•pec�o �Queensbury Building &Code Enforcement Arrive: -- 4 �: Depart: k l= ami742 Bay Road, Queensbury, NY 12804 Inspector's Mit _ .. ,A.,
NAME: —� - • :RMIT#: — a\_
LOCATION: I, L_ C `� r)ter-- SPECT ON: a — . Z
TYP OF STRUCTURE:
�/ Y N N/A COMMENTS:
Framing ��
Attic Access 22" x 30" minimum
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 I Holes I Bearing Walls
Metal Strapping for Notches Top Plate
1 'A (w) 16 gauge (8) 16D nails each side ,
Draft stopping 1,000 sq. ft. floor trusses
Icefchor Bolts 6 ft. or less on center
tn 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 'A 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
L:\Building&Codes Forms-OLD\Building&Codes\Inspection Foms'Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing I Firestopping Inspection Repo ' /' /\\ --
Office No. (518) 761-8256Date In section •:• ;st -cei -•: /�'—
Queensbury Building &Code Enforcement Arrive: a _L•1 s•part: . •
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: CL PERMIT#: C
LOCATION: j� , (- 1 / r' 1> INSPECT ON:
TYPE OF STRUCTURE:
NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing 1 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 %(w) 16 gauge (8) 18D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
and water shield 24 inches from wall
ire 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 %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
L:1Building&Codes Forms-OLD18uilding&Code\Inspection FormsSFraming Firestopping Inspection Report.doc RevLsed January 7,2008