2012-222 .110111A TOWN OF QUEENSBURY .
Bay Road,
Queensbury,
742 NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120222 Date Issued: Monday, January 26, 2015
This is to certify that work requested to be done as shown by Permit Number P20120222
has been completed.
Location: 345 GLEN LAKE Rd
Tax Map Number: 523400-289-009-0001-062-000-0000
Owner: TAVIS & ASHLEY LEOMBRUNO
Applicant: TAVIS & ASHLEY LEOMBRUNO
This structure may be occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
/ r
Issuance of this Certificate of Occupancy DOES NOT relieve the property r.v 4 ./.
owner of the responsibility for compliance with Site Plan,Variance, or 'v
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
064
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120222 Application Number: A20120222
Tax Map No: 523400-289-009-0001-062-000-0000
Permission is hereby granted to: TAVIS &ASHLEY LEOMBRUNO
For property located at: 345 GLEN LAKE 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: TAVIS & ASHLEY LEOMBRUNO
345 GLEN LAKE Rd Residential Addition $5,000.00
LAKE GEORGE NY 12845-0000 Total Value $5,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-222
48 sf basement entryway (AV 17-2012 approved 4/25/2012)
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, May 14, 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 of ury; on. : , ay 14, 2012
4
SIGNED BY C �` for the Town of Queensbury.
Director of Building& Code Enforcement
N( ,
""5g--/—* OFFICE USE ONLY ; , t- [C 1.1 \7 ",�
TAX MAP NO. 1 - -�--M�� --
FEES: PERMIT Q-. RECREATION x �V
� _ ________ _ENGINEERING f�1 ,1 O'4 ZQj� ,
(If applicable) ;
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 read and agree to the above.
�.
Signed
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:
jAP
BUILDIN CODES £P'ROVAL ZONING APPROVAL
DAT: DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(aqueensburv.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 Final Inspection
Office No. (518) 761-8256 Arrive: 1OI. am/pm . Depart: am/pm
Date Inspection request received: Inspector's Initials: a '
NAME: Sao-i+ -I'p A > col cz PERMIT#: ` A
LOCATION: 3 /- d DATE:
TYPE OF STRUCTURE: R,0-9 A- 4
Comments:
Yes No N/A
4" Building Number Address visible from road � F.5-1143
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 Valves)_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
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/0[Temporary/ errnanen
L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7, 2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
J 1\ Lit r-s cies( /-3
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: :?;/4) am/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ()fr
NAME: e 0 th)r L( t‘ ) PERMIT#: /,4-AAA
LOCATION: �</��' ) INSPECT ON: f �
TYPE OF STRUCTURE: U ( p 4
Comment;
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
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg 41,)4 tialf
Foundation Waterproofing f (/
Footing Drain Daylight or Sump � 111,)e_ d
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:\Buliding&Codes Forms\Bulfding&Codes\Inspecdon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
( (o / 0 - Z
Foundation Inspection Report___
Office No.(518)761-8256 Date Inspection request received: -7//(//'
Queensbury Building&Code Enforcement Arrive: am/pi Depart: c am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
-
NAME: L,r G?;vibe- L () PERMIT#:
LOCATION: -3 Li (; 1 v' Love (/) INSPECT ON: 7/f t// 2-
TYPE OF STRUCTURE:
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
Reinforcement in Place -20 4A,A
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 moil 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:\BuIIding&Codes Forms\Buliding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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