2012-284 ,f11111% TOWN OF QUEENSBURY
•
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120284 Date Issued: Wednesday, June 26, 2013
This is to certify that work requested to be done as shown by Permit Number P20120284
has been completed.
Location: 267 CHESTNUT RIDGE Rd
Tax Map Number: 523400-290-000-0001-044-000-0000
Owner: LARRY ADAM GRAY
Applicant: LARRY ADAM GRAY
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 (---2)6614t0/1
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.
TOWN OF QUEENSBURY
era Bay Road,Queensbury,NY 12804-5902 (518)76]-820]
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120284 Application Number: A20120284
Tax Map No: 523400-290-000-0001-044-000-0000
Permission is hereby granted to: LARRY ADAM GRAY
For property located at: 267 CHESTNUT RIDGE 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: LARRY ADAM GRAY Residential Alteration $9,000.00
SARAH ELIZABETH BOONE Total Value $9,000.00
267 CHESTNUT RIDGE Rd
QUEENSBURY NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-284
Replace existing 9'wide, Overhead Garage Door with 16' wide Overhead Door
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 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 ofQueen ury; ,burs y, une 14, 2012
SIGNED BY for the Town of Queensbury.
Director of Building& Code Enfor ent
49(), -
OFFICE USE ONLY
TAX MAP NO. ` o, - ' �I 7/ PERMIT NO. / g
FEES: PERMIT 60 ,0`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: Adam Gray OWNER: Adam Gray
ADDRESS: 267 Chestnut Ridge Road ADDRESS: 267 Chestnut Ridge Road
PHONE NOS.791-2216 PHONE NOS. 791-2216
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:JARRETT Engineers PHONE:792-2907
LOCATION OF PROPERTY: 267 Chestnut Ridge Road
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ISI NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT 0 O a I-
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APPLY TO YOUR Z F- O v)
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Upsized overhead door from 9 ft. wide to 16 ft. wide.
SINGLE FAMILY X
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
•
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: N/A
ESTIMATED CONSTRUCTION COST:$8,000 - $9,000 FUEL TYPE:N/A
HEAT TYPE:N/A *HOW MANY FIREPLACE(S):N/A AND/OR WOODSTOVES(S):N/A
ZONING CATEGORY: MDR ARE THERE WETLANDS ON THIS SITE? N/A
IS THIS A HISTORIC SITE? N/A
PROPOSED USE OF BUILDING OR ADDITION: Convert existing single bay garage into double bay.
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? No.
ARE THERE EASEMENTS ON PROPERTY? N/A
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our 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, 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 i Jl
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)
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
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:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes@queensburv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.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
Revised 4/14/2010
PROJECT NAME: Adam Gray Office Use Only
Staff Initials:
BUILDING PERMIT SUBMISSION Date:
CHECKLIST FOR:
SINGLE FAMILY DWELLING
1. Building Permit Application Completed? (Yes) No N/A
2. Energy Code Inspector's Report from ResCheck? ( 2 copies) X
3. Septic application completely filled out? (if applicable) X
4. Electrical inspection agency selected? X
5. Two (2) sets of the plans for each of the following:
a. Floor plan(s) X
b. Foundation plan X
c. Cross Sections X
d. Elevations X
e. Window and door schedule X
f. Natural Light, Ventilation and Emergency Egress Requirements X
g. Plans signed and sealed by registered architect or engineer X
6. Two (2) site plans showing location of the structure to be built, location of well
X
Or water lines, location of septic system or sewer line
7. Setbacks from property lines to new structure X
8. Driveway Permit X
9. Solid Fuel Burning or Gas Appliance Form (if applicable) X
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
Fitt l✓ /i)(/A'
Queensbury Building & Code Enforcement - Residential Final inspecti
Office No. (518) 761-8256 Arrive: �,�
am/pm 0: Ta: am pm
Date Inspection request received: Inspector's Initials: &` L�
NAME: Qty
LOCATION: _ C1 ,Y�, , IL aDATE:
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/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%"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% Ir
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/O[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
ST ru.S
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm epart:( ,) am/pm
Date Inspection request received: Inspector's Initials: ti
NAME: 61" j Q PERMIT#:
LOCATION: (o ') ga 7- Rte DATE: alit
TYPE OF STRUCTURE: ('-1 E._s �( fr��jtct piC1
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 1 trim/doors I main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom: , C-
Outside every bedroom area: V h�`�v � �
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 siteqq.-42-6 )AC
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%"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
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 I C or C/O[Temporary/Permanent
L:1Building&Codes Forms\Building&Codes\Inspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11