2012-417 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120417 Date Issued: Friday, November 30, 2012
This is to certify that work requested to be done as shown by Permit Number P20120417
has been completed.
Location: 22 STEPHANIE Ln
Tax Map Number: 523400-308-016-0001-016-000-0000
Owner: RAYMOND &NANCY BLAIR
Applicant: RAYMOND & NANCY BLAIR
This structure may be ocRyiieNUONSTRUCTION
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
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 ' nforce ent
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120417 Application Number: A20120417
Tax Map No: 523400-308-016-0001-016-000-0000
Permission is hereby granted to: RAYMOND&NANCY BLAIR
HILLTOP CONSTRUCTION
For property located at: 22 STEPHANIE Ln
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: RAYMOND &NANCY BLAIR
22 STEPHANIE Ln Residential Alteration $142,029.00
QUEENSBURY,NY 12804 Total value $142,029.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
2012-417
Residential Alteration DUE to fire damage
1st Flr 1,352 sq& Basement living space 1,352 sf plus new roof system due to fire damage
$405.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 28,2013
(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 Queensbury; Tuesday,August 28,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
. t 17,. r_ . ""'KM
�7 OFFICE/ USE ONLY ^ ,
TAX MAP NO. 31� , I -I - /CQ PERMIT NO. I a`41 i -
FEES: PERMIT� �]. CREATION ENGINEERING 1 :d1.3 2012
D
(If applicable) r
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: I ITOp CI onskru cf l o n OWNER: Ray & Ni Qi c y gIaI (L.
ADDRESS: I C e_otolPy/RDA ill ADDRESS: act S�"epI2 V); eLa Q by
n �
PHONE NOS. '7 11 O33 PHONE NOS. 92(00- 9s'5/ 640/1C`l)
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: ID 171 fni t(Pc PHONE: <72 029- 870 ti
LOCATION OF PROPERTY: as Skphcv Ie Lane IAeekis 6u-t-ry
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? g O\i I „I/ 56d
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: ( J IJJ ��2e f� J
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z 0 coCs w LL co
PROJECT P w OO O O = _
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Town o •Queensbury ' Community Development Office * 742 Bay Road, Queensbury NY 12804
• Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:�
ESTIMATED CONSTRUCTION COST: )4a , Oct b .3 9 FUEL TYPE: CQ S
HEAT TYPE:_+-n I IZ *HOW MANY FIREPLACE(S): I AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? (� ( (�
PROPOSED USE OF BUILDING OR ADDITION: Res Io rp ) i o m !' I re,
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
'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 +the above.
Signed I, AAA _
v-
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
r
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:
BUILT,+ : CODES Air ROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesAq ueensbu ry.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
Queensbury Building & Code Enforcement - Residential Final Inspectit ' /'D
Office No. (518)761-8256 Arrive: am/pm p art '. am/pm
Date Inspection request
received: Inspector's Initials: -,/1 n
NAME: U) C2( hi PECRMMIIT#: / /�
LOCATION: A S -t2,c\1 'i .� DATE: //
TYPE OF STRUCTURE: fk e s -Pr
Comments:
Yes No` N/A_
4" Building Number Address visible from road V
Chimney Height/"B"Vent/Direct Vent Location t//
Fresh Air Intake V
3 inch Plumbing Vent through roof minimum 18 inches V//
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 f/
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 V
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade ..1 ,
Interior privacy/trim/doors/main entrance 36 inches /
Bathroom/Kitchen watertight ✓
Safety glazing/Wrn�w in stairwells safetyy�ng t/
Interior Smoke Det€ctors/Carbon 1,, 6noxidt:Detectors
Every level: .��ed EveryBedropm: JJJJ_
Outside every bedroom a: ddd
Inter Connected: V Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible areaie
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents / p�
Bathroom Fans,if no window k//
Plumbing fixtures 2
ie
Foundation insulation to floor/Sticker on Panel ✓
Ductwork sealed properly/Blower Door Test Certification vir /
Floor truss,draft stopping finished basement 1,000 sq.11. k/
Emergency egress below grade /
Gas Furnace shut-off within 30 feet or within line of site 4/
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating A/
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%"Gypsum Y/./Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%.hour fire door/door closer ✓
VC-
Final
Gas Logs in Sealed or Glass Enclosure
Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan Vale:
17
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/Permanent]
L:1Bulding&Codes Forms\Bulding&Codesllnspection FormaResidential Final Inspection Form_revised_100405.doc;Revised
January 7.2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
� uasg-i6- ( Korn)
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart{,_„ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:ii A ! a I;()
NAME: a IQ I ( PERMIT #: l40)`
LOCATION: aa, &to INSPECT ON: /D-//o--j a
TYPE OF STRUCTURE:
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
Water Supply Piping
Air/Head
50 PSI for 15 minutes
f (la`sulation"/Residential Check/Commercial Check ' ;',r4' 2
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: IL _7 11.43 tiWM..,` ft—
eqo-uut,i),E c3
ukyvvt„,k— rvc--a_a:/6-D Re. (_--5)
�_ � v �
C'a w .
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised F
ebniary 15,2005, revised January 7,2008
Framing / FirestoppingInspectionrr i 16-Id
Report ti Q m)
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: ani/prin Depart:l_.1_,0rJm/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Z7-�v
NAME: 3 f I ( PERMIT#.` /02-<// 7
LOCATION: 1/, )/meq--t k (Li/ INSPECT ON: /
TYPE OF STRUCTURE: & d
Y N WA COMMENTS:,
Framing
Attic Access 22' x 30" minimum
Jack Studs/Headers
Bracing/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/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 16D nava each awe
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 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
LreePPi_ri9_— 'kg
-
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 14 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:8unding&Codes Forms-0LDtBuiknag&CodesYnspedion FomhsWhamkhg Firestopping Inspection Repohtdoc Revised January 7,2008
rr t / (tt om>
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /° �j
Queensbury Building & Code Enforcement Arrive: am/pm art: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:•
L
NAME GS Jo I C PERMIT #: / a
LOCATION: a 4 M AQ INSPECT ON: - . -
TYPE OF STRUCTURE: yl
J
N NIA
IRoughPlumbing /Nail Plates
Plumbing Vent/Vents in Place
1 3 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.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report (r cl a) °t"-'IJ
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm • am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ( ��
NAME: Blair PERMIT#: /off` )
LOCATION: a e p\-� tan i e. AQ nR INSPECT ON: q -a g
TYPE OF STRUCTURE: S f D
t� N WA 4;11-610 dons+,
atimulfigar
COMMENTS:
Attic Access 22'x 30' minimum
Jack Studs/Headers
Bracing/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 'A(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
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%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\Buiid'mg&Codes Fomes-OIIThuilding 8 CadesMnspection Fams%Fnmuny Firestopping Inspection Report.doc Revised January 7,2008