2012-577 011111K, TOWN OF QUEENSBURY
742 Road,Queensbury,NY 12804-5902 (518)761-8201
BayQ rl,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20120577 Date Issued: Friday, January 18, 2013
This is to certify that work requested to be done as shown by Permit Number P20120577
has been completed.
Tax Map Number: 523400-289-006-0001-024-000-0000
Location: 50 NACY Rd
Owner: ROBERT & DONNA SLACK
Applicant: ROBERT J SLACK
This structure may be occupied as a:
Residential Alteration
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the atr7p
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building& Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bad Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120577 Application Number: A20120577
Tax Map No: 523400-289-006-0001-024-000-0000
Permission is hereby granted to: ROBERT J SLACK
For property located at: 50 NACY 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. Tempe of Construction Value
Owner Address: ROBERT& DONNA SLACK Residential Alteration $19,635.00
50 NACY Rd Total Value
LAKE GEORGE,NY 12845-0000 $19,635.00
Contractor or Builder's Name/Address Electrical Inspection Agency
PINCHOOK& BUCKLEY CONSTRUC.
PO BOX 2201
GLENS FALLS.NY
Plans&Specifications
2012-577
Replace outside wall 26'x 8'
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,December 20,2013
(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 Queensbuty; Thursday,December 20,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
f
� iii-y'i a,i•.
OFFICE USE ONLY
TAX MAP NO.__aZ /_1 --pa PERMIT NO. a`�
FEES: PERMIT /�`� �'.1 ;
0,
ON ENGINEERING
(If applicable)
-_c--; -, Lji2
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: pi/-'C 1/co<d (6G1CiL e.7 OWNER: R 0 Pj-&-i2! SCA Cf<
ADDRESS: I_ o GS Ox aj o i i 6,c e -'S f-,-.41.1.‹) ADDRESS: (1 E 0 i,() 4-- •'-i' k 0
PHONE NOS. 7 9 -3 `7 O C17 tir /���� PHONE NOS. -”,2-o 42
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: S7-ZOE pieJGfcek PHONE: ---)67 - Co cf
LOCATION OF PROPERTY: 5-0 N/) Cy
/� 0 / L/c G FO
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES EJ NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
UJ LL co
APPLY TO YOUR z I O cc x Cl c F-
PROJECT X 00 � Op I- o
E) W J LL u_ W Q a = v
F- L- 2 F- p C�
W J H O Z Q I- t-: O f— fY W -
1 z < < r- CO N U) 0 u_ I— LL a 2 ozs
SINGLE FAMILY c�(O x 8 /
A WA1-L
TWO-FAMILY Gt f 7 s 1✓���
sem 711
,L_J ub R(? Pet .
MULTI-FAMILY
(NO.of UNITS ) y h„:„.. j/Z/4..__C--
TOWNHOUSE _&rp 6t-e--k)
/ U
BUSINESS OFFICE r
WI'. L241{Ctitr-e---a'3 ((---'
RETAIL-
MERCANTILE
(J (,gyp
&
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: /1,(o � v� FUEL TYPE: P k 0,PAry-E.
HEAT TYPE: 0re( Ha% *HOW MANY FIREPLACE(S): AND/ OR WOODSTOVES(S):
Ai<
ZONING CATEGORY: f2_eS ARE THERE WETLANDS ON THIS SITE? Al C
IS THIS A HISTORIC SITE? ,C) C.'
46ROPOSED USE OF BUILDING OR ADDITION: /- FS 16 ) C
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? u O
ARE THERE EASEMENTS ON PROPERTY? 0
Please complete a separate Appi!Catien for 1-ue1 Burning AD•pliances&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
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:
(1)\AAC)
BUILDING & CODES AI?PROVAL ZONING APPROVAL
DATE DATE
• QUESTIONS? CALL 761-8256 OR EMAIL
codes(@,queensbury.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 Inspection
Office No. (518) 761-8256 Arrive: am/pm, Depart: , am/pm
Date Inspection request received: Inspector's Initials:
NAME: s l a o- K PERMIT#: I . -O 7
LOCATION: S � t CL Lj R i i DATE: Ma
TYPE OF STRUCTURE: ca,'-3 . 1 f`
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 i'
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 �,4,—�--�Z —✓ �,`
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 `"��► -i�`�"`
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy 1 trim/doors 1 main entrance 36 inches
Bathroom 1 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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed I Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W 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 k
Flood Plain Certification, if required ' �+
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codesllnspection FormslResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
Framing I Firestopping Inspection Report Ma , C (174,�
Office No. 518 761-8256 Date InspectionL 3�'
( ) request received:
Queensbury Building &Code Enforcement Arrive: am/prp Depart; am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials://IL C{
NAME: R7 �� ( ( ICS fK PERMIT#: /;)-5 17
LOCATION: N<c1.ct.-A 1Y4 INSPECT ON: t?-7 r;"?
TYPE OF STRUCTURE: ! 4 •
Y [ N ►VIA COMMENTS:
Framing % f
Attic Access 22" x 30" minimum /
Jack Studs/ Headers , 1 (-7)
Bracing /Bridging
Joist hangers --
Jack Posts/Main Beams
Exterior sheeting nailed properly 1 c
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
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 5/8 inch Type X
Ceiling/wall
Windows Habitable Space l Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above / below grade
5.0 sf grade _
L:1Building&Codes Forms-OLD\Building&CodeslInspection Forins1Framing Firostopping Inspection Repott.doc Revised January 7,2008
TOWN OF QUEENSBURY TOWN OF QUEENSBURY (3
BUILDING DEPARTMENT r.
BUILDING & CODES DEPT. Based on our limited examination,compliance
meplansnt sshah i. snit coi feiccaot inpsntrs construed ausi
2..... .t./__ _ winidthicaoltinrgcothme •
Reviewed Bv: DEC 1 0
full compliance with the uilding Cooes of u 2012
Date: >--\-1-c VR----- New York State.
FILF Copy
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