2014-025 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: P20140025 Date Issued: Monday, October 27, 2014
This is to certify that work requested to be done as shown by Permit Number P20140025
has been completed.
Location: 31 HICKOK Ln
Tax Map Number: 523400-227-014-0001-004-000-0000
Owner: JAMES B AYERS
Applicant: JAMES B AYERS
This structure may be occupied as a:
Residential Addition 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 ("--- Y
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
0".
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140025 Application Number: A20140025
Tax Map No: 523400-227-014-0001-004-000-0000
Permission is hereby granted to: JAMES B AYERS
For property located at: 31 HICKOK 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: JAMES B AYERS Residential Addition $9,000.00
413 LINCOLN Dr Total Value $9,000.00
GUILDERLAND, NY 12084
Contractor or Builder's Name /Address Electrical Inspection Agency
DOUGLAS MCCALL
1485 COUNTY RT 29
NORTH CREEK.NY 12845-0000
Plans&Specifications
2014-025
Res. Addition 12' x 9' (new bathroom) cross ref. AV 20-2014.
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 24,2015
(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.)
i
Dated at the Town Que bU�2�'ury;j 4Th r , pri124,2014
SIGNED BY for the Town of Queensbury.
Director of Building& Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received: , 1 X.'
Tax Map��D`.
PRINCIPAL STRUCTURE APPLICATION Permit No.:
A permit must be obtained before beginning construction Permit Fee: $ /Oa u'
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee. $
units, including single-family dwellings, duplexes or two-family dwellings, multiple family Site Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.:
homes,but not including mobile homes. This is in addition to the permit fee.
Date I 21 - Applicant ‘Z Avr,KG 4u E -S
Tax Map ID 21 7 - 1L( -I `1-1 Address '31 I—h 1 Lko1C LANE
Zoning ? LOT 11iNo
Phone/E-mail —1flY.EQ. Q1t1 Y C oP i f` ,Cool
610`) $Coq -779 i
Property Owner --itAnaES A' Q S Contractor/Agent D1/4)6LRs
Address '11.3 L,NCoLN 1DQ. Address )'186 CoQrvtm
Go,, Dccu►lYvo, NY izo4z-1 A �iCQwL. NY 12853
Phone/E-mail (sig 3(oci - 778 t Phone/E-mail (5 le)2s t - 3k)/y
YFLs a N1 CA?, Wca 1iv-C\L.L, tJ-6 Vro.1)4-,i2.4LAlc.*.Net
Contact Person for Building&Code Compliance: 'o Od LAS 111 C CAt., — Day Phone: 7 y(4- I'-14
Building Street Address: �I )i c i<o t. LA
Subdivision Name: Lot#: Historic Site: Yes i"No
Estimated cost of construction: $ t 000
Type of Construction:
Check all that apply Please indicate measurements as required below:
0
o 3
d1st Floor 2nd Floor Other Total Height
Z a a
Single Family ,� (Z` . G` f Jc* N 1 oQ;r 131
Two-Family
Multi-Family(#of
units )
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garages(# )
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
If commercial or industrial indicate name of business
Proposed use of building or addition
Source of heat(circle one) Gas Oil Propane Solar alb NotAl
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys' _Yes ►/IVO
Are there structures not shown on plot plan?
Are their easements on the property? ND
Site Information
a. Dimensions or acreage of lot o X Z 1,0
b. Is this a corner lot? N D
c. Will the grade be changed as a result of construction: Yes ✓o
d. Public water or Private well W A4�_Q._ 5 L Lt.2
e. Sewer or Private Septic System W\o(4--r5_
Value of all work to be performed(labor and materials) $ °'
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. 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.
Print Name: 71)0.)c'IAs Me Cot i
Signature: ' Y Date: ) 2 Z" 19
FOR OFFICE USE ONLY:
Operating Permit Issued: _Yes _No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Please include two (2) sets of the following documentation with the submission of a Completed application for a
Building &Zoning Permit
1. Principal Structure Application
2. Plot plan drawn to scale with the use of a survey map, if possible [40 scale-1 inch=40 feet[engineering scale]:
• Indicate proposed structure, showing setback dimensions from all surveyed property lines
• Show location of all existing structures on the property
• Show location of water supply(well or water lines)
• Show location and configuration of septic disposal system or sewer line
3. Structural Drawings to include:
• Floor Plan
• Foundation Plan
• Cross Sections
• Elevations
• Window and Door Schedule—see attachment
• Calculation Sheet for Natural Light, Ventilation & Emergency Egress—see attachment
4. Registered Architect or Engineer's Stamp(signed &sealed) under the following circumstances:
• Residential addition or alterations with construction costs over$20,000
• Single Family Dwelling 1,500 sq.ft. or greater
• Any commercial construction
5. Checklist for single family or multiple dwelling or commercial project
6. REScheck orCOMcheck signed &stamped: Downloadable version-www.energycodes.gov.
7. Fireplace and/or woodstove solid fuel burning application (if applicable)
8. Septic Disposal Permit(if applicable)
9. Electrical Inspection Agency- Please see"Certified Electrical Form"on the Town's website
10. Driveway permit(if applicable)
11. Fee
Notes:
Certificate of Occupancy: Before a certificate of occupancy is issued for a new residential or commercial structure, an as-
built survey[plot plan]certified NYS licensed surveyor must be filed with our office.
Changes to Plan: Any changes prior to or during construction will require submittal of amended plans [review and re-
approval are necessary].
Withdrawn Permits: 20%of the initial fee is retainable by the Town of Queensbury. No fee is refundable after 1 year from
initial application date.
Additional Review: All Applications are subject to Zoning Administrator, Code Compliance, and Structural plan review
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Checklist - Single family dwelling or Multiple dwelling / Commercial project
SINGLE FAMILY DWELLING PROJECT CHECKLIST
PROJECT NAME:
Please include two(2)sets of the following documentation: Yes No N/A
1. Building Permit Application Completed ✓
2. Energy Code Inspector's Report from ResCheck
3. Septic application (if applicable) ✓
4. Solid Fuel Burning or Gas Appliance Form(if applicable)
5. Driveway Permit ✓
6. Structural Drawings
Floor plan(s)
Foundation plan
Cross Sections
Elevations ✓
Window and door schedule
Natural Light,Ventilation and Emergency Egress Requirements -
Plans signed and sealed by registered architect or engineer
7. Plot Plans-Indicate proposed structure,showing setback dimensions from all surveyed property lines; ✓
Show location of all existing structures on the property; 1✓
Show location of water supply(well or water lines); 1/-
Show
Show location and configuration of septic disposal system or sewer line ✓
8. Electrical Inspection agency selected ✓
MULTIPLE DWELLING OR COMMERCIAL PROJECT CHECKLIST
PROJECT NAME:
Please include two(2)sets of the following documentation: Yes No N/A
1. Building Permit Application Completed
2. Energy Code ComCheck and Inspector's Report Form
3. Septic application completely filled out(if applicable)
4. Solid Fuel Burning or Gas Appliance Form(if applicable)
5. Driveway Permit
6. Structural Drawings
Floor plan(s)
Foundation plan
Cross Sections
Elevations
Design loads including floor, snow load and wind load
Seismic design(required after January 2003)
Plans signed and sealed by registered architect or engineer
Window and door schedule
7. Plot plan: Indicate proposed structure,showing setback dimensions from all surveyed property lines
Show location of all existing structures on the property
Show location of water supply(well or water lines)
Show location and configuration of septic disposal system or sewer line
8. Electrical inspection agency selected
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Office Use Only
Town of Queensbury Building & Codes Received:
Tax Map ID:
FUEL BU KING APPLIANCE & CHIMNEY APPLICATION Permit No.:
Permit Fee: $
Application is hereby mad- to the Building &Codes Office for the issuance of a Building & Use Permit pursuant t. he NYS Fire Prevention &
Building Code. The applica or owner agrees to comply with all applicable laws, ordinances, regulations, an. .11 conditions that are part of
these requirements and also w allow all inspectors to enter premises to perform required inspections.
Important Note To Applicant: 'ough-In and Final Inspections Are Required:
Date
Owner Installer/Builder
----- ---- -Address Address
Phone Phone
Location of proposed construction and /or installati• :
Contact Person for Building &Codes Compliance:
Subdivision Name:
Fuel Burning Appliance Information Wood Coal Pellet Gas Oil
Stove
Fireplace Insert
Fireplace,factory built*
Fireplace, Masonry
Furnace, (Garage Only)
* If Factory Built, Please Provide: Manufacturerlame: Motel No.
Listed By: umber:
Chimney Information
Masonry** /check one _BI. k _Brick _Stone
Flue ✓check one Tile _Steel Size in Inches
Material ✓check one _Double Wall _Triple Wall _Insulated Direct Vent _Chimney Liner
** If Non-Masonry, ple..e provide: Manufacturer Name: Model No.
ADDITIONAL NOT CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION & B DING CODE AND/OR
MANUFACTURER EQUIREMENTS. CONSULT AVAILABLE Town of Queensbury HANDOUTS REGARDING REQ *ED INSPECTIONS.
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Tow, of Queensbury Highway Department
DRIV' AY PERMIT
Michael F. Tr. is, Highway Superintendent Thomas R. Van Ness, Deputy Superintend- t
Home: (518) '8-0413 Home: (518)745-0929
Office Phone: (51: 761-8211 Office: (518)761-8211
Fax: (518) 745-44.
Building Permit#:
Date:
Tax Map ID:
Applicant Name:
Address to be inspected:
Return Address:
Applicant must show exact location and idth of driveway(s) to be Gonne' ed to the highway by placing stakes at the
specified location.
The Superintendent of Highways of the Town • Queensbury has -viewed this application. The following action has
been taken:
Step 1: ( ) Preliminary Approval
Need: ( ) Slight swale
( ) Deep swale
( ) Level with the road
( ) Level with the top of the pay-d wing
Size culvert pipe to be used (if necessary)
( ) 12" ( ) 15" ( ) 18" ( )24" ) 36"
Preliminary inspections completed by: Date:
Approved by Highway Supt: Deputy Su. .:
Upon completion, please res •mit this approved permit for a final approval.
Step 2: ( ) Fin. Approval
( ) ' •jected
Date:
Michael F. avis, Highway Superintendent Thomas R. Van Ness, Deputy Highway ' perintendent
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
WINDOW SCHEDULE
CALCULATION SHEET
JOB SITE ADDRESS: 31 IA 1040 k Lc Ne_ 1?i LGT \iNa3
DATE: 1 - Z 7 - 14
OWNER: Am Es AY QS
APPLICATION NO.:
Window#or Letter Window Manuf. Window Unit or Stock# Rough Rough Sq.Ft.Vent Sq.ft.egress! Clear opening Clear opening Special hardware or
on Plan Name Model Type Call size Opening Width Opening clear opening width in inches height in instructions
Height inches
2`�a
1 Xts tv�ri NA Z' xb'D js,` B ` ,ZS Z'S v W"
112— >t+s+� �, rV R ,(! A, zi 5-b G' S„ to , z`J Z" No twv
«t+E9
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
NATURAL LIGHT, VENTILATION, AND EMERGENCY EGRESS REQUIREMENTS
CALCULATION SHEET
JOB SITE ADDRESS: 3\ 1-1 * c.ko K Lp,N G. art"kNo3
DATE: 1 - Z? -
OWNER: "S A wl AYEES
APPLICATION NO.:
NATURAL LIGHT, VENTILATION, AND EMERGENCY EGRESS REQUIREMENTS
Habitable Room Area of Room Required light Actual light square footage Required ventilation Actual Ventilation Square Footage Square Foot Opening for Egress Remarks
In Square Feet 8%of room area 4%of room area
?7.0-6-N jog .� zes L? 3-- Z, ,S ) Z s-
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Amanda's Law Requirements
Carbon Monoxide Alarms in Single Family Homes
Single family homes constructed after December 31, 2007
• Within each bedroom or sleeping area
• On each story outside the bedroom or sleeping area
• On each level containing a Carbon Monoxide Source
The term "carbon monoxide source" includes fuel fired appliances, equipment, devices and systems; solid fuel burning
appliances, equipment, devices and systems; all other appliances, equipment, devices and systems that may emit
carbon monoxide; fireplaces; garages; and all other motor vehicle-related occupancies.
In Single Family Homes constructed prior to January 1, 2008 the Carbon Monoxide Detector may be hard wired or
battery operated where no interconnection is possible due to existing wiring.
Amanda's Law Requirements
Carbon Monoxide Alarms in Buildings with 3 or More Dwelling Units
Buildings constructed prior to January 1,2008
• On the lowest floor level containing a bedroom or sleeping area
Buildings constructed after December 31,2007
• On each story outside the bedroom or sleeping area
• On each level containing a Carbon Monoxide Source
• Any construction that involves the construction of a chimney or attached garage
The term "carbon monoxide source" includes fuel fired appliances, equipment, devices and systems; solid fuel burning
appliances, equipment, devices and systems; all other appliances, equipment, devices and systems that emit carbon
monoxide;fireplaces; garages; and all other motor vehicle-related occupancies.
In buildings constructed prior to January 1, 2008 the Carbon Monoxide Detector may be hard wired or battery operated
where no interconnection is possible due to existing wiring.
Non-compliance will be dealt with when a complaint is filed with the Building and Codes Department (761-8256) or the
Fire Marshal's office(761-8206).
Batteries need to be replaced every year.
It is recommended CO Detectors be replaced every 5 years.
DO NOT RUN VEHICLES, GENERATORS, GAS GRILLS OR OTHER GASOLINE POWERED EQUIPMENT IN YOUR
GARAGE.
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
New Changes to Residential Building Code effective January 1, 2011
New driveway requirements for structures located over 300 feet from main road
Spray foams are allowed to be exposed in rim joist box area only, must be covered by 15 minute
thermal barrier all other areas
Protection against decay requirements (see attached)
Landings are no longer required on the outside of secondary doorways less than three risers
provided no doors swing over steps
Vent stacks must be 18 inches minimum above roof for all structures
New Electrical Requirements
Arc fault breakers required in all habitable spaces for receptacles.
GFI protection for all other receptacles in kitchens, bathrooms, garages, and unfinished basements
All receptacles must be tamper resistant
Carbon Monoxide detectors must be located within 15 feet of sleeping area
All corrugated stainless steel piping must be bonded to the common ground for electrical service
New Energy Code Requirements
Blower door tests required by credential contractor or structure inspected by air barrier supplier and
certified compliant
Programmable thermostats required
Lighting must be 50% energy saving light bulbs
Separations between dwelling units must have minimum of R-10 in common wall of each dwelling
unit
Res Check inspector's checklist must be available at time of insulation inspection
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
rrida.� /o-/
Queensbury Building & Code Enforcement Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: ;'d ilr'Fam/pm
Date Inspection request received: Inspector's Initials:
NAME: -! e-I S PERMIT#: / y-
LOCATION: 3 9 HI L KLs DATE:
TYPE OF STRUCTURE: PR
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 I 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
Inter'or privacy/trim/doors/main entrance 36 inches
athroo 3 /Kitchen watertight
- 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'/z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 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 444.7—
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codesllnspection Forms1Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
Rough Plumbing / Insulation Inspection Report 46
0()1
Office No. (518) 761-8256 Date Inspection equest received: '/j ''l�o!�
Queensbury Building & Code Enforcement Arrive:�_ am/p l
742 Bay Road, Queensbury, NY 12804 Inspector's I iti Is
NAME: n-vtors IPERMIT #:
LOCATION:3 'Gk _ t1oc.-c_ {�'j'l o ` 11/-kJ b - INSPECT ON: / [!G1 J
TYPE OF STRUCTURE: 'ReA Afac_k
�"'
_r/tvot---
Y N N/A
PI ub 301 - zgo' 3
Rough Plumbing /Nail ".tes ‘kr/
• T •n /Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test C___M`
Drain /Vent
Air/ Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I. for for 15 minutes
Insulation / Residential Check/ Commercial Check
Window Sealing
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
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing_Insulation Inspection_02 05 13
Town of Queensbury Building & Code Enforcement 1 l
Office No. (518) 761-8256
Framing ! Firestopping Inspection Report
Inspection request received: ,, /�
Name: �� Inspected on: a '' `1..
Location: Arrive: a.m.l p.m.
•
Permit No.: \ 7
.r 2—cInspector's Initials:
TYPE OF STRUCTURE: a---(A + l f)
(0N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
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 1 Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(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 1/2 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 1 below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing / Firestopping Inspection Report
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