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2013-091 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 411hi. Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130091 Application Number: A20130091 Tax Map No: 523400-302-017-0002-045-000-0000 Permission is hereby granted to: MICHAEL F TURNER For property located at: 25 HIDDEN HILLS Dr 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: MICHAEL F TURNER 25 HIDDEN HILLS Dr Fireplace QUEENSBURY,NY 12804 Residential Addition Total Value Contractor or Builder's Name/Address Electrical Inspection Agency GIANNI SIMONE 20 APRES Cir OUEENSBURY,NY 12804-0000 Plans&Specifications 2013-091 Res. Addition 208 sq ft w/gas fireplace $100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, March 19,2014 (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 f Que sbu Tu: 'a March 19, 2013 SIGNED BY :rrr:. for the Town of Queensbury. Director of Building&Code Enforcement ..±411% 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: P20130091 Date Issued: Friday, March 13, 2015 This is to certify that work requested to be done as shown by Permit Number P20130091 has been completed. Location: 25 HIDDEN HILLS Dr Tax Map Number: 523400-302-017-0002-045-000-0000 Owner: MICHAEL F TURNER Applicant: MICHAEL F TURNER This structure may be occupied as a: Fireplace By Order of Town Board Residential Addition TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property (-- J4 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. OFFICE USE ONLY TAX MAP NO.�o�, PERMIT NO. / 3 _d(-- ) iviAR 12 313a FEES: PERMIT RECREATION -'- �� RECREATION _ENGINEERING Stamp (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: 6-I A N tit( .si Maw' : OWNER: Ali kE /(/aiv ADDRESS: 4PR :S C,(Lc L( a' tsvrt/ ADDRESS: XS H7.DDEr/ th li PHONE NOS. (51') 7z4- 7'/77 PHONE NOS. CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: 6f/fA.'J S,+ro.i PHONE: 7x9-7/77 LOCATION OF PROPERTY: •7.- Ai/006I /it-it-L-5 i Q 't vx-y HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z R. cC Cl PROJECT O ¢ o cry C� U- 0 O H cc _, 0 W Ou; • Ou- 111 Q = U z LU Q ¢ :- � N � O � OI- � wZ F- u. a- 2 ozs SINGLE FAMILY ;0gL r y J c.t`' TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: _40 J FUEL TYPE: /' fT. 6-4:) HEAT TYPE: *HOW MANY FIREPLACE(S): AND/ OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? Mb IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION: L/ 5-4 S�i^ /2O7;1-, `Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office B 3-LGL I 1-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? 1`I ARE THERE EASEMENTS ON PROPERTY? I\.�' 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 an. -.re- to the above. _44" Signed f r 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 I 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 J � QUESTIONS? CALL 761-8256 OR EMAIL codes(a queensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION Operating Permit Issued: Yes No www•queensburv.net Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: 3-o .9 Revised 4/14/2010 APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building &Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention & Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances,regulations,and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Important Note To Applicant: Rouqh-In and Final Inspections Are Required: �nA 5 tJ( Owner:: YY� �'4- tvrvie i` InstallerlBuilder: C 's, " )l43 Address: 9--c rn kLH l�I lis Q g iq Address: /4-p+t€x C I tIA-cg , c,nY Phone Nos.: Phone Nos.: 77A — 7 Y77 Location of Property: SW nir ,rygoJW Subdivision Name: di /I I*S Location of Proposed Construction and/or Installation: Contact Person for Building &Codes Compliance: C.1‘Maw' Cl"('"` 7 z I— 7`171 Fuel Burning Applicance Wood :Coal Pellet • Gas Oil Information Stove Fireplace Insert Fireplace,factory built* Fireplace, Masonry Furnace, (Garage Only) I L�' * If Factory Built, Please Provide: Manufacturer Name: 1V C?f Mon/�.r sfi^Tmodel No. °�-//✓i{;�' � Listed By: Number: Chimney Information BLOCK BRICK STONE Masonry** Check One,/ TILE STEEL SIZE IN INCHES Flue Check One ✓ DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY VENT LINER Chimney Material Check One✓ ** If Non-Masonry, please provide: Manufacturer Name: Model No. ADDITIONAL NOTE: CONSTRUCTION / INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804 vt-u s Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/prri epart: yam/pm Date Inspection request received: Inspector's Initials: I NAME: ("\() I K L-1 U r n G2 f PERMIT#: LOCATION: 5 t, d d Ell 4-; Ma 1 S DATE: I'`Z1[h TYPE OF STRUCTURE: l Comments: _Yes No N/A 4" Building Number Address visible from road P 400167 / Chimney Height/"B"Vent/Direct Vent Location 3—P —/`7 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 stai , : • .r Interior Smoke Detector ••n Monoxide Detectors Every level: - • --• ••u• Outside every bedroo area: Inter Connected: Battery backup: V 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 A"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/0[Temporary/Permanent] (-0 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 ( -3 Queensbu5,- Queensbury & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 � Arrive: am/pm De art m/pm Date Inspection request received: / L�I 1 Inspector's Initials: NAME: ilk iv�� PERMIT#: C)(7 LOCATION: 7.S i/ r rf-E:, r-t ; 11 c r),'_- vE DATE: L NNW TYPE OF STRUCTURE: Comments: Yes No NIA 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 I 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 I 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 W 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 Y Final Electrical; Energy Saving-Light-Bulbs-50% ( .9 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 required4- \ Flood Plain Certification, if required Okay to issue C/C or C/0[Temporary/Permanent] L:1Building&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 "4i\ u r-Sck (A, -c� Town of Queensbury Fire Marshal 742 Bay Road EA----j_- Queensbury,NY 12804 -_ `—V 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/ Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance. No deviation from the manufacturer's instructions or specifications is allowed. `i Permit# Schedule Inspection h1) ) J )3 Time am pm anytime Inspector ► ' "'C Name Address a,`) 1-4 1(1(1 Rough In_Final Appliance Manufacturer LI L n '�P../`\ (‘ '+`t9 C- Model# -� NI D V ?.- Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) gun,,,.,, p' - ( ung,,,, a - 73P<< a •( Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible �1 construction within 10 feet t O`� F CI --1 nPC I "1— CO Gas Shut-Off Valve "� u t (Ct f� WAS l�6T (g)Combustion Air -k-z) \) C 12-1 /r----I Hearth Extension (if any) 1 (2-a ° 1,1 — Mantel SI Height above f/p opening Witness Operation Tank Placement(if LP) \i( CO Detection CSST Bonding White—Building Dept. YeIlcm—Customer Pink—Fire Marshal Framing / Firestopping Inspection Report 1 h c,-rs lb l 1--1A , Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: { .11 . am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: tikkA t 1 NAME:1 CL r` n e r _ PERMIT#: /3-09/ LOCATION: ._i� ' i c� Ll INSPECT ON: '.$ TYPE OF STRUCTURE: ' -dIc1 , Y N NIA 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/ Holes/ Bearing Walls Metal Strapping for Notches Top Plate 1 % (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 Y2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall _ Windows Habitable Space I Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:1Building&Codes Forms-OLDU3uikiing&CodeSUnspection Forms'Framing Firestopping Inspection Report.doc Revised January 7,2008 l rit4ct f /Z7 '0 Rough Plumbing / Insulation Inspection Re o (Sethi') Office No. (518) 761-8256 Date Inspection r . est re ed: Queensbury Building & Code Enforcement Arrive: ; 1, a •m 97-! • : 11 � -pa- 742 Bay Road, Queensbury, NY 12804 Inspector's In' - : ' NAME: M fk 1 cc r PERMIT #: / 3 -o 9 LOCATION: ,A `cid 1-4-1"[i INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing / Nail Plates . Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet 1 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.1 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 Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Wo-A- ct-I1 00\ Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/p art: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: N\ j (i fid' PERMIT #: / 3 -0 gL LOCATION: S - , ,. ;l ,3 INSPECT ON: 3-A7 TYPE OF STRUCTURE: =-\,s � IY N N/A Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % 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 LV>' Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/ Hot Water Piping Insulation If r- •uired unheated s•aces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: t(7-r--- d__ --d__ Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection - e r. -*.ed Queensbury Building &Code Enforcement Arrive: I 2_,-o • r• , ;•• 1 .2'i am 410 742 Bay Road, Queensbury, NY 12804 Inspector's Initia -• NAME: 1„ ,' PERMIT#: ) O9/ LOCATION: ,J,.or !stre, INSPECT ON: - 9'J3 TYPE OF STRUCTURE: áR. 2,,5 F i N NIA 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 1 Bearing Walls Metal Strapping for Notches Top Plate f 1 %(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 v. 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 I Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above / below grade 5.0 sf grade L:\Building&Codes Forms-OLD\Building&Codes1Inspection Fom2s\Framing Firestopping Inspection Report dor.:Revised January 7,2008 MAP REFERENCE 0 HIDDEN HILLS SUBDIVISION 6‘ ,-6-0 $ MADE FOR RALPH & MICHAEL WOODBURY BY VanDusen & Sieves DATED MARCH 26 , 1986 FILED SEPTEMBER 22 , 1986 IN MAP CABINET A , SLIDE 44 • , . 2 ' /0 c. ---....,... 1, - 1. ...______,...,.. . q.. LOTS 60 .-- '...<,--e-,rtt,•-•4.: 8 13,500 S#. F .. \ • . V./ • . -- C ....-- • 0 1 ,-- ..7t. . 0 ( ) ' • too. •r,(A4- - le I ; . C•J N 26.sGi i, M 4 i . / • .1 4 V \(.1k)14 V,isa s WA. 0 . \I d (N, I .212,t7i.,, CI .. 1 . `--) . i . 'j'• I. J1- -____.........,. .s-- . ____.... ........._ ___.... . ':7. • __ _..-----...._. ____ -4.7.f2r.4.:k.:: 4/ - . 4. • t 401 ter . • 0 . , • 0 , 4 I ., A Etii vsut, /i 49.6.", C. 0 0..... .E.,.&r,,t-. In..t,.. ) .....c... try C esa 2:_7 ., • .0-,.,.1/4,_.K.. /r27 ' . • . , HIDDEN • HILLS- DRIVE • __ RM___ ANPEIT PLOT PL I HAVE PERS ,1 LY MEASURED THE DISTANCE •.*-AbLINES TO THE FROM ''RO - PROP', ,- D STRUCT.4katt°' ,0 R SIGN(S) -.011111111 _____LLL/3 SI . .A it'om — DATE . . .. . -------- —