2013-164 TOWN OF QUEENSBURY
742wow 2 90 (518) 7
Bay Road,Queensbury,NY 1 804 5 2 1-820 6 1
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130164 Date Issued: Friday, June 14, 2013
This is to certify that work requested to be done as shown by Permit Number P20130164
has been completed.
Location: 20 BROADACRES Rd
Tax Map Number: 523400-302-018-0003-032-000-0000
Owner: EDWARD & JANE HUTCHINSON
Applicant: EDWARD & JANE HUTCHINSON
This structure may be occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
lot
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 Enforcement
or Zoning Board of Appeals.
0.k4 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-82W
V'
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20130164 Application Number: A20130164
Tax Map No: 523400-302-018-0003-032-000-0000
Permission is hereby granted to: EDWARD & JANE HUTCHINSON
For property located at: 20 BROADACRES 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: EDWARD & JANE HUTCHINSON Residential Addition 15,000.00
20 BROADACRES Rd Total Value Residential
QUEENSBURY,NY 12804-0000 $15,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-164
Res.Additon 4' x 17'4" (bedroom addition)
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,May 03, 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 o Quee s ury; 4ri s . , • i -, 2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
? p OFFICE USE ONLY /
TAX MAP NO. Jd02. GD '3'3 ,Z PERMIT NO. 3 / ArN 2 2013
FEES: PERMIT RECREATION ENGINEERING
ti
(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: tbd OWNER: Ed Hutchinson
ADDRESS: ADDRESS: 20 Broadacres Road Queensbury NY
PHONE NOS. PHONE NOS. 793-0790
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: Thomas Jarrett PHONE: 792-2907
LOCATION OF PROPERTY: 20 Broadacres Road Queensbury NY
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES 33 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p 0 1-
APPLY TO YOUR Z p X X O O W " w
co cn w
PROJECT LV J LL O Z
, u) u)Z Q Q - N
O LL 1— u_ CL 2 co
X
new addition new addition new addition
SINGLE FAMILY 4'-0"x 17'-4" lila n/a 70±sf 14'±
TW O-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
INSTRUCTIONS FOR SUBMISSION OF A BUILDING PERMIT FOR A
PRINCIPAL STRUCTURE
Please include the following documentation with the submission of a COMPLETED APPLICATION
FOR A BUILDING AND ZONING PERMIT:
1. TWO PLOT PLANS Drawn to scale with the use of a survey map, if possible
a. Indicate proposed structure, showing setback dimensions from all surveyed property lines
b. Show location of all existing structures on the property
c. Show location of water supply (well or water lines)
d. Show location and configuration of septic disposal system or sewer line
2. TWO SETS OF STRUCTURAL DRAWINGS to include:
a. Floor Plan
b. Foundation Plan
c. Cross Sections
d. Elevations
e. Window and Door Schedule
f. Building Permit Calculation Sheet for Natural Light, Ventilation & Emergency Egress
3. REGISTERED ARCHITECT OR ENGINEERS STAMP (signed & sealed) under the following
circumstances:
a. Residential addition or alterations with construction costs over $20,000
b. Single-family dwelling 1,500 sq. ft. or greater
c. Any commercial construction
4. TWO COPIES OF THE NYS ENERGY CONSERVATION CONSTRUCTION CODE (signed &
stamped) Contact: www.energycodes.gov for a downloadable version of these programs and
compliance documents
5. FIREPLACE AND/OR WOODSTOVE SOLID FUEL BURNING APPLICATION
6. SEPTIC DISPOSAL PERMIT APPLICATION
QUESTIONS? CALL 761-8256 OR EMAIL
7. ELECTRICAL INSPECTION AGENCY codesftqueensbury.net
(Certified by the Town of Queensbury) VISIT OUR WEBSITE FOR MORE INFORMATION
www.quensbury.net
8. DRIVEWAY PERMIT (if applicable)
All Applications are subject to Zoning Administrator, Code Compliance, and Structural plan review.
Approval of your application could be subject to a variety of reviews, including but not limited to:
Zoning Board of Appeals: Area, Use or Sign Variance application
Planning Board: Site Plan Review, Subdivision Review
Town Board: Septic Variance review by the Town Board of Health.
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: ' -/ O ` FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S): AND/ OR WOODSTOVES(S):
ZONING CATEGORY: NR ARE THERE WETLANDS ON THIS SITE? no
IS THIS A HISTORIC SITE? no
PROPOSED USE OF BUILDING OR ADDITION: Expansion of existing bedroom
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? no
ARE THERE EASEMENTS ON PROPERTY? no
*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.
i
Signed W' '�— -`.-_
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:
B•0' DI 4G & CODES A ''ROVAL ZONING APPROVAL
DA DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(c�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 - -I Ins section
Office No. (518) 761-8256 Arrive: % 0 - =.-•. �t a�
Date Inspection request received: Inspecto s I itia .
NAME: ` - u2k vN, PE- IT / -R
LOCATION: L (3 rL L c i 61-C 'u2 DA E: CQ-13 -1
TYPE OF STRUCTURE: A-old
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 I 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:
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 tine of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler o,,
Relief Valve(s)installed/Heat Trap!Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 1A"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
/->z,"4".#
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 I 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&Codesllnspection FormslResidential Fin I Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10, Revised 04/13/11
Queensbury Building & Code Enforcement - Residential Fi ' s• -ction
Office No. (518) 761-8256 Arrive: 516 a • ' 1rt
. : `Ca •
Date Inspection request received: Inspector's Initials: 1111p
NAME: t-C'f0A‘r Atv3i 'ER, IT#: � •
3 4 Lc`
LOCATION: G, D• :
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height I"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 -^ce `
Enclosed Stairs Sheetrock Underside minimum%"Gypsum L.—
Basement stairs closed rise>4 inches (;\."4--
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
Flood Plain Certification,if required
Okay to issue C!C or C I 0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codes1Inspection FormslResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10, Revised 04/13/11
imitu,21 :tcp--t/
Rough Plumbing I Insulation Inspection Report
Office No. (51 8) 761-8256 Date Inspection reque. •:
Queensbury Building & Code Enforcement Arrive: tr' vim, a ,,.l• Vr.rt: \,D:7
742 Bay Road, Queensbury, NY 12804 Inspector's Initial. . ,,F_
NAME: 46,G-4-0.f\ 0 son PE-MIT *: / 3—I (c' q---
LOCATION: (;)G, 6 ry c,zeti c r INSPECT ON: 5-3)-13
TYPE OF STRUCTURE: (- _. A� _ _ __
2— \ i31b?(,_-v \C 7
Y N N/A
Rough Plumbing I Nail Plates _-
Plumbing Vent/Vents in Place
1 '/2 inch minimum Drain Size _
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I 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
fAir/ Head /
G.
50 P.S.I for 15 minutes
sulation / Residential Check/Commercial Check V-----
'r jyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation) /
Duct/ Hot Water Piping insulation
If IN.Liird unheated spaces _ ____--
Combustion Air Supply for Furnace _
Duct work sealed properly I No duct tape
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
Framing / Firestopping Inspection Report '" °n It r 5 1 - 3
Office No. (518) 761-8256 Date In pec tion .e y - -'v- 8: 5::_a_3-1,_
Queensbury Building &Code Enforcement Arrive: 1---; ani/i5,__„. 1: • •rt: 1 7 L, a m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials
NAME: 41 lit-4-61 i n SOA PERMIT#: J 3 as V
LOCATION: a o L ro c:2_ G!. c r e INSPECT ON: 5-a3-1.3
TYPE OF STRUCTURE: ______A-4c1 -4 i n n
‘\W -VD�7
if N NA COMMENTS:
2-
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers / 11..`� g
Bracing /Bridging
Joist hangers c,L—vSr7
Jack Posts/Main Beams7
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) 18D nails each side
Draft stopping 1,000 sq. ft. floor trusses
chor Bots 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 -- r
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:18uilding&Codes Forms-OLD\Building&Code:sUnspection Fomis'Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report N t;1
Office No. (518) 761-8256 Date Inspection �-- Iv: .:
Queensbury Building &Code Enforcement Arrive: 1 ,z-- Jt: ID:- l5a
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:- T ,
NAME:_, [' 0 -13 PERMIT#: \-27—k CoLk
LOCATION: "2_(-1) C'-,4'- -‘.7 cL] p INSPECT ON: ___Ez...-szazizz
TYPE OF STRUCTURE: o R KK..)
\47/ V-)1" --\
Y N N/A COMMENTS:
Framing
•
Attic Access 22" x 30" minimum
Jack Studs/ Headers 7 FL O J ) L
Bracing I 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 '/s (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 w I
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&Codes Inspection Forr sTraming Firestopping Inspection Repori.doc Revised January 7,2008
Rough Plumbing l Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection r-$ - •:
Queensbury Building &Code Enforcement Arrive: `Z' a • • „i - •art: 17 2 am
742 Bay Road, Queensbury, NY 12804 Inspector's Initial —41
NAME: i-_1 J Tc1t\\ 01-)O P 'MIT #: 1 ", — �o>✓I
LOCATION: INSPECT ON: z_11
TYPE OF STRUCTURE:
Y N N/A I
Rough Plumbing/ Nail Plates
Plumbing Vent/Vents in Place
1 '/ inch minimum Drain Size
Washing_Machine Drain 2 inch minimum
Cleanout every 100 feet I 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 Fucej c)t3
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent _ 30
Door/Window Sealed (No Insulation)
Duct I 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
Foundation Inspection Report
Office No.(518)761-8256 Date Ins.: 'on •:• sAved `� (-' / C
Queensbury Building&Code Enforcement Arrive:w .,�. Depart: eliK, am/.
742 Bay Rd.,Queensbury,NY 12804 Inspector's hu .. . _
NAME: /,./i,.'-�� � , .,, �c>.� ' 'RMIT#: 1 - -,C/
LOCATION: ,74-0 (-Cs-Le- S INSPECT ON:
TYPE OF STRUCTURE: 57-7/i 3
Comments
'� � Y . N N/A
ootings ► �
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forrns\Building&Codes\Inspectlon Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM