2013-228 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: P20130228 Date Issued: Wednesday, September 10, 2014
This is to certify that work requested to be done as shown by Permit Number P20130228
has been completed.
Location: 28 LEO St
Tax Map Number: 523400-308-008-0002-038-000-0000
Owner: KEVIN & RAYEANNE MORIN
Applicant: KEVIN & RAYEANNE MORIN
This structure may be occupied as a:
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 c . GtiP
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
1
Aek` TOWN OF QUEENSBURY
742 Bay Road,Qucensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130228 Application Number: A20130228
Tax Map No: 523400-308-008-0002-038-000-0000
Permission is hereby granted to: KEVIN &RAYEANNE MORIN
For property located at: 28 LEO St
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: KEVIN & RAYEANNE MORIN Residential Alteration $1,000.00
28 LEO St Total Value
QUEENSBURY,NY 12804-0000 $1,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-228
Res. Alteration 334 sq ft
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 04,2014
(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 Que sbu Tu a / . • 04,2013
SIGNED BY r for the Town of Queensbury.
Director of Building&Code Enforcement
r
•
OFFICE USE ONLY / �7
TAX MAP NO. x"a-.3 g _ PERMIT NO. ! � 0
FEES: PERMIT RECREATION ____ _ ENGINEERING_ __
(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: �• M.CDv— OWNER: v o -
ADDRESS: . L e O S-k- rr r ADDRESS: , g Leo
PHONE NOS. S \ -1 02-9 l PHONE NOS. Ge 1i _. �Cr•-te
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: PHONE:
LOCATION OF PROPERTY: Q. ci uc--
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑ YES CKNO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR z O 0 Ci
O Q O cA cn
PROJECT w O � OJ � —1 O = =
LU 0 o = O ° z
Z Q Q 1— CO N �CO F- t~i a. = ot5
SINGLE FAMILY X3 L/
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: 1 U()Q „ OQ FUEL TYPE: N c G.0_s
HEAT TYPE: *HOW MANY FIREPLACE(S): l AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? N
IS THIS A HISTORIC SITE?_ -4
PROPOSED USE OF BUILDING OR ADDITION: C}C', ova
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? rJ 0
ARE THERE EASEMENTS ON PROPERTY? f J 0
'P'ease complete a separate Apj:licat".`,.1 for'Hie'Burning A:;pIiances&Chimneys' avatnblo;R 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 "-1:--, !`- - ----
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:
111
BUILDIN & ODES APPROVAL ZONING APPROVAL
b 3 /3
DAT DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesAqueensbury.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
C t6 U 4_40.2
QueensburyBuilding & Code Enforcement - Residential F',al
I pection ,
Ark
Office No. (518) 761-8256 ' lr/ Arrive: 1:-3D amirmr0 pmDate Ins ection re uest received: !nspects Initials:
NAME: p'1` t(� , PE,1#:
LOCATION: t'0 .57 • D I ': • L 1
TYPE OF STRUCTURE:
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/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
_Enclosed Stairs Sheetrock Underside minimum%"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 "Co 1-1/13
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/O[Temporary/Permanent
L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11