2013-357 `fir ` TOWN OF QUEENSBURY
rS742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130357 Date Issued: Monday, December 09, 2013
This is to certify that work requested to be done as shown by Permit Number P20130357
has been completed.
Location: 1069 WEST MT. Rd
Tax Map Number: 523400-295-010-0001-029-000-0000
Owner: MICHAEL & DARLENE HAYES
Applicant: MICHAEL & DARLENE HAYES
This structure may be occupied as a:
Porch By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property ga,,z0 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.
1
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130357 Application Number. A20130357
Tax Map No: 523400-295-010-0001-029-000-0000
Permission is hereby granted to: MICHAEL& DARLENE HAYES
For property located at: 1069 WEST MT. 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: MICHAEL& DARLENE HAYES Porch $19,500.00
1069 WEST MT. Rd Total Value 519,500.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
MIKE PARK
232-0249
NY 12804-0000
Plans& Specifications
2013-357
PORCH 340 sq ft -to replace existing front porch
Area Variance 57-2013 approved 10/28/2013
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, October 28,2014
(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 To`atri`ofhu�eensb i Mdn y, October 28,2013
SIGNED BY c.1) for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
TAXMAPNO.� �'�,�Q -/ - �'7
PERMIT NO. s / 20c0. 2013 Date
FEES: PERMIT 5d DP
�Q( RECREATION ENGINEERING
Stamp
rr (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.
APPLICA /BUILDS : eiC-\Qve> ?c $f
OWNER: 'm+W, - Lia{ler,a dyes
ADDRESS: " b e- 1/4WJ &.r4 Cfte-X ADDRESS: 164°I OJe* }. At3osa
PHONE NOS.________________________ PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PIi><e_ pa,cY( PHONE: AM -42141
LOCATION OF PROPERTY: IDL A fey+ tnbvai•J ��Ad
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES g NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z p LY LY �j
PROJECT O O LLco -w
o ° � LL �•
W °a = x
z ¢ ¢ � � 0't„ vOi IPS O ccw �
� 0.
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
IF COMMERCIAL nR INIlI t -mita _ ALARA= t I I ✓�
47:0
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
r
ARE THERE EASEMENTS ON PROPERTY?
I acknowledge no construction activities shall be commericed 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,
:44, 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:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
J
QUESTIONS? CALL 7614256 OR EMAIL
codeseaueensburv.net
/DOd g/.6
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depar O am/pm
Date Inspection request received:
Inspector's Initials:
NAME: c9 S PERMIT#: /3_S,'shl
LOCATION: /4Coq m �„��.Q DATE: / /3
TYPE OF STRUCTURE: e{-o
Comments:
Yes No NIA
4" Building Number Address visible from road
Chimney Height fir 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 v /
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 V
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.R-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
Fumace/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 dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Lois in Sealed or Glass Enclosure
Electrical rgy Saving Light Bulbs 50%
lot 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 �/0
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 1222/10,Revised 04/13/11
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Oueenshury Building & Code Enforcement Arrive: 1fl �� am/pm
742 Bay Road, Oueensbury, NY 12804 Inspector's Initials•
NAME: 446165t.5 PERMIT#: I3 3 S7
LOCATION: 119 (yq wN-k—& Rn( INSPECT ON: �—/ J3'
TYPE OF STRUCTURE: Pg t.E• n
'I - N N/A COMMENTS:
•framing _
Attic Access 22"x 20" minimum
Jack Studs/Headers
Truss Specification Provided
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
11/2 (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 ans 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 /below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestopping Inspection_nevised_02 0513
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
/ Main OlTice 176 Doe Run Road-Manheim,Pq 17545 1
✓ MUNICIPAL CERTIFICATE - ELEOCTRICAL APPROVAL f
Permit No..l. ' S�7......,.Ce>r,_-N2 28582 Cut-in Card No. I`
Owner /pt /V fV&S _. {
Location 0 0(7....! 46 efinn c' n -1Al " a TV
Installation Consisting of....7.L J 7-65- 1072 --
Installed By mI kC
Lw.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electncal equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making : ions at any time, and if its `
rules are violated, the Company shall have the right to rev his ce 4,J / `
Date 1/-21- 3 INSPECTOR - . 1
1
Member N.EP.A.,EA.E.1.
.
Framing / Firestopping Inspection Report
L\� g rte
Office No. (518) 761-8256 Date In ection request received:
Queensbury Building & Code Enforcement Arrive: �,'� am/pm
742 Bay Road, Queensbury, NY 12804 Inspect° Initials:
NAME: 4kQ PERMIT#: / 3-35/
LOCATION: I V C ( rc -k A Act INSPECT ON: I 1 -1-13
TYPE OF STRUCTURE: Pg,t✓e.k\.
(' Y/ N/A COMMENTS:
Framing i/
Attic Access 22" x 20" minimum
Jack Studs/Headers
Truss Specification Provided �2
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
11/2 (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 ans 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 side1/2 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 /below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 0513
J
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement am/p Depart: Ji . ,am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: / /' Lrb�'�
LONCATION:N: a PERMIT#: / 3-3 67
n log a) 11)-t-in k-i. INSPECT ON: /f3 —�G�/
TYPE OF STRUCTURE: go rt},
C° m
01_9
SLA •
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing pc ote‘tion 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 Dampproofing
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:lBullding&Codes FormsWuflding&Codes\Inspectlon Forms\Foundation Inspection Report.doc
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