2014-165 TOWN OF QUEENSBURY
ew742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140165 Date Issued: Monday, May 16, 2016
This is to certify that work requested to be done as shown by Permit Number P20140165
has been completed.
Location: 278 AVIATION Rd
Tax Map Number: 523400-301-007-0002-021-000-0000
Owner: KIMBERLY BRENNEISEN
Applicant: KIMBERLY BRENNEISEN
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 ( a4.0 4
owner of the responsibility for compliance with Site Plan, Variance, or Yifit—
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
Va742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140165 Application Number: A20140165
Tax Map No: 523400-301-007-0002-021-000-0000
Permission is hereby granted to: KIMBERLY BRENNEISEN
For property located at: 278 AVIATION 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: KIMBERLY BRENNEISEN
Residential Addition $10,500.00
278 AVIATION Rd Total Value
QUEENSBURY,NY 12804 Si 0,500.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2014-165
Res. Addition 10'x 20'
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 22,2015
(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.)
Dated at the Town o • eensbu Th. ' •,' ,May 22,2014
SIGNED BY fir for the Town of Queensbury.
Director of Building&Code Enforcement
RIF
Office Use Only
Town of Queensbury Building & Codes
Received:
/ Tax Map ID: 301 7 - ;A-al
PRINCIPAL STRUCTURE APPLICATION permit No.: A
A permit must be obtained before beginning construction Permit Fee: -• a ffi
Please read: 'TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling `Ret 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 y'aq iii Applicant • 11+ a 1 is-AS
Tax Map ID Address .. . A •4A •41a f
Zoning MDR .
1- tit. S ii
Phone/E-mail • is. I S •
Property Owner Ili t A L ontractor/Agent Ourselves
Address i g I UIG'l' on LO Address SOW_
. . • JUL. TI
Phone/E-n 'g' ; -(y! rllYl rro ' " trine(/! E mail
Contact Person for Building&Code Compliance: -1-141 F S 131i S & �q.• 1590 Day Phone:
Building Street Address: 621787 K `-/'()T• R ,.//
Subdivision Name: Lot#: Historic Site: Yes I/No
Estimated cost of construction: $ i 0 t 500
Type of Construction: Zon`^s `M b R
Check all that apply Please indicate measurements as required below:
c c
.0-
Vs m
F 1st Floor 2nd Floor Other Total Height
T's a
Single Family
C)
(...7,
er—
r-) Cij
Two-Family r t'F ,R�D -
Cir-
Multi-Family(#of l � G A /fir VOX aelS� 1 porca-
units_) C
,w-a 1---"/ 2 ate.
Townhouse
Business Office
`1 i
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
a
Proposed use of building or addition
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" Yes No
Are there structures not shown on plot plan?
Are their easehients on the property?
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot?
c. Will the grade be changed as a result of construction: _Yes _No
Ite
d. Public water or Private well
e. Sewer or Private Septic System
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: \ O-4e n 5 j /u
Signature: 1--1II L�/rim 0*--2 y�3 Date: I f/r 1
FOR OFFICE USE ONLY: r
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
Residential Final Inspection //
Inspection request received 5;7( t, (( (o
Name (31-eivNf(ser t /0 7C&) Inspected on ,5��
Location •Arrive ` // 1 pm
Permit No. j(4— ( (oc— Inspector's Initials ��� ►��
ib-6 Type of Structure , i4 54.x, �'
Yes No N/A Bathroom Fans, if no window '
4" Building Number Address visible from road Plumbing fixtures
Chimney Height/"B"Vent/Direct Vent Foundation insulation to floor/Sticker on Panel
Location
Duct work sealed properly/Blower Door Test
Fresh Air Intake Certification
3" Plumbing Vent through roof minimum 18" Floor truss,draft stopping finished basement
Roof Complete/Exterior Finish Complete 1,000 sq.ft.
Platform at all exterior doors Emergency egress below grade
Handrail 4 or more risers Gas Furnace shut-off within 30 ft.or within line
Guards at stairs, decks, patios more than 30 " of site
above grade Oil Furnace shut-off at entrance to furnace area
Guard at stairwell at 34"or more Furnace/Hot Water Heater operating
Guard at deck, porches 36"or more Low water shut-off boiler
Handrail Termination at Newell Post or Wall Relief Valve(s)installed /Heat Trap/Water
Interior/Exterior Railings 34 " to 38 " Temp 110
Deck Bracing/Handicapped Ramp Compliant Enclosed Stairs Sheetrock Underside minimum
/2" Gypsum
Grade away from foundation 6" with 10 feet Basement stairs closed rise 4 4 inches
6" clearance to sill plate Garage Floor Pitched
Gas Valve shut-off exposed/ regulator 18"above Garage fireproofing/ 3: hour fire door/door
grade closer
Interior privacy/trim /doors/ main entrance Gas Logs in Sealed or Glass Enclosure
36" ,i
Bathroom /Kitchen watertight Final Electrical; Energy Saving Light Bulbs 50
Safety glazing/Window in stairwells safety Final Survey Plot Plan
glazing Arc Fault Breaker Habitable Spaces/Tamper
Interior Smoke Detectors/ Carbon Monoxide Proof Receptacles
Detectors Flex Gas Pipe Bonding
Every level: Every Bedroom: As Built Septic System /Sewer Dept. Inspection
Outside every bedroom area: Sticker
Inter Connected: Site Plan /Variance required
Battery backup: Flood Plain Certification, if required
Attic access 30" x 22"x 30"(height) in
accessible area Okay to issue Temporary/Permanent 1
C..\()
Certificate of Occupancy OR
Crawl Spaces 18"x 24"access,I sq. ft. 150 sq. Certificate of Compliance
ft. vents
Yes No N/A
Comments:
Town of Queensbury Building EA Code Enforcement Office No. (518)761-8256 CI*7
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ depart: 4.4m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: S' . PERMIT*. t ' _O
LOCATION:t l's A-Vuits7C%-c czi, ) INSPECT ON:
TYPE OF STRUCTURE: S4N-.),12
t N WA COMMENTS:
Framing
Attic Access 22' x 30' minimum \ , q
Jack Studs/Headers ckiz
Bracing/Bridging V ` n /�
Joist hangers 4"4 R� A,- ' `,
Jack Posts/Main Beams 1 ` �� 1``-'�Q1� 1
Exterior sheeting nailed property w yr /
niN
12'O.C. P3-� A� c(g�
Headroom 6 ft. 8 in. 19�
Stairwells 38 in. or more c X1-1 J
Exterior Deck Bracing
Headroom 6 ft. 8 in. • vi
Notches!Holes/Bearing Walls ft
LaAlia
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 (t- tc-C_ c_ Q R
Fire separation 1, 2, 3 hour VyNe S LAST �\� )
Penetration Fire wall 2, 3, 4 hour
FirestoppingIt
inch sealed / v
16 inchinsulation in cavity min. ((��
` _\-
Garage Fire Separation v!v
�
S
House side'/inch or 5/8 inch Type X
Garage side 5/8 inch Type X LY4
Ceiling/wall
Windows Habitable Space/Bedrooms S_ r_
24 in. (H)
20 in. (W)
6Th
5.7 sf above I below grade
5.0 sf grade
L:1Buildirg&Codes FmmaOLD\Bulding&Codes nspedion Fonns'iFraming Firestopping Inspection Repoitdoc Revised January 1,2008
Town of Queensbury Building & Code Enforcement 1/—Z
Office No. (518) 761-8256 JJ
Framing / Firestopping Inspection Report
Inspection request received: lQf 7i7//1/ �J
Name: 1']re, Ati can Inspected on: Lf Z7
Location: 02') K Arrive: ' - ra a.m./p.m.
Permit No.: I Li - I(ps Inspector's Initials: ar a )
TYPE OF STRUCTURE: R.eS, A ('-)?c d
Y N N/A COMMENTS:
Framing
Attic Access 22"x 30°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
1 %2(w)16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses ✓7
Anchor Bolts 6 ft.or less on center
Mice 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 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 Report
ihurl /0— a
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/pm Depart/ , pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:/ G i
116
NAME: Ar Nn 1� 6 LS PERMIT#: I L¢ b
LOCATION: A I`° g is , DA INSPECT ON: LP--/�4
TYPE OF STRUCTURE: Pe, S M
Comments
Y N N/A
Footings
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 Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump d/
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
�Bacld'ill-Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM
1h w
Foundation Inspection Report
Office No. (518) 761-8256 Date Ins ectionn ques
Queensbury Building &Code Enforcement Arrive: �a tha t� repart: _ . pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: act t'
fir
NAME: a nN2�4�C n_ P RMIT#: / l "/./(c 6-
LOCATION: 2 J CT it)(C c�(v' INSPECT ON: t o
TYPE OF STRUCTURE: R es
•
Comments
Y N N/A
ftp o+ten
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
ofthe concrete.
Materials for this purpose on site.
Foundation/Wallpour
t/t///
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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM
wed
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart.^) am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ((��
NAME: B r e n n e is €`✓V PERMIT#: I<—]Lo b
LOCATION: 6112 'Ph- 3 t I0in Rad INSPECT ON: 5—a 8- )'y
nn
TYPE OF STRUCTURE: P as Rota
41a vue evi Comments
IPS g-8S90
vN N/A
Piers
II . • ^c 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 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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM