2014-471 � 11% TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140471 Date Issued: Monday, December 01, 2014
This is to certify that work requested to be done as shown by Permit Number P20140471
has been completed.
Location: 62 MELDON Cir
Tax Map Number: 523400-289-020-0001-032-000-0000
Owner: GARY A DOBERT
Applicant: GARY A DOBERT
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 ( >) / // 2__.-
owner of the responsibility for compliance with Site Plan, Variance, or c� G
other issues and conditions as a result of approvals by the Planning Board Director of Building& CodeVEnfinent
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
411" 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140471 Application Number: A20140471
Tax Map No: 523400-289-020-0001-032-000-0000
Permission is hereby granted to: GARY A DOBERT
For property located at: 62 MELDON Cir
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: GARY A DOBERT Residential Alteration $20,000.00
JUDY A DOBERT
62 MELDON Cir Total Value $20,000.00
QUEENSBURY NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
R.L. CHASE BUILDER
RICHARD CHASE JR. 361-3656
20 MARION Ave
SO. GLENS FALLS NY 12803-0000
Plans&Specifications
2014-471
Res. Alterations 620 sq ft finished basement
$97.50 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 03,2015
(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 uee bury; rid Off;tober 03,2014
SIGNED BY ed. for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only 1
DATE .' 6 ) I Received
/ Tax Map ID � ! , t � Jr
TAX MAP ID Permit No. �
ermit Fee q4-70/6, nv
ZONING Rec Fee
for/ An;4.Site Plan #
HISTORIC SITE Yes XNo Subdivision #
SUBDIVISION NAME _ Lot#
TOWN Ba RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLINGS,DUPLEXES
OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED &
MODULAR HOMES,BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.
•
APPLICANT •L. has?.Pi I U 1 Wet— OWNER v y. Tucty
Ale_ ADDRESS �� e-1 i\ ♦�
ADDRESS 30 Marto(I �! O
r-`4ev►.S pt,/`S �w <- 4S(21) � ,-41 /A:0
PHONE/E-MAIL r L �5t;.0;IG�Gt-®.Aiycap,-R' ,am PHONE/E-MAIL ---CT(S- G 66' Soo
CONTRACTOR Il. • Oita-S. t o COST OF CONSTRUCTION(ESTIMATED): $ '
ADDRESS: BUILDING ADDRESS: (e„D-- /`�e (CL-N C� 'c(t_
PHONE/E-MAIL I lI II;,��
CONTACT PERSON FOR BUILDING &CODE'S COMPLIANCE:
�IGtia..1^CX G1(iGt S _Tr- PHONE 3G/-3�s�
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 15t floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height
gle Famil (�j0 S' (0.(6)
Two-Family kirksI��J (ouim
ee,.f
Multi-Family
(# of units )
Crownhot e
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(# of )
Other
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business
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
Are there structures not shown on plot plan? Ai 6
Are there easements on the property? /t D
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot? A 0
c. Will the grade be changed as a result of construction Yes k No
d. Public water or Private well JLl C
e. Sewer or Private Septic System 5-e,o.)
Value of all work to be performed (labor or materials) $ '.Oi 000.00
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department
approval.
3. 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.
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy.
5. 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: _AA ,— Gl - _L,.,_vT DATE 9/30/20/41
SIGNATURE: .„4../ . // DATE n1/20!02-0/f
FOR OFFICE USE ONLY
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building&Codes Principal Structure Application July 2014
U c Q 2O1'
Lr n ^ 2014
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
• Malo Office 176 Doe Run Road-Manheim,PA 17545
•
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
•
Permit No..,..f..% '.` ,7i...........Cert. 85561 .
Cut-in Card No :
Owner , ?tf.?y 0.Q..h.c..44rT
Location G ......(.`i :4Q '-
Installation Consisting of.,.N,iS ce-lr /,.✓/1114.(24,- : f‘ /.4. .S- ....�/...1:.c.r,t. -... •
...,L1 e...27.51. / A4? ,....., Z. .J. ..&.6).ea......4ece,v1 ..?y.... ....i Y.P...Ve� ..
•
Installed By.....4'/.in.2.x.(.i. El.sSe7' iS.r Lie.No. •
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
•
This certificate only covers the electrical 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 snaking inspections at any time, and if its
rules arc violated,the Company shall have the right to revoke this certificate.
Date 1,L2 -,,,,,'„ ' INSPECTOR .... cCiitenee4,utic-i-er' . .. •
Mtmbcr N.F.P.A.,l.A.li.l.
•
TO 3Jdd 0l8Nf1N Nal b85t86L LZ Zt btOZ/E0/ZZ
LOO'd ti8S 186E 817:60 ti l OZ!£OIZ L awiliale0 X8
�t1 l6.4244_ 11-)3
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/p I-.art:/ t7 am/pm
Date Inspection request received: Inspector's Initials:
NAME: fj ar-Y - - IT#:
LOCATION: („p DATE:
TYPE OF STRUCTURE: Resj pr,
Comments: DID mina1P0A
Yes No N/A
4" Building Number Address visible from road �,1✓( se's .
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake 3 (O I.3 659
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
Invacy/trim I doors I main entrance 36 inches
(jBatl1fg Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Eve Bedroom: z / Y/
Outside every bedroom ea:
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 fixtures Fans, if no window
Plumbing
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 W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50% CO ¶ 4-_
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 jl
Okay to issue C/C or C/0[Temporary/Permanent] tf
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
Rough Plumbing / Insulation Inspection Report 1\1j-1-5I `Jr
Office No. (518) 761-8256 Date Inspection re s est received:
Queensbury Building & Code Enforcement Arrive: ' N A A� /pm
742 Bay Road, Queensbury, NY 12804 Inspector' nitia s: I`.
NAME: •L}0 b PERMIT #:
LOCATION: to < (\\p id, n INSPECT ON: (/
TYPE OF STRUCTURE: R - 'H )'-1—.
Y N N/A
Plumbing under slab
Rough Plumbing / Nail Plates t57
Plumbing Vent/Vents in Place
11/2 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. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I. for for 15 minutes
Insulation / Residential Check/ Commercial Check
Window Sealing
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
Blower Door Test
Air Sealing
COMMENTS: R,--- v\ �� ���
Rough Plumbing_Insulation Inspection 02 0513
Town of Queensbury Building & Code Enforcement (i e s
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received: 1�
Name: fj h e r T Inspected on: /0
Location: to a tGt o,n Arrive: I •-• _ a.m.l p.m.
Permit No.: / '� may / Inspector's Initials: � � 7
TYPE OF STRUCTURE: ec, P114,
/ 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 1/2(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 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 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