2014-571 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: P20140571 Date Issued: Thursday, June 09, 2016
This is to certify that work requested to be done as shown by Permit Number P20140571
has been completed.
Location: 76 SARA-JEN Dr
Tax Map Number: 523400-295-010-0001-049-000-0000
Owner: DONALD & MARYBETH TENNE
Applicant: DONALD & MARYBETH TENNE
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 (1J4
wner 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.
TOWN OF QUEENSBURY
'ma. 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
f � � Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140571 Application Number: a20140571
Tax Map No: 523400-295-010-0001-049-000-0000
Permission is hereby granted to: DONALD & MARYBETH TENNE
For property located at: 76 SARA-JEN Dr
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: DONALD & MARYBETH TENNE
76 SARA-JEN Dr Residential Alteration
QUEENSBURY,NY 12804 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans& Specifications
2014-571
Res. Alteration 750 sq.ft. finished basement
$112.50 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, November 24,2015
(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 f Que td 1 Mq�tyB evember 24,2014
SIGNED BY f� A,/ for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
DATE ////6//9 Received 06, 16 -Neo
Tax Maple 1 0 2014
TAX MAP ID Permit No.
Permit Fee
ZONING Rec Fee
Site Plan#
HISTORIC SITE Yes No Subdivision #
SUBDIVISION NAME Lot#
TOWN Ba RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLINGS,DUPLEXES
OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED &
MODULAR HOMES,BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.
APPLICANT OWNER l�(�'I � / Iwy •I hi `{N.. C
ADDRESS ADDRESS b Jan al TM °1
QkP«4) 4wy AJ y, i 1/
PHONE/E-MAIL r ,PHONE/E-MAIL 7V'/ 'i� N1��4CC-�‘�$oj1,( Ls
CONTRACTOR 64114;k Ai� lQd (.1741u JI`� `04J"4A ti4OST OF CONSTRUCTION(ESTIMATED): $ 4f IC
ADDRESS: 3S- X,X• (i.,1 41 BUILDING ADDRESS: 9 Jefo4 ✓6.1 hi;-C
6pot ori All /Psi
PHONE/E-MAIL i)%i.Ie1i11I ti{r.2a+,A./,
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: &id fln 1 giadc l/ PHONE 315 $q/
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 1St floor sq. ft. 2"d floor sq.ft. Total sq. ft. Height
Single Family (gotin.€46-
s� ?co 8
Two-Family
Multi-Family
(# of units )
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(# of
Other
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business
Proposed use of building or addition ,
(circle of heat one) •il ' Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances &
Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information
a. Dimensions or ae>:ea et 2g,u 3/ " Cewc,„.c-=/j
b. Is this a corner lot?
c. Will the grade be changed as a result of construction Yes ✓ No
d. Public water or Private well
e. Sewer or Private Septic System
Value of all work to be performed (labor or materials) $ eft I//IC
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: &,•/hail ���I DATE «�10 /�`I
SIGNATURE: DATE (� D111
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
Residential Final Inspection
Inspection request received la\ 1\2
Name eNcs.I Inspected onl(�
Location %}-� (� C\F-� uve- Arrive l a am/ pm
Permit No. G o_v__\ F!� l Inspector's Initials
Type of Structure /es,
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
%" 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 "
Bathroom /Kitchen watertight Final Electrical: Energy Saving Light Bulbs 50%0
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
Ar\
Battery backup: Flood Plain Certification, if required
Attic access 30" x 22" x 30" (height) in Okay to issue Temporary/ Permanent
accessible area
Certificate of Occupancy OR
Crawl Spaces 18"x 24"access,1 sq.ft.•150 sq. Certificate of Compliance
ft. vents
Yes No N/A
Comments: � —v t_0.4 I SI< C �,. `zciL.A V.z_d
(:)-L:SYTown of Queensbury Building & Code Enforcement Office No.(518)761-8256
Residential Final Inspection c5--,
Inspection request received '3/i /it' ,
Name --i-ell n Inspected on - A/f
Location - 91,r q- -, f , Arrive ., am/pm
Permit No. ''L-s- --) 1 Inspector's Initials c...)")
Type of Structure (L Q , lr \,1 ,
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 l://
Location
Fresh Air Intake Duct work sealed properly/ Blower Door Test
Certification
3" Plumbing Vent through roof minimum 18" Floor truss, draft stopping finished basement
Roof Complete/ Exterior Finish Complete 4.7 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
:" 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 / ''A hour fire door/door
grade
closer6- -
)
Interior privacy/trim /doors/ main entrance Gas Logs in Sealed or Glass Enclosure
36 "
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 (:1..‘-19
Okay to issue Temporary/ Permanent
accessible area
Certificate of Occupancy OR
Crawl Spaces 18" x 24" access,1 sq. ft.-150 sq. Certificate of Compliance
ft. vents
Yes No N/A19-7L0Q-C\-)c,--17-0--NINAN-
---Lfic6r-C
Comments:
---
Town of Queensbury Building & Code Enforcement Office No. (518)761-8256
Rough Plumbing I Insulation Inspection Report
Inspection request received 3 Ji O
Name `Te/j n Z- Inspected on A,/7/4"
Location �G ' , .r,} prrive am/pm
Permit No. gcj r 4 ^ S-7/ Inspector's Initials
Type of Structure tte>
COMMENTS
Y N NA
Plumbing under slab
Rough Plumbing/Nail Plates
Plumbing Vent /Vents in Place
1Y2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
-Pressure Test
Drain 4:21:30 r-\J
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
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
Town of Queensbury Building & Code Enforcement Office No. (518)761-8256
Rough Plumbing / Insulation Inspection Report (11an.
Office No. (518) 761-8256 Date Inspection r• tuest received: la1 dm"
Queensbury Building & Code Enforcement Arrive: I am pm
742 Bay Road, Queensbury, NY 12804 Inspect wI • .:
NAME: Don 4Teiln 6, PERMIT#: c=,ad) l F/7/
-
LOCATION: 1 , rec—" Jen. • INSPECT ON: or • Li/
TYPE OF STRUCTURE: S . , - ._
Y N N/A iczi'csdiell&
9
Plumbin under slab
ugh
Plumba-Pilail Plates • 6:034Q 5 _a(aq1/ul�mbing 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
\/f
Air/ ead
5 P.S.I. for ft. above highest connection for 15 minutes
est
Water Supply Piping
Air / Head
50 P.S.I. for for 15 minutes
Insulation / Residential Check/Commercial Check l�G
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:
Rough Plumbing_Insulation Inspection_02 05 13