2014-596 .." 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: P20140596 Date Issued: Monday, December 08, 2014
This is to certify that work requested to be done as shown by Permit Number P20140596
has been completed.
Location: 35 WILLOW Rd
Tax Map Number: 523400-295-018-0001-051-000-0000
Owner: DOUGLAS DENNETT
Applicant: DOUGLAS DENNETT
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 (7 �'o( 11,3(----
owner of the responsibility for compliance with Site Plan, Variance, or ,/,'sv
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
_A
742 Bay Road,Queensbury,NY 12804-5902 (518)76]-820]
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140596 Application Number: A20140596
Tax Map No: 523400-295-018-0001-051-000-0000
Permission is hereby granted to: DOUGLAS DENNETT
For property located at: 35 WILLOW 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: DOUGLAS DENNETT
35 WILLOW Rd Residential Alteration $4,200.00
QUEENSBURY NY 12804-0000 Total Value $4 200.00
Contractor or Builder's Name /Address Electrical Inspection Agency
ACW FAMILY BUILDERS'
STEPHAN HITCHCOCK 365-2962
8 FRANK St
FORT EDWARD NY 12828-0000
Plans&Specifications
2014-596
Res. Alt. egress window in basement
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 26,2015
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town o uee bury; r
zed d , November 26,2014
SIGNED BYfor the Town of Queensbury.
Director of Building& Code Enfor ent
' PRINCIPAL STRUCTURE APPLICATION Office Use Only
DATE II/17 I tr Received NOV 17 2014
Tax Map ID
TAX MAP ID Permit No. rJ ✓lJ\
Permit Fee
ZONING Rec Fee
Site Plan#
HISTORIC SITE Yes Y.No Subdivision#
SUBDIVISION NAME Lot#_
TOWN BD. RESOLUTION 86-2013: 5850 RECREATION FEE FOR NEW DWELLING UNITS, INCLUDING SINGLE FAMILY DWELLINGS,
DUPLEXES OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR
MANUFACTURED&MODULAR HOMES,BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO T 1'�-H1E PERMIT FEE. q ('
APPLICANT OWNER J b i
I)
ADDRESS ADDRESS '35 ' I'4W
gvsg ,$ hvrY NY y-Z%otih
PHONE/E-MAIL PHONE/E-MAIL
Q S14.
CONTRACTOR 1 r�W lI '1 I V'I I des" COST OF CONSTRUCTION(ESTIMATED):$ , '�'0
ADDRESS:
F rev K St'. BUILDING ADDRESS: /7 j 'l I o�Lv 4Y•
E-Mfy
Fat aw��� NNI ►ziZ�
PHONE/
AIL `r l Q,"l1 365 ---1-9C2
n � � `19�Z
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: � �`1 I�I��� C� PHONE(c-3 3�,
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 1'i floor sq.ft. 2n°floor sq.ft. Total sq.ft. Height
Single Family
Two-Family
Multi-Family
(#of units )
Townhouse
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?
Are there easements 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 X No
d. Public water or Private well I v 1 j. C
e. Sewer or Private Septic System 1 Vv b I;
Value of all work to be performed(labor or materials) $ V41L4
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 certificqte of oocscu�pancy.
I have read and agree to the above: PRINT NAME: e�' 11 C) 47 DATE
SIGNATURE: PYL Lv"vt..._ DATE
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
rs ' 3
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm De:- `A Jam/pm
Date Inspection request received: Inspector's Initials: •
APP
NAME: fl na4-I- r�_ PE : j y_ �4c�
LOCATION: .3 Go( It 6 u) ROI DATE: !a1 — 1
TYPE OF STRUCTURE: rE g S LO Ac44/1(4)
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
—Grade
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 \f�
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification j7
Flo , stopping finished basement 1,000 sq.ft. �,��;
ergenc ess below grade 1v
ace 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 1%hour fire door 1 door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
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
Okay to issue C/C or C/0[Temporary/Permanent]
L:1Building&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
New basement a ress window for 35 Willow Rd. Li/ 5
g 1
Window info:
flLE ir
Manufacturer: Hy-lite
Size: 29"wide x 45"tall
Type:Vinyl casement,In-swing TOWN OF QUEENSBURY
BUILDING DEPARTMENT
U-Value: .43 Based on our limited examination,compliance
with our comments shat;rpt bie construed as
indicating the plans and specifications are in
Approximate glass size:23"wide x 39"tall=6.2 Sq.ft. Nil compliaace with the Building Codes of
New York State.
Sill to be less than 44"above finish floor
NOTICE
Sow v./el I FOAM INSULATION MUST BE
COVERED BYA 15 MINUTE
cco f0,-/etl THERMAL BARRIER
roc LF"b 2
t'ti e 5 'e r5
TOWN OF QUEENSBURY
BUILDING & C• • S
54-q 5
Reviewed -y:
�! I Date: '- - -
NOTICE
KRAFT PAPER INSULATION
MUST BE COVERED BY
NON-COMBUSTIBLE BARRIER
JNew basement egress window for 35 Willow Rd. �J 5
Window info:
Manufacturer: Hy-lite
Size: 29"wide x 45"tall
Type:Vinyl casement,In-swing
U-Value: .43
Approximate glass size: 23"wide x 39"tall=6.2 Sq.ft. 701NN OF QUEENSBURY
BUILDING E�SF:"-.G2;-r�;C;JT
tor Based on our limited p,,;,;.,;,;,,
Sill to be less than 44"above finish floor
with our comments sl:: CQ`r�!a'�'
indicatirl .the 'i.iruec as
full co 'thy wtili the Building Codes of
rn Ita�ce �,,.
New York State.
FQ'`M1
C'�� SULATIOA/
TE 0 8YA 1 J MUST fi
THE-RI—it/4 BAR 1`I�llrli„1•l
•
•
TOWN OF QUEENSBURY
BUILDING & COD. •A
Reviewed y:
Date: ( -
KRAFT
PAPERNOTICE
KRAFT INSULATION
MUST BE COVERED BY
NON-COMBUSTIBLE BARRIER
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