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RC-000863-2016TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-000863-2016 Date Issued: Friday, February 1, 2019 This is to certify that work requested to be done as shown by Permit Number has been completed. RC-000863-2016 Tax Map Number: Location: Owner: 301.13-2-82 16 CHIPPEWA CIR Eric Gilbert Eric GilbertApplicant: This structure may be occupied as a: Residential Alteration 57 sq. ft. (bathroom)By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Planning Board or Zoning Board of Appeals. Director of Building & Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: RC-000863-2016 Tax Map No: 301.13-2-82 Permission is hereby granted to: Eric Gilbert For property located at: 16 CHIPPEWA 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 Owner Name: Eric Gilbert Single Family-Alteration $15,000.00 Owner Address: 16 Chippewa CIR Total Value $15,000.00 Queensbury,NY 12804 Contractor or Builders Name/Address Electrical Inspection Agency Plans&Specifications Residential Alteration 57 sq.ft.(bathroom) $60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,January 4,2018 (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 expi2tion date.) Dated at the Town of ueensb , / Jedn y ,2017 SIGNED BY: (((wwwM�iilll����VJ for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Offioe Use Only Date: 12/29/16 Permit No. TaxMapID 301.13-2-82 Permit Fee O0 Zone Maleate Density Res(MDR) Historic? _Yes X No Rec Fee Subdivision Name Lot# Site Plan# Subdivision# Project Location 16 Chippewa Circle TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family,multiple fa y,I � apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile homes. This is Inaddition tojhe - permit feels). Primary Owner(s) Eric Gilbert U,C Address 16 Chippewa Circle Phone/Email EM_gilbert@hotmail.com / 518-232-7729 Applicant Eric Gilbert Address 16 Chippewa Circle Phone/Email EM_gilbert®hotmail.com / 518-232-7729 Contractoeq Tsn b�o�mes JRJ'/'ef-TCn`l��re.'s. co.+. Address A Phone/Email or iGn t Cu(/jcrf ai c I ,'s est H . Contact Person for Building&Codes Compliance: Eric Gilbert Phone 518-232-7729 TYPE OF CONSTRUCTION -/Check all that apply New Addition Alteration 1S1 floor sf 2nd floor sf Total sf Height Single Family x x 57'f Y-7-10" Two-Family Multi-Family (#of units_) Townhouse Business Office Retail-Mercantile Factory-Industrial Attached Garage (1, 2, 3, 4+) Other Town of Queensbury Building&Codes Principal Structure Application revised January 2016 If commercial or industrial please indicate name of business Proposed use of building or addition bo tnr0C)rr-+ Source of Heat(circle one) Existing Gas Heat Gas Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances&Chimneys Are there structures not shown on plot plan? No Are there easements on the property? No Site Information: a. Dimensions or acreage of lot 0.76 Acres b. Is this a comer lot? _Yes x No c. Will the grade be changed as a result of construction _Yes x No d. Public water or Private well(circle one) rrbli Private e. Sewer or Private Septic System(circle one) Sewer Prtvate Value of all work to be performed(labor or materials) $ 15,000 ± DECLARATION. I. 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 NYS Building Codes,local building laws and ordinances,and in conformance with local coning 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: Eric ' e DATE: 12/19/16 SIGNATURE: DATE: (� For office use only Operating Permit Issued: _Yes No Occupancy Type Construction Classification Assembly Occupancy Limit Special Conditions Town of Queensbury Building&Codes Principal Structure Application Revised January 2016 INSPECTION WORKSHEET (000665-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:RC-000863-2016 Case Module:Permit Inspection Date:Fri Feb 1, 2019 Inspection Status:Passed Inspector:John O'Brien Inspection Type:Residential Final Inspection Job Address:Parcel Number:16 CHIPPEWA CIR Queensbury, NY 12804 301.13-2-82 Contact Type Company Name Name Primary Owner Gilbert, Eric Applicant Gilbert, Eric Granted Permission Gilbert, Eric Engineer Jarrett Engineers, PLLC Checklist Item Passed Comments General Comments YES This is an expired permit, if project is complete, please call building department to set up final inspection, a electrical inspection is required if electrical work has been performed. If department does not hear back from you within 2 weeks, a letter will be sent out for possible court proceedings. 1/18/19 Final Inspection Not Approved - No one home call for reinspection! 1/18/19 Final Inspection Partial Approval - Need to verify termination kit for bathroom fan. Unable to locate on outside of building. I have left message with Hilltop Construction's Tom Albrecht Jr. 1/31/19 Final Inspection Approved - Ok to Issue CO! Bathroom Fans, if no window YES 1/18/19 Final Inspection Partial Approval - Need to verify termination kit for bathroom fan. Unable to locate on outside of building. I have left message with Hilltop Construction's Tom Albrecht Jr. Feb 01, 2019 Page (1) INSPECTION WORKSHEET (000665-2019) Checklist Item Passed Comments OK to Issue Temporary C/O YES 1/18/19 Final Inspection Partial Approval - Need to verify termination kit for bathroom fan. Unable to locate on outside of building. I have left message with Hilltop Construction's Tom Albrecht Jr. OK to Issue C/O YES 1/18/19 Final Inspection Partial Approval - Need to verify termination kit for bathroom fan. Unable to locate on outside of building. I have left message with Hilltop Construction's Tom Albrecht Jr. 1/31/19 Final Inspection Approved - Ok to Issue CO! Feb 01, 2019 Page (2) O'Brien, John (Inspector) INSPECTION WORKSHEET (000445-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal RC-000863-2016Permit Case Number:Case Module: Fri Jan 18, 2019Partial Pass Inspection Date:Inspection Status: John O'BrienResidential Final Inspection Inspector:Inspection Type: 16 CHIPPEWA CIR301.13-2-82 Job Address:Parcel Number: Queensbury, NY 12804 Contact TypeCompany NameName Primary OwnerGilbert, Eric Granted PermissionGilbert, Eric ApplicantGilbert, Eric EngineerJarrett Engineers, PLLC Checklist ItemPassedComments General CommentsNOThis is an expired permit, if project is complete, please call building department to set up final inspection, a electrical inspection is required if electrical work has been performed. If department does not hear back from you within 2 weeks, a letter will be sent out for possible court proceedings. 1/18/19 Final Inspection Not Approved - No one home call for reinspection! 1/18/19 Final Inspection Partial Approval - Need to verify termination kit for bathroom fan. Unable to locate on outside of building. I have left message with Hilltop Construction's Tom Albrecht Jr. Handrail 4 or more risersNO Guards at stairs,decks,patios 30" + above gradeNO Jan 18, 2019Page (1) INSPECTION WORKSHEET (000445-2019) Checklist ItemPassedComments Bathroom Fans, if no windowNO1/18/19 Final Inspection Partial Approval - Need to verify termination kit for bathroom fan. Unable to locate on outside of building. I have left message with Hilltop Construction's Tom Albrecht Jr. OK to Issue Temporary C/OYES1/18/19 Final Inspection Partial Approval - Need to verify termination kit for bathroom fan. Unable to locate on outside of building. I have left message with Hilltop Construction's Tom Albrecht Jr. OK to Issue C/ONO1/18/19 Final Inspection Partial Approval - Need to verify termination kit for bathroom fan. Unable to locate on outside of building. I have left message with Hilltop Construction's Tom Albrecht Jr. O'Brien, John (Inspector) Jan 18, 2019Page (2) INSPECTION WORKSHEET (000416-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal RC-000863-2016Permit Case Number:Case Module: Fri Jan 18, 2019Failed Inspection Date:Inspection Status: John O'BrienResidential Final Inspection Inspector:Inspection Type: 16 CHIPPEWA CIR301.13-2-82 Job Address:Parcel Number: Queensbury, NY 12804 Contact TypeCompany NameName Primary OwnerGilbert, Eric ApplicantGilbert, Eric EngineerJarrett Engineers, PLLC Granted PermissionGilbert, Eric Checklist ItemPassedComments General CommentsNOThis is an expired permit, if project is complete, please call building department to set up final inspection, a electrical inspection is required if electrical work has been performed. If department does not hear back from you within 2 weeks, a letter will be sent out for possible court proceedings. 1/18/19 Final Inspection Not Approved - No one home call for reinspection! 4 inch Building Number Address visible from roadNO Chimney Height / B Vent / Direct Vent LocationNO Chimney Rain Cap InstalledNO Fresh Air IntakeNO Jan 18, 2019Page (1) INSPECTION WORKSHEET (000416-2019) Checklist ItemPassedComments 3" Plumbing Vent through roof minimum 18 inchNO Outside Spigots have Air GapNO Roof Complete / Exterior Finish CompleteNO Platform at all exterior doorsNO Handrail 4 or more risersNO Guards at stairs,decks,patios 30" + above gradeNO Guard at stairwell at 34" or moreNO ERROR - Setup Data Not Loaded!!!NO Guard at deck, porches 36" or moreNO Handrail Termination at Newell Post or WallNO Interior/Exterior Railings 34 to 38NO Wood deck: 2'+ from grade dia bracing required -NO H/C ramp compliant 4+ Deck Joist Ledger Connections-24" FromNO Ends Deck Ledger-Bolted per CodeNO Grade away from foundation 6 with 10 feetNO Jan 18, 2019Page (2) INSPECTION WORKSHEET (000416-2019) Checklist ItemPassedComments 6 clearance to sill plateNO Gas Shut-off Exposed & Regulator (18) AboveNO Grade HVAC Vent Terminal 10' from Lot Line &NO Openings Dryer Duct Max Length 35', Labeled Over 35'NO Interior privacy/trim/doors/main entrance 36NO Bathroom / Kitchen WatertightNO ERROR - Setup Data Not Loaded!!!NO Smoke Detectors: Carbon MonoxideNO CO in Bedrooms w/GasNO Smoke Detectors 3' from Kitchens & Baths R314NO Every level, Every bedroomNO Outside every bedroom areaNO Inter ConnectedNO Battery backup: _____NO Attic Access 22 x 30 minimumNO Jan 18, 2019Page (3) INSPECTION WORKSHEET (000416-2019) Checklist ItemPassedComments Attic Access Insulation = Attic R- ValueNO Attic Access GasketedNO Crawl Space Access 18 x 24NO Bathroom Fans, if no windowNO Plumbing fixturesNO Backflow Preventors where requiredNO Foundation insulation to floorNO ERROR - Setup Data Not Loaded!!!NO All Hot Water Systems: R-3NO Duct work sealed properlyNO Range Hood 400+ cfm-Fresh Air REQUIREDNO Blower Door Test CertificationNO HRV or ERV Installed per Bedroom RequirementsNO Floor truss, draft stop- fin base 1,000 sq. ft.NO Emergency egress below gradeNO Furnace shut-off w/in 30 ft. or w/in line of siteNO Jan 18, 2019Page (4) INSPECTION WORKSHEET (000416-2019) Checklist ItemPassedComments Oil Furnace Shut-Off at Entrance to Furnace AreaNO Propane Tank: Proper Setback from PropNO Line/Struct Furnace Hot Water Heater operatingNO Low water shut-off boilerNO Relief Valve ,Heat Trap/Water Temp 110 deg orNO less Encl. Stairs Sheetrock Underside minimum ½NO Gypsum 1/2" Gypsum or House Wall and GableNO 5/8" Type X with Living Space AboveNO 20 Minute Fire Door/Self-Closing HardwareNO Seals on Garage Doors, esp. WoodNO Basement stairs closed rise greater than 4 inchesNO Basement Egress: 5s.f. window w/sill or BilcoNO door Basement ceiling covered 2x8 fl joist or lessNO Fireblocking at fl joist 80 s.f. or lessNO Jan 18, 2019Page (5) INSPECTION WORKSHEET (000416-2019) Checklist ItemPassedComments Garage Floor PitchedNO 1/2" Gypsum-Bsmt Ceiling<2x10 Frame/TJI/Fl.NO Truss Gas Log In Sealed or Glass EnclosureNO Fin Elect; Energy Saving Light Bulbs 50 PercentNO CSST/other piping in conduit if buried,if requiredNO Final Survey Plot PlanNO Arc Fault Breaker Habitable SpacesNO Flex Gas Pipe BondingNO As Built Septic SystemNO Sewer Dept. Inspection StickerNO Site Plan / Variance requiredNO Flood Plain Certification, if requiredNO Fuel Tanks above flood plain elevationNO Buried Fuel Tanks anchored in flood zoneNO Truss ID Signage Installed at Electrical MeterNO Jan 18, 2019Page (6) INSPECTION WORKSHEET (000416-2019) Checklist ItemPassedComments OK to Issue Temporary C/ONO OK to Issue C/ONO O'Brien, John (Inspector) Jan 18, 2019Page (7)