2001-747 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
w►
Community Development- Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010747 Date Issued: Friday, February 14, 2003
This is to certify that work requested to be done as shown by Permit Number P20010747
has been completed.
Tax Map Number: 523400-316-017-0001-005-000-0000
Location: 7 PALMER Dr
Owner: HARRY &KIM OTT
Applicant: HARRY& KIM OTT
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
j
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
ET 1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010747 Application Number: A20010747
Tax Map No: 523400-316-017-0001-005-000-0000
Permission is hereby granted to: HARRY&KIM OTT
For property located at: 7 PALMER 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: HARRY&KIM OTT Residential Alteration 12,000.00
7 PALMER Dr Total Value 12,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
ADIRONDACK INDUSTRIES
VICTOR KYARSGAARD 654-7460
NY 12804
Plans & Specifications
2001-747
18'X 18' REPAIR TO FOUNDATION AS PER APPLICATION
$40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, October 11,2002
(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 tie wn of Ieensbury; Thursday, October 11,2001
SIGNED BY f _ 41 for the Town of Queensbury.
Director of B , g Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. I
"No inspection will be made until applicant has received a Fee Paid rIc f
valid building permit. All applicants' spaces on this Rec. Fee a > /
application must be completed and must appear on the Reviewed By: `� s )61,,
application form. °4+
®t,� �IiAI�IQ � ; set4-E3—,1E04
GSBU
'Applicant: Owner: R -
Address: 7 P lmu Pry yZ, Address: 1&1 t VE
y N. Queensbry Nit
Phone# (518 9 Q - b 3 e 5 �• Phone# ( ) 71S- 03 8 S
Property Location: Lot Number: / House Number 7
Subdivision Name: Tax Map Number:3)(p — ) 7 — �S
❑ New Building: residence /commercial Estimated Market Value of Construction: $ lZ LIDO
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
• ` o Alteration: residence/ commercial
3/ No change to exterior sizeeC 1 /com'l
p! Other work(describe Foundafib n - fcr- rs
Check Occupancylnformation 15t Floor 2"d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
❑ Single family dwelling _
y ❑ Two family dwelling
(1—;(//
�",�'" ❑ Townhouse
j ❑ Multifamily dwelling
#of units
o Office r —
❑ Mercantile
o Manufacturing
o 1 car detached garage
❑ 2 car detached garage
o 3 car detached garage
❑ 1 car attached garage J I
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential G
all Other Fbtru 4A:i7O/'► repairs CK/s rh, S'114 a itu re.
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: -
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder i<vOrsgaarc( .Vac-TOr Ad ro n<lack Xndusfries 6 51+- 7,6464
Plumber
Mason
Electrician
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all '
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licen d surveyor;drawn to scale,showing actual
:::: c0ns
f all new tion. s._
• owner,owner's gen,architect,contractor . _
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement /
Dept.of Community Development Arrive am/pm Depa ;du p•
Town of Queensbury Inspector's Initia cp _..
742 Bay Road /�
Queensbury,New York 12804
NAME ri �� 7 7
--r� PERMIT 11
LOCATION —7 Q k\\1(�sr' L DATE "7 ("
TYPE OF STRUCTUREi a �. ° �• ��T}+ �
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above 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
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
•
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3 hour fire door/door closer
Garage fireproofing
•
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
is
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depa r./ 7J
Town of Queensbury Inspector's Ini
742 Bay Road
Queensbury,New York-12804
NAME r 1 PERMIT# — 114 7
LOCATIO "lt, c: \c4 , �Y �_. DATE
TYPE OF STRUCTURE e ti Qrc ri --c--C r•d al x..? 1
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above 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
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in. •
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures � �
Foundation insulation �
344 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage) 41.4 f.
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
3n .%11e c) _ ,► )ice
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road a,.
Queensbury,NY 12804 Arrive ('I J)a 1 Depart ` .*s�'l''
i spector's Initia te / ,.
',-,.."4.--•-•" /...- 0 -7
NAME: \O-K-K" PERMIT# - /
LOCATIO : 1 Dv DA lE: I
TYPE OF S I'RUCTURE: & ( r,t� (5,---1
RECHECK ,
N/A YE N COMMENTS
F "ngs/Piers_ —I
onolithic Pour Form
Reinforcement iis lace
The contract respoisible for
providing pr tection from freezing
for 48 hours ollowing tie placement
of the concre e.
Materials for th purpose on site =
Foundation!Wa1 pour
Reinforcement in lace i
Foundation/Damp•roofing
Backfill Approval /
PlumbingjJnder Sla',f
Plumbing Ve is"n Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interi r R- y
Foundation Walls Exteri R-
Floors r
R
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers ; I
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
'7)1
30 (061
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road 7-
Queensbury,NY 12804 Arrive am/pm Depart pilPm
Inspector's Initials
NAME: ( ) ii )--)90(Y PERMIT# 0 /--- 7£9) -7
LOCATION: r? DATE :
TYPE OF STRUCTURE: =(: ,slY
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in P1.--
The contractor i responsii e for
providing prote. ion from fr.-zing
for 48 hours foil'wing the pla -ment
of the concrete.
Materials for this p lo'se on site
Foundation/Wallpour
7
Reinforcement in Place
Foil!a•tion/Dampproofin!
t.ekfillsApproval
Plumbing Vent/Vents in Plac-
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R
Foundation Walls Exterior R-
Floors Walls
Ceiling R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
L