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2009-083 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090083 Application Number. A20090083 Tax Map No: 523400-308-012-0001-011-000-0000 Permission is hereby granted to: ALFRED J PELKEY For property located at: 20 WEST 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. TWe of Construction Value Owner Address: ALFRED J PELKEY 20 WEST Dr Residential Alteration $1,500.00 QUEENSBURY, NY 12804-0000 Total Value $1,500.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2009-083 residential alteration - foundation under existing building $40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, April 02, 2010 (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 Tq�vt1`z3f�uee _ ry* /T�hl sday,April 02,2009 (( t SIGNED BY �' 4! for the Town of Queensbury. Director of Building&Code Enforcement 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. P20090083 Date Issued: Tuesday, June 22, 2010 This is to certify that work requested to be done as shown by Permit Number P20090083 has been completed. Location: 20 WEST Dr Tax Map Number. 523400-308-012-0001-011-000-0000 Owner. ALFRED J PELKEY Applicant: ALFRED J PELKEY 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 they property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. ...I......... %._^...... /. .....l.....�. ...... OFFICE USE ONLY P J ........_._.._.__..._.._ /% ,I ........._._.......... 11 PERMIT N0. 1 FEES: PERMIT RECREATION ENGINEERING lo ' (If applicable ) ' PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: I�� r. �2 �Yl�t OWNER: �� 1b��i r� � \ -4 ADDRESS: _ � . ADDRESS: PHONE NOS. `� 3 =j J"� PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: ,� C PHONE: LOCATION OF PROPERTY: (; I ` a' iF G`r 1 �.�S9tlC N i% �o Ic uf� HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z 0E— PROJECT 0 00 00 O uj u- CO H W LL U. u- L~L. W J O = _ H Ll _ ¢ a V z Q </ � O Nd o � o � � Wz a. = os SINGLE FAMILY , /; ' �� V r��.v; TWO-FAMILY �I-A MULTI-FAMILY (NO. of UNITS ) i TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER • I IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: Im" 1T cn FUEL TYPE: B 3-LGL I 1-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /� J ARE THERE EASEMENTS ON PROPERTY? I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. 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. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. 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. Signed Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) ..................................................... ........_.__..__._._.. o Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building o herein is found to be in accordance with the described herein in accordance with said o zoning Laws of the Town of Queensbury. ; Application: , 0 , , ' 1 , , BUILDING & CODES APPROVAL ZONING APPROVAL 11 0 , , 0 0 , , 011 DATE o DATE (---QUESTIONS? CALL 761-8256 OR EMAIL Office Use Only codes(&-gueensbury net VISIT OUR WEBSITE FOR MORE INFORMnTinu �fia %US Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: �am/p D part: am/pm Date Inspection req est received: Inspect is Initials: NAME: PERMIT#: 4 1, LOCATION: a DATE: _ TYPE OF STRUCTURE: Comments: N N/A ,V BuildingNumber Address visible from road ChimneyHeight/°B'Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Co lets/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 race Interior privacy 1 trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safetv glazing/Window in stairwells safety qlazinT Interior Smoke Detectors/Carbon Monoxide Detectors Every level Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic socess 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access i sq.ft.-150 sq.-ft.vents Bathroom Fans if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to fumace area Fumac e/Hot Water Heater operating Low water shut-off boiler Relief Valve(sj installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Gareae fire roofi /%hour fire door/door closer Duct work Seated properly Gas Loge in Sealed or Glass Enclosure _ Final Electricail — Final Survey Plot Plan — Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System 1 Sewer Dept. In coon Sticker Site Plan /Variance required. Flood Plain Certification,if required Okay to issue C I C or C 101 Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc;Revised January 7,2008;Revised 6/26/08 Foundation Inspection Report Office No.(518)761-8256 Date Inspection uest received: Queensbury Building&Code Enforcement Arrive: p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 7142 NAME: -L 1 C � PERMIT#: LOCATION: = INSPECT ON: TYPE OF STRUCTURE: Con m�enb, Y N NA Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfi11 Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\lnspetiUon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date In Pitials- Queensbury Building&Code Enforcement Arrive: Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect 's NAME: GG C-� PERMIT#: LOCATION: 1 ;�° INSPECT ON: 3 TYPE OF STRUCTURE: Comment Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforceme Place Foo ' g jkwe Keyway in place Foundation Dampproofmg Foundation Waterproofmg Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes Forms\Building&Codes\inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report i Office No.(518)761-8256 Date Ins tiop�equest received: Queensbury Building&Code Enforcement Arrive: 7 am/pmj part: am/pm 742 Bay Rd.,Queensbury,NY 12804 Ins pecto s`Imtials: 'L,�C' NAME: � PERMIT#: LOCATION: 4, T- 12 INSPECT ON: 2-z 611 TYPE OF STRUCTURE: Cow ents Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM