2009-169 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090169 Application Number. A20090169
Tax Map No: 523400-295-015-0001-019-000-0000
Permission is hereby granted to: RICHARD & ELIZABETH ENGLAND
For property located at: 15 MOORWOOD 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: RICHARD & ELIZABETH ENGLAN
15 MOORWOOD Dr Residential Alteration $500.00
QUEENSBURY,NY 12804-0000 Total value $500.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2009-169
BUMP OUT OF WINDOW
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,May 05, 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 T�Queert� da ,May 05,2009
SIGNED BY / c for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE (31'JEU7 OCCUPANCY
Permit Number. P20090169 Date Issued: Monday, May 10, 2010
This is to certify that work requested to be done as shown by Permit Number P20090169
has been completed.
Location: 15 MOORWOOD Dr
Tax Map Number. 523400-295-015-0001-019-000-0000
Owner. RICHARD & ELIZABETH ENGLAND
Applicant: RICHARD & ELIZABETH ENGLAND
This structure maybe occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the �X
property owner of the responsibility for compliance with Site Plan, )4�4vpd
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.
-�` ---------.."...................................................OFFICE USE ONLY ._...." " .... .......,
75
TAX MAP NO. PERMIT N0.
�>
FEES: PERMIT RECREATION ENGINEERING �9QY
' zoo9
(If applicable)
BUILDING &E�COD-NSBUES
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: �
OWNER:
ADDRESS: vo ADDRESS:
PHONE NOS._ PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:
PHONE:
LOCATION OF PROPERTY: /6' oe� _b,6 (,t�-
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 0 O o F-
PROJECT 0 00 00 ( a UJ LL co
w
�-
Z _ ~ 0 CD U
U) CL20Q ~ ON 0LL u-
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: ��� U FUEL TYPE:
HEAT TYPE: "HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION:
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
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 state me nt/d escri ptio n 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)
10
Permission is herebyranted to the above r
9 This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application: ; ; 01
,
1 1 1
r r , 1
, , 1
r 1
1 - r , 1
0 1
0 r 1
r r
1-7
1 1 1
B LDING & CODES APPROVAL
ZONING APPROVAL
1
00
4DA11-40 '
DATE
, 1
0
r 1
r..._._....._ ; 1
QUESTIONS? CALL 761-8256 OR EMAIL
Office Use Only codes aueensbury net
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No w 4ft_ ensbury net
Occupancy Type: � Construction Classification ,�—'
Assembly Occupancy Limit:
Special Conditions:
�'ti�
Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
Y,
4
q.l•;
Rough Plumbing 1 Insulation Insp tion Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm art << am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: C3
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
P.S.I r 15 minutes
Insulation/Residential Check/Commercial Check
jyve_korSimilar 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
COMMENTS:
Rough Plumbing InsulaWn Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
j 1
Foundation Inspection Report
Office No.(518)761-8256 Date Insp"pnjoquest received:
Queensbury Building&Code Enforcement Arrive. am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspectors itials:
NAME: ` fl, PERMIT#:
LOCATION: 0 INSPECT ON:
TYPE OF STRUCTURE:
Comments
E3 Y N N/A
Footings
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 Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
2 inch width
6 inches above footing
6 mil po!y 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:\Buiiding&Codes Forms\Buiiding&Codes\lnspeW Forms\Foundation Inspection Report.doc
I Last printed 12/20/2005 9:24:00 AM
M Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: -am/7
rtlda�am/pm
Date Inspection request received: V Inspector's Initials:
NAME: � L' VV 1C,3 PERMIT#: 0 s
LOCATION: � Or Lv d r DATE:
TYPE OF STRUCTURE:
Comments:
N NIA
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co late/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs deckspatios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,p2rches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing i Handicapp2d Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill 00
Gas Valve shut-off i/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 acx;essible area
Crawl Spaces 18 inch x 24 inch access 1 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 sq.ft.
Emeraency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumaae/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trapt Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed ri
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Are Fault Breaker in Bedrooms
Fleas Gas Pipe Bonding
As Built Septic System i Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 1 Temporary/Permanent
LABuilding&Codes FormslBuilding&Codesllnspedion FormsWesidential Final Inspection Forrn_revised_100405.doc;Revised
January 7,2008;Revised 8/26108
,
�r
a
a
3
"µ`Y9
tea+-
:
i •.
f�
C: 1
s9 ao
RN
_ T $
cZ c o4
ieoo
NOTICE ieXTr7� �
KRAFT PAPER INSULATION MUST BE
COVERED BY NON-COMBUSTIBLE BARRIER
p4,K UrJs �b w
8
NOTICE
FOAM INSULATION MUST BE COVER ')
BY A 15 MINUTE THERMAL B `
,a,:
�.
� ;F�
._ �
,', ;
,,
07-ff 7
a ' +/rt i+.TY �c 4 2 Ai3 .?f t� � [ '`�bl�titer
Iq y
b
LL
>e, �
4
� 1
Community Deoveloj2me7it Office 0
Town of Queensbury - 742 Ba.,v Rd,-
'Queensbury, New York -7245(),4 �,�
PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of ail structures and buildings from all property lines.
SIDE PROPERTY LINE
-A
CID
LU
z Z,
to
CL M
0 fit
a.
M
rr
v e d, o r b e lip.v e I S a w e v'd e n c e o f
--i— toot
T,7. 6 u s, via sTr P,e s,Te n c e s etc
�i sAin -n this document, I also represent that I have
z
0 F� .-Milly measured the distances set f-rth on the dia9 tam."
�?NTURE bATto
1 SQUARE = FT.