2009-321 TOWN OF QUEENSBURY
'ow742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20090321 Date Issued: Tuesday, November 24, 2009
This is to certify that work requested to be done as shown by Permit Number P200Q0321
has been completed.
Location: 10 BENMOST BUR Ln
Tax Map Number. 523400-289-013-0001-054-000-0000
Owner. ROBERT & ANNA CLARK - LE
Applicant ROBERT & ANNA CLARK - LE
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TO\ N OF QUEENSBURY
1
Issuance of this Certificate of Occupancy DOES NOT relieve the 4 -"t
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.
TOWN OF QUEENSBURY
f742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090321 Application Number. A20090321
Tax Map No: 523400-289-013-0001-054-000-0000
Permission is hereby granted to: ROBERT & ANNA CLARK- LE
For property located at: 10 BENMOST BUR Ln
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 Queens bury Zoning
Ordinance. Type of Construction Value
Owner Address: ROBERT &ANNA CLARK- LE Residential Alteration $15,000.00
LINDA CLARK& CAROL SNYDER Total Value
3 BENMOST BUR Ln $15,000.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-321
400 SQ FT RESIDENTIAL ALTERATION
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,July 16, 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 Town of Quee>psbury; , Thursday,July 16, 2009
'
SIGNED BY(' for the Town of Queensbury.
Director of Buildinn&Code Enforcement
257. 3 ../_`C OFFICE USE ONLY E CI) ; ; L v
TAX MAP NO. ''/ PERMIT NO. 0 ?-32.1
•¢ JUL. u92009
FEES: PERMIT t1 RECREATION ENGINEERING
(If applicable)
%TOWC.Ol:S UEULSBURY
BU• ' SIG & CODES
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. L /
APPLICANT/BUILDER: T(>4_6n Cf 7WNER: WLS6er'T 1Q Mk
ADDRESS: ADDRESS: /2 (R:17)70'57' el/7 bile
PHONE NOS. Z -L_j 1 kc PHONE NOS. 5/8 93 ?" v�
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: Mita TATIZZ PHONE: 3 LA --L-litct
LOCATION OF PROPERTY: / dr'2?Me/574 O&Y". 4nef, ,,P ";fff Ai 1'
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES 0 NO Y/9-
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR O CC O w
PROJECT 0 O -.. _,
w .Ju- u- u_ w aOv
L1Jz < ¢ � o ° d � � of- � wz
cn cv cn O u_ H u< a 2 0o
SINGLE FAMILY V h
1 LIDO N�
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-NA E OF BUSINESS:
ESTIMATED CONSTRUCTION COST: { po FUEL TYPE: G t
HEAT TYPE: ph S "HOW MANY FIREPLACE(S): AJi AND/ OR WOODSTOVES(S): A/ / "
ZONING CATEGORY: gees ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? (Vc
PROPOSED USE OF BUILDING OR ADDITION: tVir
*Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office
Town of Queensbury • Community Development Office • 742 Baby Road, Queensbury, NY 12804
B 3-LGL 11-05
e
•
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? A L
ARE THERE EASEMENTS ON PROPERTY? ! \f
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 7//:
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)
r '
Permission is hereby granted to the above 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:
•
BUIL I , & CODES APP OVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes0aueensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
err,-
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5 -V /0' �_3d `'
Queensbury Building & Code Enforcemen - esl en is j - • Inspection
Office No. (518) 761-8256 Arrive: - h � 'e• am
Date Inspection request received: Inspector's !nit = ,
NAME: ( Ia r,k-P �----�- PE IT#:
LOCATION: /c> /�'v�w.-e: To ^[ .., . D`' E: /f-/`l•-t'? J
TYPE OF STRUCTURE: . _
Comments:
Ygs No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake VIE3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete =
Platform at all exterior doors NM
Handrail 4 or more risers
Guards at stairs,decks atio§more than 30 inches above grade mil
Guard at stairwell at 34 inches or more .1.
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 _11111111.1
Grade awe from foundation 6 inches with 10 feet =1111111
6 inch clearance to sill plate
Gas Valve shut-off exposed/reculator 18 inches above •rade IIIIIIIII
Interior rivac 1 trim/doors I main entrance 36 inches MINIM
Bathroom/Kitchen watertight 11111Z11.11
Safe Iazin /Window in stairwells safe lzin
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom are::
Inter Connected: _ Battery backup: __
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area !PIE=
Cr S•aces 18 inch x 24 inch access, 1 sq ft.-150 s..ft.vents —
Bathroom Fans,if no window MN
Plumbin• fixtures —
Foundation insulation/Insulation Certification MI
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emere en :e ress below •rade IIIII
Gas Furnace shut-off within 30 feet or within line of site mil
Oil Furnace shut-off at entrance to furnace area —
Furnace/Hot Water Heater operatin•
Low water shut-off boiler ill
Relief Valve s installed/Heat Tra•/Water Tem• 110
Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum
Basement stairs closed rise>4 inches II—+T ��
Garage Floor Pitched
Gara•e fire•roofin• /%hour fire door/door closer I_ �
Duct work Sealed properly P'
Gas Logs in Sealed or Glass Enclosure ,' 1111111
Final Electrical - MINI
Final Surve Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pi•e Bonding
As Built Se•tic S stem/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if remised r1.2—
Oka to issue C/C or C/0 Tern•ore 4 - •:i V IIIIIII
orapre-,..0%
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc; Revised
January 7,2008; Revised 6/26/08 _
0 —/1..' • 7t/r �
Queensbury Building & Code Enforcement - Resir�nti r ' spection
1- r.-.art: o ='D a ixi'
Office Na. (518) 761-8256 Arrive: � ,��'
Date Inspection request received: — Inspector's Initi ,�W
NAME: ____C ia J MIT#: _
LOCATION: /� `-... (-7 5���� , ATE: f/o
TYPE OF STRUCTURE:
Comments:
as_ Ng. N/A
4° Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location o
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete _
Platform at all exterior doors _ I
Handrail 4 or more risers_ -__I
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 f
Grade away from foundation 6 inches with '10 feet ._ a//
6 inch clearance to sill plate f —
Gas Valve shut-off exposed/regulator 18 inches above grade /
Interior rivacy/trim/dooms/main entrance 36 inches
Bathroom/Kitchen watertight ^�
Safe lazin /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 soft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures v/
Foundation insulation/Insulation Certification J _
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade — RE i-- W, c t4 \f t3 It,
Gas Furnace shut-off within 30 feet or within line of site *o C v b tis, b t<= 'S“VIR.S
Oil Furnace shut-off at entrance to furnace area — C_- ,.)ER__ tLPr A. t�3��1 L
Furnace/Hot Water Heater operating
Low water shut-off boiler _._ t t EtrAVA Te � ' t
iEti
Relief Valve(k)installed I Heat Trap/Water Temp 110 __ �_ -- tdk,,Vic Sit
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum / — • % �__
Basement stairs closed rise>4 inches _ ,./ �-c - � v�}�
Garage Floor Pitched _ �� 5 1 _S'C f,tom.
Garage fireproofing/%hour fire door/door closer E}' ai �H�-�3�- %
Duct work Sealed properly _
_Gas Logs in Sealed or Glass Enclosure � ��`�
Final Electrical — __ f- SE -9 F t d2"-E'1L_. ELIL�W r
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms '_ `i`SO��-` .i QS 41 r�Qs
Flex Gas Pipe Bonding ��
As Built Septic System/Sewer Dept, Inspection Sticker ?;by.- ,
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C 1 C or C I 0[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
Rough Plumbing / Insulation Ins '1: ction Report
Office No. (518) 761-8256 Date Inspec do equest received:
Queensbury De Building & Code Enforcement Arrive: ! • m/ ) part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials_
NAME: PERMIT #: O3z/
LOCATION: 0li\ f5V /3v r^L., , INSPECT ON: 7
TYPE OF STRUCTURE:
Y N N/A
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
Ai d
0 P.S.I 15 minutes
Insulation / esidential Check I Commercial Check
Tyvek imilar Exterior Sealant
r Vent, Attic Vent ��O
Pe V � G
Door/Window SealedSNo Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
"rt irze1/4f
COMMENTS:
Rough Plumbing Insulation Repoitrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement am/pr, pepart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: *. PERMIT #: ` 772-
LOCATION: 11 0(2, INSPECT ON: 0
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 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 (A I
/Air / Head
50 P.S.I for 15 minutes Cal I ;aQ
vc Insulation / Residential Check / Commercial Check l\
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
I -
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Repo
Office No. (518)761-8256 Date Inspeotio,request received:
Queensbury Building &Code Enforcement Arrive: 1,, ( am/ 1 ' e rt: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: / /kaitF' 00err , INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
Framing /3'\iC
x 30" minimum /Z- Ce4V(
Jack Studs/Headers /`
Bracing/Bodging `h
ci *rc �' 3 2/ -4 00
f
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly PR b\ L�6 U cx
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more Jot 7-
Exterior Deck Bracing
Headroom 6 ft. 8 in. 2- , (l�l „i-c
Notches/ Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 16D nails each side p
Draft stopping 1,000 sq. ft. floor trusses f 1 o\ R V" A D tj r')l(31-'.4(-
Anchor Bolts 6 ft. or less on center 0 P ro A-16 ) F'cg
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
✓*irestopping �` /p 490'
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Building&Codes Fortes-OLIMuiiding&Codes\Inspection FomnsTrammg Firestopping Inspection Repoitdoc Revised January 7,2008