2003-137 ..0111ft TOWN OF QUEENSBURY
��� 42 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20030137 Date Issued: Tuesday, December 28, 2004
This is to certify that work requested to be done as shown by Permit Number P20030137
has been completed.
Tax Map Number: 523400-289-017-0001-031-000-0000
Location: 91 BIRDSALL Rd
Owner: PAUL & LAURI ROBILLARD
Applicant: PAUL & LAURI ROBILLARD
This structure may be occupied as a:
By Order of Town Board
Garage - 2 Cars Detached TOWN OF QUEENSBURY
poift'V
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
(#0742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030137 Application Number: A20030137
Tax Map No: 523400-289-0 1 7-0001-031-000-0000
Permission is hereby granted to: PAT 11, & LAIJRT ROBII,T,ARD
For property located at: 91 BIRDSALL Rd
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: PAUL &LAURI ROBILLARD Garage-2 Cars Detached $3,500.00
91 BIRDSALL Rd Total Value $3,500.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
COMMONWEALTH ELECTRICAL T
RON MIJMBLO
NY 12804-0000
Plans&Specifications
2003-137
14' X 25' DETACHED GARAGE AS PER PLOT PLAN SPECIFICATION. SEE AREA VARIANCE#
15-2003
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,April 11,2004
(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 th o of Qu sb ry; iday,April 11,2003
SIGNED BY for the Town of Queensbury.
Director of Building&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. ' - -3-- ?
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec. Fee Paid $ ' RECEIVED
application must be completed and must appear on the Reviewed B :
application form. AP d 3 2403
Applicant: ?Ay L ., '_4- ,)g.. Owner: 5/'E% Tf�Wj�l OF G?ll ENSBURY
Address: 01 1 (3! ,AC<: Address: BUl1l�� �1`11D CODE
Phone# ( Ste ) '-)C•' *-+,,,5"4 Phone#( ) -
Email Address: /
Email Address:"
ddress:
Property Location: Lot Number: P ! House Number_ 'T__/ .rc g �
Subdivision Name: Tax Map Number: a :, ;'- 1-3/
❑ New Building: residence /commercial Estimated Market Value of Construction: $_ J/S G 0,
0 Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
No change to exterior size: residence/com'l
Other work(describe )
Check Occupancylnformation 1st Floor god Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
❑ Single family dwelling
a Two family dwelling
a Townhouse
o Multifamily dwelling
#of units
o Office
o Mercantile
o Manufacturing
o 1 car detached garage
O 2 car detached garage
o 3 car detached garage
O 1 car attached garage
❑ 2 car attached garage _
a 3 car attached garage
a Storage building-
commercial
❑ S age building-
esidential
Other z °1 - 'i,'
— -,,4.
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 :/Ir , 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 r ) ' LP g' - #4
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 I/we 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 licensed surveyor;drawn to scale,showing actual
location of all new construction
Signature: f- ,�,r/ owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection /*()
Office No.(518)761-8256 Arrive: , 4~a .Degsart:
Date Inspection requ eceived: I spector's Initia • f' `=
NAME: 7 4 PERMIT#:
LOCATION: �� \ :DATE: / —
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum ;'Z"
Gypsum _
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate V/
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents
Building No./Address visible from road
Final Electrical J ?
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0 [Temporary/Permanent] i
L:\ParnW\Building&Codes\Inspection Forms\Res. Final Insp.form 2.docLast printed 2/12/04
Framing / Firestopping Inspection Report
111
Office No. (518) 761-8256 Date Inspection re st receiv •
Queensbury Building&Code Enforcement Arrive: ;L rt: j •
742 Bay Road, Queensbury, NY 12804 Inspector's Initial . —
NAME: *•\\_.
PERMIT#:
LOCATION: �� LINSPECT ON: —2 aTYPE OF STRUCTURE: hy
Y N N/A COMMENTS
t. Framing
Jack Studs/Hea.-rs
Bracing/ :ridging
Joist hange
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 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:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
COMMONWEALTH ELECTRICAL INSPECTION JIJKv1L,1:, u,
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. Cert. 52987 Cut-in Card No......f,./A�
Owner PAu..Y. b..Ic.Lr..I.0
Occupant
Location 1 1 /3./4.O,.5,4.11 R Cl Q u Cc 11,S:.b.i.+..R..,;l
Installation Consisting of....Cr.-a4.rael3c, !l
57...S..i-c)) 3 Lf$
Installed By Lic. #
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke th' tificate.
Date 0" ci—0,3 INSPECTOR. ./',
`-TGlember N.F.P.A.,I.A,E.I.
�W 4
` i
- t D C<
RECEIVED fls�
MAR v 1 2003 y
.�, �----.'"- TOWN OF QUEENSBURY
� �� _ BUILDING ANQ C(
L,A
LO R 'T , r
:ed on our limited examination,
` �. "_--- c�impliance with our comments shall
w,strued as indicating the
t;ons are in U1
.061 trip
` i
� _ TOWIN Or out= � RY
4?9 ' t BUILDING C
REVIEWED Eb B
DATE InN
BUILDING FWLiLNO� �OUO&
SCALE: APPROVED BY: DR W BY
DATE: 18 '4.�' REVISED
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2-3 118 �
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L)1� 1 DRAWING NUMBER