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2009-272 TOWN OF QUEENSBURY 742 Bay Road,Queembury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090272 Application Number. A20090272 Tax Map No: 523400-309-010-0002-05 1-000-0000 Permission is hereby granted to: RICHARD &DONNA MATTISON For property located at: 6 RICHARDSON St 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 &DONNA MATTISON 6 RICHARDSON St Certificate of Occupancy(RES) $21,000.00 QUEENSBURY,N.Y. 12804 Total value $21,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency KELLY ELECTRIC 793-3022 11 WILLOW Rd QUEENSBURY,NY 12804-0000 Plans &Specifications 2009-272 Residential Rehab - HUD $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,June 19,2010 (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 tote *o of ens ury; y,June 19, 2009 SIGNED BY 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: P20090272 Date Issued: Wednesday, February 01, 2012 This is to certify that work requested to be done as shown by Permit Number P20090272 has been completed. Location: 6 RICHARDSON St Tax Map Number: 523400-309-010-0002-051-000-0000 Owner: RICHARD & DONNA MATTISON Applicant: RICHARD & DONNA MATTISON This structure may be occupied as a: Certificate of Occupancy (RES) By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan Variance or �.f o 1' l u ^ P tY P � � <v' other issues and conditions as a result of approvals by the Planning Board Director of Building&Con eDEnf ement or Zoning Board of Appeals. OFFICE USE ONLY 272 0, 2 ` C E 0 TAX MAP NO. PERMIT NO.T RECREATION V Ell FEES: PERMIT ENGINEERING a ;� FJON 18 ----------------- _- .- -- (If applicable) ; i • �.._�.. � f�QLJ coop. PRINCIPAL STRUCTURE. APPLICATION FOR ZONING APPROVAL & BUILDING PER MIT T A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: � ,��Fc 'fiG OWNER: A0��i�a��f��c^�ifrr� J,�ff�s�G, ADDRESS: /4 .e PA,f ADDRESS: �- PHONE NOS._ l a-7.?o L PHONE NOS. c�l�- �� " CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:'f- _ PHONE: 3�,S^=S�f` -I- LOCATION OF PROPERTY: ��C4, als'� 7— HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:�Gf e— PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT - APPLY TO YOUR z o PROJECT 0 ¢ O 0 I W LL_ U) F- 0 I- OJ ►- O ~ S W —ILL I W LL. W Q d. 2 Z ' < i 0 z c� t- � OF- � WZ Q Q � � 04 (1) 0LL. I— LL_ W = 06 SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO. of UNITS TOWNHOUSE I BUSINESS OFFICE i RETAIL- T— -- ---- I --- - — MERCANTILE FACTORY OR INDUSTRIAL ATTACHED j — — GARAGE(1,2,3) OTHER — -� — I I IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: / 6 GG FUEL TYPE: HEAT TYPE: *HOW MANY FIREPLACE(S): AND/ OR WOODSTOVES(S1: 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 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 ree to the abov . 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) ---------------------------------------------------- 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: ; BUILDING & CODES APPROVAL ZONING APPROVAL o o DATE ' , DATE QUESTIONS? CALL 761-8256 OR EMAIL codes(&-gueensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION us iAs T-f Queensbury Bng. Code Enfor ent - Residential uildi l Final Inspection Office No. (618)761-8256 Arrive: am/pm Depart: am/pm Date inspection request r ived: Inspector's Initials: NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments: 4" Building Number Address visible from mad fir( Chimney Hei M a! B.Vent/Direct Vent Location i Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Oc Roof Co /Exterior FinishComplete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks ios more than 30 inches above grade Guard at stairwell at 34 incries or more ® �� Guard at deckporches 36 Inches or more Handrail Termination at Newell Post or Wall InteriorMderior Railings 34 inches to 38 inches Deck Brad /Handicapped Ramp Comp4nt Grade away from foundation 6 inches with 10 feet 6 inch deemnoe to sill plate Gas Valve shut-off /regulator 18 inches above grade Interior privacy/trim I doors!main entrance 36 inches Bathroom/Kitchen watertight Safety /Window in stairwells safety I Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic aocess 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access 1 sq.ft:150sq.ft.vents Bathroom Fans if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss draft stopping finished basement 1,000 sq.ft. Emeruency earess below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-of at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves Installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrodc Underside minimum W G sum Basement stairs dosed rise>4 inches Gereae Floor Pitched Garene fi r(xA /%hour fire door/door closer Duct work Sear Properly Gas Lope In Sealed or Glass Enclosure Final Electrical — Final Survey Plot Plan Arc fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer De . Inspection Stk*er Site Plan /Variance required Flood Plain Certification if required Okay to issue C I C or C/0 Temporary/Permanent LABuildding&Codes FormslBuiiding&Codesllnspection FormslResidential Final Inspection Form revised_100405.doc;Revised January 7,2008;Revised WNW TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518)761-8256 Inspections per Permit Permit# P20090272 Inspection Date Inspection Type Approved/Denied Comments Permit Type Person Responsible 07/10/2009 Ice&Snow Sheild Certificate of Occupancy(RES) CHARLES DYER Staff Denied 2009-272 NOT READY 07/10/2009 Ice&Snow Sheild Certificate of Occupancy(RES) CHARLES DYER Staff Approved 2009-272 07/13/2009 Ice&Snow Sheild Certificate of Occupancy(RES) JOHN O'BRIEN Approved 2009-272 PARTIAL-north,west sides ok 07/13/2009 Ice&Snow Sheild Certificate of Occupancy(RES) JOHN O'BRIEN Approved 2009-272 balance 07/28/2009 Final Electric Certificate of Occupancy(RES) COMMONWEALTH ELECTRICAL Approved 2009-272 07/31/2009 Final Inspection Certificate of Occupancy(RES) CHARLES DYER Staff Approved 2009-272 verified beam replacement 01/31/2012 Miscellaneous Certificate of Occupancy(RES) JENNIFER HENDERSON Staff Misc 2009-272 made out status inspection slip Queensbury Building & Code Enforcement L4idential Final Inspection Office No. (518) 761-8256 Arrive: am/ Depart: am/pm Date Inspection request r ived: w inspector's Initials: NAME: PERMIT#: LOCATION: DATE: - - TYPE OF STRUCT E: Comments: N A 4' Building Number Address visible from road Chimney Height/V Vent/Direct Vent Location Fresh Air Intake 3 Inch Plumbing Vent through roof minimum 6 inches Roof Complete/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 �s----- Handraii 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 9N=ed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen Vterfight Safety lai /Win6ow in stairwells oa-lety orazing Interior Smoke ors! rbon onoxi Detect Every level: Ev Bed m: Outside every bedroom es: Inter Connected: Batte backup: Attic access 30 inches x 22 inches x 30 inches ei ht in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents Bathroom Fans if no window Plumbina fixtures Foundation insulation/insulation Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency ress below arade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operatin Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Shestrock Underside minimum'A"Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Loos in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Are Fault Breaker in Bedrooms Flex Gas Pipe Bond{n As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 Temporary/Permanent L1Building&Codes Forms\Building&Codes\lnspecbon FormsWesidential Final Inspection Form revised_100405.doc;Revised January 7,2008;Revised 6/26108 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheirn,PA 17545 MUNICIPAL CERTIFICATE ELECTRICAL APPROVAL Permit No.............. ......Cert. N2 7082 Cut-in Card No..................................... Owner.................. ....... Location................... ........Asc'hogasq.' n......4..1............................................................................. Installation Consisting of...W—lx. .. ........... .................. ...........L /............................................................... .................................................................................................................................................................................... InstalledBy...... ......alL e...............................Lic.No................................................... 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 this certificate. ..................... .7-72Y-9.01......... INSPECTOR—.-.1t::5.�;V..'(-;;.?�... Date............. Member N.F.P.A.,I.A.E.I. Framing / Firestopping Inspection Report Office No. (518)761-8256 Date inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:i� am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NV ` )u NAME: � c ►-, -,� 'f i ' Q�'1 PERMIT#: � — LOCATION: 1� 2� INSPECT ON: G y TYPE OF STRUCTURE: — 1 ` I%�✓�' Framing Y N I WA COMMENTS: Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D nails each sine Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center ce and water 24 inches from wall P\ RgArt) 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%inch or 5/8 inch Type X Garage side 518 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. CM 5.7 sf above/below grade 5.0 sf grade LABullding&codes Fomns-=\Bulid ft&CodesNnspection FomtsTrarning Firestopping Inspeclion Report.doc Revised January 7,2006 /Z-:00 Framing / Fires topping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 6-4� TT-- Jy NAME: PERMIT# LOCATION: INSPECT ON: TYPE OF STRUCTURE: Framing Y N I NIA COMMENTS: Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D naAs each We Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water 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%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin ll Windows Habitable Space/Bedrooms 24 in. (H) 20 in. CM 5.7 sf above/below grade 5.0 sf grade LASWIding&Codes Forms-OWOuilci ft&CodesUnspedion FomisT aming Frestopping Irispec Lion Repoitdoc Revised January 7,2006 Framing / Firestopping Inspection epo Office No. (516) 761-8256 Date I n Queensbury Building &Code Enforcement Arrive: a part: IfLy a 742 Bay Road, Queensbury, NY 12804 inspector's NAME: Vim' ERMIT#: M—, LOCATION: INSPECT ON: TYPE OF STRUCTURE: Framing Y N WA COMMENTS: Attic Access 220 x 30° minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses ft. or less on center Ice and wat shield 24 inches from wall \ �1 Fire partition 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 518 inch Type X Garage side 518 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. K 5.7 sf above/below grade 5.0 sf grade LABuIlding&Codes Forms-=iBuiidin9&Codeslilrapedion Fom*%Framirp FkedoppkV Inspection Repatdoc Revised January 7,2006 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspectio Queensbury Building &Code Enforcement Arrive: , - a pm rt: ?. a / 742 Bay Road, Queensbury, NY 12804 Inspector's Initia f NAME: RMIT#: LOCATION: __ o C rox ffi:!Soo 7 NSPECT ON: TYPE OF STRUCTURE: Framing Y N I NIA COMMENTS: Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % 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 water 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%inch or 5/8 inch Type X Garage side 518 inch Type X Ceilingtwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. CM 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Forms-OLD\Build ft&CodesUnspedion FamsTran ing Firestopping Inspection ftmtdoc Revised January 7,2008