2009-282 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. P20090282 Date Issued: Tuesday, November 03, 2009
This is to certify that work requested to be done as shown by Permit Number P20090282
has been completed.
Location: 26 ELIZABETH Ln
Tax Map Number. 523400-301-020-0003-057-000-0000
Owner. KENICE DALTON TRUST JR
Applicant: KENICE DALTON TRUST JR
This structure maybe occupied as a:
Residential Addition 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 other issues and conditions as a result of approvals by the Director of Building&Co&Enfo ment
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090282 Application Number. A20090282
Tax Map No: 523400-301-020-0003-057-000-0000
Permission is hereby granted to: KENICE DALTON TRUST JR
For property located at: 26 ELIZABETH 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 Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: KENICE DALTON TRUST JR
KENICE DALTON, JR. &NANCY H Residential Addition $10,000. 0
26 ELIZABETH Ln Total Value $10,00000
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-282
146 sq ft residential addition
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,July 31, 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 Queensbury, Friday,July 31, 2009
/
SIGNED BY for the Town of Queensbury.
hector of Building d nforcement
I OFFICE USE ONLY -...........................
30 1 . Z 7
TAX MAP NO. V PERMIT NO. /
'{^y JUN 2 2 2009
FEES: PERMIT`S / RECREATION ENGINEERING
(If applicable) '
... .\�..�.�. .................................................. 100.N:01F.QUEENSBURY,BUILDING & CODES
PRINCIPAL STRUCTURE:
t 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: �! f. � �~ OWNER: ` j ✓`\
ADDRESS: I 9i,(y 4 t 1;' ADDRESS: !'
PHONE NOS. j I" PHONE NOS. �k' 1 �{ ? e'- (7TA
a
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PHONE
LOCATION OF PROPERTY D C 1 I 5 o)' - 1 .c_.(;1w �)V(tvl V I r-t("rl r. 6"rt"k k
1�s
r
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 T:,o ! � C1 � �
APPLY TO YOUR z F= w — d W cn
O
I PROJECT ; 00 O ct -j O = _
W -j uL tL w Q o O U
W � J � C'1 z C1 h�— F- O1- � WZ
Z I Q Q r— to cv cA O LL F— u- a- 2 06
SINGLE FAMILY
TWO-FAMILY
i MULTI-FAMILY'— --�-- � _- -- -
(N, O. of UNITS ) — � ------- -
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
! ATTACHED �— --r -- - --
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL- NAME OF Rt t�tNF�S i
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 ment/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
f c' 'ties proposed, I or my agents will obtain a certificate of occupancy. I also understand
4he
h /we are required to provide an as-built survey by a licensed land surveyor of all newly
ucted facilities prior to issuance of a certificate of occupancy.
read an a ee to the ab e.
11611
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 herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application: 10 ;
00
;
, , 1
U G & CoDr AP ROYAL ZONING APPROVALo
;
DAT
DATE
Queensbury Building & Code Enforcement - Residential Final Inspection
O ice No. (518) 761-8256 Arrive: am/pm Depart:IC,_L-1zam/pm
Date Inspection request received: Inspector's Initials:
'%/ 07
NAME: Y� PERMIT#: '� �
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments:
N/A
4' Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 Inch Plumbina Vent through roof minimum 6 inches
Roof Complete/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,porches 36 inches or more
Handrail Termination at Newel!Post or Wall
interior/Exterior Railings 34 inches to 38 inches
Deck Braun /Handicapp2d Ramp Compliant
Grade awav from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safet
y glazina/Window in stairwells salOt
y glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Batteryup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access 1 N.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/insulation Certification
Floor truss,draft stoWing finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to fumaoe area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum IN Gypsum
Basement stairs dosed rise>4 inches
Garaae Floor Pitched
Garage fireproofing/%hour fire door/door closer
Dud work Sealed properiy
Gas L s in Sealed or Glass Enclose
Final Electrical
Final Survey Plot Plan
Arc fault Breaker in Bedrooms
Flex Gas Pipe Bondin
As Built 'c System/Sewer Dept. ins lion Sticker
Site Plan /Variance required
Flood Plain Certification,if n3 aired
Okay to issue C/C or C 10 1 Temp2rar /Permanent
LABuilding&Codes Forms\Building&Codes\Inspection FormsWesidentiai Final inspection Form_reviseo_100405.doc;Revised
January 7,2008;Revised 6/26/08
Rough Plumbing Insulatto Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: ��- ®� Q
PERMIT #.
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: -
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/char a 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
fi P.S.I fo 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or ilar Exterior Sealant
r ent, 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 Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008
/ _ 1z"
Framing / Fires opping Inspection Report
Office No. (518)761-8256 Date Inspection req I
Queensbury Building&Code Enforcement Arrive: p a part:_ a pm
742 Bay Road, Queensbury, NY 12804 Inspect rls: i
r
NAME: t RMIT#: 07
LOCATION: I SPECT ON: 112
TYPE OF STRUCTURE:
Y N I WA COMMENTS:
Framing
is s 220 x W minimum C� s eve.--
Jack Studs/Headers S 7L�e�
Bracing/Bridging
Joist hangers
Jadc 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
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. OM
5.7 sf above/below grade
5.0 sf grade
1-Muildmg&Codes Forms-OMBuilding&Codesunspection FornisTraminq Rodopping Inspection Report.doc Revised January 7,20M
Framing / Firestopping Inspection Report ( -
Office No. (518)761-8256 Date Inspection, ived:
Queensbury Building&Code Enforcement Arrive: rt: '� a
742 Bay Road, Queensbury, NY 12804 Inspector's Inrtia
NAME: �A-� PERMIT#: C% - -
LOCATION: - INSPECT ON: - ev
TYPE OF STRUCTURE:
R
N MLA COMMENTS:
F mingStiZ -
Attic Access 2T x 3W minimum
Jadc Studs/Headers
Bracing/Bridging
Joist hangers ,f
Jack Posts/Main Beams L
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 naus 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 cayRy min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 518 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABu11dft&Codes Fomis-OLDOU dW►g&Codeslinspedion FomTf n ft Fndopp np Irupedion RspMt.doc Reviled January 7,2008
!—3 %es4
Foundation Inspection eport
Office No.(518)761-8256 Date Inspectio st
Queensbury Building&Code Enforcement Arrive: p part:
742 Bay Rd.,Queensbury,NY 12804 Inspec is Initi s: 4��'
NAME: Z)XM2k%-- P T#: 7-2
LOCATION: 6 a. SPECT ON:
TYPE OF STRUCTURE:
Comments
Y MA C'0-41 Ati ke-
36�- 2Z F-3 w�,.yo� r
Piers �` � � - Qh your
onolithic 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:\Buiiding&Codes Forms\Buiiding&Codes\Inspection Formsfoundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM