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2009-602 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 �E R.TI F I("'.4AT E 01F 0CCUP- ►-N- f%.4Y Permit Number. P20090602 Date Issued. Wednesday, January 27, 2010 This is to certify that work requested to be done as shown by Permit Number P20090602 has been completed. Location. 16 MUD POND Rd Tax Map Number. 523400-279-015-0001-044-000-0000 Owner. DAVID & MARIE MC DONALD Applicant: DAVID & MARIE MC DONALD 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 , owner of the responsibility for compliance with Site Plan property P �' p 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090602 Application Number. a2009O6O2 Tax Map No: 523400-279-015-0001-044-000-0000 Permission is hereby granted to: DAVID &MARIE MC DONALD For property located at: 16 MUD POND 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: DAVID & MARIE MC DONALD 16 MUD POND Rd Certificate of Occupancy(RES) $10,000.00 QUEENSBURY,NY 12804-0000 Total value $10,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2009-602 Hud-residential alteration $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,December 18, 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 Queen ury, FArilpy,December 18,2009 SIGNED BY for the Town of Queensbury. Director of Building Cod nforcement ZJOFFICE USE ONLY......................... ,e ., -',. ;- y. . .. . - - f—7 1" z TAX MAP NO. PERMIT NO. FEES: PERMIT Z� "OJ ECREATION ENGINEERING (If applicable) ; . . ..............................................•........... ...� T . �.....�. .... 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. J APPLICANT/BUILDER: / ��,�.�„r1„�� OWNER: �a,�i1`�f r� JC � y��/� ADDRESS: ADDRESS: t, At d, ® f014, PHONE NOS. /'KigS S03 -JuTj PHONE NOS. /3.37 CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: ;r.,." PHONE: ?03-1(0-7 j LOCATION OF PROPERTY: HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES 2rNO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR z LL O a d o ti PROJECT 0 � 0 O I- _ ❑ a 0Q CU LLJ o z 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;,,."'/'�°� FUEL TYPE: 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 con ucted facilities prior to issuance of a certificate of occupancy. 4Sigave read nand agree to the above. ed 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 ; 'o zoning Laws of the Town of Queensbury. Application: ; ' BUILDING & COIJE§AWROVAL % ZONING APPROVAL f DAT ; DATE 10 -_................................ ......_.._..___. :_...._._,...___........_.._..__....___._.........__, ? CALL 761-8256 OR EMAIL.codes(dgueensbury.net Office Use Only (,QUESTIONS IT OUR WEBSITE FOR MORE INFORMATION ODeratinn Permit loci4- Queensbury Building & Code nforcem t - Residential Fi spection O No. (518) 761-8256 Arrive: a m Date pect!on request received: Inspector's Initi NAME: TP IT#: LOCATION: u E: TYPE OF STRUCTURE: C2f'111'1 entS: 4' Building Number Address visible from road Ym N A Chimney Height/'B'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 ios 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 Bracina/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privqq I trim/doors/main entrance 36 inches Bathroom/Kften watertight Safety glazing/Window in stairwells safe glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backu : Attic access 30 inches x 22 inches x 30 inches Night)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 I Insulation Certification Floor truss,draftjoWng finished basement 1,000 sq.R. Emergency ress below arade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to fumace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(sl installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Gara a fireproofing/%hour fire door/door closer Duct work Sealed pMrly Gas Loge in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc fault Breaker in Bedrooms Flex Gas Pioe Bonding As Built Septic System/Sewer Dept. Ins ion er Site Plan /Variag22_Leguired Flood Plain Certification,if required Okay to issue C/C or C 10 Temporary/Permanent LABuilding&Codes FormslBuilding&Codes\lnspecbon FormsWesidential Final Inspection Form revised 100405.doc;Revised January 7,2008;Revised WAM l--3 —TAvr Queensbury Building & Code Enforcement - Reside III'Fin I I ection Office No. (518) 761-8256 Arrive: l- 30 a Date Inspection requ st r ived: Inspector's Initials: NAME: PE IT#: o�02— V LOCATION: D E: ZY TYPE OF STRUCTURE: Commends• Y N N/A 4' Building Number Address visible from road Chimney,Height/'B'Vent/Direct Vent Location —► �� ,E J ��p Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Com ete J Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks atlos more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 Indies or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Brach /Handicapped Ramp Compliant Grade awayfrom foundation 6 inches with 10 feet 6 inch clearance to sill plate {� SQ6 � I tP 1 T 4 Gas Vain shut-off a sed/regulator 18 inches above grade NDTt C E� Y�'�-fir 11.3 Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen waterti ht Safety glazing/Window in stairwells stleV glazing Interior Smoke Dgtbctors/Carbon lyonoxide Detectors Every level: Every Bed Jre6m: I/ Outside every bedroom Area: / Inter Connected: ✓ Batte backu ✓✓✓ Q!C tc- Al Attic access 30 inches x 22 inches x 30 inches eight)in ac oessible area tA,00 • Crawl Spaces 18 inch x 24 inch access, 1 .ft:150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures U, f;L�p T RT rAq 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 Fumace/Hot Water Heater operating Law water shut-off boiler Relief Valves installed/Heat Tra Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'A'Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched v Gara a fireproofing/%hour fire door/door closer Duct work Sealed prop2riv Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Are fault Breaker in Bedrooms Flex Gas Pipe Bondin As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if re aired Okay to issue C J C or C 10 1 Temporary/Permanent LABuilding&Codes FormslBuilding&CodesYnspection FormslResidential Final Inspection Forrn_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 / /2 Foundation Inspection Report Office No.(518)761-8256 Date Inspec4n - 742Queensbury Building&Code Enforcement Arrive: - Depart: Bay Rd.,Queensbury,NY 12804 Inspector's r ;f NAME: C- �"' RMIT#: ILI '— LOCATION: J 5PECT ON: TYPE OF STRUCTURE: Comments Y N N/A S 4V Footings ` .� . Piers Z Monolithic Slab Rent ment The cohfirctor is responsible for providing protection from freezing r` for 48 hours following the placement of the concrete. t Materials for this Rurl2se on site. Foun i /Walipbur 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:\Bullding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspecctloon Report.doc Last printed 12/20/2005 9:24:00 AM N Septic Inspection Report Office No. (518) 761-8256 Date Inspection requ st c . ed: Queensbury Building &Code Enforcement Arrive: a /p epart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials' NAME: PETIT NO.: LOCATION: Hon i `,y) INSPECT ON: 2-- 1 RECHECK: ` -- Comments and/or diagram Soil Type: Sand/ Loam / Clay Type of Water: Municipal/Well Water OU) Waterline separation distance Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y N End Cap Y_N Inlet/Outlet Pipes&Baffles _Y_N Location Separations Foundation to tank ft. Foundation to absorption ft.— Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built Y_ N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear 5ystem Use s: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc