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2008-018 " TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12$04-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P2008001$ Date Issued: Wednesday, January 13, 2010 This is to certify that work requested to be done as shown by Permit Number P20080018 has been completed. Location: 21 HANNEFORD Rd Tax Map Number: 523400-240-006-0001-018-000-0000 Owner. JUDITH SHAFER Applicant: JOHN & JUDITH SHAFER This structure may be occupied as a: Residential Addition By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the /i" - property owner of the responsibility for compliance with Site P tY F Plan, Variance,or other issues and conditions as a result of approvals by the 4 Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. AO` TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080018 Application Number: A20080018 Tax Map No: 523400-240-006-0001-018-000-0000 Permission is hereby granted to: JOHN & JUDITH SHAFER For property located at: 21 HANNEFORD 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: JOHN & JUDITH SHAFER 137 UNIONVILLE-FEURA BUSH R Residential Addition $15,000.00 FEURA BUSH, NY 12067 Total Value $15,000.00 Contractor or Builder's Name / Address Electrical Inspection Agency ADIRONDACK POST & BEAM 494-3735 435 STOCK FARM Rd CHESTERTOWN, NY 12817-0000 Plans&Specifications 2008-018 192 sq ft residential addition $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, May 22, 2009 (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 Qu "risb u • hu sda , ,, 22, 2008 SIGNED BY for the Town of Queensbury. If \. ry Director of Building&Code En orcement t v t OFFICE USE ONLY �� j ; TAX MAP NO. � IOL£6 -1-1 PERMIT NO. //}} -O IO , FEES: PERMIT RECREATION ENGINEERING ", (If applicable) , 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 PERMITFOR CONSTRUCTION. I / / APPLICANT/BUILDER: AO, 74/MG tt /ps!d 6 A-f OWNER: �Ipj7M G,J(' J//1�y aiey- ADDRESS: 43S �7 x.k Am fa•! 04,6 c4 ADDRESS: Z,! Akiiie /'c1 id2 tPUee s6' >' PHONE NOS. ?4 - 3 73 S PHONE NOS. 6S 6—'3 e/7 3 CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: •fDhr1 S. ShakrfHONE: 44"`(¢'3733 LOCATION OF PROPERTY: ) i Gal b t•4r...L. 1 d - / i1 U'eos el SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR O w G o 0W 1II.co - PROJECT O a~a O 0 Cl) p _ H w OJ LL LL w Q d U W 0 LL •O z 0 I—� OS- CC WZ Z < Q � U) (V C!) OLL ILL 0_1otS SINGLE FAMILY /�V, // 0.0 g-'10 TWO-FAMILY ! 0.0 MULTI-FAMILY(NO. ) 0.0 TOWNHOUSE 0.0 BUSINESS OFFICE 0.0 RETAIL- O.O MERCANTILE FACTORY OR 0.0 INDUSTRIAL ATTACHED GARAGE(1,2,3) 0.0 OTHER 0.0 ill Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 • IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ,�^�, ESTIMATED CONSTRUCTION COST: &Oa• FUEL TYPE: �A C/-c7 /S 1G (�D HEAT TYPE? 6! / *HOW MANY FIREPLACE(S)/61s7. AND I OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? 4/0 IS THIS A HISTORIC SITE? be? PROPOSED USE OF ADDITION: /ti, ' t ni; /cyev 1j€d t t1 141 AP ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /Ve.9 ARE THERE EASEMENTS ON PROPERTY? it !7 *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office 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 to a bove. Signed Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761-8256 OR EMAIL regarding Building Permits, construction codes or septic codesaqueensbury.net systems) VISIT OUR WEBSITE FOR MORE INFORMATION Zoning Administrator: 761-8218 (for questions regarding www.queensbury.net required permits, the permit process, application requirements or to schedule an appointment) This application/ proposed action described Permission is hereby granted to the above herein is found to be in accordance with the ; Applicant to erect or alter the building described zoning Laws of the Town of Queensbury. herein in accordance with said Application: ZONING APPROVAL DATE BUILDING &CODES APPROVAL DATE Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 OFFICE USE ONLY PROJECT NAME: STAFF INITIALS: DATE: BUILDING PERMIT SUBMISSION CHECKLIST FOR: SINGLE FAMILY DWELLING 1. Building Permit Application Completed? YES NO ! N /A j 2 Energy Form or CheckMate Energy Code Compliance Forms Complete? (2-copies) ' 3 Energy Code Inspector's Report from Checkmate Program? (2-copies) Septic application completely filled out? 4' (if applicable) 5. Electrical Inspection Form complete? 6. Two (2) sets of the plans each of the following: I YES NO N /A a. Floor plans (s)? b. Foundation plan? c. Cross sections (s)? d. Elevations? e. Window and door schedule? g. Plans signed and sealed by registered architect or engineer? h. Window and door schedule? Two (2) site plans showing location of the structure to be 7. built, location of well or water lines, location of septic s stem or sewer line? 8. Setbacks from property lines to new structure? 1 8 Setbacks to neighboring wells and septic systems, including onsite well and septic systems (if applicable)? 9. Driveway Permit? I Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 c:,? ' _ P"""" " 1 Wc) Community Development Office ff * ' own of Queensbury • 742 Bay Road • Queensburxt, New York •12804 , f f r f r f r f M r f r f BUILDING PERMIT CALCULATION SHEET: NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS REQUIRED ACTUAL ACTUAL LIGHT REQUIRED SQUARE FOOT HABITABLE ROOM AREA OF ROOM IN LIGHT SQUARE VENTILATION-4% VENTILATION OPENING FOR REMARKS SQUARE FEET $%OF ROOM FOOTAGE OF ROOM AREA SQUARE EGRESS AREA FOOTAGE g 4 44 /Z 5( ,Q.2--� f b ;•l 5 /0 'I o 5 t t n+t. /0.5, z.4,, II IP /c--)05 kit, l cAsk-itierar • QUESTIONS? CALL 761-8256 OR EMAIL cades(7a,queensburv,net VISIT OUR WEBSITE FOR MORE INFORMATION wwwAuensburv.net B 10-LTR 11-20 'v. Communit>. Development Office 3*/2(1- 0,U`0 I 0 w..: own of Queensbury • 742 Bay Road ■ Queensbury, New York.12804 f r f r WINDOW SCHEDULE f JOB SITE/ADDRESS: "./ /4 A4 A.1(1L 11:4:42.D DATE: OWNER: 5,4)0.,rC"`i3?. APPLICATION NO.: UNIT OR CLEAR WINDOW- CLEAR WINDOW STOCK ROUGH ROUGH SQ.FT. OPENING NO.OR WINDOW SQ.FT. OPENING SPECIAL HARDWARE OR MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT LETTER NAME MODEL/TYPE CALL WIDTH HEIGHT VENT OPENING WIDTH 1N IN INSTRUCTIONS ON PLAN SIZE INCHES INCHES ale / 019;e3 c *1 1/Y' 1 7- 4 ? /0 . fs.,,--i" ikelarAl Co ZY WC 94 (S .1;,.‘.- / erxisr. 14 a-, 1_ 7.1.,- egies e7. ei 61 zfr* ye, 4 0 4. 0 z2.74, 9.4/17/ /Vet./--5o4gY4 B 26-LTR 11-05 QueensburyBuildingEnforcement - Residential Final Inspection P wil O ice No. (518) 761-8256 Arrive: am/pm Depart:Uti am/pm Date Inspection request received: Inspector's Initials:NAME: PERMIT#: �Y OiF LOCATION: DATE: 0-2-1 ( () TYPE OF STRUCTUR : Comments: Nq AA 4" Building Number Address visible from road e) _ Chimney Height/"B"Vent/Direct Vent Location ` Fresh Air Intake vel 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 Handrail 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 exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/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(he ghttl in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping 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 furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'A"Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched \i•A-)-<;" Garage fireproofing/a/.hour fire door/door doser Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan i Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required / Okay to issue C/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 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No. 05_ /t� Cert. N 0 4 5 1 g 3 Cut-in Card No. Owner Y/ ' r L�.,�,, /�I Location mat 'H�'+� ' 1 I �i c x(. Installation Consisting of S ( � J /3l / C 1 r' / /31� Installed By e /U�; ez __. 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 ma inspections at any time, and if its rules are violated,the Company shall have the right t, r Ioke s c ifi e. Date /O'l V—QO INSPECTOR ( /2etvio l -- 3 797f Framing / Firestopping 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: 01 NAME: ��-�`7`�r� PERMIT#: LOCATION: r/ INSPECT ON: TYPE OF STRUCTURE: ¶ � . Y N N/A COMMENTS: Framing 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 '/z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Bolts 6 ft. less on center Ice and water shi d 24 inches from wall Fire separ ' n 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 6 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 Forms-0LD1Building&Codesllnspection Forms Framing Firestopping Inspection Reportdoc Revised January 7,2008 fff J S F Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:C ,�am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:6$M.b) . _, i - , NAME: /lam.- `_- PERMIT#: *i'v.`i, LOCATION: / / - :,4„,c�. lr INSPECT ON: . TYPE OF STRUCTURE: - Mom. Comments "`t Y N N/A Footings t Piers Monolithic 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 Dampproofmg 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:\Building&Codes Forms\Building&Codes\inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 1- lZ Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm • ,..art: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: -I, NAME: ` /ta � PERMIT#: LOCATION: 2 i /1a c ti j1 e INSPECT ON: ojredra TYPE OF STRUCTURE: 12/K A i) Y N N/A J Rough Plumbing/Nail Plates Plumbing Vent 1 Vents in Place 1 Y2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I 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 0 P. .1 fo 15 minutes Insulation esidential Check/Commercial Check r Similar Exterior Sealant Proper Vent, Attic Vent Door I Window Sealed (No Insulation) Duct I Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: trough Plumbing Insulation Repo t.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection R=ffrt Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ part: 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:( i&4y £� " 7_evm/pm CJ NAME: PERMIT#: 0,,4 /8 LOCATION: 2 _! lr;r.�.i�t c:f�. INSPECT ON: ,,.'a►�.Tr'�� TYPE OF STRUCTURE: 12.‘217-MAI\ /eY N N/A COMMENTS: Framing s 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts I 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 'A(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 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:lBuilding&Codes Forms-OLD1Bui ding&Codes\lnspection Forms\Frarning Firestopping Inspection Report-doc Revised January 7,2008 8- 1 Foundation Inspection Report Office No.(518)761-8256 Date Ins titan request received: Queensbury Building&Code Enforcement Arrive: ' 1 am/pnk Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspecto 's Initials: NAME: ' l�r PERMIT#: � (26 mac` P LOCATION: r � . rre , INSPECT ON: y1. 3 ' 9 5 TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the co •rfttP erials r this purpo on site. oundation/Wallpour Footing Dowels or Keyway in place Foundation Dampproofmg 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 VFoundation Insulation terio xterior R- Rough Grade 6 inch drop within . L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 7 -// Foundation Inspection Report Office No.(518)761-8256 Date Inspectio i reques received: Queensbury Building&Code Enforcement Arrive: & am/ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect,r's Initials: A J� NAME: I` �:��`�� PERMIT#: � .-- 1Y LOCATION: ! C , ,, �` INSPECT ON: 2�" -DY TYPE OF STRUCTURE: Comments Y N N/A Footings Monolithic 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 Dampproofmg 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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM