2007-545 eaki TOWN OF QUEENSBURY
wow742 Bay Road, eensb NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20070545 Date Issued: Monday, November 19, 2007
This is to certify that work requested to be done as shown by Permit Number P20070545
has been completed.
Tax Map Number. 523400-278-000-0001-051-000-0000
Location: 1251 BAY Rd
Owner. ANNA MARIE LOCKHART
Applicant: ANNA MARIE LOCKHART
This structure may be occupied as a:
Fireplace
Porch By Order of Town Board
WN OF ENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the V
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&Code Enforcement
Planning Board or Zoning Board of Appeals.
:TOWN OF QUEENSBURY
1°A
`4 � 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
, . , Community,Development:-Building&Codes (518) 761-8256 .- . •;,;...,. •
BUILDING PERMIT
Permit Number: P20070545 Application Number: A20070545
Tax Map No: 523400-278-000-0001-051-000-0000
Permission is hereby granted to: ANNA MARIE LOCKHART
For property located at: 1251 BAY 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: ANNA MARIE LOCKHART
1251 BAY Rd Porch $22,000.00
LAKE GEORGE,NY 12845 Total Value $22,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-545
144 sq ft porch(replacement)
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday, September 07,2008
(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 expiration4 date.)
Dated at the Town Que b Fr'. : I . •mber 07,2007
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
r
...
OFFICE USE ONLY ",
.27a -1--si
•
•
TAX MAP NO. PERMIT NO. (1 - �3 . ;
Date Ill FEE PAID BLDG.&CODES APPROVAL 0
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure(house)to include, but
not limited to: garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3
entitled Accessory Structures-Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS
RECEIVED A VALID BUILDING PERMIT. ,�y�
OWNER: /'I he_ r; �`� r I 'INSTALLER/BUILDER:
ADDRESS: 12_57 /3 al R21 ADDRESS: Sf/ ►' r -
PHONE NOS. —mil — 723 2//4 PHONE NOS.
LOCATION OF PROPERTY: IZ.S/ ay SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:
ESTIMATED COST OF CONSTRUCTION: $tg OiO ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST: Abl IAP /vtlp r , � had 77 2-
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
PROPOSED CONSTRUCTION 1"FLOOR 2ND FLOOR TOTAL PROPOSED
SQ.FT. SQ.FT. SQ.FT. HEIGHT
FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH* 14/1/ 694tce(fie
`--4'1,)
BOATHOUSE "7 7
BOATHOUSE WITH SUNDECK
DOCK
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO]REQUIREMENTS IF THE
STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the 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 Codes,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.
QUESTIONS? CALL 761-8256 OR EMAIL
I have re and agree to the above. codesevueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Signet ] Dated: "A/0% www.aueensburv.net
4 s Town of Queensbury• Community Development Office• 742 Bay Road, Queensbury, NY 12804
B 1-LGL 1I-05
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Aft
s Community Development Office ;r1', .� ,
Town of Queensbury • 742 Bay Road• Queensbury, New York •12804 Li
, .ni 0
•
• David Hatin,Director of Building&Codes j v"v,,4 J , 5 r Craig Brown,Zoning Administrator•Michael J. Palmer,Fire Marshal I ,� . r :v ,
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building &Codes Office for the issuance of a Building &Use Permit
pursuant to the New York State Fire Prevention &Building Code. The applicant or owner agrees to comply
with all applicable laws,ordinances,regulations;and all conditions that are part of these requirements and
also will allow all inspectors to enter premises to perform required inspections.
IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE
REQUIRED.
1'�OWNER: NNt. /Y1 Al LoG.0-IIq Q, INSTALLER/BUILDER: / "i O 1, CO?"6 5
�ADDRESS: I 5 ) II/4 VI 2 D , ADDRESS: /1/3) SLiLinZDi.) /2 I U G L 2D
PHONE NOS. I a- '' I I _I ? PHONE NOS. G Z 3' 3 'l
LOCATION OF PROPERTY: 1 3 S I 8 A'! £V ' SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: P012 C,N ADD 11l o N)
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: /d NH"-f (.0 M8 S' PHONE: 6 77` 36 5 7
1. q _� ,,, ....--...w szr...ca_...0.sma .. �.w `n.d •'G"`k..k +. .�F e a.
STOVE V/
FIREPLACE INSERT
FIREPLACE,FACTORY BUILT*
FIREPLACE,MASONRY
FURNACE(GARAGE ONLY)
*IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO.
USTED BY: NUMBER:
QUESTIONS?
� �� CALL 761-8205 or 761-8206
OR EMAIL:
... F€rod °� ;it' ea�<:-,`'EFfC e '°4,,. ..�. flremarshalaaoueensburv.net
MASONRY" CHECK ONE
VISIT OUR WEBSITE
FOR MORE INFORMATION
s, r : ,., 'a - ' ! ,, .-V. www.queensbury.net
FLUE CHECK ONE
_ `"az" " F`' "' -r i.; k3" �4 ,c ,,`mac ' .
_
CHIMNEY MATERIAL CHECK ONE ✓
**IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO.
ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR
MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED
INSPECTIONS.
( 7:00 ) 7-ATir-5c62-•7
Ak Foundation Inspection Report
Office No.(518)761-8256 Date In 'o4 request received:
Queensbury Building&Code Enforcement Arrive: ,CU am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto s Initials: �.
NAME: 4rikia PERMIT#: •
LOCATION: Zy7INSPECT ON: 7-2 p—
TYPE OF STRUCTURE:
Comments
/7 ‘
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 concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofmg
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
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: I ,2,0 am/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: "
NAME: Le K A(Z( PERMIT#: Mf f 5
LOCATION: 16g INSPECT ON: di"2e FM
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 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
a J1V11V UivWL'ALln ELM 1KILAL 11NSI LL:HUN StKV11:E,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
'ertnit No.. t Cert. NO 6/5 4 Cut-in Card No
)wner r S✓ s yj 6, 2-
,ocation / Z '/ /24
nstallation Consisting of...X.... ti n61,/ /271,
nstalled By al )&-X-L'7/0 " Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
ancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
itroduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of ma ' 'nspections at any time, and if its
ales are violated,the Company shall have the right t re e t i ce ficate
)ate....l...(.io/...: j `6 7 INSPECTOR
Member N.F.P.A.,I.A.E.I.
Ina .
ry Building & Code Enforcement - Residential Final Inspection — r
MIMI
Office No. (518)761-8256 1( 07 Arrive: am/pm,l� yrt: am/pm
Date Inspection request received: /1 3 Inspector's Initials: J {�yv
NAME: PERMIT#: 07_ ,
LOCATION: (o- ( ( / DATE: `(t,,e) -�/vl/ i3 aOU7
TYPE OF STRUCTURE: poi:e. -1- yz°1u.� l4 e,��T i,ji /rf,(ec.` Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete i /
Platform at all exterior doors /612 1—
IL- c' .6-
Guards at stairs,decks,patios more than 30 inches above grade t
Guard at stairwell at 34 inches or more � �(S�l> /���
Guard at deck,porches 36 inches or more f� 7
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
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:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)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
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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofmg/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure '6-. "‘-`' "
Final Electrical / i 46 1 A)�-
Final Survey Plot Plan
As Built Septic System I Sewer Dept.Inspection Sticker
Site Plan /Variance required `
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc
i- 7krsd ., . oagt74......
Queensbury Building & Code Enforcement - Reside ial Final Inspection 1,17
O-ece No. (518)761-8256 Arrive: ' I(f am depart: am/pm
Date Inspection request received: Inspector's Initials: v�
NAME: -.-� `", r PERMIT#: s
t‘dikt..,_./c/
LOCATION: f22/ /E ' / -- . DATE: .
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
atform at all exterior doors
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
Interior Handrails @ stairs 2 or more risers
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:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)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
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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum
Basement stairs closed rise>4 inches
r Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Mas Logs in Sealed or Glaas Fin e /�
f Final Electrical t i, b Cy
‘‘) i
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required `
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
Y- .
Rough Plumbing / insulation inspection Report
Office No. (518) 761-8256 Date Inspec ion equest received:
Queensbury Building & Code Enforcement Arrive: ` 1 d am/p D art: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector`s Initials:
NAME: LCZkkLtr+ PERMIT #: 07
LOCATION: 125] / 7 INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ 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
Ai
•.S.I f• 15 minutes _ /2
Insulation Residential Check/ Commercial Check _ q-t� ✓�.Z l
••- -nt Attic Vent
Duct/ Hot Water Piping Insulation "�G�'�
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
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