2007-388 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20070388 Date Issued: Wednesday, February 20, 2008
This is to certify that work requested to be done as shown by Permit Number P20070388
has been completed.
Location: 112 WEST MT. Rd
Tax Map Number. 523400-315-006-0001-016-000-0000
Owner. DAVID & KATHLEEN HUBERT
Applicant: DAVID & KATHLEEN HUBERT
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
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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070388 Application Number. A20070388
Tax Map No: 523400-315-006-0001-016-000-0000
Permission is hereby granted to: DAVID &KATHLEEN HUBERT
For property located at: 112 WEST MT. 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 &KATHLEEN HUBERT
112 WEST MT. Rd Residential Addition $10,000.00
QUEENSBURY,NY 12804 Total value $10,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
CEC, INC.
P.O. BOX 1002
SOUTH GLENS FALLS,NY 12803-0000
Plans &Specifications
2007-388
120 SQ FT RESIDENTIAL ADDITION
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday,July 06,2008
(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 expiration date.)
Dated at the To eensb Vrjd ,July 06, 2007
SIGNED BY for the Town of Queensbury.
Director of Building 8eCode Panforcernent
.....OFFICE USE ONLY ......... r...................
;
3
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1 � ;
TAX MAP NO. PERMIT NO.- z
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 PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: e E C 77",C_ OWNER: bav`L 9,---b e-et
ADDRESS: _Pb 1 t'K OaZ 6)Eklk, N ADDRESS: I2-. W&S-1 rl+, IP.& , 0
PHONE NOS. 7q f!s~ Y 8 s PHONE Nos. 7T 3 - l 3 �Y
`R -r JOF ,JX+
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: 7%_y 8 S i PHONE: 7F6
l� z ales 4 . /tit�f _1244.
LOCATION OF PROPERTY: 6 l q( mi no^kri k 4 M _ S
tea- o r -
SUBDIVISION NAME: &1A
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p W U_ cri
APPLY TO YOUR zO �_- O O Cn U LU
PROJECT 1 0 LU Q a = V
z Q Q � d N � O �i OF- L a :r06
SINGLE FAMILY 4�05 l l ��
TWO-FAMILY 7
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:-- 1 j
ESTIMATED CONSTRUCTION COST:1f1 - /L 4k4 Se jee FUEL TYPE:
HEAT TYPE: 6+14IZ "HOW MANY F{REPLACE(S): '' S+AND �R WOODSTOVES(S):
ZONING CATEGORY: S• ARE THERE WETLANDS ON THIS SITE? N O
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: t `•ro
'Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office g 3-LGL 11-05
Town of Queensbury• Community Development Office. - 742 Bay Road, Queensbury, NY 12804
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? �AO
ARE THERE EASEMENTS ON PROPERTY? N h
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 agree to the above.
Signed
Director of Buildina & 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 'o ; herein is found to be in accordance with the
described herein in accordance with said 00
zoning Laws of the Town of Queensbury.
Application: , ,
,
BUILDING &CODE APPROVAL ' '
ZONING APPROVAL ;
, , ,
D TE ' 1
DATE
-------------------------------
QUESTIONS? CALL 761-8256 OR EMAIL
codesftueensbury net
VISIT OUR WESSITE FOR MORE INFORMATION
www.aueensbury.net
Toznn of Queensbury• Communihj Development Office - 742 Bay Road, Queensbury, NY 12804
Community Development Office
own of Queensbury • 742 Bay Road . Queensbury, New York •12804 ;
Marilyn Ryba, Executive Director• David Hatin, Director of Building&Codes ;
Craig Brown,Zoning Administrator ;
WINDOW SCHEDULE _______ '
JOB SITE/ADDRESS: DATE: - •2 y' d
OWNER: D-C--q APPLICATION NO.:
WINDOW-
UNIT OR CLEAR CLEAR
WINDOW STOCK ROUGH ROUGH SO.FT. OPENING
NO.OR WINDOW SOFT. WIDTH OPENING SPECIAL HARDWARE OR
MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT
LETTER NAME MODEL/TYPE CALL WIDTH HEIGHT VENT OPENING S IN INSTRUCTIONS
ON PLAN SIZE INCHES INCHES
MILA) M 3. 91. uA
B 26-LTR 11-05
Community Development Office '
own of Queensbury ■ 742 Bay Road - Queensbury, New York -12804 ;
Marilyn Ryba, Executive Director- David Hatin, Director of Building&Codes ; 0
Craig Brown,Zoning Administrator , 0
-----------------------
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 VENTILATION OPENING FOR REMARKS
SQUARE FEET 8"%OF ROOM SQUARE
AREA FOOTAGE OF ROOM AREAEA FOOTAGE EGRESS
QUESTIONS? CALL 761-8256 OR EMAIL
codes cDgueensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.quensbury.net
B 10-LTR 11-20
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 0�K Arrive: am/pm Depart::��m/pm
Date Inspection request received: I� Inspector's Initials: KA
NAME: 1 ('�r- 7Z PERMIT#:
LOCATION: �Z�- til£'� i VA - ,C7i1� 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
Platform 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 awayfrom 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 back-up:
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 s .ft.-150 s . ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation w
Floor truss,draft stop ing finished basement 1,000 s .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''/z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/<hour fire door/door closer 01
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
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/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
cY" 10Corti--' C0
Rough Plumbing Insulation Ins ecUon Re IV o
9 9 / p p �
Office No. (518) 761-8256 Date Inspection request received: lyu,/, 0 ! d-ou7
Queensbury Building & Code Enforcement Arrive: am/pm Depart: IC
am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: fill PERMIT #: �1(1�77-3k?
LOCATION: ox INSPECT ON: z, . v✓ 2
TYPE OF STRUCTURE: u`
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
. . or bove highest connection for 15 minutes
. T .
Water Supp " ing
50 P.S.I for 15 minutes
Insulation Residential Check Commercial Check
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct-tape
COMMENTS:
LAPam whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
1 ---'-3
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection re uestd: I i I ct//J-r-7
Queensbury Building & Code Enforcement Arrive: ��a art: am
742 Bay Road, Queensbury, NY 12804 Inspector's Initial
NAME: I i f PER #: G -7
LOCATION:_1 0 - we Srt (-A-; A (44> INSPECT ON: Z U
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
Air / Head
50 P.S.I for 15 minutes
sulation Residential Check Commercial Check
Proper Vent Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
L:\Pam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request ei d•
Queensbury Building &Code Enforcement Arrive: fir?"30 a pm m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: �ave)t=k-)�T PE T #: U,I —?� 4
LOCATION: 1\ 'Z- y6 E25T tjn� L..j�D 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
Air / Head
50 P.S.I for 15 minutes
Insulation Residential Check/ Commercial Check
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&CodeAnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
Office No.(518) 761-8256 Date Inspection re est ec tv d:
Queensbury Building&Code Enforcement Arrive:Z� p part: am/ in
742 Bay Road, Queensbury,NY 12804 Inspector's Initial : L
NAME: IAA] PERMIT#:
LOCATION: l�b� _�� �(� INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging ' �.lR�-L
Joist hangers
Jack Posts/Main Beams /
Exterior sheeting nailed properly ✓
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
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
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 %z 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
—il 'tho -5
Rough Plumbing Insulation Insp ction Report
Office No. (518) 761-8256 Date Inspection reque re
Queensbury Building & Code Enforcement Arrive: p epart: �� am pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initi Is•
NAME: #() 4, PER #: —
LOCATION: PT-12j , INSPECT ON: 45
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbin ail PI tes-
j 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
Air / Head
50 P.S.I for 15 minutes
Insulation Residential Check Commercial Check
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation Kb �
If required unheated spaces
Combustion Air Supply for Furnace ,�� .
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whitinouilding&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
�I-f t . - lvct5 b A Y
Foundation Inspection Report
Office No.(518)761-8256 Date InsWctio uest received:
Queensbury Building&Code Enforcement Arrive: E• Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's tials: lot-,I
NAME: PERMIT#:
LOCATION: j INSPECT ON:
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
y in place
Foundation Dam proofmg
mg )
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
/—:�; 16-7,�o,7 7/30/0-7
Foundation Inspection Report
Office No.(518)761-8256 Date Ins request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto 's Initials:
NAME: �U LPERMIT#: 7�2
LOCATION: e— INSPECT ON:
TYPE OF STRUCTURE:
CommIf
on
Y N N/A I I'l0 O we 1 aS e
Footings ) � cl-V q
Piers S 1i,
Monolithic Slab 't
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:
a ve ng
1 for t are unde slab
ill Ap
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\Foundadon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
190 4 3 --Z
FIZ /0 7
Foundation Inspection Re A
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pir Depart_-pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: A)Irr4- PERMIT#: O 7, �J
LOCATION: C , INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y A N NA
Footings 77
iers
Monolithic Slab
Reinforcement in Place1
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.
U\Building&Codes Fams\Building&Codes\Inspection FormsVoundalion Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
=` Town of Queensbury • 742 Bay Rd.
Queensbury, New York •12804 PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
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