2007-438 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
'erniit Number. P20070438 Date Issued: Monday, December 17, 2007
'his is to certify that work requested to be done as shown by Permit Number P20070438
.as been completed.
ocation: 15 TOP OF THE WORLD
'ax Map Number. 523400-252-048-0001-007-000-0000
)caner: WILLIAM & MARY PROVOST
'a 1VIa Number. 523400-252-048-0001-007-000-0000
pp�icar�t: WILLIAM & MARY PROVOST
)wrier. WILLIAM & MARY PROVOST
'his structure maybe occupied as a:
.esidential Addition By Order of Town Board
TOWN OF QUEENSBURY
nuance of this Certificate of Occupancy DOES NOT relieve the
,operty owner of the responsibility for compliance with Site Plan,
iriance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
anning Board or Zoning Board of Appeals.
,I_...►.........................I.........._................._...... ...............
. �,► ..
1� OFFICE USE ONLY ;
0 l i A r
TAX MAP NO. / PERMIT NO. 35! i , ,- I (0
,
FEES: PERMIT RECREATION ENGINEERING " ; n
(If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL Se BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
gN^! 'P_QUiJST
APPLICANT/BUILDER: _MWeftTH CONTIEAC1D45,UCOWNER: "
ADDRESS: 19- 6-F-EC S i' 61-F S F&I-S i4 Y ADDRESS: Y-LO 4,0C r-,MC7 MTl u/1i(%}��-
PHONE NOS. tf3_ '9 3e1 I PHONE NOS.__�,,6S-- S 6 �2
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: 0&)I Q W FI MS PHONE: 7Y-3"9 3 9/
LOCATION OF PROPERTY: _ / GAD�Kf/�}�2j /J'!1/u• /�(d' I,ti< 4/i
SUBDIVISION NAME: Te P C F THE 16e 124,P
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR � M p O � w
PROJECT O L _ w ¢ (L = U
0
0
OZ
z ¢ ¢ - cdn cva o � a = os
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS_
TOWNHOUS
BUSINESS OFFICE cri
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAtAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:bntnO-1 FUEL TYPE: Pro
FXtS7juG-
HEAT TYPE:/a�-D Nc►i�r�`HOW MANY FIREPLAGE(S): AND/OR WOODSTOVES(S):: iR
ZONING CATEGORY: -[ -5 - ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? NU
PROPOSED USE OF BUILDING OR ADDITION: M V i 46-1 SPACE,
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office g 3-LGL 11-05
ALIM Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY? h[S
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. 1 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. 1 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 certificatelof occupancy.
l have rea d agree to a abo
1�i
Signed " ,4 ',/%4
Director of Buildin ,. odes: 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 zoning Laws of the Town of Queensbury.
Application: '
BUILDING &CODES APPROVAL ; ZONING APPROVAL
1 1
DATE
DATE
QUESTIONS? CALL 761.8256 OR EMAIL
codesftueensburv.net
VISIT OUR WEESSITE F0 MORE INFORMATION
►WtiN.. 1 bU`. ne't
I
Town of Queensbury• Communihj Development Office • 742 Bay Road, Queensbury, NY 12804
"own
ommunity Development Office _
of Queensbury • 742 Bay Road - Queensbury, New York •12804 \ ;
1
• David Hatin, Director of Building&Codes ;
Craig Brown, Zoning Administrator '
BUILDING PERMIT CALCULATION SHEET:
NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS
REQUIRED ACTUAL
ACTUAL LIGHT REQUIRED SQUARE FOOT
AREA OF ROOM IN LIGHT ° VENTILATION
HABITABLE ROOM SQUARE FEET 8"%OF ROOM SQUARE VENTILATiON•4 k SQUARE OPENING FOR REMARKS
AREA FOOTAGE OF ROOM AREA FOOTAGE EGRESS
QUESTIONS? CALL 761-8256 OR EMAIL
codes(agu eensbu rv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.cluensbury.net
B 10-LTR 11-20
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No...�:::.._`.........�1.}.....::......Cert. N� 319 7 Cut-in Card No.....................................
Owner.................
..................................................................... �.......
Location.�.Y.�.. .o'.C'. .f 127 .. ?T .... 0�...axjt ......G ,1)..
Installation Consisting of....T.... `.f..T ` ��' ��� L�. l�`� �
f................ .
....................................................................................................................................................................................
....................................................................................................................................................................................
InstalledBy.......I-�. L. ...�O�9 ..................................................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 makin inspections at any time, and if its
rules are violated,the Company shall have the righWtoe ke t 's ificate
Date...6.z..../3 C1INSPECTOR... ......................................................
Member N.RP.A.,I.A.E.I.
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart: am/pm
Date Inspection request received: /(l� / a ,� I/nspector's Initials: f
NAME: !"(a ✓u�,\ PERMIT#:
LOCATION: ' 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 IV
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 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 ea:
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 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
rn egress below grade
Gas
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
v"^
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum''/a"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan l
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&CodesUnspection Forms\Residential Final Inspection Form revised 100405.doc
/ - 5?"-
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /f - 7
Queensbury Building & Code Enforcement Arrive: am/pm Depart: 6/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: P/zo V0 � PERMIT #: 0-7 -
LOCATION: I �,— c --rT/e-. U.t9/j 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
AftAsulation 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&Codes\lnspection 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 request received:
Queensbury Building&Code Enforcement Arrive: am/ m Depart: � m/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: J✓��S% `� C<' ) Cc�j PERMIT#: 0 7 L
LOCATION: ( t - (_ ,�i), _ INSPECT ON: 3 7
TYPE OF STRUCTURE:_� c4�A—k\T)
training Y N NIA COMMENTS
� '
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. I
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 '/2 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
1-3
Framing / Firestopping Inspection Rep6rt
Office No.(518) 761-8256 Date s-e 7t n uest received:
Queensbury Building&Code Enforcement Arrive: <, am4L�=)7
art: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector s Imttals.
NAME: PERMIT#: _ y
LOCATION: INSPECT ON: —
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/i w 16 gauge 8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
or Bolts 6 ft. less on center
Ice and water shiel 24 inches from wall /
se 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
Foundation Inspection Report
Office No.(518)761-8256 Date In
o request received:
Queensbury Building&Code Enforcement Arrive: ` am/pm depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect 's Initials: C./"
NAME: I`�'IO
PERMIT#:
LOCATION: /o o INSPECT ON:
TYPE OF STRUC .
Comments
6 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 FormsWoundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM