2007-700 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CE RT I F I CAT E OF OCCUPANCY
Permit Number. P20070700 Date Issued: Wednesday, April 01, 2009
This is to certify that work requested to be done as shown by Permit Number P20070700
has been completed.
Location: 19 RICHARDSON St
Tax Map Number. 523400-309-010-0002-040-000-0000
Owner. ROBERT MATTE
Applicant: ROBERT MATTE
This structure may be occupied as a:
Residential Alteration By Oder 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 de on ement
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: P20070700 Application Number. A20070700
Tax Map No: 523400-309-010-0002-040-000-0000
Permission is hereby granted to: ROBERT MATTE
For property located at: 19 RICHARDSON St
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: ROBERT MATTE Residential Alteration $19,000.00
LYNNE MACY
19 RICHARDSON St Total value $19,000.00
QUEENSBURY, NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-700
112 SQ FT RESIDENTIAL ALTERATION
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,November 27,2008
(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 o eens ( e , ovember 27, 2007
SIGNED BY ` for the Town of Queensbury.
Director of Building&Code Enforcement
I �r-�;' ^�` f', OFFICE USE ONLY f J ;
TAX MAP, O. PERMIT NO. L/ ^�C�� ' +
+ 1
r
' FEES: PERMIT RECREATION ENGINEERING i
(If applicable) ' 01
0
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 VALIID'PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: S��pt,Jp��t„ak1Snt, OWNER: e6l
ADDRESS: PO Qox 4; .Qti ADDRESS:�� I�t c.�4�dt,s a fir• cS T r
PHONE NOS. $$S'-S�10 PHHONEAANOS. :33? 9''9 H a
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:IfoS l ,JS �Pc.JQ�'IPHONE:� ESS�S90aZ
LOCATION OF PROPERTY: QtG ka r�.P �n IST
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR 0 d 0 LU LL cn
it PROJECT O 00 F 0 H �CD � O CQ=_
o LLu Q �` x F awz
z Q Q �� ii� OLL ��i ax.6
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY(NO. )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
f �
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: -919,000,00 FUEL TYPE:
HEAT TYPE? *HOW MANY FIREPLACES) AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION:
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
*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.
have read and agree to the above.
Signed
Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761-8256 OR EMAIL
regarding Building Permits, construction codes or septic codes(o►�gueensbury.net
systems) (:
VISIT OUR WEBSITE FOR MORE INFORMATION
Zoning Administrator: 761-8218 (for questions regarding www.gueensbury.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 10
herein is found to be in accordance with the 0 Applicant to erect or alter the building described
zoning Laws of the Town of Queensbury. A herein in accordance with said Application:
, '
, '
� ,
ZONING APPROVAL DATE BUILDING&CODES APPROVAL DATE 00
; ,
0 ,
-------------------------------------------- -----------------.__________-___________ 0.
Town of Queensbury • Community Development Office - 742 Bay Road, Queensbury, NY 12804
Ir
------------------------------------
OFFICE USE ONLY
PROJECT NAME: 1►C �c, g r dl Sa r� S T ;
STAFF INITIALS:
BUILDING PERMIT SUBMISSION 1 DATE:
CHECKLIST FOR: 10
SINGLE FAMILY DWELLING
1. Building Permit Application Completed? YES NO N /A
2 ' Energy Form or CheckMate Energy Code Compliance —
_ Forms Complete? (2-copies) I i x
3 Energy Code Inspector's Report from Checkmate I —
Program? (2-copies)
4 Septic application completely filled out?
_---- ' (if applicable) -- — - x
5. Electrical Inspection Form complete?
6. Two (2) sets of the plans each of the following: YES NO N /A j
a. Floor plans (s)? V/
b. Foundation plan? x
c. Cross sections (s)?
d. Elevations?
-e. Window and door schedule? j —
g. Plans signed and sealed by registered architect or
engineer? )C
Window and door schedule?
x
Two (2) site plans showing location of the structure to be
7. built, location of well or water lines, location of septic
system or sewer line? Ix
8. Setbacks from property lines to new structure? k
r 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
MIDDLE DEPARTMENT INSPECTION AGENCY, INC. ( f77-�C,C
that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Matte Date: 02/12/2008
Occupant: Unknown Location: 19 Richardson Street
Occupancy: Single Family Dwg. Queensbury, Warren Co. NY
Applicant Togan Electric, Inc. - ..
440 Visher Ferry Road k
Clifton Park, NY 120
L41J
Raymond A. Nov
No.
A .
40004
Equipment:
3-Switches; 1 -GFCI Receptacle; = ixtu�es; en an
Ems"
_.
C E
- This certificate applies to the electrical wiring to the electrical-equipment listed immediately null and void. This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void.
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.
7--
Queensbury Building & Code Enforcement - Resi ntial Final inspection ~--
Office No. (518) 761-8256 Arrives' 'r 1"S am/pm , Depart: am/prn
Date Inspection requ t re ' ed: Inspecto s initials: L
NAME: PERMIT#:
LOCATION: X 7 DATE: rZU
TYPE OF STRUCT E:
Comments:
Yes No N/A I
4" Building Number Address visible from road 7-- /c
Chimney Height I"B"Vent/Direct Vent Location
Fresh Air intake ��
3 inch PlumbingVent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs decks, atios more than 30 inches above grade
Guard at stairwell at 34 inches or more �7
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/Handicapp@d Ramp Compliant
Grade awa from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed 1 regulator 18 inches above grade
Interior privacy/trim I doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells sooty glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area: _
Inter Connected: Batte backup:
Attic access 30 inches x 22 inches x 30 inches eight)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency ress 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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed pEMrly
Gas Loge in Sealed or Gi En Vu
Final Electrical ?i
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic S stem i Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue.0/C or C 10 Temporary/Permanent
L:1Building&Codes FormslBuilding&CodesNinspection FormslResidential Final Inspection Form revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Rough Plumbing i Insulation In ection Re p port
Office No. (518) 761-8256 Date Inspection r est received:
Queensbury Building & Code Enforcement Arrive: m/p �?epart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspecto V nitials: .-,l
NAME: PERMIT #: �'
a
LOCATION:- INSPECT' ON:
TYPE OF STRUCTURE:
Rou h Plumbin Nail Plates Y N N/A
Plumbing Vent Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout eveN 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
e
( 5 P. .I for 15 minutes
Insulation esidential Check Commercial Check
sroper ve Attic Vent
Duc of Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct to e
COMMENTS:
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing i Firestopping Inspection Report
Office No. (518) 761-8256 Date In ection request received:
Queensbury Building&Code Enforcement Arrive: L, a pm Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector' In
ials:
NAME: PERMIT
LOCATION: - v.._ INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA COMMENTS
Framing
A ccess 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 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 1/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
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FOR INFORMATION ABOUT CONTRACTOR
SAFETY PROGRAMS ! IMP
PLEASE CONTACT OUR
SAFETY COORDINATOR @ 518-885-5311 �
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NSBUR
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