2004-120 ..01111fti TOWN OF QUEENSBURY
742 Bay
y Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040120 Date Issued: Friday, July 02, 2004
This is to certify that work requested to be done as shown by Permit Number P20040120
has been completed.
Tax Map Number: 523400-266-001-0002-012-000-0000
Location: 1661 RIDGE Rd
Owner: LEWIS & BARBARA VARNEY JR
Applicant: LEWIS & BARBARA VARNEY JR
This structure may be occupied as a:
By Order of Town Board
Storage Building TOWN OF QUEENSBURY
(- 4V1Pl )0t*"1
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
Q rY,
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040120 Application Number: A20040120
Tax Map No: 523400-266-001-0002-012-000-0000
Permission is hereby granted to: IEWIS &BARBARA VARNEY JR
For property located at: 1661 RIDGE 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: LEWIS & BARBARA VARNEY JR
1661 RIDGE Rd Storage Building $9,500.00
Total Value $9,500.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-120
480 SQ FT STORAGE BUILDING
$48.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, March 30, 2005
(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'a. a Queens ry; T esday, March 30, 2004
SIGNED BY ( G' for the Town of Queensbury.
Director of Building Code nforcement
Building Permit Application.
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
•
A permit must be obtained before beginning construction. Permit File No. O 9/oLC)
No inspection will be made until applicant has received a Fee Paid $ l.( 2 (9'
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the By:
Reviewed J
application form.
Applicant: (—Etc; S � . (JffC;c.Y�J r2 Owner: l ct.U'I S J t/ t� '�r e
Address: / -(e i ter tJ O ,� Address: re: i r Dr c CO
(y ki-L S i3i'(e.� {^k i3 y
Phone#( !e ) 74z - S25q Phone#( 1�) 7�z - ztDz-1
Property Location: Lot Number: k'//4" / House Number /' i /
Subdivision Name: ti/4 Tax Map Number: z iG -I z_
o New Building: residence /commercial Estimated Market Value of Construction: $ r SZ . a�
o Addition: residence/ commercial If an Addition,what will use of new addition be?
o Alteration: residence/ commercial
o No change to exterior size: residence/com'l
o j Other work(describe S-fo f A .c /it
Check Occupancylnformation 1"Floor 2O°Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
o Single Emily dwelling
o Two family dwelling o To R EC I VE D
wnhouse
• Multifamily dwelling
#of units V1A R 2t 5 2004
o Office
Mercantile 1OVVN OF QUEENSBUP,'I
o Manufacturing DU LDIN.^, AND CODE
O 1 car detached garage
n 2 oar detached garage
D 3 car detached garage
• 1 car attached garage
a 2 oar attached garage
O 3 car attached gars el
o Storage building-
commercivalildr hic,c1W 1-tiSS L-qt
residential `` \!,/
• Other
What is the proposed height of the structure 0 feet 0 inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: \- 4 ti 4``
Number of Fireplaces to be installed Number of Woodstoves to be installed` D -
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder (�t t'. 1J/ r y here t kip e . 4) y 7f2. -52�z-I
Plumber
Mason b y`s .1Ati 1C- i iO6,rSO .4'Kv 71z.- "�2S'1-/
Electrician f a;, ,fr-rtu tl' 1(�to I 1 Q t7F 46 V 79,a-S 5-1-I
Declaration: please sign below after you have carefully read the statement
To the best of my knowledge the statements contained in this 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 Code,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 1./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, Syiit Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: owner„owner's agent,architect,contractor
41111 . Town of Queensbury Fire Marshal
742 Bay Road
ue
r••� Qensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Fireplace Gasjipmrt Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed
according to the instructions and specifications contained in the Installation Manual
accompanying the appliance. No deviation from the manufacturer's instructions or
specifications is allowed.
r
Permit# 03 -/c (i Schedule Inspection Time ••'-Pr) a pm tim
IPAY
Name Address Via() Inspect glIP
Appliance Manufacture Model#
Flex Liner Rigid Liner Liner Size Dual Liner Single Liner
Yes No NJA Comments
Installed per Listing/Manual cVir e<3 1 NNE
Clearances to combustibles provided
by existing fireplace construction C>0\
M
Directly Connected to Flue r �a
Flue gases prevented from mixing
with room air R
Damper Clip /Hold Open �f � �ter
Damper permanently open ''r
Liner Termination
Liner extends above existing chimney;
weather cap installed
Gas Shut-Off Valve
Witness Operation
Tank Placement(if LP)
White-Building Dept. Yellow—Customer Pink—Fire Marshal
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection re. t -ceiv-.
Queensbury Building&Code Enforcement Arrive: .m/p► a-.,rt: P 4 v a ' p
742 Bay Rd., Queensbury, NY 12804 Inspector's Initi• s: . C
NAME: V �{Q_O� P MIT#: 7 0d4— tZb
LOCATION: k(Qlo l R t t7(��r_ Rp AD DATE: -T -Z—oy
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more @ stairs,decks, .atios
Guard at stairwell at 34 in. or more
8 Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
*° Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. 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
Interior privacy/trim/doors/main entrance 36 in. ■�.
Bathroom/Kitchen watertight
Safetyglazing ■..
Window in stairwells safety glazing
Interior Smoke Detectors: -
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
%hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents ■
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Ins section Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C/0(Cert.Of Occupancy)
"Okay to issue Permanent C/0(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: a•/pm D P.rt: ,r •
Date Inspection reque t received: Inspector's Initia,• / G (�
NAME: r ' ' RMIT#:
LOCATION: r ATE: —
TYPE OF STRUCTURE:
9,0 ♦ < Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location Aq) T—CR O C
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" p
Roof Complete/Exterior Finish Complete U .t `LL" V\L.k b ,R
Guard 30 in. or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in. ✓
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum 'h"
Gypsum
Grade away from foundation 6 in.with 10 ft. ✓�
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site1// I
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
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: 1 Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
IDuct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res.Final Insp. form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. (
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
'ermit No. �//�/�Cert. No 75868 Cut-in Card No.
)wner �.+ ./...C..412W e'-`,/
..ocation ! 4' 6 / bra
to`O-cf. - 6 1
nstallation Consisting of rek} ///z L'z9P
6-11-4A-6-a"
nstalled By JV (2 AJS 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
ntroduction of additional equipment or alterations,application shall be .romptly made for inspection.
Inspectors of this Company shall have the privilege of makin .ections at any time, and if its
ules are violated,violatted,the Company shall have the right to e ke this Icate.
)ate.4 - G" ✓ INSPECTOR
Member N.F.P.A.,I.A.E.I.
--7(.6\ 0 :94
Framing / Firestopping Inspection Report '•
Office No. (518) 761-8256 Date Inspection request received: ,
Lar 1 ..
Queensbury Building& Code Enforcement Arrive: a ?��'Dep� art: :l m/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials- //if * :I
NAME: L"5 �c*rF PERMIT#:
LOCATION: ( J( I INSPECT ON: - )L
TYPE OF STRUCTURE:, �Ji I
1v N/A COMMENTS
"fling
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 %z(w) 16 gauge(8) 16D nails each side
Draft sto ing 1,000 sq. ft. floor trusses
Anch Bolts 6 ft. or less on center
and snow 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
•
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
9iO
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: q• /m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: Ll C PERMIT#: ( v 0
LOCATION: L ) g t p_o INSPECT ON: 1.p 3
TYPE OF STRUCTURE:
Comments
Y N N/A
ootings
Piers
Monolithic Slab
Reinforcement in Place A
The contractor is responsible or
providing protection from freezint
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/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
ti
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:LSueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
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