2002-711 .0 ` TOWN OF QUEENSBURY
toy* 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20020711 Date Issued: Tuesday, July 01, 2003
This is to certify that work requested to be done as shown by Permit Number P20020711
has been completed.
Tax Map Number: 523400-240-000-0001-003-000-0000
Location: 2257 RIDGE Rd
Owner: JOEL CLUGSTONE
Applicant: JOEL CLUGSTONE
This structure may be occupied as a:
By Order of Town Board
Porch TOWN OF QUEENSBURY
r"-.2),A,9 4 ,4#4,/
Director of Building&Code nforce''ent
TOWN OF QUEENSBURY
tips 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020711 Application Number: A20020711
Tax Map No: 523400-240-000-0001-003-000-0000
Permission is hereby granted to: JOEI, CLI JGSTONE
For property located at: 2257 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: JOELMENCLUGSTONE 5,000.00
2257 RIDGE Rd Porch
Total Value 5,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2002-711
Construction of 192 sq ft porch per plot plan and specifications.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, August 22,2003
(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 T wn of ee r} h 1 • • ,August 22,2002
SIGNED BY for the Town of Queensbury. p
Director of Building&Code Enforcement
Porch, Deck, Dock, or Boathouse 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. No Permit File No.
inspection will be made until applicant has received a valid Fee Paid $
building permit. All applicants' spaces on this application must be Reviewed B � 4-""
completed and must appear on the application form.
Applicant: F Owner: 6
Address: z-7_ ebC - Address:
5 Z$O
Phone# ( )666 - 91 � . Phone# ( ) -
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name 4 to Address: Phone
Property Location: Lot Number: / House Number 26-9/ K/Q66 po .
Subdivision Name: Tax Map Number: Q -- /— 3
Estimated Market Value of Construction: $
Porch
u Deck s *
o Dock
❑ Boathouse A .120112
❑ Other work(describe
l(�7-
Size of structure to be built ( /(/ square feet =LL
Submit along with this application:
l. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed
structure showing setback dimensions from all property lines. Show location of
water supply and location and configuration of septic disposal area.
2. Two sets of structural drawings. Indicate size of posts or studs, floor joists,
decking or flooring material to be used. Show how the porch or deck will be
fastened to the building. If a roof will be constructed, indicate the size of posts or
studs, roof rafter spacing and span. Indicate type of roof: sloped, flat, shed, or
other. Indicate the type of material being used for the roof.
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 wor sha be compli with,whether specified or noted,and that such work is
authorized by the owner.
Applicant's signature: Date: 4Z--
L:\SueHemingway\Building.Permit.FORMS\Porch.Porch.Permit.doc 8/13/02 revised per DH
Fire Marshal's Office Town of Queensbury,742 Bay Road,Quecnsbu NY
(518)761-8205 4i�
Application for Fuel BurningAppliances & ChimneysV
applicable to solid fuel & ente gas appliances 414y
v -7// ro`►y 12oc
Date 51 / , 20 a3 Permit No. 62- i oVtiFFNS
�lup CODE.Ry
Application is hereby made to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and 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.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appro.i.to words)
Name: Ja&c— C .F/fpt%D,C/E Stove: oo"r coal pellet gas
Fireplace insert
Address: v2-6 7 Fireplace, factory-built: wood gas
691, S/0,y 442 Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone: lr 6.--Yos"
If non-masonary applicance,please provide
Owner: Manufacturer Name: e,P
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block .rick stone
Flue tile a size: inches
Exact Address: 4.t-14‘,C--
of construction or installation Factory-Built
Manufacturer name: CeCE
Model Number:
Note: Listed By: Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall Triple wall / Insulate / Direct venting
Chimney Liner
C1assrhfez '*Department—Towsri of Queesat.erbury, .N'ew 3Irccelir
Fire Marshal Code# $Collected $Refunded 'eceived from a•efunrled t. y�� %�_____
address:
A 173 3389 (190) Public Safety
A 233 2655 (230)M.',or Sales
DATE: 6
ytAn.a�i,2�- T ww ete,4/c oti D
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / fink&Goldenrod(Cashier's Dept.)
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection requ ecei ed:
Queensbury Building&Code Enforcement Arrive: a p art: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial,/
NAME: L0a6ib J& _ PE IT#: 9 2— 711
LOCATION: ZZS 7 ,fC/a GC D E: 7// /D S
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,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more 17/
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
Safety glazing
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 _
3/4 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. Inspection 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
Q3Framing / Firestopping Insp c n rt (1 .
Office No. (518) 761-8256 Date Inspection r est rec ived:
Queensbury Building&Code Enforcement Arrive: am/pm = C� a pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initi
NAME: UST ' PERMIT#: O2 7((
LOCATION: Z�7 7 A !x21 -/e' INSPECT ON: 3( 7/O�
TYPE OF STRUCTURE:
V N/A110 CO
Framing
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 %2(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 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 ''A 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
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received: /0.3
Queensbury Building&Code Enforcement Arrive: .2;I3' a r Dep : ,2 3o a m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 14#
NAME: )ee/ QUG%s7oh€ PERMIT#: 2OO2 - 7//
LOCATION: Z Z.5 7 11/'�[y e ,(4 DATE: //7/03
TYPE OF STRUCTURE: SILO���///
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location Av
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more @ stairs,decks,patios Cr_064,?t,em /fiv:24,
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in.or more �„ _—Q „
Exterior Finish Complete �C -�/ a/2--
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers art)-e--0( et4i
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
Safety glazing
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
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 2 in. x 30 in. (ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents rV / / e s O(1 s G 12 c/I n
Building No./Address visible from road
Final Electrical Site Plan /Variance required 6(/r`�l/,,/i cc',`e �� "eMiS
Final Survey Plot Plan �
�i
As Built Septic System/Sewer Dept. Inspection Sticker e��5'r^
Flood Plain Certification, if required �r
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)
� r Town of Queensbury
Fire Marshal's Office
' 742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE argy3
A �'/)
Received: �,/ Permit# INSPECTION ON. ///
Name: �I.)�� kV 5b AM PM ANYTIME
Location: -Z--' G v
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS—NORMAL
- BATTERY 10
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE c''F
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN FINAL \rAV e�—
Ocp4\I 1--_
CHIMNEY
FACTORY BUILT ROUGH IN , p
FINAL 6V\�+P,TJ c — feVS
WOOD
STOVE ROUGH IN
FINAL _
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE �
MASONRY ROUGH IN OK THI •AT- ` K FO_ •
_do
• NOT OK
FINAL
FIREPLACE :�
FACTORY BUILT ROUGH IN I PE /T7
FINAL
COMDEV/CHRISJIWORD/LETTERS2001/FIRE HALINSPECTIONREPORTI 2001
LLOW—OCCUPANT COPY
WHITE—BUILDING DEPARTMENT COPY
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plia,ce ii,ti-i our comments sha!I
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p!a. ;ar j si..!-:-:tiic..tions are In;NI
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"--OF QUEE-N'91URY
BUILDING JD/ lt DI PT.
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REVIEWED BY a; I A
a DATE • AINSIDErift
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Joel Clugstone
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ensbury,NY 12804
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CC �47 'oAl Joel Clugstone
(1JC�-S7r 2257 Ridge Rd.
Queensbury, NY 12804
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