2005-499 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050499 Date Issued: Wednesday, March 29, 2006
This is to certify that work requested to be done as shown by Permit Number P20050499
has been completed.
Tax Map Number: 523400-303-005-0001-016-000-0000
Location: 49 MEADOWBROOK Rd
Owner: JOHN GUERRIE
Applicant: JOHN GUERRIE
This structure may be occupied as a:
Residential Alteration
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: P20050499 Application Number: A20050499
Tax Map No: 523400-303-005-0001-016-000-0000
Permission is hereby granted to: JANTCE CTITF,RRTE T,K
For property located at: 49 MEADOWBROOK 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: JANICE GUERRIE L.E.
JOHN GUERRIE Residential Alteration $1,200.00
Total Value $1,200.00
49 MEADOWBROOK Rd
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-499
64 SQ FT RESIDENTIAL ALTERATION (LAUNDRY ROOM)
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, July 20, 2006
(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 e o of tz
nesday, July 20, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No. QS—y
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes@aueensburv.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Accessory Structure Building Permit Application
Application & Plans subiect to review before issuance of a valid permit for construction.
Any structure other than the principal structure (i.e., house),typically a garage, shed, greenhouse, dock, deck,
etc. (not necessarily limited to the list below). Refer to attached Informational Brochure No. 3
Instructions: A permit must be obtained before beginning construction. No inspections will be made pt'I t
applicant has received a valid building permit. All applicants' spaces on this application mQIE o f
must appear on the application form.
Applicant/Builder -%D Hn1 6acieeie Owner:
Address: 4q %44 9')tW�J U,004 lzo#+13 Address: E y 1IRV
" Am
Home Phone: 7�tl-S�(b Home Phone:
Email Address: Email Address:
Cell Phone: 3Z1- yQDZ Cell Phone:
FAX Phone: FAX Phone:
'erson responsible for supervision of work with respect to building and codes compliance:
Name: �Oit&J 6MCKvt1lC
Address: L44q Kt l31 w*y c R.'4'I Phone '71
ocation of proposed construction: Lot No. Legal Address:
ax Map Number: �� 3. ]'" �,_ Subdivision Name:
stimated Cost of Construction: $ I Z OV
►oes an accessory structure currently exist on the property? _Yes / —No
If YES,list all existing accessory structures:
Proposed Construction 1n floor 2„d floor Total Proposed Height
sq.ff. sq.ff. S ,ff. ft.&in.
Open Porch
Covered or Enclosed Porch
(considered floor area&must comply to FAR [Floor Area Ratio]
requirements if the structure is located in the Waterfront
Residential zone.
3-season porch is considered an enclosed porch.
Deck
Boathouse
Boathouse with sundeck
DOCK
Shed
Pole Barn
Detached Garage 1, 2, 3 car
Other Accessory Structure:
,pplications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
he Building and Codes Office will allow commencement of your proposed project only after
,suance of your permit.
eclaration: Please sign below after you have carefully read the statement:
:)the best of my knowledge, the statements contained in the application, together with the plans and
:)ecifications submitted, are a true and complete statement of all proposed work to be done on the described
iremises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the
rroposed work shall be complied with,whether specified or noted, and that such work is authorized by the owner.
urther,it is understood that IJwe shall submit prior
or Director of Buildirtificate of ng and Codancy or es, As-Built Survte of eiance
y by a
>eing Issued, as requested by the Zoning
censed surveyor, drawn to scale,showing actual location of all new con ruction.
/ 1A.i?.rIM%
)ate:
A_�_Zol Applicant/Builder Signature:
date is hereby approved and
the application of
permission granted for the construction,reconstruction or aIt ration of a building/and or accessory structure as set
forth above. Authorized Signature:
Date:4
v:12l28iO4
�•�c,,p NeminawaY\Building.
Permit.FORMS\Accessory structure Permit Application.doc
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 C Arrive: am/pmNail:
Date Inspection request received: ► Inspector's Initials:
(�tie, J I C l
NAME: PERMIT#:
LOCATION: `. DATE: C -
TYPE OF STRUCTURE: ��'-fi4
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 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 area:
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 .1-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping 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
Fumace/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 fire roofin /3/4 hour fire door/door closer
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 C ' on,if required
Oka to iss C/cE C 10[Tem or /Permanent
L:\Building&Codes Forms\Building&CodesUnspection Forms\Residential Final Inspection Form_revised_100405.doc
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart—am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 6�-
NAME: PERMIT #:
LOCATION: t3Fzolo� INSPECT ON: Z2
TYPE OF STRUCTURE: Qt -
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
or 15 minutes
s 1 Residential Check J 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: , Z'�
r":zv- A-z-
LAPam Whiting\Building&CodesUnspection 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: j U o2�-A S
Queensbury Building&Code Enforcement Arrive: am/pm Depart amfpm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials/1
tl
NAME: �� Th PERMIT#: �401
LOCATION: e INSPECT ON: b �L/Y
TYPE OF STRUCTURE:
-� Y NIA COMMENTS
Framing
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 % 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 % 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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5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
S NEW YORK BOARD OF FIRE UNDERWRITERS 5
S 5
SBUREAU OF ELECTRICITY 5
5 40 FULTON STREET - NEW YORK, NY 10038 A0� c5
5 CERTIFIES THAT \ 5
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5 Upon the application of upon premises owned by S
5 5
5 S44 MEADOWBROOK RD. 30 MEADOWBROOK RD. c�
QUEENSBURY, NY 12804-1502, QUEENSBURY , TN, NY 12804 5
5 5
-Located-at -49-MEADOWBROOKRD.-QUEENSBURY- T- t NY 2804— -- -- ----_ _ T
5 5
SApplication Number. 2078454 Certificate Number: 2078454 5
5 Section: Block: Lot: Building Permit: BDC: A239 5
5 5
5 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at: 5
5 First Floor,Outside,
5 5
�j A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
herein, was conducted in accordance with the requirements of the applicable code and/or standard 5
Spromulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 24th Day of April,2006. 5
0 Name 4TY Rate Ratin Circuit Type 5
0 Wiring and Devices 5
jFixture 3 0 Incandescent
j Receptacle 4 0 GFCI S
jSwitch 7 0 General Purpose S
10 Receptacle 1 0 Dryer 5
511 Receptacle 2 0 GFCI
51 Fixture 1 0 Flourescent 5
5
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- 5
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5
seal
- 5
5
1 of 1 5
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jThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. i
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