2005-530 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: P20050530 Date Issued: Tuesday, September 11, 2007
This is to certify that work requested to be done as shown by Permit Number P20050530
has been completed.
Location: 18 LINETTE Ln
Tax Map Number: 523400-308-010-0001-003-000-0000
Owner: VERA WRIGHT
Applicant: VERA WRIGHT
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: P20050530 Application Number: A20050530
Tax Map No: 523400-308-010-0001-003-000-0000
Permission is hereby granted to: VFRA WRTCTHT
For property located at: 18 LINETTE Ln
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: VERA WRIGHT Residential Alteration $22,500.00
18 LINETTE Ln Total Value $22,500.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-530
240 SQ FT RESIDENTIAL ALTERATION
CONVERSION OF GARAGE INTO LIVING SPACE
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, July 26, 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 the Town eensbu T , July 26, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code En orcement
a Job Site Address: e��.( Date:.. c>
JJ
Application No. File No.
Building Permit — Calculation. Sheet
Natural Light, Ventilation & Emergency Egress Requirements Z
Habitable Area of Req. Light Actual Req.Vent Actual Sq,Ft. Remarks
Room Room 8% of Room Light 4% of Room Vent Opening fox
1 in Area Square Area Square Egress
Square Footage Footage
FeetevL-
U\S u eHeminrvay\$uildlns.PermItTORMS\NatLight.Ventil.Calcu lation.Sheet,doc
WINDOW SCHEDULE
Job Site/Address: 12" Date: ' I 05
Owner: y-S ; �.= Application No.
Window Window Window Unit or Rough Rough SQ.FT, SQ.FT SQ.FT. Clear Clear Special Hardware
Number or Manufaturor Model/Type Stock Op
Opening GlassNis Egress/Cie Opening Opening or Instructions
Letter on I, Name Numbe g Height ible Vent ar Width In Height
Plan Cali Width Light Opening Inches in Inches
Size _
Example Entry
A Andersen Narrollne 3062 3' 2 6'5 '/2 15.30 8.36 6.01 34 24 16/35" Tempered
Double 113" 11/16 Glazing
Hungil
C:Tocuments and Settings\Sue\Local Settings\Temp\Window Schedule.doc
TOWN OF QUEENSBURY �3y4iste
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # �� 1�,
Fee Paid,,)
AU61g93
Date: Reviewed by
LOCATION OF PROPERTY FOR INSTALLATION: % 'A)
Owner's Name: C:+tlt['i 7t
iZ � <—?'Svc ..%—#..t
Owner' s Mailing Address: 5- Ne,ra �,,, „ nVSkl ,,f,�
Installer's Name: j- Ha , `_ 72, Phone #:
Number of bedrooms (if residential ): 3
Total daily flow (residential-compute @ 150 gal . per bedroom):
Topography-Circle One: lat Rolling Steep Slope % of Slope
Soil Nature-Circle One: and Loam Clay Other /Depth:
Ground Water-At What Depth? Feet
Bedrock or Impervious Material-At What Depth? Feet
Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: Munici al ' Well Other
If domestic water supply is a wet T -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench 6o feet//Total System Length n feet
Seepage Pit(s): Number of / Size each: ft. x ft.
Size of Stone to be used: # / Depth or Thickness feet
**************
HOLDING TANK SYSTEM IF REQUIRED
No. of Tanks Size\of Each Gal .
Alarm system and associated electrical work to be inspected by a certified
agency.
****************
I have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: '� � �i' DATE: 2,111
-none: l31B1 /61-&b6 hAX: (516) /45-443/
Principal Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder C / oa .✓ Owner: 1 )h��l
Address: Address: Zk
2 F 2 _Ri�z
Home Phone: 1z Home Phone:
Email Address: St 4 y��,. ��N �z,. Email Address:
u
Cell Phone: Cell Phone:
FAX Phone: 9 9,F1 Z FAX Phone: '"
Person responsible for supervision of work with respect to building and codes compliance: JUL 1 2 21105
Name:
TOWNr-,°���,' Y
Address:
Location of proposed construction: Lot No. Legal Address: l 2
Tax Map Number:Sag, 10-13 Subdivision Name:�4,of4l�
v� 5��0 tin
Estimated Cost of Construction: $ J q 7 5
Proposed construction is for: Residential Use _Cpmmercial Use ° ,V 6�l r�C�
/'0,��
Name of Business: n
If proposed construction is an addition, what will use of new addition be?
a�c�s s
New Addition Alteration Proposed Construction 10 Floor 121d floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. Sq.Ft. Square feet Height
Ft. &in.
Single Famil Dwelling
Two-Fa Dwellin
Townhouse
Multifamily Dwelling
Number of Units: i
Office
Mercantile
manufacturing
Other:
Attached Garage 1, 2, 3 ate-Cd,Q
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other:
If a fireplace and/or woodstove are being installed, please refer to a separate application.
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the 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 Codes, 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 I/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, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of all new construction.
Date: �� U5 Applicant/Builder Signature:
The application of dated is hereby approved and
permission granted fo4;r:��
tion, reconstruction or alteration of a building/and or accessory structure as set
forth above. Date: Authorized Signature:
L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm DepartZ am/pm
Date Inso-ction request received: — Inspector's Initials:
�/J)&I P,9
NAME:
PERMIT#.
LOCATION: DATE:
TYPE OF STRUCTURE: —
Co m en
Yes No NIA J
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location �z�j
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 e
Guard at stairwell at 34 inches or more r`� /I dia
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 . ft.-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 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 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 Certification,if required
Okay to issue C/C or C/O Temporary/ rmanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,
Main Office 176 Doe Run Road-Manheirn,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. N2 93338 Cut-in Card No....................................
owner..................VAA-A.............W..M45-.U--/.......................................................................................
Location...............LF........ ......1-.A.............................(M..0.. ?V
[nstallation Consisting of....A.t2..a..,.r1A1.x..... ........... lzs .r.......... V. /........
...........I....../—
.........................................................................................................................
..................................................................................................................................................................................
Installed ByALk_..'/
(...... 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 promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspection's at any time, and if its
-ules are violated,the Company shall have the right to revoke this certificate.
:)ate.... .................. INSPECTOR... .. ...........................
Queensbury Building & Code Enforcement - Residential Final Ins on
Office No. (518)761-8256 Arrive: am/p Depart:, am/pm
Date Inspection request received: Inspector's Initials: A„�
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake /
3 inch Plumb Vent through roof minimum 6" /
Roof Complete/Exterior Finish 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
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 'i/2" �c\/�•
Gypsum
Grade away from foundation 6 in.with 10 ft. l
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade l� �
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 M ,�
Relief Valves installed/Heat Trap/Water Tern 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: / 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/1/4 hour fire door/door closer
Duct 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, I s . ft.-150 s . ft. vents
Building No./Address visible froVi roa
Final Electrical ID16
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/O Temporary/Permanent
4,i V
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Rough Plumbing / Insulation Inspection Rep rt
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: f
NAME: Ler-c& PERMIT #: C. S 5 sC"
LOCATION: I `►^e ' INSPECT ON: c v.5
TYP F STRUCTU E: z
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
nsulatio esidential 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&CodeAnspection Forms\Rough Plumbing Insulation Report-revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: '+
Queensbury Building & Code Enforcement Arrive: am/prn Depart: �` - am%pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #:
LOCATION: INSPECT ON: 17
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
Insulation 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\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspection Repo
Office No. (518) 761-8256 Date Inspection request received: 7
Queensbury Building & Code Enforcement Arrive: am/ m Depart: a /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #: _�� ��
LOCATION: INSPECT ON — --C
TYPE OF STRUCTURE:
Y N N/A
ou h Plumbing J Nail Plates `l
Plumbing Vent/ Vents in Place l
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet change of direction
Pressure Test
Drain / Vent
�Fir'
. ad
.S
10 ft. above highest connection for 15 minutes
NPreTsure Test
Water Supply Piping
Air / Head
5 .S.I for 15 minutes
sulation 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\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report 1
1
Office No. (518) 76 i-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: a m Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: � PERMIT#: �l
LOCATION: 1NSP CT ON: �s
TYPE OF STRUCTURE:
raining Y N N/A COMMENTS
Attic Access 22"x 30"minimum VT
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 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 '/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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RESchecke Web : 71-
vera wright--Code: 1995 MEC
Cavity Continuous
Ass enn401y Grass Area R-Value R-Value U_Factor
1 Ceiling: Flat or Scissor Truss 240 ft2 38.0 38.0
2 Wall: Wood Frame, 161n. o.c. 336 ftZ 19.0 19.0
3 Window: Vinyl Frame, 2 Pane wJ Low-E 36 ft2 0.350
4 Door: Solid 22 ftZ 0.350
5 Floor: All-Wood Joist/Truss Over Uncond. 240 ftZ 19.0 19.0
SFace
http://energycode.pnl.gov/RESQheckWeb/envelope.jsp 7/12/2005
MAP REFERENCE:
HERALD SQUARE PHASE II
BY VANDUSEN & STEVES I HEREBY CERTIFY TO
WIWAM E. WRIGHT - wARLEa Co L��n` �E✓. �[Q.
DATED MAY 1992 GLENS FALLS NATIONAL BANK AND TRUST COMPANY,
REVISED MAY 21, 1992 IT'S SUCCESSORS AND/OR ASSIGNS
CHICAGO TITLE INSURANCE COMPANY
THAT THIS MAP WAS MADE FROM AN ACTUAL SURVEY ON
THE GROUND ACCORDING TO RECORD DESCRIPTIONS AND
SHOWS LOCATIONS OF BOUNDARIES AND IMPROVEMENTS
ON THE PREMISES AND THERE ARE NO ENCROACHMENTS
OTHER THAN SHOWN.
LEON M. STEVES
DATED: SEPTEMBER 22. 1993
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