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2005-718
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE 4F OCCUPANCY Permit Number. P20050718 Date Issued: Thursday, December 21, 2006 This is to certify that work requested to be done as shown by Permit Number P20050718 has been completed. Tax Map Number. 523400-226-019-0001-082-000-0000 Location: 226 LAKE Pky Owner. JASON MAYNARD Applicant: JASON MAYNARD 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 r: 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: P20050718 Application ber. A20050718 Tax Map No: 523400-226-019-0001-082-000-0000 Permission is hereby granted to: JASON MAYNARD For property located at: 226 LAKE My in the Town of Queensbury,to construct or place at the above location in accordance with application together wiqti pl plans nd other information hereto filed and approved and in compliance ' the NYS Uniform Co the QueensburyZoning Ordinance. T e of Construction Value Owner Address: JAS N MAYN RD Residential Alteration $50,000.00 A : DEBO RU Total value 2 OAKVIE Dr $50,000.00 . EDW 128 8- 0 0 Contractor or Builder's Name Ad ss Electrical Inspection Agency CREATIVE CONSTRUCT N WILLIAM DEAN 248 SLY POND Rd FORT ANN,NY 12827 Plans &Specifications 2005-718 RESIDENTIAL ALTERATION TO 2-CAR DETACHED GARAGE NEW WINDOWS AND REFRAMING OF 1 WINDOW $40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 21,2007 (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 thown Que r dnesday, September 21, 2005 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050718 Application Number: A20050718 Tax Map No: 523400-226-019-0001-082-000-0000 Permission is hereby granted to: JASON MAYNARD For property located at: 226 LAKE Pky 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: JASON MAYNARD ATTN: DEBORAH CARUSO Residential Alteration $50,,00. 0 27 OAKVIEW Dr Total Value $5000000 FT. EDWARD, NY 12828-0000 Contractor or Builder's Name / Address Electrical Inspection Agency CREATIVE CONSTRUCTION WILLIAM DEAN 248 SLY POND Rd FORT ANN, NY 12827 Plans& Specifications 2005-718 RESIDENTIAL ALTERATION TO 2-CAR DETACHED GARAGE NEW WINDOWS AND REFRAMING OF I WINDOW $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 21, 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 To of Q ensb ; /� *@hT, September 21, 2005 SIGNED BY ��Y1 for the Town of Queensbury. Director of Building&Code Enforcement WINDOW SCHEDULE Job Site/Address: Date: ` c Owner: Appitcation No. Window Window Window Unit or Rough Rough SQ.FT. SQ.FT SQ.FT. Clear Clear Special Hardware Number or Manufaturor, ModeiiType Stock Openin Opening Giass/Vis Egress/Cle Opening Opening or Instructions Letter on Name Numbe g Height able Vent ar Width In Height Plan Call Width Light Opening Inches In Inches Size �t tl 2044P ti tt Example ,Entry A Andersen Ilarrollne 3062 3' 2 6'5 '/s 15.30 8.36 6.01 34 2415/35" Tempered Double 113" 11116 Glazing Hun C:\Documents and Settings\Suo\Local Settings\Temp\Window Schedule.doc S`P -Q 7 2DO5 WINDOW SCHEDULE P Job Slte/Address: Date: Owner: 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 Openin Opening GlassNis Egress/Cle Opening Opening or Instructions Letter on Name Numbe g Height ible Vent ar Width In Helght Plan Call Width Light Opening inches in inches Size 0 i ( � I< Example Entry A Andersen Narrollne 3062 3' 2 6'51 15.30 8.36 6.01 34 241S/35" T /2 empered Double 1/3" 11/16 Glazing Hun C:\)ocuments and Settings Sue\Looal Settings\Temp\Window Schedule.doo 3 E � }iC & �lii b � ✓lr Permit No. Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid f 742 Bay Road,Queensbury,NY 12804 Dave Hatin, Director codes@queensbury.net Phone: (518)761-8256 FAX: (518)745-4437 . Accessory Structure Building Permit Application Application & Plans subject 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 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 t�� f�n/_Cr_lsd*0e_ Owner: Address: Address: q Home Phone: jg=7 9 ��{ / f�' Email Address: Email Address: Cell Phone: i7 'd Cell Phone: MCI FAX Phone: FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: Name: �� . Address: © c Phone f location of proposed construction: Lot No. Legal Address: Tax Map Number: Subdivision Name: Estimated Cost of Construction: $ �Owl / Does an accessory structure currently exist on the property? _Yes / XNoJ�G If YES, list all existing accessory structures: Proposed Construction 1=t floor 2nd floor Total Proposed Height sq.ft. sq.ft. Sq. ft. 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 0 DOCK -!!F i Shed Pole Barn Detached Garage 1 n 3 car :ZAar ?(J Other Accessory Structure: '" i J 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 s a , showing actual location of all new construction. The application of dated "'�'— �is hereby approved and permission granted or the constr ion, reconstruction or alteration of a building/and or accessory structure as set forth above. f Date: 5 CD )Authorized Signature: H:\Barb's Work\FORMS-WEBSITE\Original Building.Permit.FORMS\Accessory Structure Permit Application.doc V:12/28/04 Marshal's Office i Town of Queensbury,742 Bay Road,Queens6ury,NY _ (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date — 20-0-5, Permit No. 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 appropriate words) Narne:__R,A1 13 n A Stove: wood coal pellet gas Fireplace insert Address: Fireplace, factory-built: wood gas ' - Fireplace, masonry: woo gas Furnace: wood gas oil Phone: f<I— If non-masonary applicance, please provide Owner: Manufacturer Name: 14 QCAJ_*Me� cad� Address: Model Number: Chimney Information Ph (circle a ropriate words +i y l�t4sonry loc brick stone Flue tt e steel sized tg`�inches Exact Address: a P o r 1A 0 of construction or installation Factory-Built Manufacturer name: 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 / hisulated / Direct venting Chimney Liner -- i Fire Marshal Code# $Collected $Refunded Received front (refunded to): address: A 173 3389 (190) Public Safely A 233 2655 (230)Minor Sales DATE . cvTwu— louw. of �o�a1 White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.), / fink&Goldenrod(Cashier's Dept.) C y DURABLE GENERAL POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM THE POWERS YOU GRANT BELOW CONTINUE TO BE EFFECTIVE SHOULD YOU BECOME DISABLED OR INCOMPETENT. CAUTION: THIS IS AN IMPORTANT DOCUMENT. IT GIVES THE PERSON WHOM YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY DURING YOUR LIFETIME, WHICH MAY INCLUDE POWERS TO MORTGAGE, SELL, OR OTHERWISE DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. THESE POWERS WILL CONTINUE TO EXIST EVEN AFTER YOU BECOME DISABLED, OR ' INCOMPETENT. THESE POWERS ARE EXPLAINED MORE FULLY IN NEW YORK GENERAL OBLIGATIONS LAW, ARTICLE 5, =E 15, SECTIONS 5-1502A THROUGH 5-1503, WHICH EXPRESSLY PERMIT THE USE OF ANY OTHER OR DIFFERENT FORM OF POWER OF ATTORNEY. THIS DOCUMENT DOES NOT AUTHORIZE ANYONE TO MAKE MEDICAL OR OTHER HEALTH CARE DECISIONS. YOU MAY EXECUTE A HEALTH CARE PROXY TO DO THIS. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU. This is intended to constitute a DURABLE GENERAL POWER OF ATTORNEY pursuant to Article 5, Title 15 of the New York General Obligations Law: I,Jason E.Maynard,residing at Apartment 2A,1-3 Pollock's Path,Peak.Hong Kong SAR,China (insert your name and address) do hereby appoint Mark Maynard residing at 26 Alma Avenue,Hudson Falls New York 12839 (If 1 person is to be appointed agent,insert the name and address of your agent above) (If 2 or more persons are to be appointed agents by you,insert their names and addresses above.) my attorney(s)in-fact TO ACT (If more than one agent is designated, CHOOSE ONE of the following two choices by putting your initials in ONE of the blank spaces to the left of your choice:) ( ) Each agent may SEPARATELY act. ( ) All agents must act TOGETHER. (If neither blank space is initialed,the agents will be required to act TOGETHER) IN MY NAME, PLACE AND STEAD in any way which I myself could do,if I were personally present,with respect to the following matters as each of them is defined in Title 15 of Article 5 of the New York General Obligations Law to the extent that I am permitted by law to act through an agent: (DIRECTIONS: Initial in the blank space to the left of your choice any one or more of the following lettered subdivisions as to which you WANT to give your agent authority. If the blank space to the left of any particular lettered subdivision is NOT initialed,NO AUTHORITY WILL BE GRANTED for matters that are included in that subdivision. Alternatively,the letter corresponding to each power you wish to grant may be written or typed on the blank line in subdivision"(Q)",and you may then put your initials in the blank space to the left of subdivision"(Q)"in order to grant each of the powers so indicated.) ( ) (A) real estate transactions; ( ) (B) chattel and goods transactions; ( ) (C) bond,share and commodity transactions; ( ) (D) banking transactions: ( ) (E) business operating transactions; ( ) (F) insurance transactions; ( ) (G) estate transactions; ( ) (H) claims and litigation; ( ) (1) personal relationships and affairs; ( ) (I) benefits from military service; ( ) (K) records,reports and statements; ( ) (L) retirement benefit transactions; ( ) (M) making gifts to my spouse,children and more remote descendants,and parents, not to exceed in the aggregate$10,000 to each of such persons in any year; ( ) (N) tax matters; ( ) (0) all other matters; (P) full and unqualified authority to my attorey(s)-in-fact to delegate any or all of the foregoing powers to any person or persons whom my attomey(s)-in-fact shall select; each of the above matters identified by the following letters: A,B,AE,F,H,I,K,N,and 0 (Special provisions and limitations may be included in the statutory short form durable Power of Attorney only if they conform to the requirements of Section 5-1503 of the New York General Obligations Law.) This durable Power of Attorney shall not be affected by my subsequent disability or incompetence. If every agent named above is unable or unwilling to serve,I appoint (insert name and address of successor) to be my agent for all purposes hereunder. TO INDUCE ANY THIRD PARTY TO ACT HEREUNDER,I HEREBY AGREE THAT ANY THIRD PARTY RECEIVING A DULY EXECUTED COPY OR FACSIMILE OF THIS INSTRUMENT MAY ACT HEREUNDER,AND THAT REVOCATION OR TERMINATION HEREOF SHALL BE INEFFECTIVE AS TO SUCH THIRD PARTY UNLESS AND UNTIL ACTUAL NOTICE OR KNOWLEDGE OF SUCH REVOCATION OR TERMINATION SHALL HAVE BEEN RECEIVED BY SUCH THIRD PARTY,AND I FOR MYSELF AND FOR MY HEIRS, EXECUTORS, LEGAL REPRESENTATIVES AND ASSIGNS, HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS ANY SUCH THIRD PARTY FROM AND AGAINST ANY AND ALL CLAIMS THAT MAY ARISE AGAINST SUCH THIRD PARTY BY REASON OF SUCH THIRD PARTY HAVING RELIED ON THE PROVISIONS OF THIS INSTRUMENT. THIS DURABLE GENERAL POWER OF ATTORNEY MAY BE REVOKED BY ME AT ANY TIME. UNLESS SOONER REVOKED,THIS POWER OF ATTORNEY SHALL EXPIRE THIRTY(30)DAYS FROM THE DATE HEREOF, In Witness Whereof I have hereunto signed name this day of e,2005. (You sign here:)-+ � Jaso aynard (Signature of Principal) ACKNOWLEDGMENT: cam c..d d� Odw stria dAmrm $i>: Ho one t&%XM } ss.: [Insert S e,District of Columbia,Territory,Possession or Foreign Country] a On the�day of June,in the year 2005 before me,the undersigned,personally appeared Jason E.Maynard, persortally knovr;te me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within mstr unent and acknowledged to me that he executed the same is eapaoity&at by his signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument,and that such individual rnade such appearance before the undersigned in Hong Kong [Insert the City or other political subdivision and the state or country or other place the acknowledgement was taken] Signature: Name: - Office: Rea]EstateTOA13772Maymr dPOA6-3-05 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: ' am/p �}�epart: am/pm Date Inspection request received: Inspector's Initials: / NAME: AWW-0 _ PERMIT#: _� / LOCATION: et 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 Co m lete Guard 30 in.or more a�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 %2" 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 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 Tenip 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/'/.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 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 Ok!y to issue C/C or C/O Temporary/Permanent L:\PamW\BuildinQ&Codes\lnsvection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 ZS #/,7_gs Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive. am/pm �D✓: am/pm Date Inspection request received: Inspect s Initials: NAME: PERMIT#: � LOCATION: DATE: TYPE OF STRUCTU 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 Com lete 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 �t� Grade awayfrom 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 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 fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Gj4ss E losure Final Electrical O Final Survey Plot PlqA 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 Tem or /Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Framing / Firestopping 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: 7/8 NAME: PERMIT#: LOCATION: INSPECT ON: —' TYPE OF STRUCTURE: Y N N/A COMMENTS 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 %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 LASueHemingway\13uiIding.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 29,2003 Page I of 1 _r R r, TOWN t--)F Ot..'�.-ENSSSURY BUILU?;",IG &I COC)E� DEPT. 1v kA- DA-T E _ � 1 http://gby2svr/GIS/RPSI/T000007/TOOOI 54.JPG 9/7/2005