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2005-822 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. P20050822 Date Issued: Friday, January 12, 2007 This is to certify that work requested to be done as shown by Permit Number P20050822 has been completed. Tax Map Number. 523400-316-010-0001-001-000-0000 Location: 328 BIG BOOM Rd Owner. MARK NELSON Applicant: MARK NELSON 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 L%forcelfilent Planning Board or Zoning Board of Appeals. 'Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Dept_ of Community Development Permit No. C` iL Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: _ ` kvltA,% Awl' Property Owner's Name: 1A 44Q1k p Property Owner's Mailing Address: lb Ln pl ti\€�c ukz Installer's Name: XC 4VA7-16)G Phone # �� � �3 ��J�tT✓ � Number of bedrooms (if residential): Total daily flow: 5() J (residential - compute @ 150 gal./bdrm.) Topography: y flat, rolling, steep slope % of slope Soil Nature: J sand, loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet Percolation test: 4 not required, required [rate min. per inch Domestic water supply: y municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank: 1000 gallon (minimum size: 1,000 gal.) Tile field: each trench 5 0 feet ! Total system Iength: feet Seepage pit(s): number of / size each: R by ft. Size of stone to be used: # / depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm systems and associated electrical work to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Qwensbury, any permit or approval granted which,is based upon or is granted in reliance upon any material ins reprawatation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queeusb—y Sanitary Sewage Disposal Ordiasaca. Signature of responsible person: Date: -9/29M— Permit No. 1. 3uilding &Codes Office-Department of Community Development-Town of Queensbury Fee Paid 742 Bay Road,Queensbury,NY 12804 Recreation F Dave Hatin,Director codes@Queensburv.net Phone: (518) 761-8256 FAX: (518) 745-4437 Principal Structure Building Permit Application Application & Plans subiect 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 appiic do forXjt � Applicant/Builder w-, Owner: - -3,�J Ck om . Address: ). ` Address: r e/%)�1 �\1PIA ? , Home Phone: 5 t4s - 7 S-- -2 3 0 7 Home Phone: _5nxv+nr . Email Address: Email Address: Cell Phone: Cell Phone: FAX Phone: FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: Name: v k a .&)C I �--)()Y1 Address: -,,)cx Y`c-e- Phone ; ,x- ,, n 2 Location of proposed construction: Lot No. Legal Address: ,' ;6 )?=M f--r Tax Map Number: l (0 •1 1-- f—Subdivision Name: Estimated Cost of Construction: $ 6CCO.°c Proposed construction is for: vResidential Use ,Commercial Use Name of Business: if proposed construction is an addition, what will use of new addition be? New Addition Alteration Proposed Construction 10 Floor 2^d floor Other Total Proposed structure (Occupancy Type) Sq. Ft. sq.ft. Sq.Ft. Square feet Height Ft.&in. Single-family Dwelling7 Two-family Dwellin Townhouse Multifamily Dwelling Number of Units: Office Mercantile Manufacturin Other: Attached Garage 1, 2, 3 Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other: Is a fireplace and/or woodstove being instailed, please refer to a separate application. _Yes _No 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: �a i Sl o Applicant/Builder Signature: The application of M raP 3/ L led permission granted for the construction, reconstruction or al ratio o uild' -�Is hereby approved and forth above. / d or accessory structure as set Date: 1 X� 1—n�quthorized Signature: L:\Sue Hemingway\Buiiding.Permit.FORMS\Principal Structure Permit Appli tion.doc V:`2/14/04 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20050822 Application Number: A20050822 Tax Map No: 523400-316-010-0001-001-000-0000 Permission is hereby granted to: MARK NFL SON For property located at: 328 BIG BOOM Rd in the Town of Queensbury,to construct or place at the above location ui 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. Tyne of Construction Value Owner Address: MARK NELSON JOY BARTH Residential Alteration $3,000.00 Total Value $3,000.00 328 BIG BOOM Rd QUEENSBURY, NY 12804 Contractor or Builder's Name / Address Electrical Inspection Agency Plans&Specifications 2005-822 RESIDENTIAL ALTERATION TO BASEMENT $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, November 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 Queens ury; "Jo day, November 21, 2005 k SIGNED BY for the Town of Queensbury. Director of Building Code nforcement Queensbury Building & Code Enforcement - Residential Final Inspection Offic No. (518)761-8256 Arrive: am/pm Depart: 11;ZPm Date Inspection request received: Inspector's Initials: 9 NAME: :�? �t�. PERMIT#: — LOCATION: DATE: TYPE OF STRUCTURE: 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/WindgN in stairwells safety glazing Interior Smoke De t tors: Every level: Ev Bedr m: Outside every bedroo rea: 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 Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Tern 110 Enclosed Stairs Sheetrock Underside minimum%s"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 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 I OK Okay to issue C/C or C/O[Tempor /Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc -// /Y10I jut" 7 le-06 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: NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCT Framing Y N N/A COMMENTS 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 '/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 %inch or 5/8 inch Type X e side 5/8 inch Type X e' t ' wall Windows Ha table Space/Bedrooms 24 in. m.(W) 5.7 sf above/below grade 5.0 sf grade Queensbury Building & Code Enforcement - Residential Final Inspection Office No. 518 ( )761-8256 Arrive: am/pm �D}e�part-: �amm/p Date Inspection request received: Inspector's Initials:�^I_- / NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: 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 l� Guard at stairwell at 34 inches or more � Guard at deck,porches 36 inches or more c� 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 P Interior privacy!trim/doors/main entrance 36 inches C 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 Tern 110 Enclosed Stairs Sheetrock Underside minimum'/z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fire roofin /%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/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised I00405.doc --tom.me-n� 1-1 na r r Ia v\ NorS/-A 1()k9 y 7j aL4s �i�c �DO vY'� 1�cV RP-��1�► �D tJD�\U�- ���ErC�TO�-- N n> N 7J V N 03 vx � k I' ®U tA , o Lo 5 uT, w NOTICE �'4' X M --__ en AGENT �rirru vr�-utv�rrty vrrz.�r --_ TOWN (� QUEENS Y INCLUDING CELLAR OR BASEMENT.ALL SMOKE F: DETECTORS SHALL BE INTERCONNECTED.D�t,.AIL LEUELS.•° -� ALL SMOKE DETECTORS MUST BE BATfERX',BACKUP. d" m BUILDING & � CARBON MONOXIDE DETECTOR REQUIRED OUTSIDE REVIEWED D LOWEST SLEEPING LEVEL. �,�i � 4 Z005 DATE _ - „.y ^ 4C/