2004-170 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: P20040170 Date Issued: Tuesday, April 27, 2004
This is to certify that work requested to be done as shown by Permit Number P20040170
has been completed.
Tax Map Number: 523400-295-018-0001-027-000-0000
Location: 44 WILLOW Rd
Owner: JOSEPH & STEPHINE MURIN
Applicant: JOSEPH & STEPHINE MURIN
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Porch /I zt
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: P20040170 Application Number: A20040170
Tax Map No: 523400-295-018-0001-027-000-0000
Permission is hereby granted to: JOSEPH& STEPHTNF,M[TRTN
For property located at: 44 WILLOW 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: JOSEPH& STEPHINE MURIN
44 WILLOW Rd Fireplace
QUEENSBURY NY 12804 Porch $12, 00
Total Value $12,000. 0
00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-170
256 SQ FT 3-SEASON PORCH
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 14, 2005
(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 Tor 77)e:sb ; d ,April 14,2004
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only)
Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling;
Multi-:Family Dwellings(3 Stories or less)
Part 4*-Design by Component Performance, Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area square feet
2. Type of heat- Electric Oil Gas Other
3. Is building mechanically cooled? yes X No
4. Percentage of area of windows and doo 5e Over 17% Under 17%
` 5. R-VALUES FOR INSULATION GIVE EL OW MUST CORRESPOND TO R VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 3 v
b. Exterior walls R/_
C. Glazed areas R
d. Exterior doors R
e. Floors over unheated spaces RJR
f. Edge of slab on grade(heated buil ' g) R
g. Basement/cellar walls (above de) R
h. Basement/cellar walls ow grade) R
i. Heating/cooling-ducts-piping in unheated space 1 R
6. Service(domestic)hot water heating device
Conforms to minimum efficiency per code Yes ', No
TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED
A plicant's Si a� Date Phone Number
SPECTOR'S REMARKS:
1
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY.
(518)761-8205
Application for Fuel Burning Appliances.& Chimneys
applicable to solid fuel & vented gas appliances
Date U / , 20jr7-)4 Permit No.
9
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 till conditions that are part of
these requirements and also will allow all inspectors to enter premises to per form required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Stove: yvood}, coal pellet gas
Name: r
Fireplace insert
Address: t:. 1 Fireplace, factory-built: wood gas
Fireplace, masonry: wood , gas
' Furnace: wood gas oil
Phone:. ar
If non-masonary appli.cance, please provide
Owner: ,.1r <; , - ''. r'+� , :. :.� Manufacturer Name:
Address:
/ Model Number:
�. ,.;
Chimney Information
Phone: ' %` (circle appropriate words)
r Masonry block brick stone
I-
Flue tile steel, size: f inches
Exact Address:
of construction or installation Factory-Built
Manufacturer name:
Model Number: "
Note: Listed By: Number: , ,.�
Construction/Installation must -"
con orm to NYS Fire Prevention &Building ;� Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
,Handouts regarding required inspections. ,: Double wall Triple wall / Insulated / Direct venting
Chimney Liner
Qa,c�rh�ter',sr Depaz�tment--To�� of Que���abury, .New�'"orli:
Fire Marshal Code# $Collected $Relirnded Received from(refunded to):- r`•=
• �y
address: _
A 173 3389 (190) Public SuJEty - �-
A 233 2655 (230)Minor Sales r
DATE: c J , ;,�.., t
/'
r .:c / 2
" � �wR�wLa- lOwn. VWU�02 � O
j ,j"� White(Applicant). / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&.Goldenrod(Cashier's Dept.)
Building 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. permit File No.��0 ,�'-/7�j
No inspection will.be made until applicant has received a Fee Paid �T�r(-
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
Applicant: .To S e M r;14 - Owner: -F� 15,/-r
Address: i Address: vv 4v;ielo i-, fc
✓�cis ov)^ Y I�Ya(/ �v S)0 y�—Yi Ny) d'd�j
Phone#(-iy) 7& ! - v_ Phone#(s` ) �-
Property Location: Lot Number: 7z / House Number y�/-/ Gc/,'/lam u. )2:Z
Subdivision Name: T/L Tax Map Number: ,2 •-/ 7-2 7
D New Building: residence /commercial Estimated Market Value of Construction:$ i.0
00
a " Addition: residenc� commercial
�: If an Addition,what will use of new addition be?
/c Alteration: xes dance/ commercial S v n 'Po rc A (tire, -SG..
0 No change to exterior size: residence/com'l '
to Other work(describe )
Check OccupancyWormation 1' Floor Z° Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
O Single family dwelling 1411_�-0
o Two family dwelling
o Townhouse
u Multifamily dwelling
#of units
o Office
o Mercantile
o Mmufacturin
0 1 oar detached garage
G 2 car detached garage
a 3 oar detached garage n _. g-n .,7rr-k
o 1 car attached garage ®s=m%-,L-u V --
0 2 car attached garage
v 3 car attached garage t ` 2UU4
u Storage building- TOWS Lr �t E Y
commercial pi I Inirn .,ry r?C, n
o Storage building- - - - -
residential
o Other
What is the proposed height of the structure I } feet inches
Will any second-hand or ungraded lumber be used? If so,for what? 61 el
Type of Heating System: electric/ oil / gas/wood 1!forced hot air/ baseboard!other:
Number of Ftt-evlaces to be installed _�_ Number of Woodstoyes to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder - !-,iA -k-ej-) r t ,<ll, (-
Plumber
Mason
Electrician
12egIgMto_n 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 work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe 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 Sitrvev by a licensed surveyor;drawn to scale,showing actual
location of all now construction.
Signature: �l/,fig/✓L/ %ice r� __ owner,owner's agent,architect,contractor
U � '
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.100y
Main Office 176 Doe Run Road-Manheim,PA 17545 /
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 7
Permit No.................. ...................Cert. NO 76042 Cut-in Card No.....................................
. o f1�1 .. lal
Owner................................................................................................................................................
cr p�
Location......... �Q�
Installation Consisting of... ........... . ...................
................................�� :�.....:...�'.'�°e�d�...� � ....
............................... ........:... . .................... ..............................................................
Installed B ...................................... Lic.No.
y........................................................................................... .................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall b romptly made for inspection.
= i
Inspectors of this Company shall have the privilege of maki pections at any time, and if it,
rules are violated,the Company shall have the right to.re ke this ce ' "cafe
Date.... Z
vn��77Q.y............... INSPECTOR..............................................................................................
Member N.F.P.A.,I.A.E.I.
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: )Z't,'�am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: r PERMIT#:
LOCATION: Y�.: /::% INSPECT ON: 41NAY
TYPE OF STRUCTURE:
Y N N/A Framing COMMENTS
�b� .
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly ( Gz-
12" O.C. �
Headroom 6 ft. 8 in. cam
� U�� / /�'
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
lee 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 %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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
R
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&x Code Enforcement Arrive: .1 am/pm Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: a 7
LOCATION: CILI O&JI, DATE: 2'7
TYPE OF STRUCTURE:
Comments
YY N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through r_oof
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
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.c 24 in X 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 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
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C/O(Gerf"Rf-Ot;�ti is
Okay to issue Permanent C/,0(Cert. Of Occu c
L:1SueHemingway\Building.Codes. spection. RIv1S�Res.Final Insp.form 2.doe edited January 28,2003
Framing /Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins ect pn request received:
Queensbury Building&Code Enforcement Arrive: !11 am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON: l>
TYPE OF STRUCTURE:
Y N N/A Framing COMMENTS
j,
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 3 6 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 11/2 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\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: 3rO am/pm Depart:--am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON: z. L'3 cI
TYPE OF STRUCTURE:
Y N/A Framing COMMENTS
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 �� , /7Cdjuil(
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
LASueHemingwayU3uiIding.Codes.Inspection.FORM STraming Firestopping Inspection Report.doe January 28,2003
A . �U r/G.: G �y,'y p� ,c`[D (�vLc'l,'FC.' ;
ld -
�3� �' ����`� �- . .2- 3 v �Hsu t.A-r'-ior� •
` apIML
5
.-
1 1'J I PJ
; sU � C IV ®.
APR `1 2 2004
OF QUELNSBURY
Y EVI 5TG�5 lI DI,NG AND CODE
vq
- ally LonIT
',�"�►c`�, lG`�0+ .'
- as .01NrG PARTM
t exa - '"
ot
iftn
I c nation
a r +nme shall
- full
�. building odes
lwc
_. - -
f i �
i
�-
tJ '�
.f
Vj
Co
112
aG S6�5
SO4
1
1 , 14
61-17)a- 54 �r -
\ d/ 4 / ,`tom': -�
i
,
,
90-7
0�' � .
o
0'1
s
CJ
l "Unaudwrized alteration'or addition to a survey '
map bearing a licensed land surveyor's seal is a
- violation of section 7209, sub-division 2, of die
1! _s
at-...SVJ_ o.�Li.r-_�'v.!...." �iN Est O r QL/E t il�S$C/1l�l� SvaO/Y/.S•/O
l - '. � �Y t/ti Dutch { Srt✓cam IA"
"O nly topics from the original of this survey
marked with an original of the land surveyor's �«o slt j✓L4 A
seal shall be considered to be valid true copies."
C CcrZiGeations indicated hereon signify that this-
-survey was prepared in accordance with dic ex-
�� isdna Code of Practice for.Land Surve,s adopted
2 by die New York State Association of P-c-fessional
L-tnd Surveyors.Said certifications shall run only
to the person for whom tic sunny is frcparcd,
and on his behalf to die tide company,go rcrruncn_
tat agency and Icnding institution listed hereon,arn-
U�as:ign= ding institution.
'V r\.! Rou
V _
i
Sy
s ' !
v[f ,7�
REC u �
Q �VED c
� / i APR 0 92004
t� TOWN OF QUE
E ENS �
f' c7 M
l ,
` Z MAP OF A SURVEY MADE FOR
JOSEPH T. & S TEPHANIE MURIN
e4r4A TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK
SCALE : f" = 30' DATE : JANUARY 28 , 1987
4i
VonDusen & Steves
yaw' s
LAND SURVEYORS , GLENS FALLS , NEW YORK
N. Y. STATE LIC. NO. 35617
07- ems/