2004-269 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: . P20040269 Date Issued: Thursday, May,13, 2004 -
This in to certify.that_work requested to be done as-shown by Permit Number - P2'0040269
has been completed.. . . -
Tax Map Number: _ 523400-295-018-0001=027-000-0000
Location: 44 WILLOW Rd
Owner: JOSEPH & STEPHINE MURIN - l
PP
A hcant: JOSEPH & STEPHINE MURIN
This structure may be occupied as a:
By Order of Town Board
- - Shed/ Storage Sheds TOWN o QUEENSBURY
Director of Building&Code Enforcement
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. d
No inspection will be made until applicant has received a F®o paid $
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 ELL Owner:
Address: -C a, Address:
Phone# ) 76,1 Phone
pro Location: Lot Number: / House Number
ply
Subdivision Name:' Tax Map Number: as" /8-(-a O o
`. o New Building. residence /commercial 'Estimated Market Value of Construction:$
a Addition: residence/ commercial If an Addition,what will use of new addition be?
C Alteration: residence/ commercial
's a. No change to exterior size: residence/com'1
o Other work(describe )
Check Occupancylnformation 1` Floor 2° Floor Other floor_'- Total
Below sq.ft. - sq.ft. sq.it. 'Square Feet
o Single family dwelling
a Two PSk dwelling
c Townhouse
o Multifamily dwelling
#of units
a Office
o .Mercantile
a . Maaufactutin
0 1 car detached garage :
n 2 car detached rMse �� :ice fl'�t' .r
a 3 car detached prage
a 1 car attached garage viH f l'
0 2 car attached garage �...
0 3 car attached garage ,i i7ivrL)I,.C?>s' £ I;6 I.t<
a Storage building- V
commercial'
o Storage building-
residential
0 Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed Number of Wog dstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder
Plumber
Mason
Electrician
I)ed@Sfi411i please sip below after you have carefhlly 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,anAs Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: owner,owner's agent,architect,contractor
Framing / Firestopping Inspection Report
Office No. (51.8) 761-8256 Date InsP�ction request received:
Queensbury Building&Code Enforcement Arrive: W am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: a,,d,
NAME: u PERMIT#:
LOCATION: t' v 614172 14W INSPECT ON:
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
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
LASueHernin.-way\13ui1ding.Codes.Inspection.FORMS\Framino Firestopping Inspection Report.doc January 28,2003
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: r,2�40 am/p Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: ,I�cJls� PERMIT#: V7,24 5-
LOCATION: yL/ ;/, ,�, ;rx 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
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 late
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.x 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. Ins ection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C/O(Cert. Of Occupancy)
Okay to issue Permanent C/O(Cert. Of Occu anc
L:\SueHemingivay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003