2004-351 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: P20040351 Date Issued: Monday, October 18, 2004
This is to certify that work requested to be done as shown by Permit Number P20040351
has been completed.
Tax Map Number: 523400-309-005-0001-012-000-0000
Location: 412 SHERMAN Ave
Owner: GERALD & LOUISE NUSSBAUM
Applicant: GERALD & LOUISE NUSSBAUM
This structure may be occupied as a:
By Order of Town Board
Porch 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: P20040351 Application Number: A20040351
Tax Map No: 523400-309-005-0001-012-000-0000
Permission is hereby granted to: GERALD &LOTTTSF,NTTSSRATTM
For property located at: 412 SHERMAN Ave
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: GERALD &LOUISE NUSSBAUM
412 SHERMAN Ave Porch $8, 0
Total Value $8,500. 0
00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
r
Plans&Specifications
2004-3 51
192 SQ FT PORCH
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 01, 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 Tow f Queensb Tuesday, June 01, 2004
SIGNED BY for the Town of Queensbury.
Director of Building _ od~ nforcement
Porch, Deck, Dock, or Boathouse 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, No LReviewed
:N.o:jQ1- 3 inspection will be made until applicant has received a valid ob
building permit. All applicants'spaces on this application must be
completed and must appear on the application form B
Applicant: '�11 i S W11 C ya�1 Owner: &�l�U� W SS(SAL f q
Address: C jZjZj 0 d Address:4 1'2_ He:W_vL4lJ Ac,
I- Jam/ yV.
Phone#(slE)�z- l 2 Phone -
Email Address: Email Address::
Person Responsible for Supervision of Work as Regards to Building Codes_:
Name Li�.t�, 1,S L-C�,`�C-Lrl Address: be IC 90 Ph6neoneZ
VLteC i lobj➢GU1L�C-_
Property Location: Lot Number: / House Number /
Subdivision Name: Tax Map Number:
Estimated Market Value of Construction:
)Er Porch A�rDo SGlee fj_3 gLW7 t4
❑ Deck
❑ Dock
❑ Boathouse
❑ Other work(describe
Size of structure to be built ) square feet '
i q '7
Submit along with this application:
1. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed
structure showing setback dimensions from all property lines. Show location of -
water supply and location and configuration of septic disposal area.
2. Two sets of structural-drawings. Indicate size of posts or studs, floor joists;- -
decking or flooring material to be used. Show how the porch or deck will be
fastened to the building. If a roof will be constructed,indicate the size of posts or
studs,roof rafter spacing and span. Indicate type of roof: sloped,flat, shed,or
} other. Indicate the type ofmaterial being used for the roof.
Declaration: 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 ofthe 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.
Applicant's signature: a Date: 7 f
L:1SueHemingway\Building.Permit.FORMSV'orch.Porch.Permit.doe 8/13/02 revised per DH
Queensbury Building & Code Enforcement - Residential Final Inspection Mm
1 �-
Office No.(518)761-8256 Arrive: am/p Depart: 1:1-4m/pm
Date Inspection request received: Inspector's Initials:
NAME: L� PERMIT#: ��(� �� 0� 1
LOCATION: d, DATE:
TYPE OF STRUCTUR : w �r
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 '/z"
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 Temp 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, 1 s . ft.-150 s . ft. vents
Building No./Address sible ro oa
Final Electrical
Site Plan /Varian a rd4uirecf
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
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545 J
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL �<
Permit No........................ ........Cert. 0860
5 Cut-in Card No...........................
Owner..........(.�.............................. 5�..................................................................................... ......................./.....
Location...7! Z Ea z-7& Arm
.........`.............�( ............�.....�................................................ ................
Installation Consisting of....�f l 7' '�C f cr j �r
. ........................................................................................................................�............................
....................................................................................................................................................................................
InstalledBy.......V,... (,. ...Lic.No.......................... ................................... ..................................................
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 be pr,raptly made for inspection.
Inspectors of this Company shall have the privilege of making i spec ions at any time, and if its
rules are violated,the Company shall have the right to r v e this ce ifica
Date....... INSPECTOR...................
........... ..............................................................................
Member N.F.P.A..I.A.E.I.
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection requ recei 7 1 A., 5
Queensbury Building& Code Enforcement Arrive: a p e, rt:'� am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials
NAME: PERMIT#:
1.
LOCATION: 'Alp INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N' N/A 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 % 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:\Sue Hemingway\Bui Iding.Codes.Inspecti on.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Framing./ Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received: `�r4
Queensbury Building&Code Enforcement Arrive: am/pr� e art am/pm
742 Bay Road, Queensbury,NY 12804 Inspectors Initials.
NAME: PERMIT#: �Q-1
LOCATION: INSPECT ON:
TYPE OF STRUCT RE: �c
Y N N/A COMMENTS
gaming ,
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"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 '/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
LASueHemingway\Building.Codes.Inspection.FORIVIS\Framing Firestopping Inspection Report.doc January 28,2003
V 'W
Foundation Inspection Report V ��
Office No. (518) 761-8256 Date Inspection request received: >�
Queensbury Building&Code Enforcement Arrive: am/pm Depart: ✓am/pni
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: (f�
NAME: PERMIT#: i
LOCATION: IN ON:
TYPE OF STRUCT .
Comments
Y N N/A
otin s
P' rs
onolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHeniingway\I3uilding.Codes.InspectionTORMSToundation Inspection Report.doc Janimy 28,2003
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TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination
our comments shall
compliance hue as indicating the
bee
'" -- Building Codes
pans and specifications are m full
•
compliance with the in C
of York-- - _ - o o State.
TOWN 0"
- BUILDING &
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FILE C
DATE
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