2004-736 T
TOVN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCU. PANCY
Permit Number. P20040736 Date Issued: Tuesday, December 12, 2006
This is to certify that work requested to be done as shown by Permit Number P20040736
has been completed.
Tax Map Number. 523400-290-005-0001-019-000-0000
Location: BARTON PI
Owner. NAOMI POLITO
Applicant: NAOMI POLITO
This structure maybe occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QPEENSBURY
r
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 Enforcement
Planning Board or Zoning Board of Appeals.
T . TOWN OF QUEENSBURY
_j
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040736 Application Number: A20040736
Tax Map No: 523400-290-005-0001-019-000-0000
Permission is hereby granted to: NAOMT POT,TTO
For property located at: BARTON P1
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: NAOIVII POLITO
10 BROOKFIELD Run Residential Alteration
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builders Name /Address Electrical Inspection Agency
Plans&Specifications
2004-73 6
REPLACE ROOF
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 05, 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 n of Qltkensbury; Tuesday, October 05, 2004
SIGNED BY for the Town of Queensbury.
Director of Bui ding& ode Enforcement
i
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury;NY
(518)761.8256
i
A permit must be obtained before beginning construction. Permit File No.
No inspection will be made until applicant has received a Fee Paid $�.°D
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed B
application form. y'
Applicant: Owner: �.
Address: Address: 4/1
j
Phone#( Phone#(an
Property Location: Lot Number: / House Number - `�/
SubdivisionName: Tax Map Number: —1
to New Building: residence /commercial 'Ek&ted MarRe_Value of Construct on $_ _.
o Addition: residence/ commercial If an Addition,what will use of new addition be?
Alteration: residence/ commercial
a No change to exterior size: residence/com'1
!a Other work(describe
Check occnpancylnformation 1 .Floor 2° Floor Other floor Total
Below sq.ft. sq.ft. sq.it. Square Feet
) M=gie find dwellin I
o Two family dwelling,
0 Townhouse
0 Multifamily dwelling
#of units
a Office '°
a Mercantile d -
o ]Vlaaufactu�ui 04
0 1 car dttael:edgarage
a 2 oar detached garage ,A 00 'ENS
a 3 car detached garage _ r.
DING A
i a 1 car attached garage
0 2 car attached garage
0 3 car attached garage
o Storage building-
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 Elreniaces to be installed Number of Woo=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
�: 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 promises 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. Farther,it is understood that Itwe shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director ofBuilding and Codes,anAs Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all ew co on.
Signature: ,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
i.
Office No.(518)761-8256 Arrive: am/p De art: am/pm
Date Inspection request received: Inspector's Initials:
NAME: l/'r PERMIT#: 2 `y ,—
LOCATION: DATE:
TYPE OF STRUCTURE: P 'A H
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/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Batterybackup:
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 ` fi
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 (Z-f
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 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 Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker \\>s v "'�1�
Site Plan /Variance required V
Flood Plain Certification,if required
Okay to issue C/C or C/® [Temporary/Permanent]
L:\Building&Codes FormslBuilding&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
i
Framing/Firestoppirg 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:A��
NAME: \ `Z�' �� XERMIT#:
LOCATION: A;INSPECT ON:
TYPE OF STRUCTURE:
Framing Y Z& 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%2 inch or 5/8 inch Type X
Garage side 5/8 inch_Type X
Ceilin wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in.(W)
5.7 sf above/below grade
5.0 sf grade
Framing / Firestopping Inspection Report
0
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive:. am/pm Depart: <_,•-n-am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: ��� � PERMIT#: _
LOCATION: INSPECT ON: a
TYPE OF STRUCT
Y /A COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging , �r ����
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 q
1 '/z w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses ,� p
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 hours
i
Firestopping
Penetration sealed
16 inch insulation in cavity min. Gj �j2jl�
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
Queenshuiy Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart:�(�4, 'am/pm
Date Inspection request received: Inspector's Initials:
I )NAME:
LOCATION: -1Cj( ,, A r,rc DATE: S-- 7 - 6
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 A�—
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 l�
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety Dazing/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
Furnace/Hot"ATater 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 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/0 [Temporary/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: S*I5 am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: Zvi' PERMIT#: (/ L �C3
LOCATION: INSPECT ON: o
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly `4cC 2�f
12"O.C.
Headroom 6 ft. 8 in. ,,mac ..�(�U�it V1
Stairwells 36 in. or more S
Headroom 6 ft. 8 in. lieI /LG� Irir/N �„/�- -e� OJae,40
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 %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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins p��trequest received:
Queensbury Building&Code Enforcement Arrive: _arn/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: CAPERMIT#: C) — 73..
LOCATION: _ 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 %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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
I
Queensbury Building & Code Enforcement - Residential Final Inspection
.Office No. (518)761-8256 Arrive: �l'`�� am/pm epart: am/pm
Date Inspection request received: _ _ Inspector's Initials: _ ,�(
NAME: °� �� _ PERMIT#: ��`-t- / 3
LOCATION: o,�p _ 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"
a°U i
Roof Complete/Exterior Finish Complete /
Guard 30 in.or more @ stairs, decks patios n�/ �
Guard at stairwell at 34 in. or more C lJ
Guard at deck,porches 36 in. or more `� 11,
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in. a
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %"
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: i 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/'/4 hour fire door/door closer
Duct work Seated properly
Gas Logs in Sealed or Glass Enclosure
Gl
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 s . ft.vents /^d ! x/.
Building No./Address visible from road 4
Final Electrical fi--/11
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 or C/® Temporary/Permanent _
L:\PamW\BuildinQ&Codes\Inspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04
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LSPACE
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VINYL So /
BUILDING & _
REVIEWED BY
DATE
TOWN 0"QUIELEM SRURY ULDINC rUENkRTMEN T
Based on odr limited examination, V
com liance with our comments shall fNNs
not a construed as indicating the , JUG
plans and specifications are in full
compliance with the Building Codes
of New YOrk State.
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