2004-763 TOWN OF OUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF 01CCUTANCY
Permit Number. P20040763 Date Issued: Thursday, August 24, 2006
This is to certify that work requested to be done as shown by Permit Number P20040.763
has been completed.
Tax Map Number. 523400-315-006-0002-053-000-0000
Location: 13 GOLDFINCH Rd
Owner. JUDY CROSSE
Applicant: JUDY CROSSE
This stricture may be occupied as a:
Garage - 2 Cars Detached 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 E ' once t
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Qtieensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20040763 Application Number: A20040763
Tax Map No: 523400-315-006-0002-053-000-0000
Permission is hereby granted to: .11MY C;ROSSF,
For property located at: 13 GOLDFINCH 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. ,.
Construction Value
Owner Address: JUDY CROSSE i
Total Value
Detached $10,000.00
JOHN BOBBINS II T
13 GOLDFINCH:Rd $io,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name,/Address Electrical Inspection Agency
t ,
Plans&S ifications ec }` '
P
2004-673
670 SQ FT 2-CAR DETACHED GARAGE
AV 71-2004 APPROVED 5 FT SIDE SETBACK 9/22/04
r �
$67.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 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 Tmwn of een ; i ,-OCtOkber 01;2004
SIGNED BY for the Town of Queensbury.
Director°of Building&Code Enforcement
Building:Permit'Applkatlon
LTownofeensbury--Dept of Comrxiunity Development,742 Bay Road,Queensbury,NY
(518)761.8256
A permit must be obtained before beginning construction. LF7Paid
e No. 04
No inspection will be made until applicant has received a $ ,�
valid building permit. All applicants' spaces on this aidapplication must be completed and must appear on the By:
application form.
Applicant: c)N O 4 A y-\S'�-\ 6g Owner:
Address: 1 2-, co C Ln�- k KJc- 9 Address:
Phone#(TaL$)--)019,- 20.1-7 Phone#
4T37
Property_Location: Lot-Number: ; / 1�Touse Number / C >L6P
Subdivision Name: Tax Map Number: 3 l S-
0 New Building: residence /commercial 'Estimated Market Value of Construction: $ 00
O Addition: residence/ commercial If an Addition,what will use of new addition be?
0 Alteration: residence/ commercial
0 No change to exterior size: residence/com'1
Other work(describe Co A-PA4G E )
Check Occupancyluformation 1 Floor 2° Floor Other floor . Total
Below sq.ft. sq.ft. sq.ft. Square Feet
k- Sin a family dwelling
0 Two family dwelling
0 Townhouse
0 Multifamily dwelling
#of units
o Office
o Mercantile q o
0 ufacturin
1 oar detached prage , .
-0 _2 car detached o -- - -
0 3 car detached prage
0 1 ear attached S.mge SIN OF QUC NSBURY
0 2 car attached garage BU
0 3 car attached garage
0 Storage building-
commercial
o Storage building-
residential
o Other
• ,� e f
What is the proposed height of the structuro feet inches
Will any second-band or ungraded lumber be used? If so,for What?' AJo
Type of Heating System. electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of, ,,s to be installed Number of nodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder JOH82 RC&d i ivS /_ (0 w F►ric N 72,,T 79Y-Zd 3�
Plumber
Mason
Electrician
]feel n: please sign below after you have carefully read the statement:
To the best of my'lmowledge the statements contained in this application,together with thoplans 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. Farther,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 con$ coon./
signature: Zd" owner,owner's agent,architect,contractor
2C/V
L7
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm De- at.( t` am/pm
Date Inspection request received: � Inspector's Initials:
NAME: d PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE: --Q ��—
Comments
Yes o 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: 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 Temp 110
Enclosed Stairs Sheetrock Underside minimum%:"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fire roofin /'/a 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—1 00405.doc
V
Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: anvp 1 Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:`J !
NAME: — ,Q 5 _ PERMIT#: O " 7�
LOCATION: _ 1 _. _ INSPECT ON: 0 I 0
TYPE OF STRUCTURE:
Comments
Footings
Piers
Monolithic 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 pu`pr ose 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 SIab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc .January 28,2003
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TOWN OF QUEENSBURY BUILDING DEPARTMENT � I
Based on our I imited:examination,
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not be construed as indicating the
( a ' plans and specifications are in full
{ _ compliance writh the Building Codes I
( I of New York State. {
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DATE 6 .YOUNDATION P LAN
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TRUSSES V 24" OC
3/40 T" 088 METAL DRIP EDGE
1X6 FASCIA
3/8" PLYWOOD. SOFFIT
5/4X3 SOFFIT MAILERS
3/4X4'Y.8 T&G OSB FLOOR SHEATHING
12" GLUED & NAILED TO ATTIC TRUSS
WALL NOTES
2X4 SxUDS ® 16" OC
T-111 SIDING
TREAM 2X4 BOTTOM PLATE
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3 1/2" 3 1/2"
FOUNDATION NOTES
1/2"X12" ANCHOR BOLTS
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$ 8" CONC. 'WALL OVER 16"X8"
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(518) 788-7100 • FAX (518) 7W-7M
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