2004-786 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
_.. Community Development- Building & Codes (518) 761-8256
_ ., .CERTIFICATE *_ O C CU PAN CY
Permit-Number: . . P20040786 -.Date Issued : Thursday,.March 23, 200.6
This is to certify that-work requested to.be done as showri_by Permit Number P20040786
-._ has been completed.
Tax Map Number; 523400-309-009-0001-011-000-0000
Location: 41 01110 Ave
- - Owner: PETER& SHEILA SMITH
Applicant:: PETER& SHEILA SMITH
This structure may be occupied as a:
Garage - 2 Cars Attached By Order of Town Board
Residential Addition_--- -_ 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 Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040786 Application Number: A20040786
Tax Map No: 523400-309-009-0001-011-000-0000
Permission is hereby granted to: PETER & S14RILA SMTT14
For property located at: 41 OHIO 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: PETER& SHEILA SMITH
41 OHIO Ave Garage-2 Cars Attached $19,000.00
NY 12804 Residential Addition
QUEENSBURY
Total Value $19,000.00
I
Contractor or Builder's Name/Address Electrical Inspection Agency
i
Plans&Specifications
2004-186
900 SQ FT 2-CAR ATTACHED GARAGE WITH 200 SQ FT BREEZEWAY
$165.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 19, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of QuepAkiq before t1w expiration d te.)
Dated at the TC.w4ofXnPu S ay, October 19, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building,Permit Application
Town of Queonsbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction: Permit File No. 1A
No inspection will be made until applicant has received a Poo Paid,
$r �t�
valid building permit. All applicants' spaces on this Roc.Fee Paid $
application must be completed and must appear on the Reviewed By: ,_„
application form.
Applicant:11,-r,5M A, Owner:
Address: Au E' Address:
,ovee,+fibuT, NY
Phono#(b' )'9�:jqV Phone#
Property Location: Lot Number: / House Number /
Subdivision Name: Tax Map Number:
�Ga�New Buildinge—'sid 'commercial Estimated Market Value of Construction:$
;a Addition: residence/ commercial if an Addition,what will use of new addition be?
':G Alteration: residence/ commercial
lC No change to exterior size: residence/com'1
o Otherwork(describe ). j
Check OccupancyInformation 1 Floor 2 Floor Other floor Total.
Below sq.ft. sq.ft. sq.ft. Square Feet
o Single 6mciily dwelling
o Two family dwelling
o Townhouse
o Multifamily dwelling
#of unit:
o Office
o Mercantile
o Maaittfactutiri �• •
ta 1 car detached prage
0 2 oar detached eOCT!
-a 3 ear detached garage _..11aiC Y
0 1 oar Attached gars o TORN r n�+n GODS
2 car attached garage 1.900 _b_U_1 1-11
0 3 car attached garage
o Storage building-
commercial
o Storage building- j
residential
t'1' Other ,� aze,wa o0
What is the proposed height of the structure IS : feet !inches
Will any second-band or ungraded lumber be used? If so,for what? A)�Q
Type of Heating Systom: electric/ oil / gas/wood /forced hot air/ baseboard/other: d2g2 jM
Number of Fireykees to be installed- Number of Woodst�to be installed _
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder o N a kc :N tVa e,a b vi 4 Al 9 q.T,/7!?7
Plumber
,Mason G:C berY pea
Electrician
Diclaratiot 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 Bono ba the described premises and that all
provisions of the Building Codo,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 Cerdficato of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an As Guilt Survey by a licensed surveyor;drawn to scale,showing actual
location of all new cons On.
Signature; .0 co owner,owner's agent;architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: n. m De t: a m
Date Inspection req t received: Inspector s Initi s:
NAME: ' PE IT M
LOCATION: ATE:
TYPE OF STRUCTURE:
Comments ,
Yes No N/A
Buildin Number/Address visible from road
Chimney Height/ B Vent/Direct Vent Location y�
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 10
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 water-tight
Safe 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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%s"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
ara e 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 S stem/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/® [Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Fonns\Residential Final Inspection Form revised 100405.doc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No.........DD..............................Cert. N 0 93958 Cut-in Card No................................
Owner...............T..:..s �T� ..............................................................................................................
Location.... .�....Q Q..... T............................................................... �'..'el�.......
Installation Consisting of.e�-�v��T��� ��1416.... ................................................................................................
...................................................................................................................................................................................
...................................................................................................................................................................................
InstalledBy...... Jr ..................................................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 promptly made for inspection.
Inspectors of this Company shall have the privilege of maki pections at any time, and if its
rules are violated,the Company shall have the right t
Mev
.. j certifcate.
.Date... 73.�.6................ INSPECTOR. ..................................................................
Mw ha NFPA. 1AR1
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: arn/pm Depart: m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials('
NAME: Fe &, PERMIT#:
LOCATION: INSPECT ON: , �/j_ AS
TYPE OF STRUCTURE:
U
Y N 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
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: _am/pm Depart: a it
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: -L C � 1Q-��-lti, INSPECT ON: -
TYPE OF STRUCTURE:
Framing Y N N/A C®1d ME 'I'
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 centers p—
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:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
4L , '1
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: in
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:'
NAME: PERMIT#:
C- IV o 9(p
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
An r Bolts 6 ft. or less on center
and snow shield 24 inches from wall �,A TZ,ezuvq
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:\Suellemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
/0
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: a Depart: am/pm
Bay Rd., Queensbury,NY 12804 Inspector's Initial,
��
l
NAME: PERMIT PERMIT#: �� L�
Kfi
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
_ Y N N/A <<
Footing 2��
Piers
Monolithic Slab T/a/[J
Reinforcement in Place 1(�/k�
The contractor is responsible r
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wall.pour
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.
I;\SueHemingway\Building.Codes.Inspection.FURMSToundation Inspection Report.doc January 28,2003
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crm=3fiancc IN;Li ear co:rr,f P(s shall �� 4 t Ct 2 f 7G�'VN OF QUEENSBURY —V
riot e C0i}stcued as incic itin the ( '� t� �' L,UILDING Ai11D CODE
plans and ppec'.gcations are in full �,.,..
compliance Haiti, the Building Codes
of Ne,,v YGifk State.
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BY Al 5 MINUTE THE�MAL Br;r
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