2004-852 ` 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: P20040852 Date Issued: Wednesday, November 17, 2004
This is to certify that work requested to be done as shown by,Permit Number P20040852
has been completed.
Tax Map Number: 523400-302-009-0001-013-000-0000
Location: 40A ZENAS Dr
Owner: EILEEN CUMNIINGS
Applicant: EILEEN CUMIVIINGS
This structure may be occupied as a:
Residential Alteration 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, IDJ- 4
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.
�r TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040852 Application Number: A20040852
Tax Map No: 523400-302-009-0001-013-000-0000
Permission is hereby granted to: F,TT,F,F,N C;TTMMTNGS
For property located at: 40A ZENAS Dr
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. ITyne of Construction Value
Owner Address: EILEEN CUMIVIINGS
40 ZENAS Dr Residential Alteration $1,500.00
Total Value $1,500.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-852
RESIDENTIAL ALTERATION (CHANGE WINDOW TO SLIDER DOOR)
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, November 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 the Townr6f` eensbt),rkj;R F;id'ays�ember 05, 2004
SIGNED BY a _ .s for the Town of Queensbury.
Director of Building& ode En`Porcement
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.[9
No inspection will be made until applicant has received a Fee Paid $ ` " `=�.'t ��f�
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By: Oc 2
application form. 2004
t��!iv ur QUr��S .
Applicant: e v� ,i2 vvk yr, ►� P,S Owner: -IJlivG AA1 p���R-Y
Address: -Z�w Q Address:
Phone#( ; ) -
Property Location: Lot Number: / House Number%
'Subdivision Name: Tax Map Number:
30a, /3
0 New Building: residence /commercial 'Estimated Market Value of Construction:
0 Addition: residence/ commercial If an Addition,what will use of new addition be?
el"teration: aidenc / commercial
0 No change to exterior size: residence/com'1
O Other work(deseribc )
Check Occnpancylnformation 1` Floor 2"a Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. square Feet
o Single hwily dwelling
0 Two famil dwellin
0 Townhouse
o Multifamily dwelling
#of units
o Office
' = 0 Morc�tlle
o Manufacturingi
0 1 car detachedgarage
0 CA-
2 oar detached praga
0 3 car detached garage _
0 1 oar attached garageU.
0 2 car attached garage
0 3 car attached garage
0 Storage building-
commercial
o Storage building-
residential
o 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,keyhwes to be installed Number of Woodstoyes to be installed
r' List below the person(s)responsible for supervision of work as regards to building codes:
Name Address, Phone Number
Builder
Plumber
Mason
Electrician
Declaratig: 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
pro ions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
mit,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.Ag Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all now constracti
Tpature owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection l 3�
Office No. (518)761-8256 Arrive: am/p rt: am/pm
Date Inspection request r��eived: %1 _ Inspector's Initials:
NAME: glee-
L'W r,fnl' PERMITA
LOCATION: r DATE:
TYPE OF STRUCTURE: 1 I
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(o)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 V2-
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/1/4 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 visible from road
Final Electrical
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/O Temporary/Permanent
L:\PamW\BuildinQ&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
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Framing / Firestopping Inspection Report I` y3
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Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: a p Depart 1 am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial
t
NAME: PERMIT#: )-Ooy
LOCATION: / INSPECT ON: C ;
TYPE OF STRUCT RE:
Y N IN/A COMMENTS �
rack
s/Headers
g/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 % 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 NSueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
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BUILDING C
TOM OF QUEENSE'�lry Ltol',Jlldu C,EFnrZ1°i�1ENT REVIEWED BY
Based on our limited examination, DATE j . D�
conpfiance with our comments shall /
not be construed as indicating the
plans and specifications are in full
of New Yoh State.