2004-942 r � 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. P20040942 Date Issued: Monday, October 15, 2007
This is to certify that work requested to be done as shown by Permit Number P20040942
has been completed.
Location: 38 BONNER Dr
Tax Map Number. 523400-295-011-0001-004-000-0000
Owner. MICHAEL & KATHLEEN DORMAN
Applicant: MICHAEL & KATHLEEN DORMAN
This structure may be occupied as a:
Residential Alteration By Omer 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 Enforvement
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: P20040942 Application Number. A20040942
Tax Map No: 523400-295-011-0001-004- '00- 000
Penn fission is hereby granted to: MICHAEL&KATHL' N ORMAN
For properly located at: 38 B ONNER Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with pl t plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building des and the Queensbury Zoning
Ordinance. vne of Construction Value
Owner Address: MICHAEL&KATHLEEN DO 1
38 BONNER Dr Residential Alteration $1,000.00
QUEENSBURY,NY 12804 Total value $1,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
�I
i
Plans &Specifications
2004-942
Convert existing attached garage into living space (22 $.by 24 ft.)
Renewed Permit on 12/6/05 pd $25 expires on 12/9/2006
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES; Sunday,December 09,2007
(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 Town of eensbury; Thursday, December 09, 2004
SIGNED BY ° for the Town of Queensbury.
Director of Building& rcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040942 Application Number: A10040942
Tax Map No: 523400-295-011-0001-004-000-0000
Permission is hereby granted to:. MICHAEL&KATHLEEN DOPWAN
For property located at: 38, BONNER 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. Type of Construction Yalu_e
Owner Address: MICHAEL&KATHLEEN DORMA
38 BONNER Dr Residential Alteration $1,000.00
QUEENSBURY,NY 12804 Total value $1,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
c�
vr•
Plans&Specifications
2004-942
Convert existing attached garage into living space (22 ft. by 24 ft.)
Renewed Permit on 12/6/05 pd$25 expires on 12/9/2006
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,December 09, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queen efore the iration date.
)
Dated at the To of Q•e ecember 09, 2004
SIGNED BY for the 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: P20040942 Application Number: A20040942
Tax Map No: 523400-295-011-0001-004-000-0000
Permission is hereby granted to: MTC;HAF,T,&KATH EEN DORMAN
For property located at: 38 BONNER 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. Type of Construction Value
Owner Address: MICHAEL &KATHLEEN DORMA
38 BONNER Dr Residential Alteration $1,000.00
Total Value $1,000.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-942
Convert existing attached garage into living space (22 ft. by 24 ft.)
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, December 09, 2005
(If a longer period is required,an application for an extension mast be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To,,_ Queen sday, December 09, 2004
SIGNED BY _ -� for the Town of Queensbury.
Director of Building K Code nforcement
Building ]Permit Ap�lkatioin
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. zeen2i
lq,No. `0 Ll !b2No inspection will be made until applicant has received a $
valid building permit. All applicants' spaces on this Rea.Fee Paid $
application must be completed and must appear on the Reviewed By
application form.
Applicant: Owner:
Address: .�8- (3o u,sjgpz :C>iZ Address:
Phone#(2L r - r >;2 Phone#(�)
roperty Location: Lot Number: L,-/ House Number
Sub division Name: i 4 Tax Map Numb or: .214-,r- I1
O New Building: , residence /commercial 'Estimated Market Value of Construction: $L
O Addition: residence/ commercial If an Addition,what will use of new addition be?
Alteration: residence commercial
O No change to exteriors e: residence/com'1
O Other work(describe )
Check OCCnpAncylnformation 1'#F.l000r. 2° Floor' Other floor Total
Below sq."ft- r q• sq.ft. Square eet
FI
o Single f miily dwelling
O Two family dwelling 0 ,r 4
O Townhouse
O M#tifamily dwelling p�D�RY
ofunits
O Of ce \
O Mercantile
O Manufactutin
o l car detached garage LV
n 2 car detached iarage
O 3 oar detached garage
O 1 car attached garage
O 2 car attached gate e �
0 3 car attached garage l \
O Storage building- \ J
commercial \
O Storage building-
residential
Other
<0,VV,��� ��X r i,vL= (✓fZa LG5 /ivTc� L/V'i ACT '�c_C�� !
What is the proposed height of the structure feet inches 1 3Z
Will any second-hand or ungraded lumber be used? If so,for what? IV y
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
/to
Number of Ft=Iwes to be installed Number of Woodsfuves 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
IBlectrician
IZ4,41g3,2U: 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 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. Further,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 of Building and Codes,ands But&Survey by a licensed surveyor,drawn to scale,showing actual
location of all new construction.
Signature: VIq owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: %-a i/0 am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: - kt�_
NAME: I C' P&9L� ,,s-Y/) PERMIT#:
LOCATION: O/Z _ DATE:
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
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 "sq.1-150 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'/z"Gypsum
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
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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins p do �e�quest received:
Queensbury Building&Code Enforcement Arrive: �� p epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspect o 's Initials:.
NAME: �-L-' '� A PERMIT#:
LOCATION: �,�C'l2. t� r2 — INSPECT ON: (5- D�
TYPE OF STRUCTURE:
Framing
Y N 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 % 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) I
5.7 sf above/below grade
5.0 sf grade
PI
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AM INSULATION -MUST BE COVE` �
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4 BUILDING & T.
REVIEWED BY
ii DATE /Z
NOTICE _ ..___.,..__ F L ocD R, PLAN
KRAFT PAPER INSULATION MUST RE
COVERED BY NON-COMBUSTIBLE BARRIER
Michael Dorman 2004-942
38 Bonner Drive
Residential Alteration of existing o
attached garage into living space
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