2001-024 ;, TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010024 Date Issued: Wednesday, July 11, 2001
This is to certify that work requested to be done as shown by Permit Number P20010024
has been completed.
Tax Map Number: 523400-266-001-0001-014-005-0000
Location: 80 OAK VALLEY Way
Owner: THOMAS & TERRI KUBRICKY
Applicant: THOMAS & TERRI KUBRICKY
This structure may be occupied as a:
By Order of Town Board
Storage Building TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
s 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010024 Application Number: A20010024
Tax Map No: 523400-026-000-0002-014-013-0000
Permission is hereby granted to: THOMAS &TERRI KUBRICKY
For property located at: 80 OAK VALLEY Way
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: THOMAS &TERRI KUBRICKY Storage Building 18,000.00
80 OAK VALLEY Way Total Value 18,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
COLLETTE CONSTRUCTION,
9 COLLETTE LANE
HUDSON FALLS,N.Y.
Plans &Specifications
2001-024
816 SQ FT STORAGE BUILDING AS PER PLOT PLAN SPECIFICATIONS
$50.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Sunday,January 26,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbu before the ex ' ation date.)
Dated at the Town f Que b '°: ida , a 26,2001
'T
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
- , `
TOWN OF QUEENSBURY Fee Pa i s
v� s6 "
At BUILDING & CODES DEPARTMENT
� APPLICATION FOR: PORCHES-DECKS- Permit # ,) /--D
DOCKS & BOATHOUSES Est. Cost / , (027)i
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description, plans and specifications submitted, and such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: rr,y11 (4ui12i LK
P.O. Address 50 r9Ak )t//e �Ix - AJdi 7. !''r, Phone #
Property Location OFF' oppa, /Z-I 776- /Uo'4 roe.,f Tax Map #
Subdivision Name (If applicable) /t2o',z f2 1-204, 7L
PERSON RESPONSIBLE FOR SUPERVISION OF WO J/K AS REGARDS TO BUILDING CODES:
Name: Kp,,il C,V4)4A, Address 35 /4- sP L. J Phone#g05?-/3_
7 'V/9s-/
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse '(Circle one) /
Size of Structure to be built (square footage) : �)c 3f S/g�t,A0.e �v/Id, >
Foundation Material : Width g' Thickness (/)
Depth of FoOting, below grade: , 4/� Y/(t 1
Size of Posts or Studs: x Co x g ' Long
Size of Floor Joists: x x -1 Span
Decking or Flooring Material :
How will Porch or Deck be fastened to building?
A _
If Roof Will Be Installed, Answer Following Questions: r
JAN 17 2001
Size of Posts or Studs: x G x % Long
Roof Rafters: x Spacing Span TOWN OF OUEENSBURY
BUILDING AND CODE
Roof Trusses (pre-en ineered spacing): )--(1 Span -
Type of Roof: Slo e Flat Shed Other (Circle one)
Material of Roof: 4s p4/t- O1J'Cru v-5'S
ZONING INFORMATION:
gr
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly all buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: ft. x , ft. /L./ QC/apS
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ft. and ft.
If on corner, setback from side street: ft.
DECLARATION,
To the best of my knowledge and belief 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 not, and that such work is authorized by the
owner.
DATE: /// 7/Q / SIGNATURE /c
Own r, Owner's Agency, Ar i ntra
REVIEWED ' BY CODE ENFORCEMENT OFFICER, DATE f 2.CQ o/ SIGNATURE
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. V'
Main Office 176 Doe Run Road-Manheim,PA 17545 O
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No Cert. N2 64347 Cut-in Card No 'V./A
Owner
Location 8'0 0.4,1. . L,1.Ca.)"L�/ (..�,✓.,/,..�,/
Installation Consisting of T„�—..A./2 9?.C. C,c.,t..g..i2.vr.�j..., 3..Q...L.-D..rz f
,S t l..b....re,c...d.t 1 -....AC-C 2,...>s..t.M.). .
Installed By.1l.A.R 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 making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date tune) INSPECTOR..LLM� " j1",
COMMON WEAL!'H ELE(:1KICAL 1NS1'EtJllON SERVICE,
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL /(11
Panel Board No - Cert. NO 6.9338 Cut-in Card No. �t.1..ff.-}...........
Owner 1" 110 k..s..t
Location a)0 C2.l.L.L<,.......1,.)...G..LL 7' G.V...el ! Q ..4CY.4S bV
Installation Consisting of („�=...e..(aa(3..P- (au...(..1.2.1..!.) ,3..G f
.S.r 1..b....l.=e..c.d.�........L P c.c.i .,S..c-xri $ 4,. 5..,.
Installed By.-1.k.1cZn.Cc.(1 go LA)YL. 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 making inspections at any time, and if its
rules are violated,the Company shall have the right to r yoke this certificate.
Date —1— 2 1—o t INSPECTO .............. .. ..... .. "�
d Member N.F.P.A.,I.A E.I.
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart?i'' n
Town of Queensbury Inspector's Initials (_/
742 Bay Road
Queensbury,New York 12804
NAME 1 rm yiht-,- ,,..y,,,,.' PERMIT# OC --)1—•O�4
LOCATION ) (\. Gx.) ,L DATE__ n 7-
TYPE OF STRUCTURE
N/ YES NO COMMENTS
•
Chimney Height/'B"Vent/Direct Vent Location ' 1
Fresh Air Intake �
Plumb Vent through roof ®1 , -•;4 ';-..- 0I<
Roof Complete l '
Exterior Finish Complete ,/
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing .8 in.or more
Interior Handrails stairs both sides 3 o more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off expose regulator 18" .:•ve grade
Gas Furnace shut-off within feet• 'thin line of site
Oil Furnace shut-off at entrance to ace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more 0 an 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight _
Interior Handrails Balconies/Landing 18 • or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/a hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor �/f
Final Electrical 44 fl ri4/a(. ( _6 //0 Cr-
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
GENERAL INSPECTION REPORT (16
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive`X- oam/pm Depart tii P�__
Inspector's Initial"
NAME: Y \Or� PERMIT# o " 01
LOCATION: p DATE
TYPE OF STRUCTURE: •Y'� �.A %i 6 t�
RECHECK i
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Plac
The contractor is res nsible for ,
providing protection Worn freezing
for 48 hours followint the placement
of the concrete.
Materials for this purposeon site
Foundation/Wallpour \ /
Reinforcement in Place \ I
Fours 'on/Dampproofing/ i/
11 Approval
/
Plumbing Under Slab
/
Plumbing Vent/Ves/i Pla\e
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior
Foundation Walls Exterior -
Floors R- .
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R=
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL INSPECTION REPORT O'r
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive\Lea p Depart 44• O
1 lector's Initi MI i ' f
NAME: r� PERMIT# `—t
LOCATIO *C4f'1A
7 V Q ��DATE : l_. f1 I
TYPE OF STRUCTURE: ---C.J2W `cr--`-'
RECHECK
N/A YES COMMENTS
ootings/Piers —I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f-r \
providing protection from freezing
for 48 hours following the p1 1 cement
of the concrete. , V N�C
Materials for this purpose on s to Vc),_
bEE
Foundation/Walipour
Reinforcement in Place \;)E G
Foundation/Dampproofing
Bacicfill Approval '`
Plumbing Under Slab.= ----
Plumbing Vent/Vents in Place!
Rough Plumbing
Heating Rough-In
Insulation I
Foundation Walls Interiod R-
Foundation Walls Exterior R-
Floors R-
Walls it_
Ceiling /R-
Duct work or piping in
unheated spaces I R-
Proper Vent, Attic Vent
Framing /
Jack Studs/Headers I
Bracing/Bridging I •
Joist Hangers
Jack Posts/Main Bedm
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.y� _
Main Office 176 Doe Run Road-Manheim,PA 17545 p(G
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL ,. 1
Panel Board No Cert. N4 69343 Cut-in Card No g,!../..1.3
Owner p4x1. ea/12 14.y
Location..81 0la14.. LiO .2. CA/ ea/ �.► g.g.n.5..4.Lin/
Installation Consisting of �L..l9 n D'- W.....Y.Z.. .. - v.Q S v h fiz1,re..
2.0 t S
Installed By...L.L.. / .a.0 Lie.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 making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date..a�..- ,b—0 1 INSPECTO� —'
.... ... ... . .... .
Member N.F.P.A I.A E.I.
0Di -0 4
piPr„FPJFD
T ' ' �.` C JAN 2 3 2001
TOWN OF QU ENSF3U Y
BUILDING AND COQB
TKC General Engineering Contractor
January 22, 2001
Mr. Craig Brown
742 Bay Road
Queensbury, NY 12804
Dear Mr. Craig Brown
I am writing you this quick letter to clear some questions you may have about the
storage facility that I am currently building. This Storage facility is being built only for
storage of my lawn mowers and miscellaneous garden equipment.
Thank you for your time and, if there is any other questions you can reach me at
my office.
Regards, -
Thomas J. Kubricky
One Thousand Oaks Park
125 Saratoga Road
Moreau,NY 12831
Bus: (518) 761-0122
Fax: (518) 761-6001
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