2002-166 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
C ERTI F I CAT E, O.'F. OCCUPANCY
Permit Number; P2.00 RO' _Date Issued: Thursday,'March 31,2005
This-is to cerri that,w6rk re uested,to�be�dot a as shown b Peru itNumber ry f
r. . ., y P200201W
has been completed.
Tax Map Number: 523400-239-008-0001-008-000-0000
Location: 32 BRAYTON Rd ,
Owner: _ TIMOTHY COUGHTRY
Applicant: TIMOTHY COUGHTRY
This structure may be occupied as a:
. . . . . . ... . .._.... ..: ..:.. .ti.. .. . ._ ..... . , . . .. . ._.. .. .By:Ozder of Tows Board' ._. _. :.. ... .
Residential.Alteration. TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
LIJ 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Numberi P20020166 Application Number: A20020166
Tax Map No-' 523400-239-008-0001-008-000-0000
Permission is hereby granted to: TIMOTHY COUGHTRY
For property located'.at: 32 :BRAYTON 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 Queensbuxy Zoning
Ordinance. Tyr a of Construction Value
Owner Address: TIMOTHY COUGHTRY Residential Alteration 28,000.00
4382 WESTERN Tpke Total Value 28,000.00
ALTAMONT,NY 12009
Contractor oi'Builder's Name J Address Electrical Inspection Agency
JAMES MATULEWICZ
461-5996
NY 12804-0000
Plans,&Specifications
2002-166: South Cabin
468 SQ FT RESIDENTIAL ALTERATION AS PER APPLICATION
$46.80 PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday,April 20,2004
(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 own' b May 02,2002 ue
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants'spaces on this Rec.Fee Paid $ t
application must be completed and must appear on the Reviewed By:
- _ application form.
Applicant:_/ 6b c g 6 Owner: c>
Address: Gi 3 FS'�. 1,1,E 5;T�z�.� r�z�y� Address: t- �✓ I
Phone# Phone#
COE,
Property Location: Lot Number: / House Numbe ;2?..
Subdivision Name: Tax Map Number: -!
❑ New Building: ,residence /commercial Estimated Market Value of Construction: $
❑ Addition: residence/ commercial if an Addition,what will use of new addition be?
Alteration: resit enc / commercial 1
❑ No change to exterior size: residence/com'l
❑ Other work(describe )
Check Oceupaneylnformation 1° Floor 21 Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling q6&
❑ Two family dwell
❑ Townhouse
p Multifamily dwelling
kv- ##is units
❑ Office
Lf� ❑ Mercantile
Manufacturing
1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
,❑ 1 car attached garage
°❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage.building-
co erc'
g bui g-
r dential
❑ 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: eleetcic oil / gas wood /forced hot air/ baseboard I other:
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below_ the person(s)responsible for supervision of work as regards to building codes:
Name U l�GJIfG Address Phone Number
Builder cJ'.q.,, t,,�a®ic�?'e
Plumber t/1sc5cr ✓jf �'er.
Mason ",, t ! S 3+G 3
Electrician k
Declaration: 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
provision's 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 Uwe 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 Cones,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature:�__� owner,owner's agent architect,contractor
r ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY •
9000 HEATING DEGREE DAYS
Compliance Methods: PART 5 Acceptable Practice Method --
�w 1&2 Family Dwellings (only)
PART 6* - Thermal Rating Component. Trade Offs
1&2 Family Dwellings,. Multi-Family
Dwellings (3 stories or less)
PART -4* - :Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
PART .,5 METHOD OF COMPLIANCE, BY ACCEPTABLE PRACTICE:
1 . Gross Floor .Area - `Tb square feet
2 . Type of: Heat - �_ Electric Oil Gas L+/440ther
3 . Is building+mechanically cooled? Yes 4-L No
f
4 . Percentage of area of windows and doors -Over ,'17% Under 17%
5 . R-VALUES FOR .INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R
b. Exterior walls R
C. Glazed areas R -3
d. Exterior doors - R 0
e, Floors over unheated spaces
f. Edge of slab on grade (heated building) R Al 4
g. Basement/cellar walls (above grade) R l� ,
h. Basement/cellar walls (below grade) R
i. Heating/cool ing-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to.` minimum efficiency per 'code Yes No
TEMPERATURE, CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Appl* nt's Signature Date Phone Number
INSPECTOR'S REMARKS:
Residential Final Inspection
Queensbury Building & Code Enfol""'enT-
Office No.(518)761-8256 Arrive: -am/pm
cpartl/-:* thrxi/p
Inspector's Initials:
Date Inspection request received: t
,
NAME: PERMIT#: ^ l (,0
LOCATION: DATE:
TYPE OF STRUCTO
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 @ stairs,decks, atias
C
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 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 Valve(s)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: - J Every Bedroom:
Outside every bedroom'area:
Inter Connected: - — / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, it 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/%hour fire door/door closer
Duct work Seated 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 2,4"apeess, I sq. ft.-150 sq.ft.vents
�gu_i_lding No./Addriss yWNe frpn road
Final Electrical Nk &t'Site Plan /Variandfe r FqZd
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent I
L:\PamW\Building&CodesUnspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: ar`n/ art: ��pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME PERMIT#:
LOCATION: DATE:
U
TYPE OF STRUCTUREf /"-) -�-14 . �r - -N / 04
OY Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location 34—
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete V.
Guard 30 in. or more @ stairs,decks!-,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete kv//
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft. eRA
Handrail Temiination at Newell Post or Wall
8 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 fo furnace area
Furnace/Hot Water Heater operating N *
e:�,t�-
Low water shut'-off boiler
Relief Valve(s)installed
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:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade A5 1 1
Basement stairs closed rise>4 inches
3/4hour fire door/door closer 0( PAh
r 0 e C
Garage fireproofing r
Duct work Scaled properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area -3 7
Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq. ft.vents Ot
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(Cert.Of Compliance)
Okay to issue Temporal C 1 0(Cert. Of Occupancy)
Okay to issue Permanent C 1 0(Cert. Of Occupan y)
L:\SueHemingway\Btiilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials �Ll—
NAME: lJ PERMIT# C �;IV � _�
LOCATION: rv-\ INSPECT ON(date):
(>
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
, ig Vent/Vents
in Place.
u Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmg—
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SucHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION RFPORT.doe
V"141- 41/ Office Use
GENERAL D-6PECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received. .61J-119Z Meet:
Building& Code Enforcement 7 At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE' am Notes:
am
Itz
(518) 761-8256 Inspector's am
NAME:
LLAd? A PERMIT# 69
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection rn o freezing
e for 48 hours follow—S placement
--,,
of the concrete.
Materials for this p se on)ite
3
Foundation/WaRpo4ur
Reinforcement in Place
Foundation/Dampproofi"
Backfill Approval
Plumbing Under Slab
'nt
Plumbing Vent/Vent n Place
Rough Plumbing
Heating Ron
V1,
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent kAc:.
Framing
Jack Studs/Headers
Bracing/Bridging—
Joist Hangers
Jack Posts/Main Beam.
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping,
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe
Office Use
GENERAL INSPECTION REPORT ector:
Town of Queensbury
Ready at
Dept. of Community Development Request received: Meet:
.Building& Code Enforcement At time:
742.Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials
(--,>, .
NAME: ERMIT# 0 (0
LOCATION: SPECT ON(date): �V ,
TYPE OF STRUCTURE: n�i
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is r onsible for
providing protectio om freezing
for 48 hours follow' g the placement
of the concrete.
Materials for this purpo a on site
Foundation/Wailpour
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent(Vents i la e
Rough Plumbing
HeatingaghInsulati
Founlls Interior R-
Founalls Exterior R-
FlooRWallR-
CeiliR-
Ductiping inces R-
Pro er Vent
Fa Ung
Jack Studs/Headers L v'
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
enetration Sealed
e Wall 2,3,4 hour
topping
waylBuiiding.Codes.Inspection.FORMSiGENERAL INSPECTION REPORT.doc
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