2001-088 I-'
TOWN OF QUEENSBURY
cleo 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: .- P20010088 Date Issued: Wednesday, November 17, 2004
This is to certify that work requested to be done as shown by Permit Number P20010088
has been completed.
Tax Map Number: 523400-302-011-0001-026-000-0000
Location: .10 GARRISON Rd
Owner: LINDA CLARK RUSSELL TRUSTEE
Applicant: MARy G BROWN
This structure maybe occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
Director o u ding&Cl de st'-�`_�ent
424 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Viiil
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010088 Application Number: A20010088
Tax Map No: 523400-106-000-0002-013-003-0000
Permission is hereby granted to: MARY BROWN
For property located at: 10 GARRISON 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 Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: LINDA CLARK RUSSELL TRUSTFJ Residential Addition 8,000.00
1236 STONEY CREEK WEST Total Value 8,000.00
NELLYSFORD,VA 22958
Contractor or Builder's Name/ Address Electrical Inspection Agency
RUGGLES,ROBERT
5 WINCREST DRIVE
OUEENSBURY,NY
Plans &Specifications
2001-088-MARY BROWN
31.5 RESIDENTIAL ADDITION(ADD TO EXISTING BATH)AS PER PLOT PLAN SPECIFICATIONS
$8.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,April 24,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To o eensl ; Tue ay April 24,2001
SIGNED BY di for the Town of Queensbury.
Director of Building& ode forcement
rmg Peit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance r �/
of this permit: PERMIT FILE NO ,/ () -
A permit must be obtained before
��.�n �C,
beginning construction. No inspections PERMIT FEE PAID$ �,:
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREA77ON FEE PAI 0 'ifMUST be completed and•the signature EI Planning Board Action REVIEWED BY: tIP
of the applicant must appear on the �/�,
SPR / Subdivision /Other Pr; !ng inspector —_
implication form. y„, J Recreation Fee Payment J
Applicant: AR 1 Rb-v.J N Owner: t1,A 433%s
. . Address: k GA VRAZ1 5-ca W Address: /a Sril,P,Rlso IN? 1Z I .
•
Phone # ( ) IA 2 - _ y 2 Phone # ( '-'1r,t. ) `7q2- _.ram 4 -
. Property Location: 1 b &A W R)&,Ca h1 ' ,• '
Subdivision Name: Tax Map Number —J /
Section Block Tut
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ E Ob a.
residence / commercial
Addition to Building:
1/residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling 6.--K1 !,-fi i �j
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
Other t>,.-/-,-; lsY ih
GROSS AREA OF PROPOSED STRUCTURE: -F-D P., -5 li01,,; A E,1744-i.,Z
If ADDITION, what will use
1st Floor 3/.,S sq. ft. of new addition be? :
2nd .Floor sq. ft . .5rria11i;'1 wi , Glaa�)<R.
Other Flours eq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: ..?/, 3 SQ. FT. 1,( Attached Garage 1, 2 car •Fl='T lrr4:
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
- (j t FEET X i i •�-" FEET Other
.
Foundation Type: cox rc ..21..�ei-k Will any second-hand or ungraded
' Number of Stories : • : lumber be used? If so, for what?
(habitable space only) i hl�
.d Height (grade to rge) : i0 feet TYPE OF HEATING SYSTEM:
Number of fireplaCes and/or woodstove (circle all which applies)
to be installed:, 'A .o jiff Electric / Oil / Gas / Wood
Forced Hot Air /"board / Other
Person responsible for supervision of work as regards to building
codes is : .io 'f3"f t_ rrZL)Evbl.153 •&"/i3ii.1GAts`rPa-. -7-92Ds4.4.
Name Addresss Phone
Builder: l?,. LSD&L,S •
Plumber: 4F R N-% Gn RA4E>uS
Mason: k,J. TA•ci_
Electrician: Z',AN4 f.,, ,-gay-L)s-G
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 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 I/we shall submit prior to a
Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; awn to scale, showing actu 1 location of project on premises.
i.
Signature: vz Y`:� 7�w I' 1
(own r, owner's agent, architect, contractor)
alk
. _ -___ ENERGY CODE COMPLIANCE APPLICATION
__= TOWN O. QUEENSBURY . WARREN COUNTY
9000 HEATING- DEGREE DAYS
Compliance Methods: PART 5 - Acceptable Practice Method - -
1&2 Family Dwellings (only)
. PART 6* - Thermal Rating - Component Trade Offs
, 1&2 Family Dwellings; Melti=Fanily
Dwellings (3 stories or less) -
PART 4* - Design by Component Performance
- Commercial Buildings-Ei Rise Residential
*Recti:ires submission of worksheets
APPLICANT' S NA-ME: PROPERTY LOCATION:
•
•
PART 5 METEOD 07 .COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - ,J,,$*- square feet
•
2 . `r- o e of Heat - E T=,-=Yic Oil Gas Other
3 . _s building mech=nidaliv cooled? ✓ Yes No .
4 . =e=c entace of area of windows and doors Over 17% Under 17%
5 . R-V LUES FOR INEU:TION GIVEN BELOW MUST CORRESPOND TO R-7=%uES AS
S=O'r+N ON PLANS SUBMITTED:
a . Roof R
b . Exterior walls R /9
c . Glazed areas R 2
d . Exterior doors R
e . Floors over unheated spaces R
Edge of slah on grade (heated building) R
c . Basen:ent/ce-lar wails (above c=ade) R 6
. 3asenent/c=' 3,- wails (belo:v. cr-ade) R --
4 . =eating/coc_i c-thc s-pioi nc in unheated space R
6 . Service (domestic) hot water heating device .
Cc•==ohms to minimum efficiency per code; V' Yes No
TEMPERATURE CON_ROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Ar..‘o c--..-nt. ' S; c tura if . Date, 73*-or.= Numb•-•:-
54
/fit �!� 0 { /L,L� `�1 7 �?�~bI
INS?E C_C_.' S REM R1•S:
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: (3lik) am/ /. Depart: am/pm
Date Inspection request received: _ Inspector's Initials: i Q
NAME: PERMIT#: a- 0 I — 1 O?
LOCATION: 0 5 \cS-LN� DATE: I ! --0 9
n�~� f
TYPE OF STRUCTURE:
• Comments
Y N N/A (Y)
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" Gp.K9--2
Roof Complete/Exterior Finish Complete
I 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
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 %"
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: / 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/%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 sq. ft.-150 sq. 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-r uired
Okay to issue C/C or /O emporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.�.
Main Office 176 Doe Run Road-Manheim,PA 17545 0
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL O'
Permit No. /C�e t. No 7 3 2 9 3 Cut-in Card No.
Owner 41P' Y # # Li
Location /Q G A s U ti ie-'P/•
7
Installation Consisting of / � /2�G G/ 77'5 1 1.91-
Installed By 5 - a 2,41&gigz' 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 th(
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making i ections at any time, and if it
rules are violated,the Company shall have the right t, rev e this • ate.
Date 7—/7-1 0 INSPECTOR
/.bO
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement X
Dept.of Community Development Arrive AO J am/pm Depart ai
Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury,New York 12804
NAME �� PERMIT# I"O S
LOCATI� Cr>v, DATE O vI .) �� 7
TYPE OF STRUC1 UREA
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete t✓
Interior/Exterior Railings 30"to 36'
Exterior Handrails,balconies,land' g 18 in.or m e
Interior Handrails stairs both sides or more riser _
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulato 18" ve grade
Gas Furnace shut-off within S feet thin line of site
Oil Furnace shut-off at entrance to fiun ce 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 3 risers
Interior privacy/trim/doors/main entrance 6"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells _
Smoke Detectors:
every level
every bedroom
outside every bedroom f
inter connected
Bathroom fans
Plumbing fixtures / �t/ 1�r r-ZeIr dsf J f/i
Foundation insulation �/ /�Bt� ' � � t l�l k hc#
3/4 hour fire door/door closer
Garage fireproofmg
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor f J'"
Final Electrical '" ri;:t /�f GeLfie
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). r/
Okay to issue permanent C/O(Certif.of Occupancy)
C)) jo),/11
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depan
Inspector's Initials� /1
NAME: \Q.� Q)y(RYC\ PERMIT# CD-()Q 1 022
LOCATION: /. O ^ �Q'\v DATE : ,�—9 —
TYPE OF STRUCTURE: l .-\ T e /'S-s---..„
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/Walipour
Re'nforcement in Place
undation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
u heated spaces R-
Pro Vent, Attic Vent
ming
Jack Studs/Headers
Bracing/Bridging
Joist Hangers \\\
Jack Posts/Main Beam
'1
Air Infiltration Barrier
Fire Separation 1,2, 3,hour 1
Penetration Sealed '
Fire Wall 2,3,4 hour
Firestopping 1
` 3O &L
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 14/30/ v
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart2L2
Inspector's Initials f
NAME: MLA,` 0 CW\ PERMIT# UU[— 0
LOCATION: 1 > G r-r\SOS }2 DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YE SO COMMENTS
ootings/Piers
Monolithic Pour Form
Reinforcement in Place L(
The contractor is respo e for
providing protection om free ' g
for 48 hours following the placem t
of the concrete.
Materials for this pupas, on site
Foundation/Wallpour
Reinforcement in Place
*Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough 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/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
1vYrT
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury -/ 7
Dept.of Community Development Date inspection request received: D/l-!/O1
Building&Code Enforcement I
742 Bay Road i i a�v)
Queensbury,NY 12804 Arrive am/pm Depart( i- am/
Inspector's Initials
NAME: 15(piA-ACN 11✓)N '') PERMIT# c -f•��J 1, 6�`Si
LOCATION: •
I () 6,-r;c-,vv‘ 12-r) , DATE : 57 i VOO
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is ;spo sible for
providing protecti 4 fro A freezing
for 48 hours folio ''ng t ?placement
of the concrete.
Materials for this pu q••se . site
Foundation/Wallpou i , /
Reinforcement in Play e
Foundation/Damppro. g /
Backfill Approval
Plumbing Under .9I
umbing • r ents i Place 1l
-�llumbin
u
/7 ii �( °av7� ,G! n^O3/f�
eating Rough-In
latiorr
Foundation Walls Inte 'or R-
Foundation Walls Ext=; 'or R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- /
Pro. r Vent, Attic Vent
4f Framing;
Jack S ds/Headers /
Bracing/Bridging /
Joist Hangers 111/
7/Jack osts/Main Beam J
kf Ai T, ,ltratibn Barsiei% ✓`� 3 — / E2
Fire Separation 1,2'3',hour
Penetration Sealed
e Wa112,3,4 hour7
Fires oppi