2001-526 TOWN OF QUEENSBURY
witiw 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010526 Date Issued: Tuesday, July 24, 2001
This is to certify that work requested to be done as shown by Permit Number P20010526
has been completed..
Tax Map Number: 523400-309-005-0001-001-000-0738
Location: 8 SUGARBUSH Rd
Owner: COLLIN BROWN
Applicant: COLLIN BROWN
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
(DJ 4 -
1'4 Director of Building& ode ' forcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
•
Permit Number: P20010526 Application Number: A20010526
Tax Map No: 523400-309-005-0001-001-000-0738
Permission is hereby granted to: COLLIN BROWN
For property located at: 8 SUGARBUSH 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: COLLIN BROWN Residential Alteration 1,200.00
8 SUGARBUSH Rd Total Value 1,200.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
JIM'S MOBILE HOME
8 E EAST AVENUE
OUEENSURY.NY 12804
Plans &Specifications
2001-526
192 SQ FT RESIDENTIAL ALTERATION(PORCH ROOF)AS PER PLOT PLAN SPECIFICATIONS
•
$40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,July 19,2002
(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 Q b ; u day,July 19,2001
SIGNED BY ue for the Town of Queensbury.
rY.
Director of Building&Co e Enforcement
Building Permit Application
"Iowa of Quccnsbury— Dept of Community Development, 742 Bay Road, Qucensbuay, NY
(518) 761-8256 •
A permit must be obtained before beginning construction. Permit File Noc1.2C/d
No inspection will be made until applicant has received a Fee Paid $ /
valid building permit. All nppliennls' spaces on lids Rec. Fee Paid $ �{V•o
application must be completed and must appear on the Reviewed 13y:
application Corm.
Applicant:ft:I/P•1'S rno6/le Home Owner: Coll IA) 8,r-'ow%✓
Address: g ENS /9`', Address: e skis r Dv5 H
v eePs ry Ny /24)0 v e ew-s i.ry by 4.2 oey
rot
Phone II (Sig ) 79g - 8 97 Phone# (5)e ) 7`13: ..6 9 78
Property Location: Lot Number: / House Number a-/ S og/fir.8uc y JUL.
is
'Subdivision Namc: NorT(-Iw1N0$ t-r'i3//erce'rT Tax Map Num )cr: rptyv ZOOi
0/�to ,pNS8 RY❑ New Building: residence /commercial Estimated Market Value of Construction: $ 12 DO, 60 DE
U Addition: residence/ commercial If an Addition, what will use of new addition be7
era loci. - residence' commercial
❑ No change to exterior size: residence/com'1
Li Other work(describe _)
Cheek --- 1�Moor 2"a hlolu OIhcr floor •
Occuparncylnfor•mution
Below sq. ft. sq. ff. sq. ft. Square Feel
❑ Single family dwelling / / 9A
❑ Two/family dwelling
❑ Townhouse
❑ Multifamily dwelling
it of units
❑ Office
-
❑ Mercantile •
a Manufacturing -- -----
u I car detached garage _
L 2 car detached garage
❑ 3 car detached garage
❑ I car attached garage
❑ 2 car attached garage --
[I 3 car attached garage ----
u Storage building - _- �---- --• ------- ---
comuicrcial
❑ Storage building-
residential _ —
ct* Other. •
— — a a"Cl-! R0 F _ /:.
-
Will any second-hand or ungraded lumber be used? If so, for what? fv0
Type of Ilcating System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed Number of i?I'oodstoves to be installed
List below the person(s) responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder s /i' -Gre9 ary 0 /95r !yt Q81Ay 7 -863/97
•
Plumber
Mason
Electrician
lleclnrntiojr : please sign below filler you have carcfillly rend the statement:
To the best of my knowledge the statements contained in this application, together with the plates and specifications
submittal,arc a true and complete statement ol•all proposed work to be done on the described premises and that all
provisions ol'the Ituilding('otle. the Zoning Ordinance and all other laws peltaining to the proposed work shall he 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, as requested by the Zoning
Administrator or Director of Building and Codes, an !Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: 1 � owner,owner's agent,architect,contractor
eQ(' (
1r,
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 ` Depart
spector's Initi
NAME: Cr&vrOv�S`� PERMIT# <50
LOCATION:) — Ll DATE : c't P'O /
TYPE OF STRU(RE: F�
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible io
providing protection from ng
for 48 hours following the p ment
of the concrete.
Materials for this purpose on • 1-
Foundation/Wallpour
Reinforcement in Place
Foun tion/Dampp 4... g J/
���rtEk ill Approv.. �J
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
ro,
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building&Code Enforcement h�
Dept. of Community Development Arrive am/pm Depart(V ` a
Town of Queensbury Inspector's Initials J
742 Bay Road
Queensbury,New York 12804
NAME C 0 Nf\ ((y),Z.)`n PERMIT#
LOCATION O DATE T)-4 3)O
TYPE OF STRUCTURE Cjt-C-
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake r—
Plumb Vent through roof =- 4 - � I��
(//
Roof Complete
Exterior Finish Complete
Interior/Exterior Railing. 30"to 36"
Exterior Handrails,bal ones,land' : 18 in.or more
Interior Handrails stairs ►oth sides or more risers
Grade 2%away from fo i dation
8"clearance to sill plat; /
Gas Valve shut-off exp sed/reg(ilator 18"above grade
Gas Furnace hut-off (feet or within line of site
Oil Furnace s b t-off at, i ance to furnace area
Furnace/Hot Wa • ea er operating
Relief Valve(s)install-,1
Headroom,6 ft.6 in.o I stairs
Basement stairs,6 ft.4 .
Handrail exterior stairs t,oth sides more than 3 risers
Interior privacy/trun/doo s/main entrance 36"
Floor Finish
Bathroom/Kitchen watert ght
Interior Handrails Balcom•s/Landing 18 in.or more
Railing across window in tairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 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
Final Electrical
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)
11V-
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 Depart 2`)am/pm
Inspector's Initials (14)
N f�
OACA ION: 73: ( ,' ATE T# —a O`0
TYPE OF STRUCTU �-X�
olf C
RECHECK
N/A YES O COMMENTS
-Oonolithic 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 purpo a on si -
Foundation/Wallpour
Reinforcement in Plac-
Foundation/Dampproo ii ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pla
Rough Plumbing"
Heating Rough-In
Insulation
Foundation Walls Inten•r R-
Foundation Walls Extern•r R-
Floors -
Walls
Ceiling R
Duct work or piping in r (�,
unheated spaces R- h�wi `�j`) ' '✓ `� /06442 Da "
' ope,Vent,Attic Vent
Framing;•' i//
Jack Studs/Headers
Bracing/Bridging /
Joist Hangers v ry t-tie r-?4 i — A-Lc_ 1-1 GC-1,z r7
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour �7L� rag' 4-Cites`
Firestopping
f3 rowN
C 0 I I uti
9 5 ci jAr a us f7/
L-ticr-Aie Rp
TOWN OF CM 7E'' UR)
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1
MAW' & r 10713:7'1: 79
RECEIVED
,
_Ira,
REVIEWED BY\ '
11 rah ur T
DATE .
*
FILE: C . JUL 1 6 zpoi
•WN OF QUEENSBURY
UILDING AND CODE
TOWN Cr:QUENSBURYI3U;L0ING DEPARTMENT
eoried on our limited examination,
I
compliance wir comments shall
i ---------
not be-construeiRdicati9 the
il
plans and specificatire in Mil I 7—
compliance with the cod'er
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