2001-517 TOWN OF QUEENSBURY
een b NY 12804-5902 (518) 761-8201
742 Bay Road, Qu s ury,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010517 Date Issued: Monday, April 22, 2002
This is to certify that work requested to be done as shown by Permit Number P20010517
has been completed.
Tax Map Number: 523400-316-010-0001-013-000-0000
Location: 268 BIG BOOM Rd
Owner: ELSIE DUTRA LE
Applicant: ELSIE DUTRA LE
This structure may be occupied as a:
By Order of Town Board
Garage - 2 Cars Detached TOWN OF QUEENSBURY
C(7)r
OP 4
Director of Building& de orcement
1
1�` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010517 Application Number: A20010517
Tax Map No: 523400-316-010-0001-013-000-0000
Permission is hereby granted to: ELSIE DUTRA LE
For property located at: 286 BIG BOOM 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: ELSIE DUTRA LE Garage-2 Cars Detached 12,000.00
DANIELLE GILLIGAN DUTRA Total Value 12,000.00
286 BIG BOOM Rd
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
RON GILLIGAN
268 BIG BOOM Rd
OUEENSBURY,NY 12804
Plans &Specifications
2001-517
780 SQ FT 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
$78.00 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 Tow ueens ; Thursday,July 19,2001
SIGNED BY % for the Town of Queensbury.
Director of Building : `Code}nforcement
Building Permit Application
"Town of Quccnsbury—Dept of Community Development, 742 13ay Road,Quccnsbury,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 $7 I.-
valid building permit. All applicants' spaces on this Rec. Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
•
• Applicant: ,s dp) G I 1 l f f MI Owner: E/ 1
Address: of r (3 4. Address: /, • •i o
ct e,k)S is .k ty
Phone# ( ) - Phone# (. ' 793- 3 3
Property Location: Lot Number: / House Number p9 b Sal a Vt1
Subdivision Name: Tax Map Number: i(f/
New Building: residence /commercial I: i lktlar}kct typ ttta lyonstruction: $ /0. a 0
u Addition: residence/ commercial
If what will use of new addition be?
• ❑ Alteration: .residence/ commercial
❑ No change to exterior size: residence/com'i JUL/3 4001
o Other work(describe
TOWN
TOWN OF DING AND CODEEEURY
Check OceupanCylnformation Ise Floor 2" Floor Other floor 'Total
Below sq. ft. sq. ft. sq. ft.• Square Feet •
❑ Single family dwelling
o Two family dwelling
o Townhouse
o Multifamily dwelling
#of units
❑ Office
o Mercantile
o Manufacturing
o 1 car detached garage •
2,car detached garage 7 ()
❑ 3 car detached garage
❑ 1 car attached garage • •
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building •
-
conncrcial
❑ Storage building-
• residential
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what? 4/Vd
Type of Ideating System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed flielt✓C.-Number of Woodstoves to be installed /6/071/
List below the person(s) responsible for supervision of work as regards to building codes:
•
Name Address Phone Number
Builder •
Plumber
Mason
Electrician •
Declaration: please sign below alter 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,arc 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,as requested by the Zoning
Administrator or Director of l3uifding and Codes, an As Built Surver by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: owner,owner's agent,architect,contractor
.4-4pif(
RESIDENTIAL FINAL INSPECTION REPORT
/ J
Office No.(518)761-8256 Date inspection request received: /5
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depa t pm
Town of Queensbury Inspector's Initials,
742 Bay Road
Queensbury,New York 12804 ,r�/
NAME nn PERMTI'4 C/C j //
LOCATION r-�, Z t�c)t(9 000 ( ) . DATE X C--Z O?i
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direc Vent Location
Fresh Air Intake
Plumb Vent through roof JJJ /
Roof Complete ✓ f '
Exterior Finish Complete
•
Interior/Exterior Railings 30" 36" r`
Exterior Handrails,balconies,t.•dint 18 in.or more
Interior Handrails stairs both •s 3 it more risers
Cnade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off e i,osed/re v tor 18"above grade
Gas Furnace shut-off -. I i fee or within line of site
Oil Furnace shut-off at entrance to '1 ace area
Furnace/I-Iot 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 an 3 risers
Interior privacy/trim/doors/main entrance 6"
Floor Finish
Bathroom/Kitchen watertight A
Interior Handrails Balconies/Landing 18 inl or more
Railing across window in stairwells t`
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 oom
Safety glazing 18"or es floo
Final Electrical 9 OI ( y
Site Plan/Variance uir
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)
COMMONWEALTH ELEC:'1RLUAL 1NJ1'JtC:1ION SERVIL-E,1NL. L.„
Main Office 176 Doe Run Road-Manheim,PA 17545 /J/
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No Cert. No 6 9 3 3 3 Cut-in Card No n. /.. 47�
Owner 1—, SiCe 1Q a T2,-
Location /3,G-- 000 ryt AO Q V cc vA y
Installation Consisting of...Gr..k9.R..H5 ..(.4)1.1.4.1.Y?S eR U L c c.
icy e ce i 7 S f-tJ...} 13 !,S
Installed By....��r-..,,, .C./i-(<cutl..1_.. 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 J....L mt.•6 -CL..1 1NSPECTOR ....... ...
Member N.F.P.A.,I.A E.I.
42)?/.71
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` �p/m
Inspector's Initial v
NAME: g
PERMIT U 7
LOCATION: 1(`,� ) DATE: — L
/
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible fo
providing protection from freez ng
for 48 hours following the pla en
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in
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-
Prope ent,Attic Vent
ng
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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road t'h
Queensbury,NY 12804 Arrive am/pm Depar( C mj
Inspector's Initials
NAME: l PERMIT# J i
LOCATION: O 1 t DATE : — Cj
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
0o ngs/Piers
Monolithic Pour F inn t�
Reinforcement in 'lace * _
The contractor i. responsi• e fo
providing protec 'on from -ezing
for 48 hours foil•wing the pli -ment
of the concrete.
Materials fo this pu ••se on si -
Foundatio Alpo
Reinforcement i• Pla e
Foundation/Dampp • • g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls In •rior R-
Foundation Walls E I-rior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping i•
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
1
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