2001-688 TOWN OF QUEENSBURY
2 a NY 12 4-5 2 518 761-8201 74 B y Road,Queensbury, 80 90 ( )
Community Development- Building & Codes (518) 761-8256
CERTIFI€ATEOFOCCUPCY
Permit-Number:- P20010688 : : Date Issued: Tuesday, October 26, 2004 - -
-- This is to certify that work requested_to..be done as-shown by Permit Number _ :P20010688
has been completed.
Tax Map Number: 523400-308-008-0002-078-000-0000
Location: 1 HERESFORD Ln
Owner: PAULA &DAVID BODAK
Applicant: PAULA &DAVID BODAK
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
; dv' 1
Director of Building&Code Enforcement
--�r TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010688 Application Number: A20010688
Tax Map No: 523400-308-008-0002-078-000-0000
Permission is hereby granted to: PAULA&DAVID BODAK
For property located at: 1 HERESFORD Ln
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: PAULA & DAVID BODAK Residential Addition 25,000.00
1 HERESFORD Ln Total Value 25,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
HANCHETT CONSTRUCTION
MATT HANCHETT 798-8727
NY
Plans &Specifications
2001-688
320 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
$75.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, September 18,2002
(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 To of Quee sbury; T esday, September 18,2001
SIGNED BY . for the Town of Queensbury.
Director of Buildin. &C•-e Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
i-54
A permit must be obtained before beginning constructiOn' V s ; it File Ns , f 0 i•j
No inspection will be made until applicant has ricEiped a Fee Paid $
valid building permit. All applicants' spaces on this j ' 2007 Rec. Fee Pais
application must be completed and must a3 mtthe Reviewed
application form. BUILDIIV Q PVD�S8U Ry
ilev leetr Cotosne) 7 n1 CDi
Applicant: /71877- Owner: DH*/P'L 8ORKj/4
Address: Ia. MUeea7`(1.1) Address: ` HEfiaES Foal) ,
56 NI 1 2A1,2 (T EFttis at"all
Phone#(soma - V727 Phone# (51,r ) 79$ - 8360
4raProperty Location: Lot Number: / House Number
Subdivision Name: Tax Map Number: f►0� O -?-78'
❑ New Building: residence /commercial Estimated Market Value of Construction: $ /9,000.
le Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
❑ Other work(describe )
Check Occupancylnformation ist Floor 2"d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling •
o Two family dwelling
o Townhouse
❑ Multifamily dwelling
#of units •
❑ Office
o Mercantile
o Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage •
❑ 3 car detached garage
❑ 1 car attached garage
o 2 car attached garage
❑ 3 car attached garage
o Storage building-
commercial
❑ Storage building-
sidentia f'
theyL ^t!
What is the proposed height of the structure 2..1. feet 0 inches
Will any second-hand or ungraded lumber be used? If so, for what? t\l 0
Type of Heating System: electric/ oil dlti wood Crorced hot air/ baseboard/other:
Number of Fireplaces to be installed Q Number of Woodstoves to be installed 0
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder liM/CI>f ir64257,2Uc. /M ?7r //A/UCkf&1r— R-p72.7
Plumber
Mason 541 iG-.
Electrician t5401 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,arid 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 As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
•
Signature: (A / 4 7 owner,owner's agent,architect,contractor
ENERGY CODE COMPLIANCE APPLICATI., 6(31 —
mh
TOWN OF 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; 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:
HANCiterr CON5TJ2UC.
/ / H, Pem�
Ylxj-77- f�,�,\9
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 .. Gross Floor Area - -3210 square feet
2 . Type of Heat - Electric Oil , .Gas Other
3 . Is building mechanically cooled? Yes No
4 . Percentage of area of windows and doors Over 17% j 'Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 38
b. Exterior walls R 19
c . Glazed areas R
d. Exterior doors R
e . Floors over unheated spaces R
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R
h. Basement/cellar walls (below grade) R
i. Heating/cooling-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 140° - WILL NOT BE EXCEEDED
Appli,. ant' s Sign ture Date Phone Number
A /2 SEPT Zoo/ 198 - 7l7
INSPECTOR' S REMARKS : .
Queensbury Building & Code Enforcement - Residential Final I c on�7J'( J "
yi
O fic (518) 61-8256 Arrive: am/�part: �1 pm 10/44
Date Inspection uest received: D \ ,. Inspector's Initials: 6 1, / ..
NAMED `c�c -.%u`��-)' '\\ PERMIT#: C'`�
LOCATION: \ \SAY C' ;-k--2 DATE: ;/,, -_° ".. -1} I t
TYPE OF STRUCTURE: ,roc r\1 ,,,-),� i j�
Commen s ,
�'� / y (o
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,patios
Guard at stairwell at 34 in. or more
uard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in 6itct7
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum 'A"
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 insulatton Kf2%A.r"( 6(4--l (-0
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
rawl Spaces 18"x 24" acces , 1 sq. ft.-150 sq. ft.vents
Building No./Address is'b f o roa
Final Electrical
/
Site Plan /Varianc equir
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]
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
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. Cert. 85947 Cut-in Card No I�
Owner / -Pc' eV 0/kg
Location.! ./6/V2'eSp
Installation Consisting of lit( / 'RP 77UV Q
,r9,2/De no V --,f,'�
Installed By Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued i.
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 omptly made for inspection.
Inspectors of this Company shall have the privilege of maki insp ctions at any time, and if its
rules are violated,the Company shall have the right, r oke thi cert. cafe.
o9 ;.
Date q' a� INSPECTOR L _
Morn h o-N PP A 1 A C I
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 1 Arrive: am/ m epart: fof '�m
V /pm
Date Inspection request received: q C1104 Inspector's Initials:
NAME: PERMIT#: DC)I'" 62 b
LOCATION: 1 " DATE: ,2 U `/U JIB
TYPE OF STRUCTURE: '
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,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. Ny7 iLL_ oqPri c.. v LG o
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum 'A"
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 A
Plumbing fixtures
Foundation insulation RG k d U C O k a coif
Floor truss,draft stopping finished basement 1,000 sf /
Emergency egress below grade �k C'/"v
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 i
Building No./Address visible from road A/
Final Electrical /C617 6✓fr1. G-LC-C!
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 or C/0 [Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
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
�J �r
Queensbury, NY 12804 ARRIVE am/pm: DEPART/ `/ 1 am/pm Notes; F r
(518) 761-8256 Inspector's Initials
NAME: 'J ""` �_ PERMIT#
LOCATION: �fG2CS �0� L INSPECT ON(date): `5--
7 Q
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/W allpour
Reinforcement in Place
Foundati on/D ainppro offing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Ro h Plumbing
acing-Rough-In
•nsulation'
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 aration 1,2,3,hour
Pe tration Sealed
F're Wall 2; ,4 hour
,��estoppuig--.� _.
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
�T Office Use
GENERAL INSPECTION REPORT Inspector: .
Ready at time: P/ti
Town of Queensbury ,,..<__
Dept. of Community Development Request received: ct d•-3 ebb Meet:
Building& Code Enforcement At time:
742 Bay Road \ .� .,
Queensbury, NY 12804 ARRIVE am/pm: DEPART te
- am/pm No ; µ
'7.04,2k,14. _ Pew:-
(518) 761-8256 Inspector's Initialsc V2-t--Vv
NAME: - (4- PERMIT# c 10, ° V
LOCATION: 1 4,rescr-d____. 'C, ,.._J INSPECT ON(date): , cJ
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is resp 1 i ible for
providing protection .m\freezing
for 48 hours following t ie 1 cement
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place
Foundation/D ampproofmg
Backfill Approval
Plumbing Under Slab /
Plumbing Vent/Vents in Place
Ro h Plumbing /
ating R gh-In. `
riiStion I�Pc�.'' 'c— ,/
F Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- C 'FU— )0-- &. 61
Walls R- j
Ceiling R- 1
Duct work or piping in I
unheated spaces R- /
ack Studs/Headers t________— / //
Bracing/Bridging ✓i/
/ Joist Hangers
/ Jack osts/Maiin;Bearn ✓ /-*/// .lir Infiltration Bauer �."
Fire Separation , , , our
Penetration Sealed
ire Wall 2,3 4 hour J
qud.:-.5 • ' .�pp =�-L 1tl2� /6�e /UND e&SC-2'aq
L:\SueHemingway\Building.Codes.Inspcction.FORMS\GENERAL INSPECTION REPORT.doc
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 \`'4',-Vim/pm Depart ,�X�• _,/�: A/17\
Inspector's Initi.l �'�
• \ /
NAME: GEDC\("'J� \)i N PERMIT# 1 •8&
LOCATION: \ \a-e,- DATE : /c� Q Iz:9-00 1
TYPE OF STRUCTURE: S •\
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible fo
providing protection from freez ng
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wal 1pour\
Reinforcement in Plac
Foun 'on/Dampproofin
11 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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received: /1 d-P/ I
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arriv • ip Depart, '/
�'` i spector's Initial . -
NAME: '�' 1C1-- --/ / 42
PERMIT# -�-
LOCATION: I Fte - c DATE : r
TYPE OF STRUCTURE:
RECHECK
N/A yy NO COMMENTS
Footinps/Pier —� I
Monolithic Pour Fo
Reinforcement in Pla,e
The contractor is r:sponsible for
providing protectio from freezing
for 48 hours followi g the placement
of the concrete.
Materials for this purpo.e on s'te
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin_
Backfill Approval y
Plumbing Under Slab A
Plumbing Vent/Vents in Pace
Rough Plumbing
Heating Rough-In E
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
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