2001-838 ��` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010838 Date Issued: Thursday, February 06, 2003
This is to certify that work requested to be done as shown by Permit Number P20010838
has been completed.
Tax Map Number: 523400-290-014-0001-017-000-0000
Location: 0 7 ,4'MARIELL Rd
Owner: TIMOTHY &DEBORA SEEYLE
Applicant: TIMOTHY&DEBORA SEEYLE
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
(--3J
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010838 Application Number: A20010838
Tax Map No: 523400-290-014-0001-017-000-0000
Permission is hereby granted to: TIMOTHY&DEBORA SEEYLE
For property located at: 4 MARTELL 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: TIMOTHY&DEBORA SEEYLE Residential Addition 10,000.00
4 MARTELL Rd Total Value 10,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-838
488 SQ FT GARAGE ADDITION AS PER PLOT PLAN SPECIFICATIONS: Area Variance No. 76-2001,
ZBA approved
on October 24, 2001
$75.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,November 15,2002
(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 Queens ury; Th sday,November 15,2001
SIGNED BY for the Town of Queensbury.
Director of Building Code nforcement
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
v
A permit must be obtained before beginning construction. Permit File No —4 7
No inspection will be made until applicant has received a id $ ire i
valid building permit. All applicants' spaces o ee Paid t �/
application must be completed and must appea o�i'tfi'e 1� 1'' , �/
pp p pp Reviewed By:
application form. 20 0l / r
NOV '�
Applicant: Tile/ ..Seel TOWN OI t�NS�� t ra -e.
Address: 7 � `''rj BUILDI i 4,ipd
Phone#(Sir ) ,f- S747 Phone#( (f-- )2 - ?c'7
Property Location: Lot Number: / House Number 7 / 41,,r �/, f'
Subdivision Name: Tax Map Number: 5/: —.$ -a, -7X
o New Building: residence /commercial Estimated Market Value of Construction: $ /0(906
Addition: esi a / commercial If an Addition,what will use of new addition be?
o Alteration: residence/ commercial
U No change to exterior size: residence/com'1 6-0 /
❑ Other work(describe )
Check Occupancylnformation is'Floor 2"d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
t Single family dwelling ()
-ckell---
❑ Two family dwelling
o Townhouse
o Multifamily dwelling
#of units
o Office
o _Mercantile
o Manufacturing
o 1 car detached garage
O 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
UL 2 car attached garage d
o 3 car attached garage
❑ Storage building-
commercial
o Storage building-
residential i ( _
c Otherrtzr_46(t°Z(6 .- I W
What is the proposed height of the structure 4C feet inches
Will any second-hand or ungraded lumber be used? If so, for what? )(I a
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: (i0-e,v-e,
Number of Fireplaces to be installed 0 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 Ji
/pie/77w./ See''r 27 fl2 -W &i 7� 97y�
�C/o.v e
Plumber
Mason n71-:L7 Z�7�-e_ c7.2 7 /1'44,-i�Plf��!` 7 i--72Y?
Electrician 7T a St "ta•. -e ,2 7 /7crw-{r/7 /'� - 7 c?
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 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 Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: /Fi :a s zj� Ala w- owner,owner's agent,architect,contractor /`
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: /�D
Building&Code Enforcement
Dept.of Community Development Arrive am/pm1- Sm Depart /pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME I hlA PERMIT# / ?-3
LOCATION °-f' h '(1 DATE /'/ I/ DZ — 0-67/1
TYPE OF STRUCTURE -
tl 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,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace 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 than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors: {�{ n
lit) Cli\V�� ��G
every level
every bedroom /�
outside every bedroom L7 FQe-6--u 1 R V 7,
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/a hour fire door/door closer /
Garage fireproofing ✓/
Garage penetrations sealed v
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor �
Final Electrical ✓ (i)6 17 �LC� . ._.) jl�S e
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)_ CAL AL c_ �R �C�r &CK
Okay to issue permanent C/O(Certif.of Occupancy) l� 1 "1`l�
(1,115P
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: le 7/ Z_
Building&Code Enforcement �
Dept.of Community Development Arrive am/pm Depart p
Town of Queensbury Inspector's Initials - /
742 Bay Road
Queensbury,New York 12804 (�
NAME 3e--J' PERMIT# 2)2161 a36
66061n £S. LOCATION 2,7 a kJ( Kd DATE {%
1 1r-Q6( ;:TYPE OF STRUCTURE ;" I)
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating \\\
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in. \\NN
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
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
inter connected 4, V
Bathroom fans
Plumbing fixtures
Foundation insulation
3/a hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per roo
Safety glazing 18"or s frpm
Final Electrical 'f CSC
Site Plan/Variance r fired
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 ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. _ Cer f 7 9 2 6 2 Cut-in Card No 6 — 3 "
Owner
7 , S GrZs Z E�
Location 6:9-'7 mA-a-i Ago , - y
Installation Consisting of a"' I ) Q, Z� .6 6-4 rz-J
�'A/2.4-
Installed By do L� J 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 datc. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin; J-ctions at any time, and if its
rules are violated,the Company shall have the right to evil- this c cate
Date q- v INSPECTOR
Member N.F.P.A..I.A.E.I.
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of community Development Request received: Meet:
Building& Code Enforcement �� rn At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART l ham/pm Notes:
(518) 761-8256 Inspector's Initicals�i�
NAME: PERMIT# V ` — er- s
LOCATION: 1 CAN INSPECT ON(date): 3
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible fcr
providing protection fr m freez'ng
for 48 hours following ie placelinent
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place j
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab / 1
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R- 1
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- I
Duct work or piping in '
ated spaces R- i
Pro r Vent Attic Vent /
1F ming
Jack Stu s/Headers
Bracing/Bridging V
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.lnspcction.FORMS\GENERAL INSPECTION REPORT.doc
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, NY 12804 ARRIVE am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials s.N _
NAME: mSe_,:e ,_c) PERMIT# `` a g
LOCATION: INSPECT ON(date): - (, - aMb•----
TYPE OF STRUCTURE: ._,C-Ck.S:),,() % �.�
b
RECHECK
p___ N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form 1
Reinforcement in Place I
The contractor is responsible for
providing protection from freezing
for 48 hours followiu the placer ent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour I _
Reinforcement in Place I
Foundation/Dampproofing
Backfill Approval 1
Plumbing Under Slab
Plumbing Vent/Vents in Place \ •
Rough Plumbing
Heating Rough-In I
Insulation 1
Foundation Walls Interior R-
Foundation Walls Exterior R- I
Floors R- I / _
Walls R- I 0 IN 5�-LC._ ' 1- UN -42 (l o (-k A-IBC'
Ceiling R- I / // _
Duct work or piping in C I O S r�-L C- Z�C`f' C p 4 4_ r 16
unheated spaces R-
Pro
_ _ 1 5 �� C
Pro er Vent,Attic Vent �/2a a= l 6��'�LC— 44I= 16/`S
gF 'n
Jack Studs/Headers �!� 1/- /
Bracing/Bridging L/ V
Joist Hangers ���1/l C-C 1—Di - 4-C I-CC!<
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.doc
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road a ,� 410/
Queensbury,NY 12804 Arrive` �_m Depart
Inspector's Initi /a
i
NAME: TT t' (6 E EL E� PERMIT# J4 a
LOCATION: 277 M A t -L- R fl C) DATE :
TYPE OF STRUCTURE: CS cD O
RECHECK
N/A YES NO COMMENTS
Footings/Piers I—T—
Monolithic Pour Form
Reinforcement in Place
The contractor is respo sible r
providing protection fr rm freeze g
for 48 hours following . e place ent
of the concrete.
for this rpose i n site J
Y'�oaterialsundation/Wallpoupur 13JA1 !�
VReinforcement in Place >�
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in ' .ce
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:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive%1"i`,y a i pm Depar a
`N �^�1 Inspector's Initi
NAME: �� Se2 PERMIT#
LOCATION: 0—j (INQKC DA 11, : - - _ I
TYPE OF STRUCTURE: ER-P.elC-7) EV D MO
RECHECK
N/A YES NO COMMENTS
Footi i gs/Piers �— I
olithic Pour Form
'l orcement in Place
The contractor is responsible for
providing protection from fr-: ' g
for 48 hours following the p. - 'ent
of the concrete.
Materials for this purpose on s'
V Foundation/Wallpour
Reinforcement in Place
Foundation/Dampprfing
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
cç\QyTh\
GENERAL INSPECTION REPORT \fl'
( 518 ) 761-8256 „i
�
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road tG 0 . 43
Queensbury,NY 12804 Arrive am/pm Depar m
Inspector's Initials
NAME: Q.` PERMIT# — 32
LOCATION: DATE : ' - ()— —j0 (
TYPE OF STR TURF: j rc c d
RECHECK
N/A YE/NO COMMENTS
, .,potings/1 iers \ '----1 ✓ I 1/
Monolithic Pour Form \
Reinforcement in Place '\. t j/
The contractor is respon�'ble fob\
providing protection from eezirlg
for 48 hours following the lace nt
of the concrete.
Materials for this purpose on sit
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
19-71111
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/' a m
Inspector's Initials
NAME: \ Q. ,p v� 11 PERMIT# 0/-83 g
LOCATION: r � r- ( (9 DATE : / -g - a oo I
TYPE OF STRUCTURE: ( - --J -c
RECHECK
(N\
N/A YES NO COMMENTS
Footings/Piers \ 1—-1-- I
. Monolithic Pour Form \
Reinforcement in Place '
The contractor is re nsib e for
providing protection m ieezing
for 48 hours following;he p acement
of the concrete.
Materials for this purpose on .ite
Foundation/Wall••ur
Reinforcement in ' .
Fou tion/Dampproofin_
ckfill Approval
1 /
Plumbing Under Slab
Plumbing Vent/Vents in Pl.. e
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
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