2006-664 TOWN OFQ UEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20060664 Date Issued: Wednesday, September 19, 2007
This is to certify that work requested to be done as shown by Permit Number P20060664
has been completed.
Location: 17 EVANNA Dr
Tax Map Number. 523400-301-019-0001-028-001-0000
Owner. ROBERT STONE
Applicant: ROBERT STONE
This structure may be occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the ,
property owner of the responsibility for compliance with Site Plan, 145:t."--
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4,7
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060664 Application Number. a20060664
Tax Map No: 523400-301-019-0001-028-001-0000
Permission is hereby granted to: ROBERT STONE
For property located at: 17 EVANNA Dr
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: ROBERT STONE
17 EVANNA Dr Residential Addition
QUEENSBURY, NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-664
168 sq ft residential addition
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, September 29, 2007
(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 Towr`ftifQu nsbu Frig•'y, .eptember 29, 2006
.
} / . _.
SIGNED BY • f �� .1 for the Town of Queensbury.
4,
Director of Building&Code Enforcement
301 _ 24 I OFFICE USE ONLY
TAX MAP NO. � / Date
FEES: PERMIT '/,`) RECREATION
--_ENGINEERINGSr •� 2 GOS
(If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER:AFC'G't}R/a �/ ,�
OWNER: sTN�
ADDRESS: /fo O4-)Eg -i �i / ' ADDRESS: /7 E/444/4
PHONE NOS. 7V_70527
PHONE NOS.
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE:Zif'/!Ia/
LOCATION OF PROPERTY: /7 ,CC/',,9Ain -vieireE
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z cc 0 p
Lij
PROJECT O < 00 00 cn Li
C }- CC
W 0 H i LLL IL W Q 4 = x
Z < wz
� � axis
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
4
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: 4/D//4/3, °-31- FUEL TYPE:
HEAT TYPE: FHA *HOW MANY FIREPLACE(S): A/41AND OR WOODSTO-VES(S): A%r
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? WO
IS THIS A HISTORIC SITE? /V42
PROPOSED USE OF BUILDING OR ADDITION: .6C.- e047,,7 4X/D j/5/47
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
B 3-LGL 11-05
tilt Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
r
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? //J
ARE THERE EASEMENTS ON PROPERTY? //u
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read an•agiz the above.
Signed 1%/l►�.� 1191:1?�. '
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
BUILDING &CODES APPROVAL ZONING APPROVAL
DA E
DATE
•
QUESTIONS? CALL 761.8256 OR EMAIL
codesaq ueensbu rv,net
VISIT OUR WEBSITE FOR MORE INFORMATION
Www.queensburv.net
Town of Queensbury • Community Development Office • 742 Bay Roadueensbu
Q ry, NY 12804
TOWN OF.QUEENSBURY •.- . 0/i-HIGHWAY 66/ Richard A.Highway Superintendent
Home(518)798-5127
DEPARTMENT
742 Bay Road *Queensbury, NY. 12804 Michael F. Travis
Deputy Highway Superintendent
Office Phone:(518) 761-8211 (518)798-0413
Fax:(518) 745-4466
DRIVEWAY PERMIT
DATE:
APPLICANT NAME:
TELEPHONE NO.:
ADDRESS TO BE INSPEC I tD:
RETURN ADDRESS:
Applicant must show exact location and width of driveway(s) to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury h s reviewed this application. The
following action has been taken:
S I EP 1: ( ) Preliminary Approval
NEED: ( ) Slight swale
/1Vi
( ) Level with the road
( ) Deep swale
Size pipe to be used (if necessary)
( )12" ( )15" ( )18" ( )24" ( )36"
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Supt
Upon completion, please resubmit this approved permit for a final approval.
S I tP 2: ( ) Final Approval
( ) Rejected
DATE:
Richard A. Missita, Highway Superintendent
E-mail:highway@queensbury.net
(3 04, 00:) 2 -4/ (4)rida.A
• ..
' Queensbury Building & Code Enforcement - Residentia Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: N am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#: PAN
LOCATION: / 1/40.444._, j'' DATE: a,
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location _
Fresh Air Intake _ /
3 inch Plumbing Vent thro _ i. minimum 6 inches
Roof Complete/ •+ ►•m.lete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Inter . .nvacy/trim/doors/main entrance 36 inches ✓
00 /Kitchen watertight
arery g azing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation /1/7
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below 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
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum''/z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofmg/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure ��
Final Electrical
el254Id caTh
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc
6-1 0
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart \130 am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: &A)
NAME: 4 � PERMIT #: 41, !�
LOCATION: [1 ► - INSPECT ON: I ( •
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction
Pressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head
50 P.S.I for 15 minutes
Insulation / Residential Check / Commercial Check
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS: yi---Le5\itx.),e
'� e
MSE
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
c0
Office No. (518) 761-8256 Date Inspection request received: ����''j����-' ,
Queensbury Building&Code Enforcement Arrive: am/pm Depart: t# m/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
er
NAME:
"�' � PERMIT t: 6 11
LOCATION: INSPECT ON:
TYPE OF STRUCTU
Y N N/A COMMENTS
Framing
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: `��
Queensbury Building & Code Enforcement Arrive: am/pm Depart: " / am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: C_,?•-g)
NAME: S�� i PERMIT #: w
LOCATION: V-1_ (< INSPECT INSPECT ON: Mir_
TYPE OF STRUCTURE: 1)-A)\)
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent / Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction
Pressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head
50 P.S.I for 15 minutes
Insulation / Residential Check / Commercial Check
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
?c-le\YA ‘11zAWCH‘--- CYLL7S-)
COMMENTS:
r-3D T7A,J&-c)
L:\Pam Whiting\Building&Codes\Inspcction Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:2" i ''am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials'
NAME: 1 1 � �;7� `vim PERMIT#: i
LOCATION: l'-1 INSPECT ON: L q-2?:)(cso
TYPE OF STRUCTURE:
Y 1%/N/A
Framin COMMENTS
Attic Access 22" x 30"minimum n r-
Jack Studs/Headers V/
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in. p��\}5
l� .J
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour /71--
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
_ 5.0 sf grade
. ins
Z 4f , a /04/)//0 6 .
Foundation Inspection Report
Office No. (518) 761-8256 Date Ins ection re""• :ceiv d:
Queensbury Building&Code Enforcement Arrive: .y P Depart: 2.7-01D am/
742 Bay Rd.,Queensbury,NY 12804 Inspector s Inititr�
I / --6/-\ •
NAME: �!�L�� , T ii: �' t�.
LOCATION: / 72 h(/r)---- , /Yr' t-e_, I"SPECT ON: Ifai •
TYPE OF STRUCTURE:
\ -\ k I:_ c vDU-2 Comments
Ae -� ; 11 nG
Y N N/A
Footings b 2 -AC. r-C_
Piers pEO1/4- __,
!
Monolithic Slab C iA j (✓
Reinforcement in Place /
The contractor is responsible for 7' ( 70 SC .
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
046---bundam- pproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
</ 6 'i._.•-. -.:.:. e footing
A 6 mil poly for we . •as under slab
@Ai :• I ' pprova
Plumbing Under Slab
VC/Cast_ r
0._,A0
Foundation Insulation for/Exterior
1-1-:-------------.....--) /Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/0/i *
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart74cy am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: r ,k1/4
NAME: ik- PERMIT#:
LOCATION: Dr INSPECT ON: - ..
TYPE OF STRUCTURE: 1kc)
. ! Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the co ret•.
aterials fis p �s•se on site.
Foundation/Wallpour
Relno�ement in Place
Footing Dowels or Keyway in place V
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buiiding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/ - 3 k//s-46 .
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:`1'` !`/ pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials i� 7�
9
„.„,„
NAME: T�6ti--� PERMIT#: 06` 610 • .
LOCATION: /7 �/( � � J INSPECT ON: . �/
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic SIab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
• : for is se on site.
Foundation/Wallpour
Reinforcement in Place
5
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump ( ` i` T:CTFL 'qZ- —
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/D -12- t
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: _am/pm Depart: ' -• am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:Zt_i
1r
NAME: _ PERMIT#:
LOCATION: 67loll INSPECT ON:
TYPE OF STRUCTURE: t)
Comments
Y N N/A
Footings
Piers—
Monolithic Slab
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/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place w�
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/ -7-NoRsDA--/
•
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:2'is am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: IRC)41-4S , PERMIT#: ‘<0
LOCATION: /7 Evcurt,,_ .brs. INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Framing COMMENTS
Attic Access 22"x 30"minimum f grill I
Jack Studs/Headers Please
e.0 l
Bracing/Bridging CL� 7?/
L,oJoist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly ``6 p v J /z A O o r E�1ueQ
12"O.C. r
Headroom 6 ft. 8 in. , ��/we._
Stairwells 36 in. or more _ f
Headroom 6 ft. 8 in. L,C) ¢/Lente,
Notches/Holes/Bearing Walls C
Metal Strapping for Notches Top Plate
1 `/z(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft. floor trusses
AnchBe or less on center
Ice and water shield 24 i es from wall V
Fire separa i , , pun
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min. I
Garage Fire Separation
House side V2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 shade
Nihrificio i own of Queensbury • 742 Bay Rd.
Queensbury, New York •12804 PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
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