2006-755 TOWN OF QUEENSBURY
4311
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20060755 Date Issued: Wednesday, March 19, 2008
This is to certify that work requested to be done as shown by Permit Number P20060755
has been completed.
Location: 888 LUZERNE Rd
Tax Map Number. 523400-307-000-0001-005-000-0000
Owner. BETTY M. POTTER
Applicant: BETTY M. POTTER
This structure may be occupied as a:
Residential Alteration 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,
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.
40" TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060755 Application Number. A20060755
Tax Map No: 523400-307-000-0001-005-000-0000
Permission is hereby granted to: BETTY M. POTTER
For property located at: 888 LUZERNE 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: BETTY M. POTTER
888 LUZERNE Rd Residential Alteration $2,000.00
QUEENSBURY, NY 12804 Total Value $2,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
ABLE HOME IMPROVEMENT
267 OLD SCHROON Rd
SCHROON LAKE, NY 12870-0000
Plans &Specifications
2006-755
RESIDENTIAL REHAB - HUD
INTERIOR PAINTING, SIDING, STORM DOORS AND WINDOWS
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, November 03, 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.)
i
Dated at the Ton oCf �ensb ,4trigtorNmemberm03, 2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
6---95-5-
OFFICE USE ONLY
TAX MAP MAP NO.
PERMIT NO.
.)ate
FEES: PERMIT RECREATION__________ENGINEER � j
(If
ING applicable) ;
i40«NiJ CO:t tir_r PRINCIPAL STRUCTURE;
APPLICATION FOR ZONING APPROVAL & BUILDING
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSI1VG PERMIT
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.APPLICATION IS SUBJECT TO
APPLICANT/BUILDER: • -
� ' ' ' //OWNER: • r •,
ADDRESS: ) ;"-ett?7
; ib-40pRESS: 1�
PHONE NOS. r • c-p3
PHONE
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: / ' 7 ,�
PHONE:�j„7--i�23
LOCATION OF PROPERTY: e
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
,___-
PAPPLY ROJECT YOUR o 0
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o o � a°.
a �w
w o = =
Z Q Q � Q ° d F- OC� z
c, u) O �i � ri area
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(N0.of UNITS__
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
4.260
OTHER
IF COMMERCIAL OR INDUSTRIAL-NA_ ME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:1,6rana
FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES
ZONING CATEGORY: (S)•
ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION:
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
B 3-LGL l 1-05
;: Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
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 and agree to the above.
Signed /12y
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 A- ROVAL ZONING APPROVAL
DAT
DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(�quenbu , •.t
VISIT OUR WEBSITE FOR MORE INFORMATION
WWW.aueenshary net
Town of= Queensbu ry•
Community Development Office •
f.{� 742 Bay Road, Queensbury, NY 12804
II
Queensbury Building & Code Enforcement - Residential Final Inspection�
Office No. (518)761-8256 Arrive: am/pm Depart: G • !'�am/pm
Date Inspection request received: Inspector's Initials: e.,v,(
NAME: 7:H-terPERMIT#:
LOCATION: sed DATE: —
TYPE OF STRUCTURE:
JSP ^ I
Comments
Yes No N/Aocp 11007
Building Number/Address visible from road
Chimney Height/'B"Vent/Direct Vent Location s iefriA-1 e>90
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches fe f/er o 1�- //
/-z/07-
Roof Complete/Exterior Finish Complete _ l
Platform at all exterior doors n- i KS
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 �`� Sc'-�
Handrail Termination at Newell Post or Wall A ��/ c--e_Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers Q f"-- f /7/617—
Grade away from foundation 6 inches with 10 feet 3rj�
6t.-4C4 6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade _
Interior privacy/trim/doors/main entrance 36 inches 0 4‘.-
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom: — f
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 U NkC /
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq. ft.
Emergency egress below gradett'ie
Gas Furnace shut-off within 30 feet or within line of site eJ
Oil Furnace shut-off at entrance to furnace area
FurnacefHot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 •
Enclosed Stairs Sheetrock Underside minimum i4"Gypsum
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
Final Electrical 11''2"
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/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc