2006-859 41" TOWN OF QUEENSBURY
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Iprp 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20060859 Date Issued: Thursday, November 06, 2008
This is to certify that work requested to be done as shown by Permit Number P20060859
has been completed.
Location: 27 INDIANA Ave
Tax Map Number: 523400-309-013-0001-007-000-0000
Owner. MELODY ALLEN
Applicant: MELODY ALLEN
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
r."" ,P 4 11
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.
1 UWlN Or yULt1N SJi URA
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060859 Application Number. a20060859
Tax Map No: 523400-309-013-00'01-007-000-0000 '
Permission is hereby granted to: MELODY ALLEN
For property located at: 27 INDIANA Ave
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: MELODY ALLEN
27 INDIANA Ave Residential Alteration $20,000.00
QUEENSBURY,NY 12804-0000 Total Value $20,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
KELLY CONSTRUCTION
11 WILLOW ROAD
QUEENSBURY,NY
Plans&Specifications
2006-859
residential rehab HUD
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,December 04,2007
(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 To o ensb Me �da, ,December 04,2006
SIGNED BY4 for the Town of Queensbury.
Director of Building& .de E‘'•rcement
---! ..........................
....
OFFICE USE ONLY I ,, ......-........-.
TAX MAP NO. -
PERMIT N0, 0(2 f)r
FEES: PERMIT � .
RECREATION r
...... ----` ENGINEERING
Starnp
. ...................................................
----------------- .......-.-... (Ifappilcal •
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL
A:PEF�lyIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
& BUILDING PEI�IVIIT
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: ,� ec� ,�
-=---// c`�� irif=/ec,. OWNER' ff ,o(_)21 ..
ADDRESS: 7 Gz 7/ (c, }�Gf'
ADDRESS: _ �
PHONE NOS. C7 y 27 -3a C
PHONE NOS,
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: C &e 4P `.
LOCATION Of PROPERTY:
SUBDIVISION NAME: C • !), . e
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
PROJECT APPLY TO YOUR 0 0
O Cr
0 0 cn waw
Q Td - � • off =
-, g o� o � =
SINGLE FAMILY f
e/
TWO-FAMILY 7 ♦4 7772A,
MULTI-FAMILY
(NO.of UNITS_)
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
, MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: aG act
FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S);
AND I OR WOODSTOVES(S):
ZONING CATEGORY: 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
34.0EIRS
Town of Queensburi! CommunityDevelopment CAN. • zap Pm, Rnn.4 -
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
. 4444..... o -
._
ARE THERE EASEMENTS ON PP`E 'I
•
. *Oft I acknawledOe 41on UCUQ bttaWin.
'baa validpermit I c�ifythat theapplication,
piens., and supporting materials •
complete s �e���tion o� proposed, are a tru+�: d
Bn .
the work that al work will be pet ed in
accordance with the NY State Building Codes, local building laws and ordinances, and In
conformance with local toning regulattotis. I acknowledge that prior to occu
facilites proposed, I or my ager wl 'obtain a certificate ofoccupancy. PYAIhe
that llwe'are regwi�d,.fo pro .�� }t survey by a licensed
I also understand
• con
that
s prkr to.•i a certify Sed land surveyoYf all newly cite of•occupancy.
I have read a agree.to.tie above. .
Signed
•
.11i__e_e#6.1s_, !. ,L, ; ,, �,:� ,;C� �
: s' atiling.Building Permits, construction sic 0t, ,_. ,
ZoningAdmn�strait�oor: 761-8218 (forquestions r •
appiicion requir ants or egarding required permits, the permit rocess.
tQ- chedule an:appointment) p
+ ..y. +
Permission is herebyn , ' +
granted to the above , ; This application I proposed action � •
Applicant to erect or alter the building / / herein is ' +
described herein in accordance withfound to be in accordance with the +
Application: said zoning Laws of the Town of Qt,rea.
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ZiOIING APPROVAL
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• 'x. l own 0,fQ •ueensbury• Community Development Office. 7442 8
. • ay Road, ensb�try,NY 12804 •
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30-2 : MoKial4.
Queensbury Building & Code Enforcement - Residential F'nal Ins, ion
Ofti No. (518)761-8256Arrive: Y-121)._a /tied .' : r a rpm
Date Inspection reques recei ed: Inspector's Initials:
� s
NAME: ' R T#: . IOW
LOCATION: `7---et��.` - . cl j 9A : l�hrr.�•��
TYPE OF STRUCT E:
Comments:
Yes No WA
4" Building Number Address visible from road
Chimney Height/"B'Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
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
Deck Bracing/Handicapped Ramp Compliant
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
Interior privacy I trim I doors I main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Wndow in stairwells safety g ••;
Interior Smoke Detectors/Carbon Mono . - '- M ors
Every level: • Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
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
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/Vs hour fire door/door loser
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms •
Flex Gas Pipe Bonding
As Built Septic System I Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C 1 C or C 1 O[Temporary/Per nt]
L:1Building&Codes Forms1Building&CodesUnspection FormAResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: t7i' '=,• / - i a pm
Date Inspection request received: Inspector's Initis .- -i
A/leNAME: 1,1 • ' RMIT#:
LOCATION: ji.el ez..,
�: DATE: `� '-Q:6
•
TYPE OF STRUCTURE:
e S 7 1+. Comments 1
Yes No N/A 6 /2/2/7C)7
Building Number I Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake Se%L,Jr J�i — C- (1--)
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete lernr Platform at all exterior doors o i-- i d c7
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more �f O j �ls�
Guard at deck,porches 36 inches or more 1 '
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches r'0A?Xe... 56-'1
:,—/
Interior Handrails @ stairs 2 or more risers C
Grade away from foundation 6 inches with 10 feet D� /"./0- OR
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches _ J M DTi~C -
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing 0 2 —12
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 PL—e--° t% ---- V;7 -- 4
Plumbing fixtures /, `0,:_C��„\
Foundation insulation T"C�V 1`►
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 �� f\ L C-Y47 _
Oil Furnace shut-off at entrance to furnace area t\��—�
Fumace/Hot Water Heater operating 1 Agr- k)?---- �"3-(14.7`� fLow water shut-off boiler WW1 7
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'h"Gypsum
Basement stairs closed rise>4 inches ---TE
� ,l
Garage Floor Pitched t U 'N
Garage fireproofing/3/4 hour fire door/door closer 1�!�
Duct work Sealed properly �` -C>OV----
Gas Logs in Sealed or Glass Enclosure _{�
Final Electrical C_-r-G� D Ni-Ci `),--
Final Survey Plot PlanII
As Built Septic System/Sewer Dept. Inspection Sticker 'IP ill
Site Plan /Variance required `
Flood Plain Certification,if required
Okay to issue C/C or C/0 [Temporary Permanent
L:\Building &Codes Forms\Building& I ode spection Forms\Residential .inal spection Form_revised_100405.doc
5 -;17-0,5
Queensbury Building & Code Enforcement - Residential 'nix :pection
Ofh.e No. (518)761-8256 Arrive: 1-4--co,a-,, part: am/pm
Date inspection reques - -ived: Inspector's Initia
NAME: iti P f IT#:
LOCATION: _ � E:
.i
TYPE OF STRUCTURE: AIM (7/06
ry
.QComments:
Yes No IW
4" Building Number Address visible from road 4010,
Chimney Height 1"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
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/Fxderior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
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
Interior privacy!trim I doors I main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
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
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap!Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 14"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door I door closer
Duct work Sealed property
Gas Logs in Sealed or Glass Enclosure
Final Electrical •
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System I Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to Issue C/C or C!O[Tempo /Penman+�
L:1Buitding&Codes Forms%Building&CodesUnspection Forms Residential Final Inspection Fomes revised_100405.doc Revised
January 7,2008
INSPECTOR'S REPORT
Dept. of Community Development
Building & Code Enforcement
Town of Queensbury (518) 761-8256
742 Bay Road Alai
New York12804 a
it
Queensbury, '�
Date: /Q 13-C )
Property Location: 2.7 1 1E3p ilt. _
‘VIIP enact: __ 14
[l BUILDING SEWAGE SIGN
OTHER
1
REMARKS: Tax Map No.
it& ' i? u . Ie. 71.
\)3106t2.4\) k0e . CD\.)Krk ' ..&Wb
/�
CONTACT THIS OFFI ' !i► a ,,e
II 4 ,
,/, Atr/LA
7t .ding Inspector
INSPECTOR'S REPORT
Dept. of Community Development 7- j72)t•A
Building & Code Enforcement
Town of Queensbury (518) 761-8256
742 Bary Road ‘I41
�Queensbury, New York 1284
Date: (Q— ti 6--p(a
Property Location: 7-7 I OD I ASA AMIE
Owner enant: t`t ELDVA Avi_Et3
0 BUILDING SEWAGE SIGN
1 it
OTHER
r
REMARKS: Tax Map No.
J
_t_ )t3 Pe..'2712,A 5 4 WV--
2.' --- 9- DO i MtAin,t PCMLA
tk o u lk 91 60 \N k5\T! 13 \t,)(
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—\-\ ___. ‘3-v t \t S\ 1 IP-D?_71s[ \ ---c-coa.iil
CONTACT THIS O. - • N iA�
wilding Ins to-
Complaint / Investigation = �',
Inspector's Report • '� %•
Date Received: `� i Z 1/`e'Time: Initials:
Complainant Name: /z) / Anonymous?
Property Location: L,a_6 //0(
Owner/Tenant(s) Name:
Tax Map Number:
Nature of Complaint Details
o Trash/Garbage
a Junk Vehicle (s)
o Unreg. Vehicle (s)
a Uncut Grass/weeds
o Misc. Junk/Debris
o Septic problems
o Water drainage _ /� / /
)2.1iuilding w/o permit -, i I'v- /114/e/',/ /1/0 4",/
o Other
Inspector's Name: esFrJDate of Inspection:
Findings/Remarks/Follow-up: 1)3a-I-{ -,Q1
R E fl_ of F41 1>, v1)( FRP-H NO\VbE. _ L
'1-3‘• Lc) i 6C PF v_t•-\IT 11-) n 0t -\F O F->(2--_
Pin R PP b ) )
Disposition: Date:
❑ No Apparent Violation, no action required
❑ Order to Remedy Violation
o Court Appearance Ticket
o Complaint Abated
a Civil matter
• Complaint/Investigation
Inspector's Report
Building&Codes Office
Dept.of Community Development
742 Bay Road
Queensbury,NY 12804
Date Received 4 -- 20 c Time
Complaint Name ?j Phone#
Anonymous Complainant
Nature of Complaint:
Property Location: Z—( \ n l Pi 1k k VE_
Owner/Tenant of property: Mal 0 c)`\
Investigation on: or - \i ,20 By: -57, (Y2PRAFA
Findings/Remarks: (k_c)C� PE*t c\- .kTnc \ 4
e RD ORD 11.\N„\CF
• - . • •.1 t • � � :. •!
PtQ { 1F 1. — h 6`f1P Li EQ O
\77 o- \
1 .1&/-\T 2 \5. tC- ' —Z\ 1C.12-Af' cAE1c V
haR,flC�F� hTc\�� 7J ESD� T�
GE V 01-6) \7 .
D position: 3 •'in u._ 4)%ci. IFtiu -r T %,k. kg-a\
No apparent Violation,no Action Required: 0 FUF
Order to Remedy Violation (sent) ,20
Court Appearance Ticket(served) ,20
Complaint Abated ! - Z$ ,20i � `` -14
INSPECTOR'S REPORT
Dept. of Community Development
Building & Code Enforcement
Town of Queensbury (518) 761-8256
742 B Road tA
York12804 F �
Queensbury, Newi��
Date: L(- •
\t74c"
Property Location: 227 \ M)\ \ S
Owner/Tenant: L OP
BUILDING SEWAGE SIGN
OTHER_:-q____\ls,- Wi_±Aa2__azVrrWa(g.
REMARKS: L Tax Map No.
�> it i \ II
QtDE_ __ALD1c34)V4_ \Ca_
_ k)Q52--Q t-)1 -Th‘--pt
VI -1\ 1\3Aisk"<
CONTACT THIS OFFICE .a"-II 4‘1 • •• ' _
.; i g Inspector /."
•- - - INSPECTOR'S REPORT
Dept. of Community Development
Building & Code Enforcement
Town of Queensbury (518) 761-8256
Alliiilkaab742 Bay Road `
Queensbury, New York 12804
— r) 9) )\
\„°`'
Date: - Z-� — O cA
Property Location: 2-7 1 KM)t AOA AJE0
Owner/Tenant: TA E Lo aA AL.E4
0 BUILDING SEWAGE SIGN
OTHER c3c l_ 11-1
REMARKS: Tax Map No.
PI__E AkE RE -%c\ 'E_ Re_M At oi OC-,
6-13111 1 13 \(fiR RO., A Lo0C. 0 kwaiAl
41 (-41 fk flE__ A A Q AL66 RE \r )E_
ALOk..6oc.)okm 1 EiRo1.S�'
\Ci %ik0o 1t4E a 1 MO ())E 00
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f :f1dinIns : for
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheirn,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit ............Cert.N2 93619 Cut-in Card No.....................................
Owner................ ............ .....................................................................................
Location.......I.-I.........Xn.4(2.&-)zj,4).......A_Lw ..................................................................
1.....
Installation Consisting of....... ........ ........ ..........
............ ........
.;:.,e................................................................................
....................................................................................................................................................................................
I
InstalledBy.....A ......................................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........I.. ...
...... . ....?........... INSPECTI ...... ... ...........I......................
Member N.F.P.A.,I.A.E.I.