2006-860 l
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Alibi 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: P20060860 Date Issued: Wednesday, December 03, 2008
This is to certify that work requested to be done as shown by Permit Number P20060860
has been completed.
Location: 18 PINE St
Tax Map Number. 523400-309-010-0001-040-000-0000
Owner. RAYMOND J. & SYLVIA R. PALMER LIFE USE
Applicant RAYMOND J. & SYLVIA R. PALMER LIFE USE
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, (-- ,,„,P 4 ,A----
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.
! OWN UP QUFFI1NSISUKY
441hi
742 Bay Road,Queensbury NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060860 Application Number: A20060860
Tax Map No: 523400-309-010-0001-040-000-0000
Permission is hereby granted to: RAYMOND J. & SYLVIA R. PALMER LIFE USE
For property located at: 18 PINE St
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: RAYMOND J. & SYLVIA R. PALM Residential Alteration $20,000.00
DAVID M. &TAMMY M. SOMME Total Value $20,000.00
18 PINE St
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
KELLY CONSTRUCTION
11 WILLOW ROAD
QUEENSBURY,NY
Plans&Specifications
2006-860
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 of ensb "y,December 04,2006
SIGNED BY r for the Town of Queensbury.
Director of Building&Code Enforcement
.................
......
............................
o �� OFFIC USE ONLY "; r.................
•
TAX MAP NO.
ERMIT NO, (-)— r p
RE •
FEES: PERMIT ' ,•
•
Date
CREATION_____ _ENGINEERING % , 1
C � Ip
•
................. ...... (If applicable)
PRINCIPAL
STRUCTURE:
APPLICATION FOR ZONING APPIZOVA
A PEaMITNIUST BE OBTAINED BEFORE BEGINNINGL & BUILDING PERMIT CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER; A /. a, .07...f ;Vic! Ac- OWNER: G�,6?♦ .- //j. ,/,
, .
ADDRESS: r i. � cc.. y
ADDRESS:
PHONE NOS. , / C - o L
PHONE NOS,
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:
T-s-e, ./ ..;,/1:- PHONE: 7 ,�--��-�
LOCATION OF PROPERTY:
SUBDIVISION NAME: I C /l2
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
PROJECT APPLY TYOUR Occ
F- 0 Oco
. g d w t co
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`— g “55; Ori CLW -
ed
2
SINGLE FAMILY a =
TWO-FAMILY
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: rJ O '
.., FCkEL TYRE:
HEAT TYPE: *HOW MANY FIREPLACE(S): AND/OR WOOD
ZONING CATEGORY: STOVES(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
r B 3-LGL 11-05
Vt..,, Town of Queensbury• Community Development (7ffiirp • 749 Rte„ 1:),,,,,i n.......-,- ..,. -- --
•
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? •
ARE THERE EASEMENTS ON P R .
• .
•
•
.
I acknsawledgevreonttrtictiori ig :corh titencedOorto lane"ofa Valid
permit. I certify that the`ateOlt%.and supporting materials are a tr c
complete statementfdescriptron of the work proposed,that all work will be peifortned 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 occupying the
facilities proposed, i or my agents will obtain a certificate of"occupancy. I also understand
that ilwe are requiredto provicte an ilt survey by a licensed land surveyor of all n iy
conscted facilities•prior to issuara •Of a certificate of occupancy.
! have read and` ree to.the above. • •
Signed
•'r. .r s#. s: jamming.Building Permits, construction
. .
codes r• .� rw n . •
•
Zoning Admin'istr ror: 761-8218 (for questions regarding required permits, the permit process,
appiidafion requirements or tq-$chedule a appointrne t) ..
.r.
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r 1 ���tr7l✓Iir�lirl
•
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Permission is hereby granted to the above e ; This application I proposed action described Applicant to erector alter the building ; herein is found to be in accordance with the
described.herein in accordance with said . ; ; zoning Laws of the Town of Quee ,..•
Application: •
• ; •
I II :4;,
I
I I
BUILDING i . '°-PROVAL + %
Queensbury Building & Code Enforcement - Reside• :1 •' .1 Inspection
Office No. (518)761-8256 Arrive: 17.,;Its a op, 1 f- : 1__a pm
Date Inspection request received: Inspector's Initials: 'of'
t
NAME: le Al .. it /i of IT#: D '4LOCATION: .• ,.„�% ._y—F : -- — a
TYPE OF STRUCTURE:
is_j_
C-5 - Comments
Yes No N/A /O7Building Number/Address visible from road e /27/4
Chimney Height/"B"Vent/Direct Vent Location
-e)(f)
Fresh Air Intake 26 1 73 inch Plumbing Vent through roof minimum 6 inches `�J fir'
Roof Complete/Exterior Finish Complete
Platform at ail exterior doors /?, LI .
f fel t/y�T. ithA)-7—
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more � I `�`�
Guard at deck,porches 36 inches or more A l(V -
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers nO/Com, SP
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate 0/ti /`a'C)a
Gas Valve shut-offexposed/regulator 18 inches above grade y��
Interior privacy/trim/doors/main entrance 36 inches {�''�A e=7/ -e (SC�c�.�!
Bathroom/Kitchen watertight ,
Safety glazing/Window in stairwells safety glazing Oa_ 2— /2 '-
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup: / ; ;
Carbon Monoxide Detector J ��V— '" '` '"J
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 1 11EC� 4 0*—
Bathroom Fans,if no window
Plumbing fixtures V\a €_ V_u sAi•tl z,
Foundation insulation 4.11N—N.--- 1G
Floor truss,draft stopping finished basement 1,000 sq. ft.
Emergency egress below grade /1.—,C,rZ-.?_ ___L \( tT\\l'A
Gas Furnace shut-off within 30 feet or within line of site `\
Oil Furnace shut-off at entrance to furnace area NeZG ) --k— —
Furnace/Hot Water Heater operating --V-P\� i \ d�
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 ��U� t, 46 L
Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum C�i�>
Basement stairs closed rise>4 inches \_)L_ \�� -V\-V=k\_ ,
Garage
\-
Garage Floor Pitched /'�l�. T�
N•-,�,1� �E_
Garage fireproofing!%hour fire door/door closer C�
Duct work Sealed properly N4
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan L
As Built Septic System/Sewer Dept.Inspection Sticker `'�
Site Plan /Variance required ` I
Flood Plain Certification,if required UL>"Cc\f� C9C6V
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
Queensbury Building & Code Enforcement - Residential 'nal pection
Office No. (518) 761-8256 Arrive: t-�-p a . • . %-,-rt: \=?.t; ar1)
Date Inspection request received: Inspector's Initials: �r�w
NAME: 1 1_ PE'MI #: OCD
LOCATION: I N E 6-1-4E__--r- DATE: L 2_ Z2---1.°09?)
TYPE OF STRUCTURE: I-t )Q 0-0C-- -YE.RM[T ✓'
Comments:
Yes No N/A
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/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 j
Plumbing fixtures v
Foundation insulation/Insulation Certification
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'/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/,hour fire door/door closer _ i
Duct work Sealed properly IA
Gas Logs in Sealed or Glass Enclosure
Final Electrical V
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 Cr`o[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised 100405.doc; Revised
January 7,2008; Revised 6/26/08
—. —
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
(! _ �'&.o..................Ce t. N2 94108 Cut-in Card No.....................................
Permtt No......................
Owner..................... .....
1 ...... .`.i.r�z. - ..1.........................................Y.................................. c
Location..................
C -.....
Installation Consisting of......., ..SAL tat..c .....;f�R.. ;c '.r..�r.'................ 0 t .J:..........
..........��•a:r.etc:.�....24:.,1..................................................................................................................
......................................................................
Installed By.....4W.L.;/........,�-��act.1.�.....�r.........
...........................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.
vilege of making inspections at any time, and if its
Inspectors of this Company shall have the pri
rules are violated,the Company shall have the right to revoke this certificate.
R i
Date......... ......................................INSPECTOR.
Member N.AP.A.,I.A.E.I.