2006-890 eriolft TOWN OF QUEENSBURY
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IOW 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20060890 Date Issued: Thursday, November 13, 2008
This is to certify that work requested to be done as shown by Permit Number P20060890
has been completed.
Location: 26 WINTERGREEN Rd
Tax Map Number. 523400-302-017-0001-026-000-0000
Owner. DOROTHY SICA L.E.
Applicant: DOROTHY SICA L.E.
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 (--- 440 4 1/.
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060890 Application Number: A20060890
Tax Map No: 523400-302-017-0001-026-000-0000
Permission is hereby granted to: DOROTHY SICA L.E.
For property located at: 26 WINTERGREEN 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: DOROTHY SICA L.E. Residential Alteration $19,600.00
W. &J. SICA&OTHERS Total Value $19,600.00
26 WINTERGREEN Rd
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
KELLY HOMES
Plans&Specifications
2006-890
RESIDENTIAL REHAB HUD
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,December 19,2007
(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;, t •s:;! ! •cember 19,2006
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
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TAX MAP NO. �_,r I r , .....-
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FEES: PERMIT irRECREATION-- –___ENGINEERING r �41�y�............. DE �
PRINCIPAL STRUCTURE; TBUILDING AND�vJ�URY+�
APPLICATION FOR ZONINGD CODE
APPROVAL � BUILDING PERMIT
A PERMITMUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: P ��4 y S
41 //mac OWNER
ADDRESS: 4(//e,-,, «✓ d):; (=-4:6 (--4(.
it/ ADDRESS: • 4i�
PHONE NOS._ 6/ 7c _ o�Z
PHONE NOS,
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: (.9S:4
LOCATION OF PROPERTY: /i/;h 7' ' (;:n Y P
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SUBDIVISION NAME: /'76 c/ Ap`, � .
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
PROJECTAPPLY O YOUR o o
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SINGLE FAMILY
aSa7
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:
fllEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACES). 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 1145
Town of Queensbury• Community Development Office • 742 Bay Road, Oueenshurt, MV 11QMA
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? •• — , -
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ARE THERE EASEMENTS ON FROMM??____, _ _ . .... . . • ,
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I.acknowledge•fic6ionitruction actlitithit,**1 0,0:Anion' cetprior-to Muerte of a Valid . .
permit. I certify thathe applicafion,pleOsi and supporting materials are a trued
complete statement/description o the:work proposed, that all.work will be peilfOrMed in
accordancewith the NY State Building'Codes, local building laws and ordinances, and In .
conformance with local zoning rajttititloirs. I acknowledge that prior to occupying the ...
facilities proposed, I or my ageritt wiff Obtain a certificate ofoccupancy. I also understand
that l/we are required to provide an as4built survey by a licensed land surveyor of all rei* . .
constructed facilities prior ta IssueOgie of a certificate of occupancy.
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I have read and tare. - e -••ove. _,d •
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Signed
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•=.1-. "f t _I:. IL!! ,:'.., •,-7.64-4113256forlittestionslegarding.Building Permits, construction
codes Or tetsg A*tem
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appliOet.lon requirements or to 4chedule ar+appointment) -
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Permission is hereby granted to the above ; ; This application I proposed action described i
Applicant to erect or alter the building i 8: herein is found to be in accordance with the :
described herein in accordance with said : ; zoning Laws of the Town of Queenitvry. .. 1
Application: •• •
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VISIT OURVEBSITE-FOR MORE INFORMATION •
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',,.1;;1'... Town of Queensbury• Community Development Office• 742 pay Road, Queenst7ury,NY 12804
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Framing/ Firestopping Inspection Repo
Office No.(518)761-8256 Date Ins e?tintIquest received:
Queensbury Building&Code Enforcement Arrive: - m/p part: am/pm
742 Bay Road,Queensbury,NY 12804 Inspecto 's Initials:
a;7(.7NAME: � ,� 7 C PERMIT#: ✓
LOCATION: ,24 Arlo egreef-- _ INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA 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 I
Metal Strapping for Notches Top Plate
1 %2(w) 16 gauge(8) 16D nails each side I\/�/�
Draft stopping 1,000 sq.ft.floor trussesF ' '
s 6 ft.o ess on center e)n) ( Q fd L
Ice and water shiel 4 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
Framing/Firestopping Inspection Report
Office No.(518) 761-8256 Date Ins ec ' request received: A.5-6
Queensbury Building&Code Enforcement Arrive: ) am/p Depa . am/pm
742 Bay Road,Queensbury,NY 12804 Inspe or's itials:
NAME: J t t PERMIT#:
LOCATION: (k)(N`RC1 G 2C�C—A INSPECT ON: Z Da
TYPE OF STRUCTURE:
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
11/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft. floor trusses &111,
,4.
chor 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 1/2 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
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256Arrive: ;. ' m/pm�f part: am/pm
Date Inspection request received: Inspector's Initials: \.,
NAME: J iC ,r� PERMIT#: / .�
LOCATION: '.r)/i 17( A/Kw/ -6,v /r DATE:
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimneyii ' ht/"B"Vent/Direct Vent Location
Fresh.Airintak
3 inch Plumbin Vent through roof minimum 6 inches
Roof Complet /Exterior Finish Complete
Platform a 1 exterior doors
`Gu 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
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/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
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%"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
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
LECTRICAL INSPECTION S54ERVICE,INC.
COMMONWEALTH E dLECTRICAL APPROVAL
-Manheim,PA 175
Main office 176 Doe Run Roa
MUNICIPAL CERTIFICATE - E
.....Cert. N2— 94113 Cut-incard No.....................................
Permit ........
.......................
Owner...................................
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............
Location..... r....../ ............
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Installation Consisting of....... ...... .........................
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Lic. ......
Installed By......
ed the issuance of this certificate,and any certificate previously issued is
The conditions following govern n conditions as of date. Upon the
cancelled: only covers the electrical equipment and installatiol made for inspection.
Thiscertificate or alterations,application shall be proml)tl� e, and if its
introduction of additional equipment . ilege of making inspections at any
dm
e,
have the privilege certificate.
Inspectors Of this Company all have the right to revoke this cert'
rules are violated,the Company shall
.............................
Date.......W....... I --'�-�--- L,
NSPECTORMember N.F.P.A.,