2011-034 41" TOWN OF QUEENSBURY
wow742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110034 Date Issued: Wednesday, August 03, 2011
This is to certify that work requested to be done as shown by Permit Number P20110034
has been completed.
Location: 19 TROUT PAVILLION Rd
Tax Map Number: 523400-227-010-0001-028-000-0000
Owner: JENNIFER M HANDLER
Applicant: JENNIFER M HANDLER
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 t� w
property owner of the responsibility for compliance with Site Plan, ` �
Variance, or other issues and conditions as a result of approvals by the T '
Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
� � TOWN OF QUEENSBURY
A
ili
` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110034 Application Number. A20110034
Tax Map No: 523400-227-010-0001-028-000-0000
Permission is hereby granted to: JENNIFER M HANDLER
For property located at: 19 TROUT PAVILLION 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: JENNIFER M HANDLER
34 HEAD OF POND Rd Residential Alteration $18,995.00
WATER MILL,NY 11978-0000 Total Value $18,995.00
Contractor or Builder's Name/Address Electrical Inspection Agency
POULOS & CO
NY 12804-0000
Plans&Specifications
2011-034
294 sq ft residential alteration- converting garage into living space
$60.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, March 16, 2012
(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 x'o i of Queensbury; / 'W dnesday, March 16, 2011
SIGNED BY t ' - '> 'V f for the Town of Queensbury.
Director of Building&Co e Enforcement
•
22 - 113–/-2_
j2_ OFFICE USE ONLY
TAX MAP NO.
PERMIT NO. - ( )
FEES: PERMITY?(/ RECREATION
—__ENGINEERING
(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: P \ W
/ ` OWNER: . ky'Nv\'t'c r WAlit
ADDRESS: 1G Wi�(1y Rtc _ 3�1 Ka-.&& el
l (C C� ADDRESS. 2,:t.t-11,x)l AN t iq
PHONE NOS. CFI D 9,,32..._-- 1/25.6- PHONE NOS. Ki ( '-4*) 67'2 _ G5z/b
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: ArA-
LOCATION OF PROPERTY: 19 TS-0CA .?a.V ill (DA a ‘ri
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES A4 NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT j zo --;
APPLY TO YOUR III zz 0 a a
PROJECT d 1 o LL cn
O cf.)
E3 W O � LL LI-O w -J O ~ =
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?° wco Na o �Z < < o �
--- —
SINGLE FAMILY
X 1L{( Q 2� 5 f7t1^
laC-9•71F._.) 1
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR I
INDUSTRIAL
ATTACHED 1
N.
'turvl i►^ TX-ale—
GARAGE(1,2,3) �' c� r'1 il'o JJ n , 1
OTHER i V I Inc{ ' / (`-e____
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: ICeli'DUEL TYPE: kC,i c't,
J.Y `-, ti ,--,
HEAT TYPE: ):=1(1A cto *HOW MANY FIREPLACE(S): 1. , AND/ OR'1WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? OC
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: CO_ 1:Z,0D 11Th
*Please complete a separate Application for"Fuel Burning Appliances & Chimneys"available in our office
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? 1\J
ARE THERE EASEMENTS ON PROPERTY? ►V�
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 abov .
Signed Cki1. 4a,
- .
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 permitrocess
application requirements or to schedule an appointment) p '
Permission is herebygranted to the above �
This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with •
described herein in accordance with said the
Application: ; zoning Laws of the Town of Queensbury.
, •
• ,
I
BUILDING & CODES APPROVAL
ZONING APPROVAL
,
DATE ;
Queensbury Building & Code Enforcement - Resi ntial Final Inspection
()mu, No. (518) 761-8256 Arrive: am/pm De arl J`� IS—am/pm
Date Inspection request received: Inspector's Initials: ,t
NAME: lrr PERMIT#:
LOCATION: /r,)t; f- Pa V;/r c`)L 7 j DATE: . — —/
TYPE OF STRUCTU E:
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 18 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 I 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/doors/main entrance 36 inches
Bathroom/Kitchen waterti ht
Sa94indow in sal'rwells safety glazing
'tenor Smd c�e Detector rbon Monoxide Detectors
"Ev ry 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/Insulation Certification/Sticker on Panel
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 1 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
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] `V-rl
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10
( r2 : / 27 Wed4
Foundation pection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart: \ t/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: '�1��: + PERMIT#: -" 0
LOCATION: roo '1A'v; _115, i INSPECT ON: — —
TYPE OF STRUCTURE:
Comment
I N
Footings
Piers
Monolithic Slab C4
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 V
Footing Dowels or Keyway in r lace
Foundation Dampproo •: yip —
Foundation Waterproofin. barn''ec ,
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width 2JY
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:\BulkUng&Codes Forms\Buiiding&Codes\Inspection Forms\Foundation inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Rough Plumbing I Insulationnspecti .9ii Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart\%)r am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: II' A I - 7- PERMIT #: /(--Cir=3
LOCATION: '7 /1,_:�. ' K ,r f r; INSPECT ON:
TYPE OF STRUCTURE: -= `-rz —
TY N
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
Drain/Vent
Air/ Head
5 P.S.I. or 10 ft. above hi hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.1 for 15 minutes
Insulation /Residential Check/ Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct 1 Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
�6 (6I &MI er
COMMENTS:
r., irdirwRough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008