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2011-451 ..41h) TOWN OF QUEENSBURY t--4To 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110451 Date Issued: Tuesday, April 24, 2012 This is to certify that work requested to be done as shown by Permit Number P20110451 has been completed. Location: 67 MASON Rd Tax Map Number: 523400-226-012-0001-015-000-0000 Owner: THOMAS & PATRICIA BURKE Applicant: THOMAS & PATRICIA BURKE This structure may be occupied as a: Garage Attached 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 Planning Board Direct°of :uilding&Co,!�� fo` , s ent or Zoning Board of Appeals. TOWN OF QUEENSBURY ION 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110451 Application Number: A20110451 Tax Map No: 523400-226-012-0001-015-000-0000 Permission is hereby granted to: THOMAS &PATRICIA BURKE For property located at: 67 MASON 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: THOMAS &PATRICIA BURKE P.O. BOX 53 Garage Attached $18,000.00 CLEVERDALE,NY 12820 Total Value $18,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency DALE CLOTHIER 668-9653 232-7217 3 DEER Run LAKE GEORGE NY 12845-0000 Plans&Specifications 2011-451 264 sq ft garage $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 22,2012 (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 own o Quee s u rsd , September 22,2011 SIGNED BY 4 for the Town of Queensbury. Director of Building&Code Enforcement a_c_.E.11 _Y_4E1) 2Z6 . OFF.IC SE ONLY P TAX MAP NO. /2 �/ /'-' PERMIT NO. 'S SEP is 6 2011 FEES: PERMIT S RECREATION ENGINEERING applicable) SOWN OF QUEENSBURY BIJI.DI.I\IG A MNS % 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: DALE R (10--/-4 'oz. OWNER: 1-01-4 * FAT FI/I . ADDRESS: .3 0 e•F ve /'C i4/U R4 ADDRESS: (91 I4P 7L at D. PHONE NOS.66 S (:? 2,5-3/ 5 S/ 23 2 '22./1? PHONE NOS. 6:,;(9 3(904 CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: CtJ12 • D`l '3 PHONE: (9(.98.6511 LOCATION OF PROPERTY: (17 1-1A601-112-0 • fouto (f Ewer--f j2,U12`(I i►r' 11-)30+ HAS o'4- HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL?,YES 0 NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: V1k211a1.kZ: 712OO/II 'Ire,: 72(9/Ij PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z cc CJ C. a l cn APPLY TO YOUR Z F- W Ocm PROJECT 00 OJ = 2 O w tJi �7( U_ 11 2 < OOU Z < < i Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:// ESTIMATED CONSTRUCTION COST: I-6V(J FUEL TYPE: , ,,• HEAT TYPE: F *HOW MANY FIREPLACE(S): -f/F-I'fi AND/OR WOODSTOVES(S):r__ ZONING CATEGORY: v✓(L ARE THERE WETLANDS ON THIS SITE? 0D IS THIS A HISTORIC SITE? JD PROPOSED USE OF BUILDING OR ADDITION: I f.AC14ta I. 042- 2, 6Ci ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? do ARE THERE EASEMENTS ON PROPERTY? tip *Please complete a separate Application for"Fuel Burning Appliances & Chimneys' available in our office 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 gla-4 /e �(a 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) Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 OFFICE USE ONLY ( 1 R TAX MAP NO. PERMIT NO. '' FEES: PERMIT . s RECREATION ENGINEERING ! SEP i 6 2011 L (If applicable) � TOWM nLQUE EN SRURY-. PRINCIPAL STRUCTURE: BUILDING & CODES 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: Df}LE ie C /b WJ ie` -;- ®Inr1 5 a Qr�i'Rtc A Z OWNER: t .CA R KE ADDRESS: .3 L ee,Z Koro £q L C&C 4 ADDRESS: 67 IVB,-SoN 6 CLEVED A PHONE NOV;6 9 9•6 26--. -23,2 I7 PHONE NOS. 5 ig bs 0_ 3 b bU- N y CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: Spc414te /4L. PHONE: .2--?,X1) 11; co .S't' si'PE O� LOCATION OF PROPERTY: MASo kJ R o AD A- CO R IJEK 0 Lick—E', ROAD HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? igrYES 0 NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: 2-" v2O// fi-t 4 2,/l /1 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z APPLY`f0 YOUR z o cc a o ♦- PROJECT 0 < O O "- cn 1= W Oco• o i � � w a ai0 Z Q -J O z d o oi-- ccwZ Q r co N cn F- ti Q. 2 od SINGLE FAMILY TWO-FAMILY _ MULTI-FAMILY (NO. of UNITS ) k"(----- k C k,- ______ TOWNHOUSE II C C 0\-\ (1°'—\ BUSINESS OFFICE 6\6 � / RETAIL- V v MERCANTILE 1 FACTORY OR INDUSTRIAL TACHE GARAGE ,2,3) -1'C ' OTHER IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: / 9 ()OD FUEL TYPE: iti A B 3-LGL 11-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? NO ARE THERE EASEMENTS ON PROPERTY? 11)j '4SIEMEN j SO' .r,, Vu tDTH A-IVD tOq . 141 t � t•-) ALONG T-14 E_ ► D0/27'4E R Ly Li /0E_ PREMISE$ Rc=s . R u ED TO TI+t NF iGH IND R llV(r Prof RTY em-) foEks culla UPON fl4E. 5TRtp ©R PARc'.L r4-r -t-hr tR ©w a R1sk_ . 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 rea d agree to the above. Signed pun444 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 APPROVAL ZONING APPROVAL DATE DATE QUESTIONS? CALL 761-8256 OR EMAIL codesCa queensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION '2: 2012f12:21F0JMDIA, Watery] i e t, N Y../ty,./. iy,14s.,,_5%,y,IN\,,A;ci,iN,INIscv;vs je.,1\igAiNtji').A.,114&4(\t&4 ...No...3,25,._5-h,4,13. 3/8v4v.%/4.1', .AtA_thA C.: —•— —•—•—•---•---- ..-...i ,15:•:,'c MIDDLE DEPARTMENT INSPECTION AGENCY, INC. .,.. K9 a;t %',.-:.• ;,...,, if .5-4 elc4idej.that the electrical wiring to the electrical equipment listed below has been examined and is approved as %, V- i fcgz. being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date ......:,: •,..f noted below and is issued subject to the following conditions. rgf 6 `,(•• Owner: Date: (1->) Tom Burke 04/17/2012 • , *s' ri;s) Occupant: Same Location: 67 Mason Road ,..;•;.‹. Queensbury,Warren Co. NY •,.V Occu Dancv- • ..1..z. . ••' Addition-Garage --1 o ;v•k*, Applicant: Clothier Custom Construction 0 (0 . ..,..?.7,-.. ..-•.?:-:::,,;.,,...:,. ,„,... ,.;,. :..1 3 Deer Run Road .1.;,.,::::?:- „..., ;,---,, !?..'4 $4'S •"... :., '','J.•,,... ..y.;F,' .". '.' 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N?..., .0;.A i,,,-,..%., k;,?,...,• •.,.>: .•,...,„•,•,..5;.,••,•.:,..-.; . . ip y Equipment „ :..r.,,... ,7„...,,K.q.../..i. ;.-....‹......,,,. .,../. • i•'; %,..y.mqe,..,,.., ..0.4,;.7,...,7,4. ..;•,‘,..n.,.....-, ;.;s5:.•t•••-• F•••••'‘..r:'r,-.-1•!'.•-••-•. .. ,• 1-1) ••-; '•-L , "',...;•;:' 1:''''.stik5-.-•.; ,.;(3.ij.,42...q*, '., :,..7,•:f ..:4)1..".& t tA,^...i.ZY VI: ir:/,./../Pti... Pl"fi.7. '6Aj..s..ir -• *9 (*,,,4, .• .-.,:..: ;,../e.v•r," ?-...,.;,:7•..:, .;,,..;•r.,,,,,,-..: ,;.....::..;...,, ..:••,•;:,,•• 5-Switches; 10-Receptacles 6• Fikturees. "'.'-''' :•.l."'76'''' ''' •-".' '''''. ,- .-- ..,.: 1., ,• .,. 1.$p ...,,, ., -.. • . ., .-..v .,.., .. ..,-. --.... ...,:.•• ,•e....:-',: ••• i''.) .: ‘`- '''• ". ;:1" .4!" '",--. • ,' l, (:.„,:!01) i ''''..,, •-•i',, ..:!:1:1.•.:".•71 e'fl; :. ..."".'".".w. 1.p•9 ,, ;• , , Kej.,9 ..•P: ., .--''..•:•/;1,-;,! 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No warranty Is expressed or implied as to the mechanical safety.MN. of the property indicated above,this certificate snail be immediately null and void. .':-.'•,*. Ciency or fitness of the equipment tor any particular purpose. This certificate shalt In the event that ells certificate becomes invalid based upon the above conClIllons, be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for Inspection must be submitted to Middle ik ed to,the Introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged kr this service. t',.•T t:...)1 ,,,,,i,• 7.;•••••::r..--:‘,•••,":2,•••••:•`1..."•0•!4i''./.7:`4,-/:`,,,-N•••••/.7•1•:V;',.!•/,..,..t.”5",/,`,.:;;-"••47,7",•••:."7.Z..,:‘,/.\.1,"7,-7.•••47-\%;-:.•-`,..,•;4:`,A7:;,•;;:--.••••..f.,!••:`,/...,!/:ii-:•: •,•,...-.•,-;;••,„:1:• ' '• •.•4---N.-..,7•••;f—`- `,.;••,,z,`,.. ":"..`,:•[;:.',„7•4:::," N,..,,,,,!,`,;.....,•,'":1;`,.•V•1>7'..e.,:f";;. ;''''.;•-::-4";';`,;."-/•`22"'•'''N'''•":&•',1”:"=-.'"- -f.:‘,: '''',"..g. 'eV-';'''•:\g'•,•••..tv::::•N'.:C,',1'.•!:3X.:•%•5R.,_,:'',5-',.5k.."\Z•!-,-,&"/..Z.Z.•''.•;•;•,...:',•:<• •1,;:k,,,,t.."-,,,',".•.:::::•••,-1,1.•/,,,.:_?•; ',...S.:".5:7.,!•;5.„.•,,,,,..„1.,,,,,..:,/...e.,-5,,••••.,.,...,-;\,•••,,_-/,.\,.-••,:\.,.,,,,,..-,.....,..,..,...\,•.,,,,...;, . . . . . . . .. . .. . . . • 8 i, 1 , ....<.4 e/ I'— 3j 4"-- Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: 12 LO Queensbury Building&Code Enforcement Arrive: am/pm Depart: j�am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials* 6 NAME: Co r.Lu-A-Y PERMIT NO.: [_t(5 N LOCATION: 1)- (\JA C y �+ '�• INSPECT ON: tiinff RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] Absorption Field: Total length ft. Length of each trench ft. 1 S` (2.1it' Depth of trenches ft. f % Size of Stone tt%2_. J Seepage Pits: Number Size: Stone Size: 01---rOLYk.., Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit 4° • rZS Opening Sealed: ,•___Y�.N End Cap 011 N O Inlet/Outlet Pipes&Baffles ?Y N � � P:=' 9 Manholes 12"or less below grade _Y ;1 SF S42,_ [provide extension collar if Yes] Y Location/ Separations Foundation to tank ft. --2-4 C ` Foundation to absorption ft. Separation of Pits Conforms as per Plot Plan Y Engineer Report and As-Built _•_,_Y N ETU Maintenance Contract _Y N provided Q',q.?•YGZ<c-© 1-kC- R Q S Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved •• •;• ••roved and needs to be re-inspected, please call the Building&Codes Office •- •pprov.• L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Sept c Inspection Report03 29 10.doc Framing / Firestopping Inspection Report `�"� :_� - � Office No. (518)781-8256 Date Inspection *^: It 94i v, Queensbury Building&Code Enforcement Arrive:"? i a i (Z rt: Ate a 742 Bay Road, Queensbury, NY 12804 Inspector's In tia _A NAME: I 611-N. rD i,t PERMIT#: i2C)f/-VS LOCATION: CL I ivitt v . /</Leif �- iv e, .G- INSPECT ON: TYPE OF STRUCTURE: v///t1 ,NLA COMMFNTS: Attic Access 27 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 Exterior Deck Bracing Headroom 6 ft. 8 in. 1 Notches/Hobs/Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gauge (8) 16D naUs each side = _Shopping 1,000 sq. R floor trusses 6 ft. or lesson center Rl endMer shMid-24 Inches from.w , 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%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 L:1Building&Codes Fo ms OLD1Building&Code&anspection FormsVFrarning Fimstopp ng Inspection Reportdoc Revised January 7,2008 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: /0// 7A-£ Queensbury Building&Code Enforcement Arrive: am/pm Depart• _ . am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: z NAME: PERMIT#: a -11-S / LOCATION: frM INSPECT ON: /0 17 /.0 I/ TYPE OF STRUCTURE: ( 7A4fl ih Comments i Y N N/A Cootui Piers Monolithic Slab Reinforcement in Place The contractor is responsible for C7LPCY5 providing protection from freezing l L for 48 hours following the placement ofthe concrete. M Materials for this purpose on site. _ Foundation/Wallpour Reinforcement in Place / C Footing Dowels or Keyway in place / Foundation Dampproofing VVV Foundation Waterproofing \� _---- b Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 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:\Building&Codes Forms\Buliding&Codes\Inspectton Forms\Foundation Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM /9 '-/Z e '&e/ _s 62-__ Foundation Inspection Report , Office No.(518)761-8256 Date ,. '- 'on .• ived: Queensbury Building&Code Enforcement Arrive: -,�___�___1,,,�,,,���s' . • Depart -3U:kg 742 Bay Rd.,Queensbury,NY 12804 Inspector's,,t1=;',ielow NAME: (RIIT#: /I- 5 I LOCATION: Ar4 ., RI INSPECT ON: TYPE OF STRUC /0 -2 /r Comments Y N N/A Footings Piers Monolithic Slab 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 Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width iteles above footing (4k11 •.ly for wet areas under slab Bll : . *royal - ' .( . .ing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM ), 3 pokda , Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:CZE mlpm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials/'I• 11,,�� 4) NAME: 730 r PERMIT#: /( 4/-C- ( LOCATION: INSPECT ON: /0 24/---77 TYPE OF STRUCTUREA-1)1) Comment: Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. = on site. Foundati u /Wallpour //' Reinforcement rn ' : - kLt. VC.12_ . 1 Footing Dowels or Keyway in place Foundation Dampproofing 7 1? "-L-c-3.5 `t4-- Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 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:\Building&Codes Forms\8uiiding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM