2011-436 Oaki TOWN OFQ UEENSBURY
742 BayRoad,Queensbury,NY 1 2 1-
Q sbury, 2804-590 (518)76 8201
Community Development - Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110436 Date Issued: Tuesday, September 27, 2011
This is to certify that work requested to be done as shown by Permit Number P20110436
has been completed.
Location: 39 BURCH Rd
Tax Map Number: 523400-308-006-0001-004-000-0000
Owner: JAMES VAN DORAN
Applicant: BRENDA VAN DORAN
This structure may be occupied as a:
Certificate of Occupancy(RES) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (—Th 4 /property owner of the responsibility for compliance with Site Plan, c-4 '
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
0"
Fw 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110436 Application Number: A20110436
Tax Map No: 523400-308-006-0001-004-000-0000
Permission is hereby granted to: BRENDA VAN DORAN
For property located at: 39 BURCH 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: JAMES VAN DORAN Certificate of Occupancy(RES) $23,000.00
BRENDA GRANGER Total Value
39 BURCH Rd $23,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
JTC REMODELING INC
378-8101
688 SHERMAN Ave
OUEENSBURY.NY 12804-0000
Plans&Specifications
2011-436
residential rehab -HUD
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,August 26,2012
(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.)
f
Dated at the T i , no kueen ty rj F riv ,August 26, 2011
ti IL!SIGNED BY ✓i.1‘
for the Town of Queensbury.
Director of Building&Code Enforcement
Sir\eL , C7' -----TL ,L--4> ‘-'1' 2
y / -4/
OFFICE USE ONLY TAX t� v1AP N8. 11-2/36
.,._...._. .._. - ----__ .._.PERMIT NC).
SR %" r) ftE C E il \\il rE "1
FEE Ms 1 " %' EATI
ENGINEERING__
(If applicable)
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING 4 P' .gin Ili` f ; G
PERMIT BUILDING & rO E
Umeemegeenasemaavaamewarameomv.m•mip......atmm. S.'
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: • ..
Lf.k 4-A6 OWNER: �1/ a V VC VI
OVA n
ADDRESS: GS- ' C(/'U'-e/' 'f' 4 € RESS: ',.... 9 Lkre
PHONE NOS. PHONE NOS. � L `t
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE~. IE5 PHONE: .3 7k l0
LOCATION OF PROPERTY: '9 �cJ-t,e, 'e k (LA„, CA--e-e-it S CD t r / t2 /
HAS THERE BEEN A SITE P � � l `�
REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR zz Q O O w c� o
PROJECT
I= w 0 0 rn W
Z Q J 10• o 0. H � ~ O � Z
Q c- 0 N0 0L I- L~L.. CC
106
SINGLE FAMILY ✓
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 O��-F BUSINESS:
ESTIMATED CONSTRUCTION COST: J ciG
/ FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
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. and gr-- to -- above.
Signed � /
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 appointmept)
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: •
aro/
BUILD! G & OD:* --41 "-OVAL ZONING APPROVAL
DA 'E
DATE
QUESTIONS 7 CALL 761-8256 OR EMAIL
co LLeS gueensbur,.net
Office Use Only." VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes o www.queensbury.net
Occupancy Type: Ari Construction Classification:
Assembly Occupancy Limit: A/ Special Conditions:
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm /.r.viivam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials. fi
NAME: VA-/ ) PERMIT#: ' ', �
LOCATION: 1_ r INSPECT ON:
TYPE OF STRUCTURE: -1411/.
Framing Y ti COMMENTS:
Attic Access 22"x 30" minimum
Jack Studs/Headers
' a
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. •
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 6(w) 16 gauge (8) 16D nab each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour l�
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 of above/below grade
5.0 sf grade
L:fBuildi g&Codes Forms-OLD BulIding&Codes1inapeclion FormsVFreming Firestopping inspection Repottdoc Revised January 7,2008
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/ m Depa am/pm
Date Inspection request received: Inspector's Initials:
NAME: 4 PERMIT#: ��'L\.— k-3(--
LOCATION: A4t- i?-- 7-4''.-/I
TYPE OF STRUCTUR : ` ,r , - ._;
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/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 watertight
Safety glazing // dow in stairwells safety gl ing
Interior Smoke etectors/Carbon Monoxid etectors
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/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 il ''
ug-1) C-4 ---?" 5Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 ' /1
Enclosed Stairs Sheetrock Underside minimum W Gypsum r) °L.._
Basement stairs closed rise>4 inches
Garage Floor Pitched _______--"'
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical �
Final Survey Plot Plan C:%..f../
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] Ii@
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