2011-520 .01" TOWN OFQ UEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110520 Date Issued: Thursday, February 14, 2013
This is to certify that work requested to be done as shown by Permit Number P20110520
has been completed.
Tax Map Number: 523400-295-014-0002-015-000-0000
Location: 43 MT. VIEW Ln
Owner: LILLIAN MILLER L.E.
Applicant: LILLIAN MILLER L.E.
This structure may be occupied as a:
Residential Alteration
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
P
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: P20110520 Application Number: A20110520
Tax Map No: 523400-295-014-0002-015-000-0000
Permission is hereby granted to: LILLIAN MILLER L.E.
For property located at: 43 MT. VIEW Ln
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: LILLIAN MILLER L.E. Residential Alteration $30,000.00
KAR1N ASH, &MARK&JANIS MI] Total value $30,000.00
43 MOUNTAIN VIEW Ln
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-520
Roof repair due to storm damage
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 18,2012
(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 of ueennlyuryti / TuesdaycOctober 18, 2011
1
SIGNED BY tin A4./
f- '`g for the Town of Queensbury.
Director of Building&Code Enforcement
757 %/IiZ.-/5- OFFICE USE ONLY _ """_ """ "" "_ _
TAX MAP NO. ,
FEES: P 1 / c.�, PERMIT NO. r
IT�_ RECREATION ENGINEERING
(If applicable '
J I
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & /�
A PERMIT MUST BE OBTAINED BEFORE ��`G PERMIT,)
BEFORE ISSUANCE OF A VALID PERMIT FOROCONSTRUCTIIONAPPLICATION IS SUBJECT TO
APPLICANT/BUILDER: Jam,, -1 ; at .t _ ,1 n
LA.0 OWNER: ` '�`` , c
ADDRESS: . \ c \ _
_ r: .) ADDRESS:
PHONE NOS. _">l - 5j _ 70
PHONE NOS. - 1c1G- - 't-��
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: q A)6_s PHONE:
LOCATION OF PROPERTY: *3 _ I. � �S-`ICeC �t
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL?
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVALYES tY1 Np
APPROVAL:
.^ PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR 0
PROJECT Op o o c'J w
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Z < < :- v, Na oIL o � a = te
SINGLE FAMILY - 9Q
TWO-FAMILY / Lk.---- _
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MULTI-FAMILY ' e ) `r
(NO. of UNITS ) L��Li J ,
,
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE S--;-{A) 0 4.4.0
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL— NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST aC 000 FUEL YPE• t\1 (-,
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
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
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
Office Use Onl codes(a3gueensbury net
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued. Vee. .................__�.____
CD .5 i f.\--r
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/p Depart: .,,—,am/pm
Date Inspection request received: Inspector's Initials:
NAME: \'\N1 ��(- PERMIT#:
LOCATION: Nr)��{-cc?;n 9(42C) 1 -i DATE: ( i
TYPE OF STRUCTURE: K 8 1.4-p r i n
Comments:
Yes No NIA
4" Building Number Address visible from road n lb g
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 V.%VP6'`
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing c5f
Interior Smoke Detectors/Carbon Monoxide Detectors � 7. �
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 1) 73
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test 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 W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/.hour fire door/door closer <21:
Gas Logs in Sealed or Glass Enclosure
Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan �--�
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker d—
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/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;Revised 12/22/10,Revised 04/13/11
j- Igo
Framing / Firestoppingns on Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ : am/pm
742 Bay Road, Queensbury, NY 12804 inspector's Initia ' '
NAME: f �� / PERMIT#: �/I 5 0
LOCATIJ /44. I/t}2r__J INSPECT ON: ,/
TYPE OF STRUCTURE: <5 V karz>-
Y N J COMMENTS:
Framing
)dtic 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
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 16D nails math 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
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 6 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:tBuiiding&Codes Forms-OL))Buading&codesJnspec ion Fonns1Fmrring Ftp Inspection Report.doc Revised January 7,2008