2010-181 eak TOWN OFQ UEENSBURY
Foca
742 BayRoad,Queensbury,NY 12804-5902 18 761-8201
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Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20100181 Date Issued: Friday, July 09, 2010
This is to certify that work requested to be done as shown by Permit Number P20100181
has been completed.
Location: 1218 WEST MT. Rd
Tax Map Number. 523400-288-000-0001-068-000-0000
Owner. JANE DONOVAN L.E.
Applicant ANNE BANG
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 #bP �/
property owner of the responsibility for compliance with Site Plan, 1" .`
Variance, or other issues and conditions as a result of approvals by the
Director of Building&Codee'EEnforcement
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: P20100181 Application Number. A20100181
Tax Map No: 523400-288-000-0001-068-000-0000
Permission is hereby granted to: ANNE BANG
For property located at: 1218 WEST MT. 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: JANE DONOVAN L.E.
ANNE BANG Residential Alteration $18,000.00
1218 WEST MOUNTAIN Rd Total Value $18,000.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
JOHN DECLAIR
CKH INDUSTRIES
(914) 755-5366
520 TEMPLE HILL Rd
NEW WINDSOR, NY 12553-0000
Plans &Specifications
2010-181
470 sq ft residential alteration
$47.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, May 12, 2011
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ens , ' �t lesd ,May 12,2010
SIGNED BY M for the Town of Queensbury.
Director of Building&Code Enforcement
' --4 '7 c-9- /� / �"/OFFICE USE ONLY / s,,
TAX MAP NO. / VX PERMIT NO O _ ,
MI
FEES: PERT 11_- _ RECREATION ENGINEERING 5:7 CSD
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE- OF A VALID� P RMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: Jb'nn UQ�.,,\ d '�r1 v�li(f$(JWNER: \f(`A 9 n
ADDRESS:SC�C7 Ie/n(1/4Q H�1� 1K6` ew Wirrc�Gof(4DDRESS: �M WeGi f\K.c70.6
Z� Ny 1us3
PHONE NOSQ 14-1SS- S&&r p PHONE NOS.SIg'-1D\ r(MA
CONTACT PERSON FOR BUILDING&CODES COMPLIANC`r-VrM bkaFO, , Q?( PHONE�1�44'1 sc o
LOCATION OF PROPERTY:V2.\ D St r'c\u`n `dt
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR O cc do w i co
PROJECT p iz x o . 00� w GO a=U
ly5 J LL o LL Q 0
W O _I LLd C'1 1� OH Kw�
Z Q Q .-N ,I CO OU- I—LL LL SMS
SINGLE FAMILY ✓ (41 O it —1l i"
TWO-FAMILY
MULTI-FAMILY
(NO. )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: IT,000 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? 1_
PROPOSED USE OF BUILDING OR ADDITION: r`r f (S�a �QI 0 i
Town of Queensbury•Community Development Office• 742 Bay Road, Queensbury,NY 12804
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
*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 Builidng 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 oc pancy.
I have read and:gree t,• _ ••ve.
,� •
Signed: ,� . _ Uf i J 2 ,
Director of Building&Codes: 761-8256(for questions QUESTIONS? CALL 761-8256 OR EMAIL
regarding Building Permits,construction codes or septic codesr7a queensburv.net
systems) VISIT OUR WEBSITE FOR MORE INFORMATION
Zoning Administrator: 761-8218(for questions regarding www.queensburv.net
required permits,the permit process,application requirements or to
schedule an appointment)
Permission is hereby granted to the above This application/proposed action described herein is
Applicant to erect or alter the building described found to be in accordance with the zoning Laws of
herein in accordance with said Application: the Town of Queensbury
BUILDING&CODES APPROVAL ZONING APPROVAL
DATE DATE
Office Use Only
Operating Permit Issued: Yes No
Occupancy Type:
Construction Classification:
Assembly Occupancy limit:
Special Conditions:
Revised 9122/09
Town of Queensbury•Community Development Office• 742 Bay Road, Queensbury,NY 12804
7/ /c/ Sd
Queensbury Building & Code Enforcement - Residential final inspection
Office No. (518)761-8256 Arrive: am/ m De rt:/ " am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#: 26,/z7k/'LOCATION: / P M __ DATE: C)
TYPE OF STRUCTUR
_ Comments:
yo as N/A l frM Ce !/ �o lo
4' Building Number Address visible from road
Chimney Height I"B'Vent/Direct Vent Location ('J h /cJ�il e `�
Fresh Air Intake /
3 inch Plumbing Vent through roof minimum 6 inches Q� y J
Roof Complete/Exterior Finish Complete /
r 037 ,
Platform at all exterior doors _
Handrail 4 or more risers /�
Guards at stairs,decks,Patios more than 30 inches above grade / g��� -- QUI c
Guard at stairwell at 34 inches or more I/ C�
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches V I
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 watertight
Safety glazing/Window in stairwells ty glazing
Interior Smoke Detecto /Carbon M noxide Detectors
Every level: ery Bedro :
Outside every bedroo area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area 4
Crawl S'aces 18 inch x 24 inch access 1 •.ft.-150 -•.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation 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
Fumace/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 doser
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan _y
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System I Sewer Dept. Inspection Sticker
Site Plan /Variance required I
Flood Plain Certification,if required
Okay to issue C/C or C I 0[Temporary/Permanent] i
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:'�L� �,am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:��+t��
NAME: PERMIT#: 0`_t
LOCATION: ( 1 n IsdrA''Jv rZ) INSPECT ON: ,AIM'AL
TYPE OF STRUCTURE: ll - - tZ '-l4'k3
Y N N/A COMMENTS:
Framing
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing 1 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 I Holes I Bearing Wails
Metal Strapping for Notches Top Plate
1 'A(w) 16 gauge (8) 16D nails 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
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side A 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:\Buiiding&Codes Forms-OLD1BuiIding&CodesUrspec ion Fora ssFtmm1ng Firestopping Inspection Repoit.doc Revised January 7,2008