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2010-184 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 • - Community Development- Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20100184-36807 Date Issued: Tuesday, July 12, 2011 This is to certify that work requested to be done as shown by Permit Number P20100184-36807 has been completed. Tax Map Number: 226.15-1-16 Location: 108 Lake Pky PKWY Owner: Anita Ross T/L Cropy Applicant: Mike Arnold This structure may be occupied as a: 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 Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. ra TOWN OF QUEENSBURY Foca 742 Bay Road Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100184 Application Number: A20100184 Tax Map No: 523400-226-015-0001-016-000-0000 Permission is hereby granted to: ANITA ROSS For property located at: 108 LAKE Pky 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: ANITA ROSS 8 HARVARD Rd Residential Addition $25,000.00 WATERVILET,NY 12189 Septic Alteration Residential Total Value $25,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency MICHAEL ARNOLD NY 12804-0000 Plans &Specifications 2010-184 624 sq ft residential addition& septic alteration $100.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,May 11, 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 To eensbry; Tjupescjay, May 11, 2010 SIGNED BY / r V `., �- for the Town of Queensbury. Director of Building&Code forcement S. OFFICE USE ONLY i',1 P TAX MAP NO PERMIT NO 'p IJP FEES f1 EMIT I RE R`ATI ViN ENGINEERING APR 2 6 1 20 L1J IJ . (i' PRINCIPAL STRUCTURE: APPLICATION FORk ZONINGAPPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING Cl[ISTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE� OF A VALID PERMIT FOR CORUCTION. APPLICANT/BUILDER: ► '`\IIC� ACi4(bLI> OWER: ANATA �D� \jp ........"4 ADDRESS: -6 'MAC L,4 KE NY ADDRESS: D£5.Q5La _ L Y PHONE NOS. 89 I Z'f CQ I I ,Z9 PHONE NOS. ( C ) -•" ,==.40c:-)l CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:(SAUCE Ai MOL)PHONE: 8'9 1-ZA•t(al J 0 / •/ LOCATION OF PROPERTY: I Og LA-► .-FA IcL -,( SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z APPLY TO YOUR 1 Z O ¢ Q a w 1- PROJECT O Q O 0 O w U-w O re O O F OLL o LL 2 H O0U w o 1-O O H E- O F d'W� Z Q Q O rtn Ow w ax ail St-� SINGLE FAMILY / (¢2—'4 /r,ry lr 9._ r1 TWO-FAMILY 4 MULTI-FAMILY 1/..)''' p TOWNHOUSE 1 BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL—NA.ME OF BUSINESS: qf r ESTIMATED CONSTRUCTION COST: L5 J 00 L, FUEL TYPE: HEAT TYPE? *HOW MANY FIREPLACE(S) AND/OR WOODSTOVES(S): ZONING CATEGORY: WR ARE THERE WETLANDS ON THIS SITE? tV 0 IS THIS A HISTORIC SITE? NO , PROPOSED USE OF BUILDING OR ADDITION: } E.�t,E'T1 AL. Town of Queensbury-Community Development Office• 742 Bay Road, Queensbury NY 12804 .0 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? N o ARE THERE EASEMENTS ON PROPERTY? No "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 occupancy. I have read and agree to�theta, ye. Signed: J/r/1' ! Director of Building&Codes: 761-8256(for questions QUESTIONS? CALL 7614256 OR EMAIL regarding Building Permits,construction codes or septic codesAqueensburv.net systems) VISIT OUR WEBSITE FOR MORE INFORMATION Zoning Administrator: 764-8218(for questions regarding www.queensburv.net required permits,the permit process,application requirements or to schedule an appointment) c Permission is hereby granted to the above This application I 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 9/22/09 Town of Queensbury•Community Development Office• 742 Bay Road, Queensbury,NY 12804 For an EPA homeowner's guide: htto://www.eoa.gov/nodes/pubs/homeowner guide long customize.odf OFFICE USE ONLY TAX MAP NO. PERMIT NO. • ERMIT FEES►. ', , I APPROVALS: ZONING TOWN CLERK ,f , 4 ; t ) t 40i"""'_ �Q i APPLICATION FOR SEPTIC DISPOSAL SYSTEM.PERMIT• A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VAIZID 4e} PERMIT. � OWNER: , P t rA INSTALLER: FETE= C'Ag .. ADDRESS: IOg LAKE ARK.IJAY ADDRESS: PHONE NOS. Ld7(O--50CCD PHONE NOS. —19 CO--12; 1E LOCATION OF INSTALLATION: %Oa LAKE F, J'( J A( RESIDENCE YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW INFORMATION: BEDROOMS 1980 or older X 150 gallon per bedroom = 0 GARBAGE GRINDER INSTALLED? Nc 1981-1991 X 130 gallon per bedroom = 0 1992-present .44 X 110 gallon per bedroom = f• '4 0 SPA OR HOT TUB INSTALLED? PIC PARCEL INFORMATION: / ✓ TOPOGRAPHY: FLAT ROLLING ‘7 STEEP SLOPE SLOPE oh ✓ SOIL NATURE: SAND LOAM V CLAY OTHER I ✓ GROUNDWATER: AT WHAT DEPTH? 7•''�l BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? 7 44 ✓ DOMESTIC WATER SUPLY: 1.-4644.E. C�:F.—O E' MUNICIPAL WELL (If well:water supply from any septic system absorption is:( ft) ✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH(TEST TO BE COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: %Z 'c GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. 'SYSTEM TYPE: ,' E-4 -re, ArT"AG+EID I-ErTE� 0 ABSORPTION FIELD (WITH NO. 2 STONE) Total length ft. Each trench X ❑SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? I ALTERNATIVE SYSTEM Bed or other type?-PLi E-EX tvTlr Ca.1 &a r.4 0 HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree QUESTIONS? CALL 761-8256 OR EMAIL to abide by these and all requirements of the Town of Queensbury codeS(a aueensburv.net Sanitary Sewage Disposal Ordinani-1 1,.. iz, 0ce. VISIT OUR WEBSITE FOR MORE INFORMATION � www.queensburv.net .,".77Zt.C. '4c--.: ' 1/C— ?//// Si6ature of Person\\Responsible Date / elTown of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 ilk ;.). - Vi.of-L Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/p apart: 133 am/pm Date Inspection re t received: 10/ 14 O-c)iG Inspector's Initials: NAME: CUs SPERMIT#: =_,`0 t 0" gv LOCATION: w --7-1- p�`~,: DATE: d i :.. TYPE OF STRUCTURE: `,. ,xi-, Comments: Yes NQ N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location ( / / , Fresh Air Intake ISG S i ( G-'' 3 inch Plumbing Vent through roof minimum 6 inches ��� �,,s� Roof Com s lete/Exterior Finish Com•lete �'i' `-' 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 dearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade e,cp � ` Interior privacy/trim/doors I main entrance 36 inches ---- Bathroom/Kitchen watertight ` -YPrr Safety glazing/Window in stairwells safety glazing `''"` Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: � " `� Outside every bedroo area: ,�-�� t rte"-" '" Inter Connected: Battery backup: ¶� Attic access 30 inches x 22 inches x 30 inches(height)in accessible area F� ,"a" t Imo)'/ . 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 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 I Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum IA"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/' hour fire door/door closer Duct work Sealed properly j /' Gas Logs in Sealed or Glass Enclosure Final Electrical ' 7 Final Survey Plot Plan Arc Fault Breaker in Bedrooms 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 CI 0[Temporary/Permanent] Ci L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08 L ' Rough Plumbing I Insulation Inspection R port Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p y- .a am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: r:.I. i . IP I 411 NAME: 0 , 41, PERMIT #: 24 t° `/,,M LOCATION: __ -r- INSPECT ON: 1 TYPE OF STRUCTURE: fiAr- -) Y N NIA Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 6 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction gill Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes la4OF Pressure Test Water Supply Piping Air/Headlir 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check yvek or Similar Exterior Sealant Proper Vent, Attic Vent , Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape \ifiri-A,(1/r`jC) W1,-Yt --- e- f,CLIAJ-P`i-C - COMMENTS: Rough Plumbing Insulation Repoitrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: .\ am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: / Rs,s PERMIT#: _ 3 (0 -/ cit LOCATION: Q ar, INSPECT ON: �_ 6 , TYPE OF STRUCTURE: J '1-43_AAT)/\--)_ V N N/A Rou•h Plumbin• /Nail Plates Plumbing Vent/Vents in Place 1 Yz inch minimum Drain Size Wash" • Machine Drain 2 inch minimum Cleanout e = 100 feet/change of direction 'rewire Test Drain/Vent Air/Head 5 P . . or 10 ft. above hi•hest connection for 15 minutes Pressure Test Water Supply Piping Air/Head is--. .I for 15 minutes h Residential Check/Commercial Check imilar Exterior Sealant 4 Proper Vent, Attic Vent Door/Window Sealed (No Insulation) N./ Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape \tAVC5Z-- COMMENTS. Q— k ( VC Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: 7(t�120 Queensbury Building &Code Enforcement Arrive: am/ De art:3k.1.7._ am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: s-/V NAME: 1`�7� �- C10 s S PERMIT#: U I 0 - `t LOCATION: l 0 K INSPECT ON: j,; 0 TYPE OF STRUCTURE: ' -a► Mil ; Y N NA COMMENTS: • c Access 22° x 30° minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts I 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 I Bearing Walls Metal Strapping for Notches Top Plate 1 4(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 • - 2=112, 3, 4 hour F • s'. 1 = on sealed 16 inch insulation in cavity min. Garage Fire Separation House side'r4 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:1BuiidIng&Codes Forms-OtDDBuilding&Codesanspedion FormslFraming Fwestopping Inspection Reportdoc Revised January 7,2008 Framing / Firestopping Inspection Report `i—/7 7A-u rsq/62„ Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart if am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: clik,9 IP/1FM— NAME: PERMIT#: / LOCATION: /06- fi t INSPECT ON: 46.f. TYPE OF STRUCTURE: 17,C A1) Y N WA COMMENTS: Framing 22" x 30' minimum Jack Studs/Headers 1� / Bracing/Bridging V 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 '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 p Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side'r4 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:1Bui dlng&Codes Fors-OLDeuiiding&CodesWnapedion FonnsTraming Firestopping Inspection RepoR.doc Revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's initials: . ,1 NAME: V-6% Zoe - LOCATION: #: Z © ` - LOCATION: (cam 7 /L' __Qr, A-( INSPECT ON: ' V TYPE OF STRUCTURE: I _‘--t Aj9 . r.. Y iN N/A COMMENTS: Framing Attic Access 22"x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams ., . IA\ Exterior sheeting nailed properly 12"O.C. c2\ v‘-..-' L\I t-7---- Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing ��` Headroom 6 ft. 8 in. ciL. \ � (5‹: Notches/Holes/Bearing Walls ,, Metal Strapping for Notches Top Plate 1 'i4(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%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:\Building&Codes Forms-01.131Building&Codes\lnspec tion FonnssFraming Firestopping inspection Reportdoc Revised Jan<wry 7,2008 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: (0 7 3 Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: l�-(1 S-5 PERMIT#: /? LOCATION: i 0 /J /> INSPECT ON: TYPE OF STRUCTURE: e4 4.4 7Z't zJ Y WA COMMENTS: rami Attic Access 22'x 30" minimum Jack Studs/Headers Ii7/4-(1.gUM^--1` .— 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 11'' C� Exterior Deck Bracing >>DD Headroom 6 ft. 8 in. Notches/Holes I Bearing Walls Metal Strapping for Notches Top Plate 1 'A(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 c Sq-- Fire wall 2, 3, 4 hour �s`� Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side'r4 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-01-Munding&CodesNinspsction Forms Framing Firestopping Inspection Repott.doc Revised January 7,2008