2010-297 TOWN OFQ UEENSBURY
Foy742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20100297 Date Issued: Monday, September 20, 2010
This is to certify that work requested to be done as shown by Permit Number P20100297
has been completed.
Tax Map Number: 523400-309-014-0001-031-000-0000
Location: 24 PINE St
Owner: JEANNE LARRIVEE
Applicant: JEANNE LARRIVEE
This structure may be occupied as a:
Certificate of Occupancy(RES)
By Omer of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
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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
cfm 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100297 Application Number. A20100297
Tax Map No: 523400-309-014-0001-031-000-0000
Permission is hereby granted to: JEANNE LARRIVEE
For property located at: 24 PINE St
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: JEANNE LARRIVEE
24 PINE St Certificate of Occupancy(RES) $14,150.00
QUEENSBURY,NY 12084 Total Value $14,150.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
RAMTEC
955-0415
87 CLOTHIER Rd
CORINTH,NY 12822-0000
Plans &Specifications
2010-297
residential rehab - HUD
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,June 17, 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 ee ry�, ► / : ,June 17,2010
SIGNED BY r. \ for the Town of Queensbury.
Director of Building&Code Enforcement
•
0 . ,
3 / OFFICE ...................
�7, /47_ ?l USE ONLY �- .R
TAX MAP NO. 1 c�
PERMIT NO.
FEES: PERMIT RECREATION
ENGINEERING
(If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONST PERMIT
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTIIONAPPLICATION IS SUBJECT 70
APPLICANT/BUILDER: J�p�,.n Q e-
OWNER:
ADDRESS: 7 C o���c� •� `� . � �
V- , /k/‘ ADDRESS: 2g_ Pf r►e. S . C.
PHONE NOS.____9���- aL/�
PHONE NOS. 7d a
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE:jjarAp ►`c)o son PHONE:
LOCATION OF PROPERTY dy�°�-
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: 0 NO
e„ova%r{�off iry 5 c/7Le1 Ickn,, Wor s
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: '
CHECK ALL THAT z
O
PROJECT 0 < O p O ° f-
Y
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r= xOF- O � 0ww
APPLY TO YOUR
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z � Q Q :- co IVCD O � � � OWZ
-------——_ —_ F- LL Cl. Soo
SINGLE FAMILY /
IIIIII
TWO-FAMILY I/
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL- �— !
MERCANTILE
FACTORY OR
INDUSTRIAL
— I
ATTACHED _
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: /4///,5p FUEL TYPE:
LJ f r rvr�r-
RPM
B 3-LGL 11-05
4' • +*
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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 o the above.
Signed RA,.te*n, ci Ise.,
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:
1- 1)//A1/1
Btly 'NG & CODES A a"ROYAL ZONING APPROVAL
t
BA DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a queensburv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
. . Queensbury Building.8k Code Enforcement - ResidenxFinal Inspection
Arrive: am/pm part ( Z1 ' am/pm
Office Nosp ction(518)761-8256 Inspector's Initials: _
Date Inspection request received: _. /22 '7
NAME: GO(,ref vel PERMIT#:
\
DATE: �"li--/Z)TYPE OF STRUCTURE: Ho Comments:
Xis Ha MLA
4" Building Number Address visible from road
Chim , He',ht/"B"Vent/Direct Vent Location
Fresh Air Intake
II
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at ail 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 MINI
III HTermInationi ellPost
tntedor/Exterior andrail Railingsat 34Newinches Poto or 38 Wall inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above !rade 111 Interior privacy/trim I doors I main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Wi in stairwells safety • = • g
Interior Smoke De ars/Carbon onoxi• = Detect
Every level: E -ry Bed
Outside every bed , area:
Inter Connected: 1 Battery backup:
Attic access 301 . == 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 I L
Foundation insulation/Insulation Certification
Flow truss drafts •j•' , finished basement 1,000 -•.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site t.1/A
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler 6' 2/'-*f)
Relief Valves)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 1/1"Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing 1%hour fire door/door doser
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical --
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pi•- Bondi •
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required0
Okay to issue C I C or C/0[Temporary I Permanent]
L:\Building&Codes Forms\Building&CodosUnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 8/26/08
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
—� Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. I t) X11 Cert. NO 7 215 Cut-in Card No.
Owner
.l.u..c t,
Location .21 l"1.k1.C.c �'T (..D...‘,1..
Installation Consisting of f..L:1.4Ea.A..c...S• .2....1
.2...4,.T...Sr :5...l=ia.�.5 ‘,Lf2s..T
Installed By c, .i,5 L.G��Si. 14 Lic.No.
The conditions following governed the i';suance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date ?.-L5.-.I C? INSPECTOR.. _t )... .. ...
�/ Member N.F.P.A.,I.A.E.I.