2010-376 i TOWN OF QUEENSBURY
-too
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100376 Date Issued: Monday, February 27, 2012
This is to certify that work requested to be done as shown by Permit Number P20100376
has been completed.
Location: 25 BERRY PATCH Dr
Tax Map Number: 523400-289-012-0001-007-019-0000
Owner: PATRICK & CYNTHIA HURLEY
Applicant: PATRICK & CYNTHIA HURLEY
This structure may be occupied as a:
Residential Addition 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 Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
��` TOWN OF QUEENSBURY
coo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100376 Application Number: A20100376
Tax Map No: 523400-289-012-0001-007-019-0000
Permission is hereby granted to: PATRICK& CYNTHIA HURLEY
For property located at: 25 BERRY PATCH Dr
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: PATRICK&CYNTHIA HURLEY Residential Addition $15,000.00
25 BERRY PATCH Dr Total Value
QUEENSBURY,NY 12804 $15,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-376
192 sq ft residential addition
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,August 19,2011
(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 offQQueensb�ry; f bursday,August 19, 2010
SIGNED BY �1 ) d.� 4! ; .`'� for the Town of Queensbury
llrector of Building Code Enforcement
FFICE USE ONLY
TAX O� _/J �
PERMIT NO. Alr9
FEES: PERMIT
RECREATIONr
ENGINEERING
(If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION APPLICATION IS SU
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTIONBJECT TO
APPLICANT/BUILDER: )el jr.iga(1OWNER: /11)/PI PI r6/
1,7/1 fe7
ADDRESS: I -�`�' -t4' ;) '11 � , " ADDRESS: r /r h
PHONE NOS. PHONE NOS. 792'
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE3a7 MitevA0 PHONE �Syc 's�,S
LOCATION OF PROPERTY: Crr . aIle A if " C'NS&eV
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE Or UBDIVISAPPROVAL? ❑ YES ❑ NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: ' r ftl Ailektolds,Aw )--
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z o C'1 0
PROJECT o < O cn L. w
OIL1J CL-
W ° Q r d ° _ O O C�
z Q Na Ou OI- � wz
W d 2 06
SINGLE FAMILY /, I, ` (07 902
1?
V /
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 OF BUSINESS:
ESTIMATED CONSTRUCTION COST: 1I,-1-, e Gi FUEL TYPE:
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /110
ARE THERE EASEMENTS ON PROPERTY? i))
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 "7://e/A,--<
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
DAT
DATE
QUESTIONS? CALL 761-8256 OR EMAIL
Office Use Onl
codesaqueensbury.net
VISIT OUR WEBSITE FOR MORE INFORmeTinm
12 Y %-r S /h_5/71-7C-
Queensbury
_5pc ComQueensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/p• s-_•-rt: am/pm
Date Inspection req est received: Inspector's Initials: 7 !
NAME: (Jr/-ey PERMIT#:
LOCATION: ^ l �Y' �, -, br.• DATE: A
TYPE OF STRUCTURE: I
s 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 6 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 I regulator 18 inches above grade
Interior privacy/trim/doors 1 main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
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 , I
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window �� �y'
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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed I Heat Trap/Water Temp 110 ,
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/' hour fire door/door closer G �,
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
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 dOkay to issue C I C or C I O[Temporary/Permanent]
6/://-
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
IC ` TIFICATE - ELECTRICAL APPROVAL
Permit No. ,,,/ Cert. N 10 9 6 4 Cut-in Card No.
Owner . /lag C rr
Location....�'s ae/2.gy pipt`EC .
�
Installation Consisting of.Z S?i/re of . C
Installed By - t 'v-v-7-4 5 L
Lie.No.
The conditions following governed the issuance 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 s tions at any time, and if its
rules are violated,the Company shall have the right to rfv e;this c rtificate.
Date ( 3Jf t INSPECTOR........ "yam
Member N.F.P.A..I.A.E.I.
Rough Plumbing I InsuialiorInfinc4Pection Report
Office No. (518) 761-8256 Date Inspectiouest received:
Queensbury Building &Code Enforcement Arrive: % ' pm JiPpart: am/pm
742 Bay Road, Queensbury, NY 12804 Ins s Initials: `-
NAME: /76/16-1 PERMIT*: e -.376
LOCATION: ?. '`l ? < 1� INSPECT ON: A-7,?,---/.0
i vt � f
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing/Nail Plates
Plumbing Vent I Vents in Place
1 ',4 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above h'.hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air I . r. • J� �
Si, 15 minutes UUP LLS
Insu = •n/ esidentiai Chedc/Commercial Check
$4 • -• liar Exterior Sealant )G lCq
Proper Vent,Attic Vent
Door I 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
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003,revised February 15,2005, revised January 7,2008
, Town of Queensbury Fire Marshal
Wfrif OO 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
�
ID
J
2
Permit# f J Schedule Inspection i i \1 1 D Time { am pm nytime Inspector 14
Name f-Pki Address ag %lhM\)tt4 t Rough In N' Final_
Appliance Manufacturer (Yl `W 'cr Model# t V( � ) t)
Direct VentFactory Built Chimney Flue Size Double Wall Triple Wall Insulated
\/'
Yes No N/A Comments
Floor Protection
Clearances to Combustibles(all sides) X
Firestop(s) Vertical Chase
Wall Penetration \ 'X\
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off ValveY\
--,—
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation1\ ..‘z '
Tank Placement(if LP)
CO Detection -
CSST BondingX4
White—Building Dept. Yellow—Customer Pink—Fire Marshal
Framing / Firestopping Inspection Report (30-\
Office No. (518)761-8256 Date Inspection request received: Ll a a 1 I S
Queensbury Building&Code Enforcement Arrive: am/pm ' = • : 'aMpm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: :
i•
} '/ ef*-(0 1 t Com .}- I I u L )Jv --3 7NAME: I PERMIT#:
LOCATION: a5 r ��qi¢-� INSPECT ON: 19 ,
TYPE OF STRUCTURE:
//f
rami COMMENTS:
Attic Access 22"x 30" minimum
Jack Studs/Headers 264
Bracing I Bridging 4r
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 f't. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 S4(w) 16 gauge (8) 16D nals 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 S4 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
LABuilding&Codes Forms-OLDSuiding&Codeslinspedion Fonnaniming Firestopping inspection Report.doc Revised January 7,2008
/rte frOu-ofet-y,
Framing / Firestopping 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: tilk)(
�¢/� �' PERMIT#: C)
LOCATION: 2 L�`y`' � ��L \)1'; INSPECT ON: , 4-5 c
TYPE OF STRUCTURE: 46111
Y N COMMENTS:
Framing
Attic 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 'i4(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Bolts 6 ft or less on center
i4:107
Arnow
ce and water s laid 24 inches from wall Z 4--
-,'on 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:UBuildhg&Codes Forms-Ot.D 8ulIding&CodesUnspection Fo nslFmming FirestApping Inspection Report doc Revised January 7,2008
(/ i : ô )
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart://ti h am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: l V
NAME: PERMIT#:
LOCATION: 2 r F4-,-/1jNSPECT ON: // -
TYPE OF STRUCTURE: � fr-A)9
Comment.
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place I
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing 7/1 Footing Drain Daylight or Sump 6
Footing Drain Stone:
12 inch width
6 inches above footing
ly for wet areas under slab iY✓ L. Cr`'l. ,'�S-
Backfill , 'royal r
• g Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspectlon Forrns\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
� o S7 C) %
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart/4.am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: 3'tr PERMIT#: L 7C
LOCATION: 7 �– � ;, y- INSPECT ON: —
TYPE OF STRUCTURE:
Comment
Y
Footings I gir
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this . • : on site. A
Foundation/Wallpour '' -11 1
Reinforcement in Place
Footing Dowels or Keyway in place mil
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 nil! .•1 for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Bulding&Codes Forms\Building&Codes\Inspection Fortes\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
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NOTICE
FOAM DATION MUST BE ,° .. ,
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NOTICE
KRA'' A ER.(NSULATI�N MUST PE' N*COMBUSTIB i E IT ''r`,'r.'?'7 i �l c
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BUILDING DEPARTMENT I
BU liance
Based on our limited exir not be co strued as
with our comment pecihcations are in ;
indicating the plan nsBuddmg Codes of
full compliance wi I
New York State.
11 i',f,;., c' -r observed, or believe I saw evide`'f:t ?_.,
,1 E,: ,,; ises, wells, trees, tet NOTICE: U, i
I�; nt. I al�.�.=
Smoke detectors are requirad in edrooms, �e dis;:: .`:; -=;r;ar, '
adjacent to bedrooms and bn chi oor
level including cellar ora
All smoke detectors & carbon e n ide __ ___ _!'Y�/ �7' 7 ^dkY"/o __
detectors shall be interconnn s�" ;
battery backup and located on all lev e
IE
Carbon monoxide detectors are re it
outside sleeping areas and on all le els\
I
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,Z....., a ies....8 /
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'I
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! have seen or observed,or believe I saw evidence of,
iad objects such as houses, wells,trees,fences,etc.,
'shown on this document I also represent that I have
I persoc-n. , easurei -f . distances set forth on the iagr tn."
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