2010-396 .01111ai TOWN OFQ UE E NSBURY
W 742 BayRoad,Queensbury,NY 12804-5902
��� Qu ury, (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100396 Date Issued: Friday, September 10, 2010
This is to certify that work requested to be done as shown by Permit Number P20100396
has been completed.
Location: 33 OHIO Ave
Tax Map Number. 523400-309-013-0001-017-000-0000
Owner. MIGUEL & JENNIFER SANTIAGO JR
Applicant: MIGUEL & JENNIFER SANTIAGO JR
This structure may be occupied as a:
Certificate of Occupancy(RES) 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, ("'" t4vP 4
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
`0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
,4,1
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100396 Application Number. A20100396
Tax Map No: 523400-309-013-0001-017-000-0000
Permission is hereby granted to: MIGUEL&JENNIFER SANTIAGO JR
For property located at: 33 OHIO Ave
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 Queens bury Zoning
Ordinance. Type of Construction Value
Owner Address: MIGUEL&JENNIFER SANTIAGO . Certificate of Occupancy(RES) $14,000.00
33 OHIO Ave
QUEENSBURY,NY 12804-0000 Total Value $14,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2010-396
Residential Rehab
$25.00 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 Townof-Queens ry;4 ;Thursday,August 19,2010
E 1 ` J,/ /j�
SIGNED BY d:',„vv for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
TAX MAP NO. PERMIT NO. IG 4 L C
FEES: PERMIT RECREATIONENN
GINEERING
(If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS
REVIEW BEFORE ISSUANCE�/ OF A VALID PERMIT FOR CONSTRUCTIONSUBJECT TO
APPLICANT/BUILDER: /�l/ f :. ztktui6;l r OWNER: Ar
ADDRESS: d ,i �� �, /j
ADDRESS: 3 30 �G �-.-G� � ve-e-q.���c�
PHONE NOS. /Y) 7vs-----s/ 7
PHONE NOS. 57,k)l 76/. piP77
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: �lC
� U( .t e PHONE: 7y: --5D
LOCATION OF PROPERTY: I U�,d
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES I NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
I I
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR 0
PROJECT O < , 0 O a �U' L�,
0 I- O ►_ I w
Zi o ~ i •" '� " w Q a = v
CL I 06
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
IIIIIII
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3) ( !
OTHER
IF COMMERCIAL OR INDUSTRIAL—NAME OF
OF BUSINESS: //c)
ESTIMATED CONSTRUCTION COST: / /. . ' � FUEL TYPE:
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ,6t)
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:
itid / r
B ' I► . CODES AP'R•VAL ZONING APPROVAL
D A E DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesCa?queensburv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
1.11ht_ >
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Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart - '3 )onam/pm
Date Inspection request received: 9'f V/0 Inspector's Initials:
NAME: SAi1 t % 0r‘ 0 PERMIT#: b IP
LOCATION: 31 (' it{ 0 AY`ei/I L c DATE: /&I7/I/
TYPE OF STRUCTURE: -L ' j
Comments:
N.
4" Building Number Address visible from road
Chimney Height/"B'Vent/Direct Vent Location
Fresh Air Intake IIIIIII
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co ,•lete/Exterior Finish Com•ete IMO
Platform at all exterior doors lanai.
Handrail 4 or more risers III�
Guards at stairs,decks,patios more than 30 inches above •rade all�
Guard at stairwell at 34 inches or more ■■
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall INN�
Interior/Exterior Railings 34 inches to 38 inches ■■■
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet NO
6 inch clearance to sill plate �=
Gas Valve shut-off exposed/res ulator 18 inches above •rade plater
Interior privacy I trim/doors/main entrance 36 inches ■��
Bathroom/Kitchen waterti•ht
Safety glazing/Win in stairwells safety glping
Interior Smoke De ors I CarbonN�onoxidJ Det re
Every level: E ry Bedr�bn:
Outside every bedroo area: ((((
Inter Connected: Batte backu•:
Attic access 30 inches x 22 inches x 30 inches el,ht in accessible area all�
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 :•.ft.vents
I
��
Bathroom Fans,if no window ��
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft. Or_.,c)-55(..6,--:)--
Eme •e ,•ress below !rade
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 ...0-------
Relief Valves)installed/Heat Trap/Water Tem• 110
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum .
Basement stairs dosed rise>4 inches
Garage Floor Pitched �=
Garage fireproofing/%hour fire door I door closer
Duct work Sealed property
Gas Logs in Sealed or Glass Enclosure El
Final Electrical nil Lea t�
17/11
Final Survey Plot Plan MailArc Fault Breaker in Bedrooms �
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required III
Flood Plain Certification,if required 1r&V/A10111�
Okay to issue C I C or C I O[Temporary I Permanent]
1V7
L:\Building&Codes Forms\Building&Codes1Inspectioon Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08