2010-343 41" TOWN OFQ UEENSBURY
Bay Road,
742 Queensbury,Q NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100343 Date Issued: Friday, August 12, 2011
This is to certify that work requested to be done as shown by Permit Number P20100343
has been completed.
Location: 10 TEE Dr
Tax Map Number: 523400-289-011-0002-044-000-0000
Owner: MAUREEN C WHITING
Applicant: MAUREEN C WHITING
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 thej l /1
property owner of the responsibility for compliance with Site Plan, ( ' \\
ar,'"
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.
el" TOWN OF QUEENSBURY
coN 742 Bay Road Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100343 Application Number. A20100343
Tax Map No: 523400-289-011-0002-044-000-0000
Permission is hereby granted to: MAUREEN C WHITING
For property located at: 10 TEE 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: MAUREEN C WHITING
10 TEE Dr Residential Addition $13,500.00
QUEENSBURY,NY 12804-0000 Total Value $13,500.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-343
216 sq ft residential addition
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,August 02, 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� ii Queer bury /? y,August 05,2010
SIGNED BY1 9‘ for the Town of Queensbury.
Director of Building&Code Enforcement
- at ac_.. Gi-1 - ie' a-f% — 7/i g/la
OFFICE USE ONLY
TAX MAP NO.02E9. // -0)-Lf PERMIT NO. /e.
-34/3
FEES: PERMIT RECREATION
ENGINEERING
(If applicable)
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 PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: t OWNER: jl vrt PrN \At-I ,
TdP "torch ,, docs 5
ADDRESS: 1 10 farts 4i I\e ADDRESS: id ¶EE Of . I ��,
PHONE NOS. cI CI --MI - 3 5---1A-- PHONE NOS. 5 ) sl-- 7 9g- .V7 9 tip
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:4g SwYet PHONE: 9 ig 7�i!-?5
LOCATION OF PROPERTY: /0 cYee -b7� v--e_-
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ❑ NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR z Cj 1 o i-
x
O Q O •w
o W o � i � W a a = =
Z Q Q � a Nd OL~i OI- O tl IZ
I— LL 2 oo
SINGLE FAMILY , i
ie. X I IA lP IA,f
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: 4_3) OL) FUEL TYPE:
B 3-LGL 11-05
pit
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 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:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE
DATE
QUESTIONS? CALL 761-8256 OR EMAIL
Office Use Onlv cades(a�gueensbury net
VISIT OUR WEBSITE FOR MORE INFORMATION
11\ Z- '5/
Queensbury Building & Code Enforcement - Residential Fin nspection
Office No. (518) 761-8256 Arrive: am/pm De art am/pm
Date Inspection reques received: Inspector's Initials:
NAME: I PERMIT#: 0 ^3
LOCATION: 0 /p _ >(', DATE: - -
TYPE OF STRUCTURE:
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 18 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/regulator 18 inches above grade
Interior privacy/trim/doors/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
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/Sticker on Panel
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/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched • a.
Garage fireproofing/' hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required eTh
Okay to issue C/C or C/O[Temporary/Permanent] l� f
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10
Rough Plumbing Ilnsu a ionipection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: /1 r,-c, am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: i'�'t /I ` PERMIT#: /(2/ 34'3
LOCATION: 10 7,-:=A1 INSPECT ON: //
TYPE OF STRUCTURE:
Y N N/A
Rough P • ng/Nail Plates
. . - ent l Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout eve 100 feet/chan,a of direction
Pressure Test
Drain/Vent r/
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head ��`--��
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek 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
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report
761-8256 Date I ' request received:
\S)
uilding&Code Enforcement Arrive:`- am/ Depart: am/pm
Queensbury, NY 12804 Inspector's itiais:
(A)Nvi-I A)C.9 PERMIT#:
JN: C�_ £A . INSPECT ON: / 4 jail
OF STRUCTURE:
Y N WA COMMENTS:
Aming
.ttic 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 Wails
Metal Strapping for Notches Top Plate
1 '/(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.:SBuiiding&Codes Forms-OLDBuiiding&CodesUsspection FonnslFra mr g Firestopping Inspection Report.doc Revised January 7,2008
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: a /pm art: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 1 ltt A PERMIT #: e2- 3
LOCATION: 'f INSPECT ON: 6,AEI ei
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing/Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
C snout every 100 feet l change of direction
ure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes ��
ressure Test
4/6frWater Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek 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
COMMENTS:
Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Insppcjibivequest received:
Queensbury Building & Code Enforcement Arrive: I 1 am m a • am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial .
NAME: VV4l Ilk PERMIT #: 'e
LOCATION: 10 OR . INSPECT ON: io
TYPE OF STRUCTURE:
Y__
Rough Plumbing /Nail Plates Cit
Plumbing Vent I Vents in Place ,
1 IA inch minimum Drain Size
mashing Machine Drain 2 inch minimum
Oleanout every 100 feet/change of direction
/Pressure Test
Drain/Vent
J Air/Head
5 P.S.I. or 10 ft. above hi hest connection for 15 minutes /1/17-
Pressure
1 7-Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek 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
COMMENTS:
Rough Plumbing Insulation Report.revised 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/pmDepart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: /C�..
NAME: AL ivC9 PERMIT #: O
LOCATION: INSPECT ON: Mrd
PE OF STRUCTURE:
Y N N/A
R• !h Plumbin• /Nail Plates
Plumbin• Vent 1 Vents in Place
1 Y inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout eve 100 feet/chan•e of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
ressure Test
Water Supply Piping
Air/Head
50 P.S.1 for 15 minutes j
Insulation/Residential Check/Commercial Check >w fur c
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct 1 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
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date In�edion request received:
Queensbury Building&Code Enforcement Arrive: —.c am/ De rt: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: ‘i4G Li I-N i-riftiPERMIT#: /0— 3
LOCATION: /L' 'T & 012, INSPECT ON: ,
7E OF STRUCTURE:
Y N r 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 %(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
ire wall 2, 3, 4 hour
Firestopping Id 4qpf'
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:1BuildIng&Codes Fortes-OLDSuilding&Codesllcspection FommssFraming Firestopping Inspection Repoit.doc Revised January 7,2008
Foundation Inspection Report /
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/1z j1.3 am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ! 'J/
NAME: PERMIT#: 0'-'
34
LOCATION:
jQ � �{' . INSPECT ON: �'�--j i.-l
r
TYPE OF STRUCTURE: RA61-2 On
Comments
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 I Wallpour
Reinforcement in Place
Foo'• • • . .._eyway in place
oundation Dampproofing2,
r I roofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly 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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date 1 'o i . uest received:
%�
Queensbury Building&Code Enforcement Arrive: . V 411 pm/�� part: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspec,f: Initials: c\�/
NAME: 'I 141r✓✓� PERMIT#: /b 3/3
LOCATION: ��-- , INSPECT ON: ZV/014 U
TYPE OF STRUCTURE:
Comments
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 i,
einfo en Place
Foo,i i g Dowe s or Keyway in place
Foun•r :. 1 II . it pproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly 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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
—Z1 /1110/4c7
Foundation Inspection Report
Office No.(518)761-8256 Date +' 'nest received:
Queensbury Building&Code Enforcement Arrive: :foam/p art: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials.
NAME: PERMIT#: /0— '3- J
LOCATION: Jct ; 0't INSPECT ON: --
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Monolithic Slab
Reinforcement in Place / Y
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly 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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM