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01.1* TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FOrtl
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150105 Application Number: A20150105
Tax Map No: 523400-301-008-0002-040-000-0000
Permission is hereby granted to: BARBARA BINETTI
For property located at: 6 PROSPECT 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: BARBARA BINETTI Residential Addition $8,000.00
6 PROSPECT Dr Total Value
QUEENSBURY,NY 12804-0000 $8,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-105
addition 312 s.f.
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, May 05,2016
(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 of eens ry; T> sd, ; , 05 2015
SIGNED BY //Q/ for the Town of Queensbury.
Q ury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
DATE - -;1 0/5 n—Received
G ' E f �4: Tax Map ID
TAX MAP ID O — � 'u 7.1 Permit No. l5—�O
�/ f 1.4 F- Permit Fee (0 •4b Ye.f,Vet.
ZONING p� 17 I F Fit
i L� Rec Fee
TOWN OF QUEEN Site Plan#
GC No BUILDING& cc Subdivision #
HISTORIC SITE Yes /
SUBDIVISION NAME AM Lot#
TOWN Ba RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLINGS,DUPLEXES
OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED &
MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.
APPLICANT 3 tr(A. 31arIot-P-A-e OWNER garhara- B 1 ancktH(
ADDRESS 6 ®ro5paf 06z We' ADDRESS (0 praveJ- AdzL
t?Je,isf)a r7 M y I D`1 Ogee'jsbury , AJ Y /) ()N
PHONE/E-MAIL 7I 79k -y9/9 PHONE/E-MAIL 5/8 -Via--W/9
CONTRACTOR /7 one. COST OF CONSTRUCTION(ESTIMATED): $ ir fl OO.64
ADDRESS: BUILDING ADDRESS: LP pr”pec-+-QI2ia°
PHONE/E-MAIL n i
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: ll m o-t I b 1 � -f PHONE(Si 8):5,;b 718/
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 15c floor sq. ft. 2"d floor sq. ft. Total sq.ft. Height
Single Family <‘1417) a ii5. /
Two-Family
Multi-Family
(# of units )
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(# of )
Other
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business ALA
Proposed use of building or addition &Aro." / 0111:45 r i
Source of heat (circle one) ( a Oil Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances &
Chimneys fU
Are there structures not shown on plot plan?
Are there easements on the property? ;z>
Site Information
a. Dimensions or acreage of lot p,aZ gore,
b. Is this a corner lot? •r1c)
c. Will the grade be changed as a result of construction Yes PS No
d. Public water or Private well bli�
e. Sewer or Private Septic System ;? vats Sept
Value of all work to be performed (labor or materials) $
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department
approval.
3. 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.
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy.
5. 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: PRINT NAME: aria., Acricke *c DATE Dy/vyJo�T/I
SIGNATURE: -6)00...,44A DATE Oh/kV/6
FOR OFFICE USE ONLY
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building&Codes Principal Structure Application July 2014
CHECKLIST- SINGLE FAMILY PROJECT •
Project name: i%ci A:t, ! ' t;2
O/ /0 S
REQUIRED - 2 sets of the following documentation Yes No N/A
_1. Building permit application completed
2. Energy Code inspector's report from REScheck
3. Septic alteration (if applicable)
4. Solid Fuel Burning or Gas Appliance form (if applicable) _
5. Driveway Permit
6. Structural Drawings
a. Floor plans p�
b. Foundation plan
c. Cross Sections X
d. Elevations 9C *It
e. Window & Door Schedule
f. Natural Light, Ventilation and Emergency Egress pC
g. Plans signed/sealed by registered architect or engineer
7. Plot plans: indicate proposed structure, showing setback dimension from all surveyed
property lines
a. Show location of all existing structures on property
b. Show location of water supply (well or water lines) _
c. Show location and configuration of septic disposal system or sewer line K
8. Electrical inspection agency selected
CHECKLIST- MULTIPLE DWELLING/COMMERCIAL
Project Name: /464,4/1-0)--y)
REQUIRED -2 sets of the following documentation Yes No N/A
1. Building permit application completed .;
2. Energy Code COMcheck and inspector's report form
3. Septic alteration (if applicable)
4. Solid Fuel Burning or Gas Appliance form (if applicable)
5. Driveway Permit �c
6. Structural Drawings
a) Floor plans
b) Foundation plan _
c� Cross Sections n _
d) Elevations pc -
e) Design loads including floor, snow load and wind load
f) Seismic design
g) Plans signed and sealed by registered architect or engineer "N.
h) Window& Door Schedule
7. Plot plan — indicate proposed structure, showing setback dimension from all surveyed
property lines
a) Show location of all existing structures on property
b) Show location of water supply (well or water lines)
c) Show location and configuration of septic disposal system or sewer line _
8. Electrical inspection agency selected o�
4
Town of Queensbury Building&Codes Principal Structure Application July 2014
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Framing / Firestopping Inspection Report
Inspection request received: It t 2-Q)
Name: bne Inspected on: a1 1c&17 QAS
Location: 9 Arrive: 1 AS a.m./p.m.
Permit No.: 15--105 Inspector's Initials: 0.141/4A.
TYPE OF STRUCTURE: ikS
Y N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers YVA 355. t
Truss Specification Provided •
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"0.0.
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 1/2(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''/z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
indows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
sign Professional Sign-off, if required
:ming I Firestopping Inspection Report
Vie
Rough Plumbing / Insulation Inspection Report 21 1
Inspection request received . ! t,2_043
Name nctil Inspected on 6 `
Location v Arrive � K. am/pm
Permit No. 15 - l4Q,ej Inspector's Initials <PA")
Type of Structure
Yp pSLS.
COMMENTS
Y N NA
Plumbing under slab \ YVI 336 -1-1 tO 1
Rough Plumbing /Nail Plates
Plumbing Vent /Vents in Place
1 V: 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 highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
7, Insulation / Residential Check / Commercial Check v/
( Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation) \/#9
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly /No duct tape
Blower Door Test
Air Sealing
own of Queensbury Building & Code Enforcement Office No. (518)761-8256
Town of Queensbury Building & Code Enforcement 's
Office No. (518) 761-8256 arlk
Framing I Firestopping Inspection Report ( ocv - 0
Inspection request received: 1\2)2-115
Name: Inspected on: 1112..42-0-A
Location: Pro Arrive: �, � a.m.I p.m.
Permit No.: Inspector's Initials:
dll__4)
TYPE OF STRUCTURE: 1f—S,- AM•
COMMENTS:
Qp Framing
" Attic Access 22"x 30"minimum
Jack Studs!Headers 1 b
Truss Specification Provided
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 1 Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(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 f)111 /Iirestopping ,Q/
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 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
Design Professional Sign-off,if required
Framing/ Firestopping Inspection Report
nt-11
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: to 1311 5
Queensbury Building&Code Enforcement Arrive: am/pm Departa pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials
NAME: PERMIT#: l` '1d`15
LOCATION: (2 1 vb5 1J✓ ►viz_ INSPECT ON: ip
TYPE OF STRUCTURE: PALS --
Comments
Y N N/A t1
Footings
Piers
Monolith' Slab I
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 ` 11\/
Footing
Footing Dowels or Keyway in place
Foundation Dampproofmg
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 12/9/2014