RC-000201-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
WL Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000201-2015 Date Issued: Tuesday, September 27, 2016
This is to certify that work requested to be done as shown by Permit Number RC-000201-2015
has been completed.
Tax Map Number: 239.15-1-3
Location: 8 ROCKY SHORE RD
Owner: SALLY KELLY
Applicant: Burke Bros.Builders,Inc.
This structure may be occupied as a:Detached garage 810 s.f.
By Order of Town Board
TOWN OF QUEENSSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the �J49 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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
VS,
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150415 Application Number: A20150415
Tax Map No: 523400-239-015-0001-003-000-0000
Permission is hereby granted to: SALLY KELLY
For property located at: 8 ROCKY SHORE Rd
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: SALLY KELLY Garage Detached $75,000.00
30 OAKWOOD Dr Total Value
QUEENSBURY,NY 12804 $75,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-415
Detached garage 810 s.f.
PERMIT FEE PAID-THIS PERMIT EXPIRES:
$121.50 Saturday, September tember 17 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 To n of eens ;/f u/ . ! , September 17, 2015
SIGNED BY ' \ for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
Received
Date: �'! ` Tax Map ID
Tax Map ID '3 Permit No. 115 1 ,
Permit Fee t46 re"
Zone a(D- ( t=e. .� j Cit S. Rec Fee
Historic Site Yes L-rNo Site Plan#
Subdivision Name Lot# Subdivision#
Project Location ' Ak-y Sh- Rte
TOWN BD. RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family,
multiple family,apartments,condominiums,townhouses, and/or manufactured&modular homes, but not mobile
homes. This is in addition to the permit fee(s).
Applicant ✓ �� Df'v5 Owner 4-v1, /St /
Address P d lbs Address g_ gc�� S �S Kct .
,0`i O s b Ivy
Phone/E-mail Phone/E-mail
Slg b�� � 5 '� 5-rf 29 s_a-1 `t
Cb Lur( —t �6L Cc��
Contact Person for Building&Codes Compliance: CO n Phone 8 9W2
W2 g
TYPE OF CONSTRUCTION
/Check all that apply New Addition Alteration 1St floor sf 2nd floor sf Total sf Height
Single Family
Two-Family RC A IE
Multi-Family
(#of units P 0 9 2015
OF QUE
Townhouse TOWNZONING OFFICE
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garage �j 2 ,�
(1, 2, 3, 4+) pek
Si" 23 dlot 5 /leer"
Other I 1 S.F
If commercial or industrial please indicate of business
Town of Queensbury Building&Codes Principal Structure Application Revised September 2015
Proposed use of building or addition GI U.C L 5
Source of Heat (circle one) Gas Oil ropaiTe) Solar Other
Fireplace: Complete a separate application for Fuel Burning n
Appliances & Chimneys �+
Are there structures not shown on plot plan? iYd
Are there easements on the property? y"
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot? N6
c. Will the grade be changed as a result of construction Yes t/ No
d. Public water or Private well p-;,'4 u i-to
e. Sewer or Private Septic System vat
Value of all work to be performed (labor or materials) $IS ot.a
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 NYS 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:
• �y r
PRINT NAME: corflja (i S 66„, DATE: /
SIGNATURE: Corm tui u DATE: q r ` 5
For office use only
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised September 2015
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection eque •l �' D `— • i
Queensbury Building&Code Enforcement Arrive: /6a .y�/l Depart: _ak,"a . I
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: 61 /& & SCS J k if' IT#: r / — 45
LOCATION: RU&k INSPECT ON: 40M MLA
TYPE OF STRUCTURE: PefkrAPICS—VC
Ij L4)1jti"1/4 Comments
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
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 12/9/2014
Town of Queensbury Building & Code Enforcement I 3
-
Office No. (518) 761-8256 /
Framing / Firestopping Inspection Report
Inspection request received: 10(-71/
S
Name: CL i-A V- Inspected on: / 0 • /<
Location: q A Me//ou 5e C riA)-e Arrive: k, a.m.I p.m.
Permit No.: I ` L-`7 Inspector's Initials:
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
naming
'�Attic Access 22"x 30"minimum
Jack Studs I Headers
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/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 C- 2/
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
Design Professional Sign-off, if required
Framing I Firestopping Inspection Report
Town of Queensbury Building &Code Enforcement } — ( 0
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received: n '/
Name: Inspected on: s —zee;
Location: ACR-E ttIS3 E LAt3E_ Arrive: �'� a .
Permit No.: 1,�—y Z 7 Inspector's Initials:
TYPE OF STRUCTURE: BQCA--\
F-wo• 1 Y N NIA COMMENTS:
Framing DL-- •
Attic Access 22"x 30"minimum
Jack Studs/Headers /
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/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
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 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 �.
ire
Foundation Inspection Report
/
Office No. (518)761-8256 Date Inspection request received: l(�/7 /
Queensbury Building&Code Enforcement Arrive: am/pm Depaam/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: C L i '`_V-- PERMIT#: 4)-7
LOCATION: 9 Oh( CJY LA, INSPECT ON: ! AY
TYPE OF STRUCTURE:
Comments
07.:7 N N/A
Affootings
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
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 12/9/2014
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