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2012-390 4011111110,,, TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 dew Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120390 Date Issued: Wednesday, November 07, 2012 This is to certify that work requested to be done as shown by Permit Number P20120390 has been completed. Location: 268 Lockhart Rd Tax Map Number: 523400-252-000-0001-036-006-0000 Owner: JAMIE JOHNSON Applicant: JAMIE JOHNSON This structure may be occupied as a: Fireplace By Order of Town Board Garage Detached 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 �a 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 742 Flay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120390 Application Number: A20120390 Tax Alap No: 523400-252-000-0001-036-006-0000 Permission is hereby granted to: JAMIE JOHNSON For property located at: 268 Lockhart 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: JAMIE JOHNSON CELENA ORTEGA Fireplace 268 LOCKHART Rd Garage Detached $30,000.00 LAKE GEORGE,NY 12845-0000 Total value $30,000.00 Contractor or Builders Name/.Address Electrical Inspection Agency BOB KRAMER FIREPLACE INSTALLATION 668-0015 84 CORTLAND St LAKE GEROGE NY 12845-0000 Plans&Specifications 2012-390 Detached Garage 864 sq ft with living space above garage - 1 fireplace (gas) $129.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 10,2013 (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 Queensbury; Friday,August 10,2012 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY gliTy 742 Bay Road,Quceusbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Re 0 s , Permit Number: P20120390 Application Number: A20120390 Tax Map No: 523400-252-000-0001-036-006-0000 Permission is hereby granted to: JAMIE JOHNSON For property located at: 268 Lockhart 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 legs. Owner Address: JAMIE JOHNSON Fireplace CELENA ORTEGA Garage Detached $30,000.00 268 LOCKHART Rd Total Value $30,000.00 LAKE GEORGE,NY 12845-0000 Contractor or Builder's Name/Address Electrical Inspection Agency BOB KRAMER FIREPLACE INSTALLATION 668-0015 84 CORTLAND St LAKE GEROGE NY 12845-0000 Plans&Specifications 2012-390 Detached Garage 864 sq ft with living space above garage- 1 fireplace(gas) $129.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 10,2013 (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 o uee bury; rid• •,gust 10, 2012 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement I $6'). (. � 1 AUG 2D12 Revised 4/14/2010 APPLICATION FOR FUEL URNING APPLIANCE & CHIMNEYS Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention & Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter • premises to perform required inspections. Important Note To Applicant: Rouqh-ln and Final Inspections Are Required: Owner:: t4 Installer/Builder: Address: , 4> -- a Address: 861 -I(11/4-Cs Phone Nos.: 6/__9 Phone Nos.: 6(9B Location of Property: aPK-36,6411— Subdivision Name: Location of Proposed Construction and/or Installation: '1-iA-- r4 Contact Person for Building & Codes Compliance: • Fuel Burning Applicance Wood Coal Pellet Gas Oil • Information Stove Fireplace Insert Fireplace, factory built* Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: Model No. Listed By: Number: Chimney Information BLOCK BRICK STONE Masonry** Check One/ TILE STEEL SIZE IN INCHES Flue Check One ✓ DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY VENT LINER Chimney Material Check One ** If Non-Masonry, please provide: Manufacturer Name: Model No. ADDITIONAL NOTE: CONSTRUCTION / INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 OFFICE USE ONLY . .a 001 ; ; TAX M�� O. —ate. LQpERMIT N0. �_ id i l FEE P• • / i BLDG.&CODES APPROVAL LI , AUr U 112 0 ACCESSORY STRUCTURE BUILD/NG PERMIT APPLICATION Use this application for any structure other than the Principal Structure (house) to include, but not limited to: garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures- Sheds/Fences. A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED-, A VALID BUILDING PERMIT. p u OWNER: '4rl l� 11 INSTALLER/BUILDER: JiOti S ADDRESS: Z6 LOci)w- 1 t (2_ ADDRESS: C �CDN( k' C S$ • PHONE NOS. 26 PHONE NOS. 0 ? CJ- LOCATION OF PROPERTY: SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: glo O d-C C_ ked I�(� HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES 0 NO 7Th `�` IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL: lAf ` ESTIMATED COST OF CONSTRUCTION: $ iC- 3C)5 Y OTHER ACCESSORY STRUCTURES ON PROPERTY? IF YES,PLEASE LIST: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: 1ST FLOOR 2ND FLOOR TOTAL PROPOSED PROPOSED CONSTRUCTION SQ.FT. SQ.FT. SQ.FT. HEIGHT FT.&IN. OPEN PORCH DECK 3 SEASON,COVERED OR ENCLOSED PORCH' BOATHOUSE BOATHOUSE WITH SUNDECK • DOCK SHED PC<tE-$'ARN 86 DETACHED GARAGE(NO.OF CARS: ) / l Spe_e- 4-661-e, ^i' OTHER ACCESSORY STRUCTURE: 614— # L) *CONSIDERED FLOOR AREA & MUST COMPLY WITH FAR [FLOOR AREA RATIO].REQUIREMENTS IF THE STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE. To the best of my knowledge, the statements contained in the application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed surveyor, drawn to scale, showing actual location of all new construction. QUESTIONS? CALL 761.8256 OR EMAIL codesaaueensburv.net I have read. nd,a . to the above. `�� 646-1Y/I VISIT OUR WEBSITE FOR MORE INFORMATION Signed �iw Dated: ( U/ Yvww.aueensburv.net •r5 :): Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256till' �c�l Arrive: am/ m Depart:/O ( m/pm Date Inspection request received: i Inspector's Initials: NAME: 2,44 }% � PERMIT#: Q d. -3 l LOCATION: 0L,/(-1<1,0 J� 6 /. I DATE: TYPE OF STRUCTURE: i � �(1 t ]1c.e, [~!� Ab�Y �� / �'y1N C. 5)`"`.<< 6 � J Comments: W Yes No NIA 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 I main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon MonoxidOi etectors Every level: .J Every Bedroom: V Outside every bedroo rea: 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 to floor/Sticker on Panel Duct work sealed properly/Blower Door Test 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/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 1/�"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door I door loser Gas Logs in Sealed or Glass Enclosure Final Electrical; Energy Saving Light Bulbs 50% 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 l • Flood Plain Certification, if required Okay to issue C/C or C I 0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\lnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11 Town of Queensbury Fire Marshal 1,( � 6t��!!!�c 742 Ba 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. Permit# I J 3 C% Schedule Inspection Time " am pm anytime Inspecto Name I1 i\ t7✓1 Address &:;* g /\004K hear }-111I Rough In Final Appliance Manufacturer ��1 Model# )11� —`��•�� Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection ' f—c\ge t}K.) Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration 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 Valve Combustion Air Hearth Extension (if any) Mantel / Height above f/p opening Witness Operation Tank Placement (if LP) CO Detection • CSST Bonding • White—Building Dept. Mellon—Cust)mer Pink—Fire Marshal J Les g "/ D Rough Plumbing 0 Insulation 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: M, I NAME: J tA✓A S n►� PERMIT #: �3c LOCATION: au, L-.i C-K (A (\-+r INSPECT ON: 8' -(3./ -/ TYPE OF STRUCTURE: R t-fc t _ Y N A Rough Plumbing / Nail Plates Plumbing Vent t Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test 1' 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 Insulation /Residential Check I Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct I 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 to y) 9-ll Rough Plumbing 0 Insulation Inspectioli Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/p m Depart: --gym/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ..,44.1 ) NAME: Dr) f),'1 PERMIT #: LOCATION: , . ,. r , I1` r1 INSPECT ON: , r? TYPE OF STRUCTURE: C rc''" e A o�� Y N N/A fl Rough Plumbing /Nail Plates Plumbing Vent I Vents in Place 1 % 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 Insulation / Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent 1.7 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: L v Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Septic Inspection Report Office No. (518) 761-8256 Date Ins ction request received: Queensbury Building &Code Enforcement Arrive: Ili am/ppokb Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: B PERMIT NO.: (2/LOCATION: [.:L 444- 141 Qct INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand Lo Cla Type of Water: Municipal / Well Water Waterline separation distance ft. Well separation distance /4' ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length r /(PO ft. Length of each trench GJ _ ft. Depth of trenches " ' / ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank 0' tC Tank to Distribution Box y1' Distribution Box to Field/ Pitf 5>p/'c Opening Sealed: Y N End Cap Y�N Inlet/Outlet Pipes &Baffles Y N Location/ Separations • Foundation to tank ft. Foundation to absorption ft. � kb( Separation of Pits ft. Conforms as per Plot Plan _Y N Engineer Report and As-Built /I Y N Location of System on Property: Front Rear Left Side Right Sid- Middle Front Middle Rear System Use St�t,�s: �/ Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc (plo) 99' L7�e ey�aon�b OWgN) 9 Peo j ulqunoVq 99e 00�� 4 paaeda�d pue lea}ue� qo u�ld 401d s144 uolJon,a suoa21 o'W�o4ael�uoa 44IM pas.aanuoa C14paMalnal}o so�o4d °gsaq uo14eloa.�ad Z I OZ 7sn6ny 6 aced }aa o pue suolqaadsul play paw"o gad se f OZ= I .aleoS WA maN o aa�s uaa�s✓Cs s14�u61sa 4 aai o s141 uaa�eM}o lyunou a;ngsuaano jo umoi p lON plp aa1440 5141 :S310N "OS S �pr Idado g� suope6S09=MOW algemolldie(aI dgTj� �s8001=9Sx �yl1ll.. 81 :eajepqg uogeogddy upwS I-I 1 aaP-"lge4g asn �j s0£Lue 1 !� GSSwII b sob WO go wg awil pannGl�»�y — asde Iq rvnb r� OP�JlCi i{o; 1s01 uolgeloaJad JxZJ EISN33n?J JO fV11AOj � ;ii l li ill lil it l='L, II li'iIITIiE�lI1=1111 i TIil,li1- b =iii_1;1=ii1=1Tr=1if_ii7_lil_IT i--f i I--ITr--I i L- IV iililll IUIIIIUIIInrlluHlll�li llllllu —" II _ _ I11��IIILII�llillllll ili_, p h O Ili Ilflll�I i III IIII 1 YO 4410 - =•e �� Eby S1 N uoioaS pa8 asnop / �` ant�Cl a6e,�e� end ub :''od uopoadsul ° A „� duel oiadac�60001 �'Qd uoi}aadsul mod uogoadsul (�Z I)'auoas Z# spa ana pag I l paadS"✓m),09 0 .a4uao uo 4004 9 q4O9 le souq aa,yl qjod uogaadsul •w✓ww51-01 :aced -cleIG OJOG naisw);sa}uogeooJadJ