2012-425 ��� TOWN OF QUEENSBURY
742 Bay Road, Qucensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120425 Date Issued: Thursday, May 23, 2013
This is to certify that work requested to be done as shown by Permit Number P20120425
has been completed.
Location: 152 RIVER St
Tax Map Number: 523400-303-020-0002-040-000-0000
Owner: RICHARD MOZAL
Applicant: RICHARD MOZAL
This structure may be occupied as a:
Residential Alteration 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, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
r TOWN OF QUEENSBURY
F 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120425 Application Number: A20120425
Tax Map No: 523400-303-020-0002-040-000-0000
Permission is hereby granted to: RICHARD MOZAL
For property located at: 152 RIVER St
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: RICHARD MOZAL Residential Alteration $30,000.00
16 FOUNDERS Way Total Value
QUEENSBURY,NY 12804-0000 $30,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
NELSON BATTIS
NY 12804-0000
Plans&Specifications
BP 2012-425
Due to fire damage in Apartment downstairs, interior residential alterations - floor joists.
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 30, 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 ueen ry11ur st 30,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
.3-63,,,& .)_VO OFFICE USE ONLY
TAX MAP NO.
PERMIT NO. Date
FEES: PERMIT RECREATION ENGINEERING S
(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: /`,.. j �,� '
` � �� OWNER: �2Q/Y! 7,: /----
ADDRESS: /30 lee (Vo 1`✓' Pdfi-atm.....)ADDRESS:
i
PHONE NOS. 6578) 6g3- g 3 Z Li PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPL NCE: A/401-14t PHONE: 6 g3-025i
LOCATION OF PROPERTY: /5 I V`e i- r
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 lY 0' o 1-
PROJECT --.W -J W u✓ u)
0 Off; •
O � W Q � _ _
W J o = o U U
Z Q Q `- � N � Ou OF- � wZ
1- u_ a = 06
SINGLE FAMILY
TWO-FAMIL//' l^ �'r/d -`rvr� 'u
MULTI-FAMILY UNITY Gy /� Q l �
(N0.of UNITS ) /�'QL
TOWNHOUSE c - C '/ .v '_.!-
/ I
BUSINESS OFFICE I Oj/
ci>-7
RETAIL- ,t{�
MERCANTILE r;e1
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL—N9p11E OF BUSINESS:
ESTIMATED CONSTRUCTION COST: (T). 1 a C) 6 FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THI SI E? I
IS THIS A HISTORIC SITE?
p\........ ,..., __..\.,
PROPOSED USE OF BUILDING OR ADDITION:
*Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office
B 3-LGL 11-05
Q:
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 ree to thea ove.
Signecr /
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:
L
/4 1/f��/
BUILD f ' & CODES APROVAL ZONING APPROVAL
(6 1-1 .Z V
D TE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesAqueensburv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No www.queensbury.net
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
A
Queensbury Building & Code Enforcement - Residential F n •ection
Office No. (518) 761-8256 Arrive: -'
3�✓� a /11 •• . ,....777-145
a /prr
Date Inspection request received: Inspector's Initials:
NAME: \.)
` _ PATMIT#: I Z—Lt
LOCATION: _ 72 ^ ] Z
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 I 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 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%"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer `
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50% /(C)
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding �f
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required \/://
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codeslinspection Forms1Residential Final Inspection Form_revised 100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
0E-tht0 533. 2H- weg 3
Queensbury Building & Code Enforcement - Residential�a E spection
Office No. (518) 761-8256 Arrive: \ 1 am/,• r ;! part: 1i'- j1) /pm
Date Inspection request received: Inspecto s Initials: . .
,. s 1,
NAME: A'I (f 4(� ' o �.0 PE1 r IT#: 1�
�,
LOCATION: 5 & (
] l7 Lor- S-� D ( E: a —/3
TYPE OF STRUCTURE: e3 0-1 +—
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 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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum A"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing I'/4 hour fire door/door closer
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 L -C V-\
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C/O[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codes1Inspection Fomts\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
I „ ,3
Inspection Form
Town of Queensbury Fire Marshal Q Periodic InspectionDate: 3- 'ITime::
742 Bay Road,Queensbury NY 12804 4111P Re-Inspection cA
518 761 8206/518 761 8205 o CO Inspection Permit#: / �. — 7 5 7arshals Representative
J Palmer Business Name: Co!
Location: 15- a (-K u Q,r {-
_ GK Stillman Contact: I n ()
cc 'Ru
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014& FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3& FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025& FC1029.11
FIRE EXTINGUISHER: Hung FC 906 / /("\f it'iP
Inspection of extinguisher FC 906
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING: '
Interior FC 1006.3&FC1029.8 I liiir )____,
Exterior FC 1006.3
ONClearance to Electrical FC 605.3l i TElectric Wiring Enclosed/Labeled FC 605.3.1VVV
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315 .2.1
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Date
•
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date In:pectio .req" ► :• ed:
Queensbury Building & Code Enforcement Arrive: %Z.•a _17 +� - : am/
742 Bay Road, Queensbury, NY 12804 Inspector's lniti- sf
/ '
NAME: �F, i �- f PERMIT#:
LOCATION: �5' , � moi?j INSPECT ON:
TYPE OF STRUCTURE:
f
N NIA COMMENTS:
Framing V
Attic Access 22" x 30" minimum
Jack Studs/ Headers V
Bracing I Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting�+ nailed properly
12" O.V.
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 'fix(w) 16 gauge (8) 160 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
Ceilin_ all
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf •rade
L:\8uilding&Codes Forms-OLD\Duilding&Codes\Jnspect on FomnslFraming Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Res ert (J X30
Office No. (518) 761-8256 Date In:.. = .'•n Flk Nk
Queensbury Building&Code Enforcement Arrive: • ,: • :
"$ 'i a
742 Bay Road, Queensbury, NY 12804 Inspector's InitI
• —
pest ../
NAME: R l Ouz_Pt I.._ MIT#: 1 : H {)G�
LOCATION: 1'.F 7 \E_K INSPECT ON: • — — '
TYPE OF STRUCTURE:
c(c83-- 37 1--11 c: deo -331-\
Y t� A COMMENTS:
Framing _
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing/Bridging \o 7)e-
Joist
Ja
Jackck Posts
sts//Main Beams
Exterior sheeting nailed properly , 1-�'Th 'stt•
12" O.C.
Headroom 6 ft. 8 in. 7 k E 7 —c\
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate EL-O � �� C_ �
1 %(w) 16 gauge (8) 16D Haus each side
Draft stopping 1,000 sq. ft. floor trusses \o \
Anchor Bolts 6 ft. or less on center a7.
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour f--A\-1
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min. ,,`` //
Garage Fire Separation C� �v v '� ``__�\ WD u \`L.
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:U3uilding&Codes Forms-OLDU3uIlding&CodesUnspedion Fom e&Framing Firestopping Inspection Report.doc Revised,January 7,2008