2012-486 TOWN OF QUEENSBURY
ilApjkiem
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120486 Date Issued: Tuesday, March 31, 2015
This is to certify that work requested to be done as shown by Permit Number P20120486
has been completed.
Location: 28 MAPLE Dr
Tax Map Number: 523400-302-018-0001-025-000-0000
Owner: DAVID & MARILYN CARPENTER
Applicant: DAVID & MARILYN CARPENTER
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 the property vJa A
owner of the responsibility for compliance with Site Plan, Variance, or �d
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code nforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
7-12 lS:w Rostcfl,()taceta46irrv,
NY 12804-5902 (51 til 761-8201
Community Development- Building tic Codes (518) 761-5256
BUILDING PERMIT
Permit Number: 1/20120486 Application Nalmber: A201.2048
`1'ax J\lair No: 523400-302-018-0001-02.5-000-0000
la'ertnissiott is laerclay gt-ante(l to: DAVID &. MARILYN CARPENTER
For property kxatcel at: 29 MAPLE Dr
in the:Town of Queensbury,to construct or Place
at the above location inaccordance with aipplicition together with 1)lot plansarid other inforin;alion hereto tiled
and al)proved anti in compliance with the NYS Llnifornz Building Codes and the.C.UCcnsl ury Zoning
Ordinance. Type of Construction vaaltie
Owner Address: DAVID & MARILYN CARPENTER Residential Addition ;$541,04)0.00
28 MAPLE Ill
(:�I. EENSBURY, N.Y. 12804 Total Value 550„4104D.4141
C;ontractt>r Or Builder's Nsatnc / Address l lectrical Inspection Agency
HILLTOP Cf3NS"I"Rl.J4v'TION
51 CROW1,17Y Rd
HUDSON FALI- . Y 12830-0000
Plans&Specifications
2.012-4841
Resitlemial Adclitim 255 Sq Ft
$t'100.00 PE MIT Ial:?E PAID -THIS PERMIT EXPIRES: Thursday, October 10, 2013
(if a longer period is required,an application for an extension must be made to the code Enforcement Officer
of tlae grown of Queensbury before the expiration date.)
D a,te,il at the'town of Queensbury; Wednesday, October 10, 2012
SlC;t�1l:?l B for thc'l'ea�n oft tacctastaaars'.
Director Of BUilding& Code e Enforcement
..: r.""'7010
.. OFFICE USE ONLY I
TAX MAP NO. I O(, 18- -GI 5 PERMIT NO. 1c),- `/ S6,
FEES: PERMITIt/.U0 RECREATION ENGINEERING r�1'
(If applicable) 1 12
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.
t ar ..(ler-) Oa rpeti+er2__
APPLICANT/BUILDER: k I l l� CO� (}S�rLLC�IOf� OWNER: Daue `( ��� 1
ADDRESS: ,f-3- I C 120 c-u1,ev R Q Ct_ cl )4 r ADDRESS: on nla4-) `e Di. cc eeasht ry
PHONE NOS69 g lq?- 0.33 Sr PHONE NOS. (518)79?p
737
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: IO rn A I kIeC I'V+ PHONEA•a i" 876 `l
LOCATION OF PROPERTY: rn A Ina-pie- Ur 1 l e Q c k. e e nS6 u ry
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES E<NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT ZO r C? O ❑ F
LLI cn
APPLY TO YOUR Z F- w O co
PROJECT 00i OJT � _ _
W _i LL• LLQ W Q UU
w 0 � C'! o O I-- � O - aw -
Z < < '- U) Nfn Ou I- U.- dlo6
VWe__d r
SINGLE FAMILY Q255 a a
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
c 41-) C u.\ l_,-)cjl (< ö ()a' (pct se r,e_r,-i-
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: K\ 1�
ESTIMATED [o (e
ONSTRUCTION COST:-50) 0 00 00 FUEL TYPE: 6A S
HEAT TYPE: 3 n�� *HOW MANY FIREPLACE(S): n6 AND/OR WOODSTOVES(S): n 0
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? 0 o
IS THIS A HISTORIC SITE? n 0
PROPOSED USE OF BUILDING OR ADDITION: e n l a rn 6 S Ll. R 00 rn
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
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 readand agree to the above.
Signed i{ sJ -
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)
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
( ( c(-')K.)
Queensbury Building & Code Enforcement - Residential Final Inspecti•n
`,o 1►
Office No. (518) 761-8256 Arrive: am/pm •epart: • .m/pm
Date Inspection request received: Inspector's Initials: /j
NAME: I
P T#: 2 z `"t'a,
LOCATION: 2�M,�kr 1. l�i� DATE: " 27/I
TYPE OF STRUCTURE: a , 3 41-1:7 cTl u
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 /f
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 I doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazii
Interior Smoke Detectors/Ca'ibon Monoxide etectors
Every level: Every edroom.
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 wade
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/3/4 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
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/0 [Temporary/Permanent]
- rU SS 1.bs a0i5 eru,� -
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, Revised 04/13/11
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm epart: �� ZQmlpm
Date Inspection request received: Inspector's Initials: G
NAME: 04.,“a e. { A4-e, f`' PERMIT#: /
LOCATION: M o l rdDATE:
TYPE OF STRUCTURE: Rid r•{���
Comments:
Yes No N/A_
4" Building Number Address visible from road �� ! f b-1 b-i 3
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 aclearance a to sill plate " - �.�
Gas Valve shut-off exposed/regulator 18 inches above grade S �p�[ �
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight .
Safety glazing/Window in stairwells safetulazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom: `,`
Outside every bedroom area: A It� I QN
Inter Connected: Battery xbackup: 4) V 4
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area "
CrawlatteromSps inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents - M
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.
Gas Fu
Emergency egress shut- below grade c ►4E
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 (/r
Relief Valve(s) installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum S6 4 1 Ems- * '
Basement stairs closed rise>4 inches ` JJ
Garage fireproofing
Floor Pitched E`,�y
Garage fireproofing!%hour fire door/door closerls.� 1 `i••�
in Baled or Glass Enclosure
na Iectrical;E gy Saving Light Bulbs 50%
Fal survey 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
Okay to issue C/C or C/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7, 2008; Revised 6/26/08; Revised 12122/10, Revised 04/13/11
Framing / Firestopping Inspection Report (ecl g
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: _am/pm Departs ''�. pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ;"1 ti, am/
NAME: C om; PERMIT#: sI X'
LOCATION: g r• 1 E-. — INSPECT ON: !y7
TYPE OF STRUCTURE: IA a
Y ` N NIA 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
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. (VV)
5.7 sf above/ below grade
5.0 sf grade
L:1Building&Codes Fomes-OLD,Buildinq&Code:Anspection Fomzs'Framing Firestopping Inspection Report.doc Revised January 7,2008
Rough PlumbingI Insulation inspection Re ort
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: /A.\37 am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ((,,(UJ
NAME: t ' P # PERMIT #:
LOCATION: /`,(1c I e, Or _ INSPECT ON: / JLf
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent I Vents in Place
1 % inch minimum Drain Size
Washin• Machine Drain 2 inch minimum
Cleanout every 100 feet/changa 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
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape _
COMMENTS:
Rough Plumbing Insulation Report.reviseed Nov 17 2003, revised February 15,2005, revised January 7,2008
44 i .2
Framing / Firestopping Inspection Report / ?ii/±j ►�
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/ Depart: I ` - am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME:_2(4011 ./, / lti PERMIT#:
LOCATION: f?" lrpl Q INSPECT ON: // Mir 0?(-1 J
TYPE OF STRUCTURE: ki)C,/� r))
Y N N/A COMMENTS:
Framing
ic-Kcccess 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 'A(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
• • : -: - 6 ft. or less on center
(Ice and w- er :hield 24 inches from wall
- _•: - ion 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 'r4 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. (VV)
5.7 sf above/ below grade
5.0 sf grade
L:\Building&Codes Forms-OLD1Building&CodesUnspec ion FomnslFrarning Firestopping inspection Repoftdoc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: N. am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: e79 ( v
NAME: Ca r (� +1 F_ PERMIT#: I D— C(7
LOCATION: m r c INSPECT ON: -3
TYPE OF STRUCTURE: 1-\ - M'c{
Comments
NoIrly
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 12/20/2005 9:24:00 AM
/(, ,ice
Foundation Inspection Report
Office No.(518)761-8256 Date Ins. - tion'. re►-ived: J(/e-C7/ --
Queensbury Building&Code Enforcement Arrive: •1j :LI�: / )per: k
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi: •• LI
NAME: ()"Y , '7' RMIT#: 2_ - t I ct,
LOCATION: �, h- �_ l)r INSPECT ON: /C' 7 f Z
//
TYPE OF STRUCTURE:
Conjment4
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
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
Foundation Inspection Report '/()
Office No.(518)761-8256 Date Inspection request received: /CV _
Queensbury Building&Code Enforcement Arrive: am/ m Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: Cr,'!,.,."j7- i \� PERMIT#: I ^"YkL
LOCATION: ,� rfi �� 1� , v-C INSPECT ON: /O f ZS/� 7...–
TYPE
�TYPE OF STRUCTURE:
Comments
f� Y N N/A
footangs
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/WallpourTh. .6(__Z) ` e".< �
Reinforcement in Place
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 12/20/2005 9:24:00 AM
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