2012-558 TOWN OF QUEENSBURY
431 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120558 Date Issued: Friday, March 22, 2013
This is to certify that work requested to be done as shown by Permit Number P20120558
has been completed.
Location: 133 DIXON Rd
Tax Map Number: 523400-302-014-0002-006-000-0000
Owner: KATIE STAMMEL
Applicant: KATIE STAMMEL
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN O QUEENS:URY
Issuance of this Certificate of Occupancy DOES NOT relieve the property (...D 4
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Numbet-: P20120558 AI)plication Number: A20120558,
'fax ,,%lap Nm 523400-302-014-0002-006-00()-000(.)
Ilei-tiiissic)iil,,Iicrebygr,iiitecito : KATIESTAMMEL
J;or property locitcdat: 133 DIXON Rd
in theTown of Oucensbury,to construct Of plICC
at the above location in accordance.with application together with plot plans and other in format loll hereto filed
and approved and in compliance xvith the NYS Unifoirri Building(,:odesand the Quccrlsbury Zonkig
Ordinance. Type of Construction Value
Owner Address: KATIE STAMMEL Residential Alteration $17,000.00
133 DIXON Rd
QUEENSBURY, NY 12804-0000 Total Value $17,000.00
Contractor or BLlild('r's Marne / Address I'llectrical hispection Agency
Plans 6, Specifications
2012-558
160 sq Ft residential alteration
Kitchen alteration/ren-iodel to repair termite darnage
$60.00 PERMIT FEE PAID -THIS PERMITEXPIRES: Thursday, November 28, 2013
(If a longer period is required,an application for an extension must be made to the code Etifo reelt)cut Officer
of the To-wn of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Wednesday, November 28,2012
SIGNED BY
for die TOW11 Of QUCCIlSbUry.
Director of Building&, Code 1'.'riforcem c tit
OFFICE USE ONLY
TAX MAP NO3 64:). I` 1 a `(0 PERMIT NOIA 55 8Date/
FEES: PERMIT �
�D RECREATION ENGINEERING Sit(If applicable) r
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: </97/k S'77)iyi 1AL OWNER: k.#9 %E S> 17-7 4.../ L
ADDRESS: ) 7b <c J !U , ADDRESS: 133 b/xp� 3,
PHONE NOS. 336 -57 51.5-C PHONE NOS. 3 36 -S-s-5-c__
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: /1kt L&AJL PHONE: SS�a 96a
LOCATION OF PROPERTY: / 3 .3 2) i 0/ D,, c)0 s 5�j ,Y 417/ /a 5?O
41
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES ,ISI NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z o Et 0 Q o I—
PROJECT O 0 O "- co
0 w
p W S t � L w ¢ a = =
= z
Z < ¢ r- d NU) Ori ° E ctwz
airs
SINGLE FAMILY /"-
:16f
59 S9A/F
TWO-FAMILY
MULTI-FAMILY (.../0
(NO.of UNITS )
71in ,---3 .
TOWNHOUSE (- ,2_ --\ ji ji(2
BUSINESS OFFICE
f;(1 RETAIL-
MERCANTILE �V
FACTORY OR �j
INDUSTRIAL D �
��
ATTACHED 7-
GARAGE(1,2,3) il
C-pZ
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: /1/4
ESTIMATED CONSTRUCTION COST: � , ,GG FUEL TYPE: /U9%, 4.95
HEAT TYPE: *HOW MANY FIREPLACE(S): C) AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? A)L)
IS THIS A HISTORIC SITE? AJD
PROPOSED USE OF BUILDING OR ADDITION: kr?t h''L) AejgV-riC )/,ems-,Gb Le_
"Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
B 3-LGL 11-05
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 agree to the above.
Signed So,
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:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a7queensbury.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:
Queensbury Building & Code Enforcement - Residential Final inspection
Office No. (518) 761-8256 Arrive: am/pm art: 1 4U� am/pm
Date Inspection request received: Inspector's Initials: r
NAME: �.�'=Yt-t-14"`k-`��- PERMIT#: 4' 12, ( 1E
LOCATION: t''3 1 t DATE: 11 I 1 S ('
TYPE OF STRUCTURE: Rt 5 ,'a-ELL
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 I doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in tat of nIIls safety glazing 71 .
Interior Smoke Detectors Carbon Monoxide Detect
Every level: Every
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 W Gypsum
Basement stairs closed rise>4 inches . 4
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door doser
as 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 '1
Site Plan /Variance required
Flood Plain Certification, if required /
Okay to issue C/C or C/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codesllnspection 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/ m art:(O Yam/pm
Date Inspection request received: Inspector's Initials:
NAME: Kaki ,moi% I PERMIT#:
LOCATION: ` 3 ("Y „�, d DATE: 9--
TYPE OF STRUCTURE: f +t h pi A-(±Qrcipr,s
Comments:
Yes No N/A
4" Building Number Address visible from road \, 0-4-1 �1
Chimney Height/"B"Vent/Direct Vent Location V
Fresh Air Intake �ip��
3 inch Plumbing Vent through roof minimum 18 inches 1
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 C ,D,
Safety glazing/Window in staff fety glazing ` . )
Interior Smoke Detectors arbon pnoYide Bettctors �! ) CZ,4
Every level: Every Bedroom: /
Outside every bedroom area: YYY
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area t) j`—��Z��
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 Y2"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%
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 G
Flood Plain Certification, if required
6.)
Okay to issue C/C or C/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codesllnspection Fomts1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: C 1 t) am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:E_
i1.29_
NAME: • PERMIT #: I Z v
LOCATION: t`)57, c� �—+`� INSPECT ON: i-z
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/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 fest..\S -0--3(‘:)
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 I Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
Ki
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: fam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: elk ,t 1.9
NAME: . +- t�`'1,4s +^- PERMIT#: 2v cE
LOCATION: V-J LSA- ) INSPECT ON:
TYPE OF STRUCTURE:
N NIA
Framing COMMENTS:
Attic Access 22" x 30" minimum
Jack Studs/Headers >� C
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 I Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(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 1
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
L:1Building&Codes Forms-OLD1Building&CodesUnspec tion FormsTraming Firestopping Inspection Report.doc Revised January 7,2008
<0,4-; e 5 f-141.,Y,me,L. -- /33 b /XON la , O -Evur-t( `N\( g,a`/
SSC€4-c\-. oS A l v-e r A4►Q r+a +0 K 1 �c h2.-c,
Li �
1b"
Xt5;4" k N35
�T c
z
)fr----- '
1) a yJ.--v) rn�c��{r Co
! t - ) N e INA\c r o kq 32A•rn i
,D) Z,�f a,W J -x.4--,
r w a E l (-rpri,f, P
7) cr
CO _:: 0 ..5) N 0.A...a Lo fr,.,\.4
:, tt ,� C( ^5
C 4-i:n kC4t
T7 CD-77 (ti -
I - c - 1
40G SCC.') `pC �
-., r
7' k' i � CO y C.�, N a
Im - I c7 un
f Fr"'
C ?CJ
• �"f CO V� a=
1 0�1ew ri�Ic�p�,aw� ���°r, r�•v
ex-kr►
5 (-3
a
1 D--
M
1
_� Y
'. 41
d '
N -- . a
kJ\ - I
t l
cif Te n%
___I
Pi/Y " C r• ( f3
• 6
)