2014-079 er _ TOWN OF QUEENSBURY
ice742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140079 Date Issued: Friday, April 11, 2014
This is to certify that work requested to be done as shown by Permit Number P20140079
has been completed.
Location: 22 WEST Dr
Tax Map Number: 523400-308-012-0001-010-000-0000
Owner: SUSAN MACARI-BALDWIN
Applicant:
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 'I
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
` a 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140079 Application Number: A20140079
Tax Map No: 523400-308-012-0001-010-000-0000
Permission is hereby granted to: PETER M ALCURI
For property located at: 22 WEST Dr
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: PETER M ALCURI
SUSAN MACARI-BALDWIN Residential Alteration
22 WEST Dr Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-079
Res. Alterations 264 sq ft carport converted into bedrooms
(between 2005 & 2007 by previous owner)
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,March 31,2015
(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 Towa�6f°�uA�nsbu 4 M, d.1„March 31,2014
SIGNFV)BY ��;// I' for the Town of Queensbury.
Director of Building& Code Enforcement
Town of Queensbury Building & Codes Office Use Only
Received:
Tax Map ID: t� �2 8 2111),
PRINCIPAL STRUCTURE APPLICATION
A permit must be obtained before beginning construction Permit No.:
Permit Fee: $ 00
Please read: "TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling 'Rec Fee: $ NI
units, including single-family dwellings,duplexes or two-family dwellings, multiple family Site Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.:
homes,but not including mobile homes. This is in addition to the permit fee.
Date 3 -a s -t 9 Applicant
Tax Map ID 30 $.Ia-1--t0 Address
Zoning
Phone/E-mail
Property Owner Sq() , Zan d)0 4.• 1 ,t ,Q--Irocl Contractor/Agent
Address e S+ 1�C l Uv
Address
x ns n Ny i .gaq
Phone/E-mail&') S a t -.s Phone/E-mail
Building Street Address:
Subdivision Name: Lot#: Historic Site: Yes No
Estimated cost of construction: $
Type of Construction:
Check all that apply Please indicate measurements as required below:
c
0 0
a m 1st Floor 2nd Floor Other Total Height
a
• a
Single Family 86+sc W
Two-Family V �/
Multi-Family(#of
units_)
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garages(#_)
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
•
If commercial or industrial indicate name of business
Proposed use of building or addition
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for°Fuel Burning Appliances&Chimneys° _Yes No
Are there structures not shown on plot plan?
Are their easements on the property?
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot?
c. Will the grade be changed as a result of construction: _Yes No
d. Public water or Private well
e. Sewer or Private Septic System
Value of all work to be performed(labor and materials) $
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. 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 / a L.. _ 64
" Date:��8// 7
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 Packet 518-761-8256
Queensbury Building & Code Enforcement - Residential al Thal Inspection - 3vrvi
_ Office-No. (518)761-8256 Arrive: lic am/pm Depart am/pm
Date Inspection request received: Inspector's Initials: CM (/ �
NAME: ,7V S�1 r.J PERMIT#: /'� i>9
LOCATION: a( LaQ__SrwODi> (fig.. DATE:
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 I 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 MonoxidpDetectors /
Every level: _ Every Bedroom: v ✓
Outside every bedroom area: ✓ /
Inter Connected: t/ Battery backup: i/
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access,1 sq.R-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 Sheetroc k Underside minimum W Gypsum
Basement stairs closed rise>4 inches r/
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
Flood Plain Cerificalio r =:•uired
Okay to issue C/C • C/O Temporary/Permanent]
L:1Building&Codes FonnslBuilding&Codes\tnspection Fomis\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11