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2014-111 04, TOWN OF QUEENSBURY Fora742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20140111 Date Issued: Thursday, June 19, 2014 This is to certify that work requested to be done as shown by Permit Number P20140111 has been completed. Location: 161 CAREY Rd Tax Map Number: 523400-309-013-0002-031-002-0000 Owner: HUDSON HEADWATERS HEALTH NETWORK Applicant: HUDSON HEADWATERS HEALTH NETWORK This structure may be occupied as a: Shed / Storage Sheds By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property / 1 lot 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 ' a 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140111 Application Number: A20140111 Tax Map No: 523400-309-013-0002-031-002-0000 Permission is hereby granted to: HUDSON HEADWATERS HEALTH NETWORK For property located at: 161 CAREY 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: HUDSON HEADWATERS HEALTH Shed/Storage Sheds $9,000.00 PO BOX 3253 Total Value GLENS FALLS,NY 12801-0000 59,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2014-111 SHED 14' x 28' $40.00 PERMIT FEE PMD-THIS PERMIT EXPIRES: Friday,May 01,2015 (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 Town;of. nsbu /.4 T i s 5,y,May 01,2014 SIGNED BY v��/ r V si-a for the Town of Queensbury. Director of Building&Code Enforcement ri/T IDIaVit . Town of Queensbury Building & Codes Office u `cl..l e ACCESSORY STRUCTURE APPLICATION Receive.: { I APR 1 1 2014 • A permit must be obtained before beginning construction Tax Map D: 4 e .t-/ > AT Y - 9 g ��� Permit NO.: TOVrvry: r yru! ( & CODES For any structure other than residential principal structure(house)to include,but Permit Fee:'- not limited to: garage, shed, dock deck, carport, pole barn, greenhouse, etc. Site Plan No.: Refer to Informational!rBrochure No.3 Accessory Structures-Sheds/Fences J Date q. )D.t4 Applicant 1400s0c3_ r`LL,Dvwc' 4Et5 � Tax Map ID 3c '(3' 2-S( .� Address at T+940 Zoning 11II 1''ttPhone 5 frt ' `?j CO'v2- Owner NkktkolJ eicyngSSRS Contractor/Agent ilkvs Address �I Cfbael ppR-/o--AD Address Phone S/..SV-t'S(�2Z-� 1`k / Phone u 66,12- Building Q /- Contact Person for Building&Code Compliance: ,v� ` 1+L PYrt t CAC Day Phone: �Z I'C�t�ZZ Building Street Address: I l G kR et T.--b AD, Oveenrsgo2-( NY? Subdivision Name: U f Ph. Lot#: Historic Site: Yes )L No Estimated cost of construction: $ CI)(]Dv Ct Are there any other accessory structures on property? If yes,please list: C.,1\)L`{ I A3 t)11 a1� q Type of Construction: Check all that apply Please indicate measurements as required below 1st Floor sq.ft. 2nd Floor sq.ft. Total sq.ft. Height Boathouse Boathouse with Sundeck Deck Detached Garage(#of cars ) Dock Pole Barn Porch-Open **Porch-3 season, Covered, Enclosed Shed I4'xZB' 392 11`- o" Other Accessory Structure(s) **Considered floor area&must comply with FAR(Floor area ratio)requirements if located in the Waterfront Residential zone. Town of Queensbury Building&Codes Accessory Structure Packet 518-761-8256 Please include two(2)sets of the following documentation with the application fee: 1. Accessory Structure Application 2. Plot plan drawn to scale with the use of a survey map,if possible[40 scale-1 inch=40 feet] a) Indicate proposed structure,showing setback dimensions from all surveyed property lines b) Show location of all existing structures on the property c) Show location of water supply(well or water lines) d) Show location and configuration of septic disposal system or sewer line 3. Structural Drawings to include: Floor Plan; Foundation Plan;Cross Sections; Elevations 4. Registered Architect or Engineer's Stamp (signed & sealed) under the following circumstances: Residential addition or alterations with construction costs over$20,000;My commercial construction Other Notes: 1. Changes to Plan -My changes prior to or during construction will require submittal of amended plans [review and re-approval are necessary]. 2. Withdrawn Permits -20% of the initial fee is retainable by the Town of Queensbury. No fee is refundable after 1 year from initial application date. 3. Additional Review-All Applications are subject to Zoning Administrator, Code Compliance,and Structural plan review CHANGES TO RESIDENTIAL BUILDING CODE EFFECTIVE 1-1-2011 (INFORMATIONAL} Residential Building Code • New driveway requirements for structures located over 300 feet from main road; • Spray foams are allowed to be exposed in rim joist box area only, must be covered by 15 minute thermal barrier all other areas; • Protection against decay requirements; • Landings are no longer required on the outside of secondary doorways less than three risers provided no doors swing over steps; • Vent stacks must be 18 inches minimum above roof for all structures New Electrical Requirements • Arc fault breakers required in all habitable spaces for receptacles; • GFI protection for all other receptacles in kitchens, bathrooms,garages, and unfinished basements; • All receptacles must be tamper resistant; • Carbon Monoxide detectors must be located within 15 feet of sleeping area; • All corrugated stainless steel piping must be bonded to the common ground for electrical service New Energy Code Requirements • Blower door tests required by credential contractor or structure inspected by air barrier supplier and certified compliant; • Programmable thermostats required; • Lighting must be 50%energy saving light bulbs; • Separations between dwelling units must have minimum of R-10 in common wall of each dwelling unit; • Res Check inspector's checklist must be available at time of insulation inspection Declaration: 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. or ✓I have read and agree to the above Print Name: -XlM Rc..r� Signature: TOM OM Date: ! /7' Ll.to.t4 Town of Queensbury Building&Codes Accessory Structure Packet 518-761-8256 Town of Queensbury Building& Code Enforcement Office No. (518)761-8256 Commercial Final Inspection Report Inspection request received: Name: HM I h ply NE}fl��A\ Inspected on: I3 -- 14 Location: \ Co CB RF`( R n Arrive: dA�y�/ CIP 11111.11111.Permit No.: \ \--\ —\ \ \ Inspector's Initials: �S COMMENTS Y N NA Chimney/"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish 1 Grade Complete 6"in 10'or Equivalent Interior/Exterior Guardrails 42 inch Platform/Decks Intenor/Exterior Balusters 4 inch Spacing Platform/Decks Stair Handrail 34 inch–38 inch/Step Risers 7"1 Treads 11" Vestibules For Exit doors>3000 sq.ft All Doors 36 inch w/Lever Handles I Panic Hardware,if required Exits At Grade Or Platform 36"(w)x 44"(I)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight/Other Floors Okay Relief Valve,Heat Trap I Water Temperature 110 Degrees Maximum Boiler/Furnace Enclosure 1 hour or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft.or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area 6.P e Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 V doors > 10%> 1000 sq.ft % ‘3e %Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping,3,000 sq.ft.Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" Smoke Vents Or Fan,if required Elevator Operation and Signage/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets/Mirrors 6%- \Lj \Q Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible © ,4— J,LIS)\ 6 Handicapped Service Counters,34 inch,Checkout 36 inch Handicapped Ramp/Handrails Continuousl12 inch Beyond[Both sides] / ts'•: ?EV' Active Listening System and Signage Assembly Space / Final Electrical/Flex Gas Piping Bonded V\ Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway 4" Water Fountain or Cooler Building Access All Sides by 20'1 Drivable Surface 20'wide Special Inspections/Engineer or Architect Approval Okay To Issue Temporary or Permanent CIO Okay To Issue C/C Commercial Final Inspection_11 27 12 Town of Queensbury Building&Code Enforcement - Office No.(518)761-8256 Commercial Final Inspection Report Inspection request received: Name: ��fr1 d corers Inspected on: S-7 —k• Location: !� J e+� Rd Arrive: t 1:S �jj •.m. Permit No.: / `/<1 // Inspector's Initials: COMMENTS Y N NA/ Plu Chimney/ Vent/Direct LocationRf Plu bin. Vent Through Roof 6" Roof Complete E •1. '•- • 'Grade Complete 6"in 10'or quivalent '1,•<)-1/1 Interior I Exterior Guardrails 42 inch Platform I Decks Interior/Exterior Balusters 4 inch Spacing Platform/Decks Stair Handrail 34 inch—38 inch/Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 sq ft. All Doors 36 inch wlLever Handles I Panic Hardware,if required V/ Exits At Grade Or Platform 36"(w)x 44"(I)!Canopy or Equiv. Gas Valve Shut-off Exposed&Requlator(18")Above Grade Floor Bathroom Watertight(Other Floors Oka ✓/ Relief Valve, Heat Trap!Water Temperature 110 Degrees Maximum Boiler/Furnace Enclosure 1 hour or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft.or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors > 10%> 1000 sq ft. %Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour,3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping,3,000 sq.ft.Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" Smoke Vents Or Fan,if required Elevator Operation and Signage/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets I Mirrors Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 inch,Checkout 36 inch Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides] Active Listening System and Signage Assembly Space • Final Electncal/Flex Gas Piping Bonded Site Plan/Variance required Final Survey,New Structure/Flood Plain certification, if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway 4" Water Fountain or Cooler F ptp Building Access All Sides by 20'/Drivable Surface 20'wide L TAI4) Special Inspections/Engineer or Architect Approval 11\ b\\E) Mt5 Okay To Issue Temporary or Permanent C/O Okay To Issue C/C 1(2216a _ Commercial Final Inspection_11 27 12 PROPOSED STORAGE SHED FOR WEST MOUNTAIN PRIMARY CARE 161 CAREY ROAD, QUEENSBURY, NY HUDSON HEADWATERS HEALTH NETWORK \. 091E#t , i FINISH MATERIALS: SIDING - DURA TEMP WOOD SIDING WITH CLAY FINISH TO MATCH MAIN BUILDING TRIM - RED TO MATCH MAIN BUILDING ROOF SHINGLES - WEATHERWOOD TOWN OF °:sc".sCtzl It?Y BUILDING & C D S/j,PT. Reviewed By: /sem Date: 5/ °ry NOTICE LEVER HANDLES REQUIRED BUILDINGF DEPARTMENT ON ALL PASSAGE DOORS Based on our limited examination,compliance WHETHER INTERIOR OR with our comments shalt notppbe construed as EXTERIOR DOORS indicating �compliancel withathesBu specifications of New York State. ' °i . EL !1 CAREY ROAD `� r1 f'SIbN I ASPHALT ANNrrOCC7 ri41p � u� SIGN } f7 f L Oi 0p, � y _— .'.`'� - Copyright 2013. / - ---- SLP S05'00'42"W RICHARD E. JONES ASSOCIATES P .. P TOry91 F 250.70' -' Unauthorized alteration or addition to this ou rc _ document is a violation of Article 147, 584°54'18 I - Section 7300 of the Crew York R to Edcctaion Law E I - regarding the practice of Architecture, 20.00' , iRON-w L H' P 150.00' C1 ,R NOS°00'42' E � ! t.l Q_CV 'JOOJO�Q (�50' FROMT - - SETBACK - N 0 _ (11 4 - ------ 50' FRONT.... 5= 4• ___-_.-x•_- ______- SETBACK .. �.2 \? 00 7S �S - - - - O LAND m - I! NOW i! ew:9 t i. — UI A 5 N/r= `;; 1 t STORAE,E'. C RENTAL �r,_" 1'i -- J C) J HOMES LLC. "r'f 3 w L ® ED 83 P. 246 m Q1 V Q t N j i �ISSNOW tll $ STORAGE yI t T LL MF ..-. 505 00'42'W IP I N L1 J IL F_ kS.q) 0 I 150.00' __ I UR m O N e1 ` Wn lo° SNOW. nT.Yp % I Lt' ,7A e , r C LP 7 -wd r 0 r rr H y1nc 30' SIDE SETBACK I I \- ..7 ' } --------------------------- U)Z PP I I t I ' I I 381-7" � ". 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