2013-104 .41a. TOWN OF QUEENSBURY
IF4ra742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130104 Date Issued: Wednesday, December 16, 2015
This is to certify that work requested to be done as shown by Permit Number P20130104
has been completed.
Location: 104 SHOP Rd
Tax Map Number: 523400-253-000-0001-022-000-0000
Owner: WILLIAM & SANDRA STARK III
Applicant: WILLIAM & SANDRA STARK III
This structure may be occupied as a:
Garage Detached By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property (—" 4)-794
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 Number: P20130104 Application Number: A20130104
Tax Map No: 523400-253-000-0001-022-000-0000
Permission is hereby granted to: WILLIAM & SANDRA STARK III
For property located at: 104 SHOP 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: WILLIAM& SANDRA STARK III Garage Detached $12,000.00
104 SHOP Rd Total Value $12,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2013-104
Garage, detached - 1,040 sq ft
$156.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,March 28,2014
(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 o0Queen ury; hur y;March 28, 2013
SIGNED BY 4 for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
TAX MAP NO. 3. "I- � PERMIT NO. p — /0 • MAR- „o
•
FEE PAID ) 5(.1:7 BLDG. &CODES APPROVAL
p �� t✓ '•
� � w
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc, Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences. • - - •
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED
A VALID BUILDING PERMIT. Mt ' $ T'k
OWNER: W \\}M•'\ �,AC Y\ \-1_ INSTALLER/BUILDER:
ADDRESS: 10 Lt 5 I\p R r` , ADDRESS:
PHONE NOS, S—I - 7 cj J f (10:)- PHONE PHONE NOS.
LOCATION OF PROPERTY: 10 5\,Qc 19,11 SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES I7 NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ J )00t ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
ST ND PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH'
BOATHOUSE
•
BOATHOUSE WITH SUNDECK
DOCK
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS:) 4140
OTHER ACCESSORY STRUCTURE:
"CONSIDERED FLOOR AREA & MUST COMPLY WITH FAR [FLOOR AREA RATIO].REQUIREMENTS IF THE
STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done
on the described premises and that all provisions of the Building Codes, the Zoning Ordinance,
and all other laws pertaining to the proposed work shall be complied with, whether specified or
noted, and that such work is authorized by the owner. Further, it is understood that I/we shall
submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested
by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed
surveyor, drawn to scale, showing actual location of all new
construction.
QUESTIONS? CALL 761-8256 OR EMAIL
codesCcilqueensburv.net
I have read and agree to the above.
VISIT OUR WEBSITE FOR MORE INFORMATION
Signed ,��� Dated: �//2/0 "^"""QUeensburv.net
♦ S/
•
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Town of Queensbury Building & Code Enforcement
Office No. (518)761-8256
Framing I Firestopping Inspection Report
Inspection request received: C 2-(t-k-
Location:
Name: �� ,�—� Inspected on:1,6-4 - ` (2c) Arrive: 2._ F D a.m./p.m.
Permit No.: 2- 3 '`�� Inspector's Initials: e---A1/4-4-9
TYPE OF STRUCTURE: C> �"�
N NIA COMMENTS:
Framing �vf
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided V �0 C cTy�'�`-' 'S
Bracing/Bridging v
Joist hangers
Jack Posts I 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 1/2(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.(W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing /Firestopping Inspection Report
f\AVn6AeSti
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart. \ pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:/
NAME: in s 46:lit K PERMIT#: c3 - d Y
LOCATION: Le) y S h A INSPECT ON: S—02d—/„3
TYPE OF STRUCTURE: Oil ap Q
'P Comments
////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 , Ai
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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