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2013-144 411A44. TOWN OF QUEENSBURY tr. 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 i Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20130144 Date Issued: Tuesday, April 28, 2015 This is to certify that work requested to be done as shown by Permit Number P20130144 has been completed. Location: 105 FITZGERALD Rd Tax Map Number: 523400-289-014-0001-027-002-0000 Owner: ROBERT G I-IOGAN Applicant: ROBERT G HOGAN This structure may be occupied as a: Residential Alteration By Order of Town Board Septic Alteration Residential TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property (mail ° /St 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. Oieb4 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761R-8256 BUILDING PERMIT e v Permit Number: P20130144 Application Number: A20130144 Tax Map No: 523400-289-014-0001-027-002-0000 Permission is hereby granted to: ROBERT G HOGAN For property located at: 105 FITZGERALD 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: ROBERT G HOGAN Residential Alteration $36,000.00 ELIZABETH L HOGAN Septic Alteration Residential 14 COOLIDGE Ave Total Value GLENS FALLS NY 12801-0000 $36,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency SHERWOOD ACRES CONSTRUCTION C P.O.BOX 908 MINERVA,NY 12851-0000 Plans&Specifications 2013-144 $50 renewal fee paid 7/16/14 Res. Alteration - install kitchen and bath, along with septic system. 1st step in converting garage into a camp $100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 15,2015 (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 Towq eensb1 ;4 • id. , A s ril 15,2013 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement 0.1'4 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130144 Application Number: A20130144 Tax Map No: 523400-289-014-0001-027-002-0000 Permission is hereby granted to: ROBERT G HOGAN For property located at: 105 FITZGERALD 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: ROBERT G HOGAN Residential Alteration $36,000.00 ELIZABETH L HOGAN Septic Alteration Residential 14 COOLIDGE Ave Total Value 536,000.00 GLENS FALLS NY 12801-0000 Contractor or Builder's Name/Address Electrical Inspection Agency SHERWOOD ACRES CONSTRUCTION C P.O.BOX 908 MINERVA.NY 12851-0000 Plans&Specifications 2013-144 Res. Alteration- install kitchen and bath, along with septic system. 1st step in converting garage into a camp $100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 15,2014 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town ouee bury; ro i .y r i ril 15,2013 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement ' ; �'—a•!1. J OFFICE USE ONLY TAX MAP NO.RY 1 .j��if f A /. k PERMIT NO. ! 3 I ±I ) //qq�� APR 1 1 2013 & FEES: PERMIT RECREATION ENGINEERING (If applicable) PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT �FOR 1CONSTRUCTION. APPLICANT/B=C.- % d. EJ(2� �vfh ov[ OWNER. - OWNER. ` I 4441704 &,C Cd, 4 ADDRESS: 1005—%lpfitzt-ve-0ADDRESS: Po lo)c 70b Mogi /l t1 PHONE NOS. 7412-(0'1t 2- PHONE NOS. 61(t.) )Z/ 6z47._ CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: 0601$dy; PHONE: 60,t) 621 -sl42, LOCATION OF PROPERTY: 105 F7iraatt q 6cl HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL?14YES El NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: NO S " 20a JiI't 7, 2006 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z C7 ww ti PROJECT 00 p • co w w amu_ �LLLL LL w div Z _ Z Q Q (-5 N0 a. O Lt. CL 06 SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS__ ) TOWNHOUSE BUSINESS OFFICE • RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER uv* a(ptie 41414AX a51 RSI IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST:3 _ FUEL TYPE: f1OYI*C-. HEAT TYPE: *HOW MANY FIREPLACE(S): mu_ AND/ OR WOODSTOVES(S): f ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE?—hp PROPOSED USE OF BUILDING OR ADDITION: Ill- (h -6211 --04( 2f. G.. cifieir ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? n!9 ARE THERE EASEMENTS ON PROPERTY? jt4.4t Q1,b i..S, Mete- /ler j34. �0 etAt "i ease CoinDlete a separate Applhcaticn for`Fuel Burning Appliances 8.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 read an. .e to the -..ve. Signed Atiw ' . 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 td 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: - • BUILDIN & ODES AP'm,ArALZONING APPROVAL IV /3 /.3 DATE DATE QUESTIONS? CALL 761-8256 OR EMAIL codesqueensbury.net Office Use Only . VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: • • Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 1;2 Community Development Office Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 APR 11 2013 Office Use Only �] / TAX MAP NO.�g.9,it ! -?'7.A PERMIT NO. 13 �/ `i I 9 PERMIT FEE APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION/ � IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: Rabat r �(. .. f 1[! INSTALLER: hu /''4ertS 1 t CCee ADDRESS: 14 C00(t ! r< 4 l J ADDRESS: 12Q AJ q0g /�'1(i}��& N� PHONE NOS. 7o L- c, q r /'L /J PHONE NOS. (q15') 024 - 8 2.,oO 2. R LOCATION OF INSTALLATION: (V S T' + qA y I RESIDENCE INFORMATION: NO. X COMPUTATION YEAR BUILT = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older X 150 = INSTALLED? NO 1981 -1991 Q # X 130 = SPA OR HOT TUB 1992-present X 110 = INSTALLED? NO PARCEL INFORMATION: ' 0,5;4‘i .ce 3 '/ •I TOPOGRAPHY: FLAT ROLLING STEEP SLOPE x %SLOPE �/any I1a. ✓ SOIL NATURE: SAND %./ LOAM 10/ CLAY OTHER £b '6 c4 t 8 1I . ✓ GROUNDWATER: AT WHAT DEPTH? ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL X (If well:water supply from any septic system absorption is: ft) ✓ PERCOLATION TEST: RATE IS I• MVIn PER MIINUTE PER INCH[mpi] (Test to be completed by a licensed professional engineer or architect) 3f,o r"livt4imS Pa. 2-9-0it PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems l must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: 0(X70 GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. ...- .sod 9c-1. N-v t� n� /P �-'^- SYSTEM TYPE: ABSORPTION FIELD(WITH NO. 2 STONE) Total length /.SO ft. Each trench 3 x S� ❑ SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size? o ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regulations with respect to this application and agree to abide b these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sanita / 'ewage Dis•osal Ordinance. codesftqueensburv.net -5111113 VISIT OUR WEBSITE FOR MORE INFORMATION Sign. ure •f Person •esponsible Dto www.queensbury.net MON -1 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive:ueam/pm art: l / mlpm Date Inspection re st received: 4 -2-2t Inspector's Initials: NAME: 1h PERMIT#: - 1 AA LOCATION: U 105 �eycL.lc�, DATE: 917-'1-12 5 TYPE OF STRUCTURE: ycivo.a�2.) U Comments: Yes iNo NIA 4" Building Number Address visible from road e r 1 232 - - 25`31 Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake f 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 I 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 Monoxide Detectors Every level: Every Bedroom: 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%" 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 Arc Fault : -a'rjr-Habi .• - '•-ces amper Proof Receptac s Flex Ga _ :• •inq As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if required Okay to issue C 1 C or C 1 O [Temporary/Permanent) p� ru5s1\Dstivz5e. Ds)i5C' nw r L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised January 7, 2008; Revised 6126/08; 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 art: j I am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ` NAME: PERMIT #: 2,31 L LOCATION: �� ,y; -� tz,� INSPECT ON: TYPE OF STRUCTURE: /_ Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place V 1 '/x inch minimum Drain Size _ Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test ik Water Supply Piping Air/ Head t 50 P.S.I for 15 minutes Insulation/ Residential Check/ Commercial Check qiaAVQ., 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/ No duct tape _ COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 -/0 Septic Inspection Report Office No. (518) 761-8256 Date Inspection r-. j. i- C-7_ 5 Queensbury Building &Code Enforcement Arrive: aP =0.40-; 1 'epart:742 Bay Rd., Queensbury, NY 12804 Inspector's Initi• . - r NAME: ` ' 1--Nr P ' NO.: rI (ILl LOCATION: (' `� t' j Zyi 1 J\ ;(1h_ I ..ECT ON: Want RECHECK: PRRT,'Pll- Comments and/or diagram Soil Type: Sand/ Loam/ Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. \rE R\F ‘E D �v Well Casing Length 50' + / - Y N N/A [150'to well required if NO] R --r l Qi1 I3G Absorption Field: Total length _ft. �� Length of each trench ft. O Depth of trenches _ ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: _Y N End Cap N Inlet/Outlet Pipes&Baffles ._Y Manholes 12"or less below grade _ N C �� [provide extension collar if Yes] N 1 � �C � Location dation to `�� 136� �c Foundation to tank ft. / O � {� V��` Foundation to absorption _ft.� �1 i`� Separation of Pits *pock-- Conforms asper Plot Plan _Y_ 1 Engineer Report and As-Built _ ETU Maintenance Contract _ provided Location of System on Property: Front Re. Left Side Right Side Middle Front Middle Rear S stem Use Stat : Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report 03 29 10.doc rtRou h Plumbing l Insulation Inspection Repo Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm lc- •art: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: I, A t NAME: H = d• PERMIT #: / 3-1 4J&j LOCATION: • r -z.• c INSPECT ON: .S1?-1,1 TYPE OF STRUCTURE: R S Py t: y Afir.Ammi Rough Plumbing /Nail Plates 11111 9Plumbin Vent I Vents in Place � 1 1/2 inch minimum Drain Size / -� Washin• Machine Drain 2 inch minimum 4 Cleanout every 100 feet I change of direction Pressure Test Drain/Vent Air/ Head 5 P.S.I. or 10 ft. above hi hest connection for 15 minutes Pressure Test Water Supply Piping Air I Head ill 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 r.•wired unheated s•aces Combustion Air Supply for Furnace ■ Duct work sealed properly/ No duct tape ./ ^A--- ' . ' 4 -' - - ,-- COMMENTS: 0512, i (- ____-------/ Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Th U.AA (.' M Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm •-:. • : 7 I, Jv am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: A .,, —y ' NAME: ') PE* 'IT NO.: / 3 ,1 VY I) LOCATION: 1 0 ?m o.ra-(d Rai INSPECT ON: 5✓J(a—/3 RECHECK: v Comments and/or diagram Soil Type: Sand / L•: / Clay Type of Water: Municipal / el Water Waterline separati•n di.tance ft. Well separa on di• ance ft. ether ells: ft. Well Casing Lengt 50' / - Y N N/A [150'to well r:..uired if 0] Absorption Field: Total len• h ft. Length • each tren ft. Dept of trenche• ft. ize of Stone �— Seepage 'its: Number Size: x 4W Stone Size: 'iping Type Building ti tank Tank to Distributlo Box Distribution Box to Fie!. / Pit Opening :aled: Y En• Cap Y Inlet/Outlet Pipes& :•ffles _Y N Manholes 12"or less below •rade _Y N [provide extension collar Yes _Y_ N Location/ Sepa -tio's Foundation ,. .nk ft. Foundation to abs"r• ion ft. Separation • Pits ft. Conforms as per Pl+t Plan _Y_ N Engineer Report and As-Built —Y N ETU Maintenance Contract _Y_ N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Partial Approved d needs to be re-inspected, please call the Building &Codes Office Disappro L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report 03 29 10.doc % pyfr Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: S 7 A 1 3 Queensbury Building&Code Enforcement Arrive: am/p 0-'.rt: m/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: `'i � PERMIT NO.: Z? /`f LOCATION: /05 ; 1-ye,/ ��=l‘i INSPECT ON: 3 RECHECK: Comments and/or diagram Soil Type: Sand/ Loam / Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ft. \ 1\:-1`-) Other wells: ft. Weil Casing Length 50' +/ - Y N N/A [150'to well required if NO] Absorption Field: Total length "CID ft. Length of each trench �S ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: Stone Size: Piping Size Type Building to tank Tank to Distribution Box h- Distribution Box to Field/ Pit Opening Sealed: Y—N End Cap Y N Inlet/Outlet Pipes&Baffles Y N Manholes 12"or less below grade _Y_ N - - � � [provide extension collar if Yes] Y N Location/ Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits _ _ ft. Conforms as per Plot Plan Y_N Engineer Report and As-Built Y N ETU Maintenance Contract Y_ N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear S stem Use Sta s: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspectlon Forms\Septic Inspection Report_03 29 10.doc