2013-238 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130238 Date Issued: Thursday, October 24, 2013
This is to certify that work requested to be done as shown by Permit Number P20130238
has been completed.
Location: 9 ASHLEY PI
Tax Map Number: 523400-302-018-0003-015-000-0000
Owner: NATALIE O'BRIEN
Applicant: NATALIE O'BRIEN
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 A
owner of the responsibility for compliance with Site Plan,Variance, or r � �
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: P20130238 Application Number: A20130238
Tax Map No: 523400-302-018-0003-015-000-0000
Permission is hereby granted to: NATALIE O'BRIEN
For property located at: 9 ASHLEY PI
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: NATALIE O'BRIEN Residential Alteration $35,000.00
9 ASHLEY PI Total Value $35,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
JOE TOOMEY
NY 12804-0000
Plans&Specifications
BP 2013-238
Residential Alteration to kitchen 140 sq. ft.
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, May 31,2014
(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 r4F 2013
SIGNED BY for the Town of Queensbury.
Director of Building&Co e Enforcement
OFFICE USE ONLY '��I� f 010
+ ' r
r
i TAX MAP NO. `�U� � � -' 3'�� PERMIT NO. 2A IS 201
' FEES: PERMIT RECREATION ENGINEERING ',
(If applicable)
______________-_._. ---------_._._..-------_______------ 0.-------- ------
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: -e CC. OWNER: 2b�; t'h
ADDRESS: );C i� Li �� { 1r}GI- Rr/�t� ADDRESS: 7 /�T/7 /2y
PHONE NOS. SSI f - 6 y PHONE NOS. JSIC --
r
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: e PHONE:
LOCATION OF PROPERTY: IT 7T�I'� 2.f \�(�C,�1 '155 yr�',,
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑ YES -E NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR Al_ (Ift/ p U1 LL u)
PROJECT LL p H D: O = _
Z Q Q � to� cV W in U) 0 U_� t~i a = o6
ING4E FAMILY 196
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: 3<,cclo FUEL TYPE: /(,%�A-
HEAT TYPE: C�-�5 *HOW MANY FIREPLACE(S): `P— AND/OR WOODSTOVES(S):
ZONING CATEGORY: ��ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? �-`
' V�-
PROPOSED USE OF BUILDING OR ADDITION: ��v� rte acZ
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? j Or
ARE THERE EASEMENTS ON PROPERTY? �1�(
'Please complete a separate Application for"Fuel Burning Appliances&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 and agree to the a
Signed
Director of Buildinq & 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)
Town of Queensbury* Community Development Office* 742 Bay Road, Queensbury NY 12804
fv AcY `7— )/
Queensbury Building & Code Enforcement - Residential Final Inspection `�
Office No. (518)761-8256 Arrive: am/prrl D art: t. /pm
Date Inspection request received: Inspector's Initials:
NAME: r~ PERMIT#: Z 3----� :3
LOCATION: .r DATE: i --,-A�J-I :.3
TYPE OF STRUCTURE: (—=�
Comments:
Yes No NIA
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/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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3%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 Se is System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
_Okay to issue C/C or C 10 Temporary/Permanent
L:1Building&Codes FormslBuilding&Codesllnspection FormsWesidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
IuL
Rough Plumbing 0 Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:G&I9 N
NAME: C;'` N„ �� PERMIT#: 13 _3 9
LOCATION: C-1 ,S f N INSPECT ON: 13
TYPE OF STRUCTURE: A-
Y N N/Al
Rough Plumbing/Nail Plates
Plumbing Vent I Vents in Place
1 %inch minimum Drain Size
Washlaq 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
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Prop2r 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 I No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 18,2005, revised January 7,2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: __am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: I k-./- / ,
NAME: i PERMIT #:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent 1 Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet 1 change of direction
Pressure Test
Drain/Vent
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.1 for 15 minutes
Insulation/Residential Check/Commercial Check
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: n
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
CoMmuniDevelament Office Natalie O'Brien BP 2013-238
Tow,, of Queensbury - 742 Bad Rd, 9 Ashley Place
QuMisbury, New York -12804 PLOT PLAN Residential Alteration - Kitchen 140 sq ft
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
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24" 183"
612 47 62i 35
207”
All dimensions_size designations given are This is an original design and must not.be Designed: 5/17/2013
subject to verification on job site and released or copied unless applicable fee Printed: 5/21/2013
adjustment to fit job conditions. has been paid or job order placed.
PSI,O'Brien Kitchen pkl.kit All Drawing#: 1