2013-258 TOWN OF QUEENSBURY
FOS 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130258 Date Issued: Wednesday, June 15, 2016
This is to certify that work requested to be done as shown by Permit Number P20130258
has been completed.
Location: 17 ZENAS Dr
Tax Map Number: 523400-301-012-0003-056-000-0000
Owner: DAVID A RATIN
Applicant: DAVID A HATIN
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 c� / 4t
other issues and conditions as a result of approvals by the Planning Board ' - :f Building&Co Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
MA
` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
dab
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130258 Application Number: A20130258
Tax Map No: 523400-301-012-0003-056-000-0000
Permission is hereby granted to: DAVID A RATIN
For property located at: 17 ZENAS 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: DAVID A RATIN Residential Alteration $10,000.00
17 ZENAS Dr Total Value
QUEENSBURY,NY 12804-0000 $10,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-258
Residential Alteration
$77.70 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,June 12, 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 To' . •ueens� ; di •sday,June 12,2013
SIGNED BY ,. for the Town of Queensbury.
Director of Building&Code nforcement
Office Use Only
Town of Queensbury Building & Codes
Received:
PRINCIPAL STRUCTURE APPLICATION Tax Map ID: 361 . 1 a-3-54P
Permit No.: /3 -as
A permit must be obtained before beginning construction . Permit Fee: $ ?7,S�
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $
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 c)///73 Applicant (2,4 Vi6 47.417ni
Tax Map ID 30/. ft- - 3-S'b Address /7 2eiv4.r Zs:
Zoning /V2 Cir 67
Phone/E-mail Cs:10 Z22- 5uyy
Property Owner </Jt¢('fp /dip-T/N Contractor/Agent A/4
Address /? ZFAbts DR Address
Q�7
Phone/E-mail 679 22 .- Phone/E-mail
Building Street Address: /7 Z f MA5 712/V6
Subdivision Name: ei?1 f l/a V iA/ Lot#: /? Historic Site: Yes X No
Estimated cost of construction: $ /t D .GO
Type of Construction:
Check all that apply Please indicate measurements as required below:
o g
t 1st Floor 2nd Floor Other Total Height
F Q a aJetn e44
Single Family 510 576 7 'O �-
Two-Family
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) C Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" Yes _No
Are there structures not shown on plot plan? A/
Are their easements on the property? a/
u
Site Information
a. Dimensions or acreage of lot �y
b. Is this a corner lot? AU
c. Will the grade be changed as a result of construction: Yes X No
d. ublic wa r or Private well
e. Sewer or nvate Septic System—.
Value of all work to be performed(labor and materials) ay. OJ
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 a the above.
Signed 41 r Date:
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
Town of Queensbury Building & Codes Office Use Only
Received:
SEPTIC DISPOSAL SYSTEM PERMIT APPLICATION Tax Map ID:
A permit must be obtained before beginning construction Permit No.: /3 ' aS g
Permit Fee: $
Date �� /3
Applicant >�`id 4-R/V Installer/Builder
Address Address
n 7 2F/V4S- 2?i VE
Phone ( 7t) Z 21- –SGVy Phone
Owner .�h1 lZ Location of Installation
Address
Phone
Residence Information:
Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow
1980 or older 3 x 150 = VSS0 Garbage Grinder installed?
1981 -1991 x 130 = _ Spa or Hot Tub Installed?
1992–Present x 110 =
Parcel Information:
Topography Flat Rolling _Steep Slope %Slope
Soil Nature Sand Loam Clay Other
Groundwater At what depth? ti
Bedrock/Impervious Material At hat depth? N
Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate- /-6– per minute per inch(Test to be completed by a licensed professional engineer or architect)
Proposed System for New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect
(unless installed in a Planning Board approved subdivision).
�
Tank size I BUD Fgallon�sFi'(mivs
nimum size 1,000 gallons),add 250 gallons to size of septic tank for each garbage grinder,spa or whirlpool tub
System Type: Absorption Field(with#2 stone) Total length ft. Each trench X
Seepage Pit(S)(with#3 stone) How many? Size?
Alternative System Bed or other type? 20 y LS &c,/
Holding Tank System Total required capacity? Tank size? #of tanks?
NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified Electrical form on
Town website;2)Effective as of March 23, 2006 Septic System-As Built Plot Plan: The Building Department will no longer allow systems to be covered until
such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on file.
There will be no exceptions.
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 tW application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage
Disposal Ordinance.
Signature: C Date: to//
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Residential Final Inspection 411
Inspection request received (Q\i3 2 b
Name Inspected on
Location k Arrive .� am I pm
Permit No. f2-o lb Inspector's Initials
(1`...PX)
Type of Structure Q. � -•
Yes No N/A Bathroom Fans, if no window
4" Building Number Address visible from road Plumbing fixtures
Chimney Height/"B" Vent/Direct Vent Foundation insulation to floor/ Sticker on Panel
Location
Fresh Air Intake Duct work sealed properly/ Blower Door Test
Certification
3" Plumbing Vent through roof minimum 18" Floor truss,draft stopping finished basement
Roof Complete/Exterior Finish Complete 1.000
Platform at all exterior doors Emergent e r low grade
Handrail 4 or more risers Gas Furnace shut-off within 30 ft. or within line
Guards at stairs.decks, patios more than 30 " of site
above grade Oil Furnace shut-off at entrance to furnace area
Guard at stairwell at 34" or more Furnace/Hot Water Heater operating
Guard at deck, porches 36 "or more Low water shut-off boiler
Handrail Termination at Newell Post or Wall Relief Valve(s) installed /Heat Trap/Water
Interior/Exterior Railings 34 " to 38 " Temp 110
Deck Bracing / Handicapped Ramp Compliant Enclosed Stairs Sheetrock Underside minimum
%:" Gypsum
Grade away from foundation 6 " with 10 feet Basement stairs closed rise-0 4 inches
6" clearance to sill plate Garage Floor Pitched
Gas Valve shut-off exposed /regulator 18"above Garage fireproofing/Y, hour fire door/door
grade closer
Interior privacy/trim /doors/ main entrance Gas Los dor Glass Enclosure
36•' 17;
athroom / tchen watertight V Final lectrical; Ene qy Saving Light Bulbs 50%
glazing /Window in stairwells safety of Plan
glazing Arc Fault Breaker Habitable Spaces/Tamper
Interior Smoke Detectors / Carbon Monoxide Proof Receptacles
Detectors / r Flex Gas Pipe Bonding
Every level: Every Bedroom: ✓ ‘.7
As Built Septic System /Sewer Dept. Inspection
Outside every bedroom ar a: Sticker
Inter Connected: __ Site Plan /Variance required
Battery backup: Flood Plain Certification, if required
Attic access 30"x 22"x 30"(height) in Okay to issue Temporary/Permanent
accessible area
Certificate of Occupancy OR
Crawl Spaces 18" x 24" access,1 sq. ft.-150 sq. Certificate of Compliance
ft. vents
Yes No N/A
Comments: �7
Town of Queensbury Building & Code Enforcement Office No.(518)761-8256
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Septic Inspection Report
Inspection request receiv d:
Name: Inspected on: t
Location: 6‹ Arrive: a.m./p.m.
Permit No.: -20r2) — 7:c-aInspector's Initials:
Comments and/or diagram
Soil Type: Sand/Loam I Clay
Type of Water: Municipal I Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' +1- Y N N/A
[150'to well required if NO]
Absorption Field: Total length ft. 12c-Le_At
Length of each trench ft.
Depth of trenches ft. --
Size of Stone
Seepage Pits: Number
Size: x
Stone Size: d I-�� —
Piping Size Type 04&/N-g--OL
Building to tank `'
Tank to Distribution Box
Distribution Box to Field/Pit aeri°125—'
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 1 Separations
Foundation to tank ft.
Foundation to absorption _.ft.
Separation of Pits ft.
Conforms as per Plot Plan
Engineer Report and As-Built Y N
ETU Maintenance Contract provided N
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Statu :
A!:•
'artial Approved a.a needs to be re-inspected, please call the Building&Codes Office
Di :as . :
Septic Inspection Report
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Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256 0,At /MI ' CC—)
Septic Inspection Report
Inspection request received: ^> _ , 5
Name: l.) m ' 6& Inspected on: Imo,;, S - ;--/('�
Location: "re 6 v-z----- Arrive: 4IPy a.m./p.m.
Permit No.: (3--°c`5 Inspector's Initials: �, `,
Comments and/or diagram
Soil Type: Sand •am- lay
Type of Wates",unicipal ell Water
Waterline separ. • • stance ft. I•:i:yi
Well separation distance ft. i `
Other wells: ft. )2 1 C "bC / kt —J
Well Casing Length 50'+/- Y N N/A
[150'to well required if NO]
Absorption Field: Total length lo 017t.
Length of each trench 2 ft. V— _ ,laeq ,d. ,b
Depth of trenches ft.
Size of Stone -. 4.2-- 2_pC?')
Seepage Pits: Number
Size: ICThji _________--------
Stone Size:
Piping Size Type
rvkrZ------CAs4`--
Building to tank �t==•- r
Tank to Distribution Box e.t
Distribution Box to Field I Pit / 41-` 2 t}3-4,ip-L,
Opening Sealed: .. /Y • N
End Cap VY—N
Inlet/Outlet Pipes&Baffles _Y_N CD— < '�ZS ( �`c ��`
Manholes12" less below grade _Y_N 1ci W t.)
[provide extension collar if Yes] _ _N
A1C- --k)—oti`(
Location/Separations ,, },.`- , L- .
Foundation to tank ft. Lp )v` !v" '"
Foundation to absorption 'r ft.
Separation of Pitsf( r ft.
Conforms as per Plot Plan _Y
Engineer Report and As-Built —Y_N
ETU Maintenance Contract provided Y N
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Status:
P. . -.
:( Partial Approv-• :nd needs to be re-inspected, please call the Building& Codes Office
--:: • ed 6
Septic Inspection Reportc) -, .
Framing I Firestopping Inspection Report u ed 1)c -1
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/ rt: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial �.� 77—
•
NAME: PERMIT#: / 3
LOCATION: ? � c S r INSPECT ON:
TYPE OF STRUCTURE: f . E S -p1 1- 1
I N 1411A COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers ( .,&J54P$k t14-1Bracing / Bridging
Joist hangers '""' . •. g a ftw""
Jack Posts/Main Beams `W^'
Exterior sheeting nailed property
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 13)
1 % (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 %inch or 5/8 inch Type X
Garage side 518 inch Type X
Ceilingfwall
Windows Habitable Space/ Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/ below grade
5.0 sf grade
L:1Building&Codes Fomes-OLDBuildinq&CodeUnspettion Fomes'Framing Firestopping Inspection Report.doc Revised January 7,2008