2013-562 TOWN OF QUEENSBURY
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742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130562 Date Issued: Wednesday, January 29, 2014
This is to certify that work requested to be done as shown by Permit Number P20130562
has been completed.
Location: 1 GRIFFING P1
Tax Map Number: 523400-302-018-0002-071-000-0000
Owner: WILLIAM & BARBARA PARKS
Applicant: WILLIAM & BARBARA PARKS
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 C
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.
1
"B` TOWN OF QUEENSBURY
A 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
1
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130562 Application Number: A20130562
Tax Map No: 523400-302-018-0002-071-000-0000
Permission is hereby granted to: WILLIAM & BARBARA PARKS
For property located at: 1 GRIFFING P1
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 & BARBARA PARKS Residential Alteration $8,500.00
1 GRIFFING P1 Total value
QUEENSBURY,NY 12804 $8,500.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-562
Res. Alterations 243 sq ft basement renovation
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,December 23,2014
(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 Quee bury 0; . . ber 23,2013
SIGNED BY ‘ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received:
PRINCIPAL STRUCTURE APPLICATION Tax Map ID:
Permit No.: , . •
A permit must be obtained before beginning construction Permit Fee: $ (e06) ,
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 1 2.1j/2..c-7 ( 3 Applicant ÷Bar&'G` �'" C5
Tax Map ID 30 2 , i $ —1-7/ Address / Gr,'- .,L pe.«.
Zoning A/ Qtc, / id
Phone/E-mail $ /y 7,-tLf 2..k66,
Property Owner ./l,4r1 4-86147L-0. ?o.r-kS Contractor/Agent Ls GA. t4 ai'6
Address l Gr'•-f ri5 PI,Le �f / Address
awCGkS � ry NGf
Phone/E-mail Phone/E-mail
Contact Person for Building &Code Compliance: .o s1/.5 Day Phone: S 7 - g5-3-
Building
53Building Street Address:
Subdivision Name: Lot#: Historic Site: Yes " No
Estimated cost of construction: $ C06 cE
Type of Construction:
Check all that apply Please indicate measurements as required below:
o g
a 1st Floor 2nd Floor Other Total Height
F ¢
Single Family
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 P-p
Proposed use of building or additions
Source of heat(circle one) as )Oil Propane Solar Other ro
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes No
Are there structures not shown on plot plan? A/v
Are their easements on the property?
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot?
c. Will the grade be changed as a result of construction: _Yes J No
d. Public water or Private well wb
e. Sewer or Private Septic System
Value of all work to be performed(labor and materials) $ S 506 PG
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 agree to the above.
Print Name: I , dark
Signature: Date: /7-13ii
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
Queensbury Building & Code Enforcement - Residential Final Inspection
1 'a?
Office No. (518) 761-8256 Arrive: am/pm Depart: 2 am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#: Z `l - Cs�Z
LOCATION: DATE: i
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 C. , -ices- "
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches ` ,�u � �� QI �
Deck Bracing/Handicapped Ramp Compliant v�
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate ) V1ISRL*3
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 �f
Foundation insulation to floor I Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
(7--)
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(sg installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum A"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
matectr►caf; t Plaergy Saving Light Bulbs 50%
ina t. urvey Plon
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C 1 O[Temporary/Permanent
L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11