2014-270 ` i ` TOWN OF QUEENSBURY
ra742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140270 Date Issued: Tuesday, November 18, 2014
This is to certify that work requested to be done as shown by Permit Number P20140270
has been completed.
Location: 331 HAVILAND Rd
Tax Map Number: 523400-290-014-0001-014-000-0000
Owner: JUDITH GEALT
Applicant: JUDITH GEALT
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 •f
05te
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: P20140270 Application Number: A20140270
Tax Map No: 523400-290-014-0001-014-000-0000
Permission is hereby granted to: JUDITH GEALT
For property located at: 331 HAVILAND 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: JUDITH GEALT Residential Alteration $13,850.00
331 HAVILAND Rd Total Value $13,850.00
QUEENSBURY NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
WASHBURN HILLS CONSTRUCTION
BRIAN 260-2452
78 FEEDER DAM Rd
SO. GLENS FALLS NY 12803-0000
Plans&Specifications
2014-270
Res. Alteration - 88 sq ft (convert existing porch into living room area).
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 02,2015
(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 Towtt of Qu sbu W. •n it'll.+. - my 02, 2014
SIGNED BY 'T' for the Town of Queensbury.
Director of Building&Code Enforcement
Ilse OnlyOffice e Only
Town of Queensbury Building & Codes Receiv1a\ 0 2014 \\U)
au
PRINCIPAL STRUCTURE APPLICATION Tax Permit'No.:
.��- -I- =E
!�
No.:TOv'1N �
A permit must be obtained before beginning construction , .�
Permit Fee:_ — $ Q
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. ' ) �/t!
Date (p 3C� — /4 : Applicant •
Lt�Q4ktbuv/nr 14, 1/5 (art5fhoCJr.,-r
Tax Map ID Address TR Feeder Aln I&[
Zoning - cSD Gtefrs - a I� Y /�o3
Phone/E-mail ,3/S ac o-9'!s 2 i 4-1
Property Owner .Tvct 1-1-- Contractor/Agent env ea-L .14 5A x v (—to,
Address 331 Naw, lana Ave Address /AV 7 v 01-g Ave( PO&K 7 '03
C dze-4e.c buv"e Y /6296y J1idw, ///5 Ah' /2639
Phone/E-mail (519) ,',1 —co-23...2.„ Phone/E-mail 6/B —7(!7 0285 3
Contact Person for Building&Code Compliance: v r�h V- , r'n Day Phone:S/9-0766$5'S�
Building Street Address: 3 ai 1 Yew/la-RI live
Subdivision Name: Lot#: Historic Site: Yes K No
Estimated cost of construction: $ 13 SS72
Type of Construction:
Check all that apply /r'"1i\ Please indicate measurements as required below:
0 .0
v I E/} 1st Floor 2nd Floor Other Total Height
F
a a
`Single Family Y C 1 r
Two-Family /< 1/1
F
-e)E' 15d\litperet____ 9-W Rd liTY1/4-4
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
1
If commercial or industrial indicate name of business • —
Proposed use of building or addition / ti /L Dr4n c K S broc.T r,,.s
Source of heat(circle one) 6r I 040 Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes 2 No
Are there structures not shown on plot plan?
Are their easements on the property?
Site Information 6rde ,ti_ 6 rdzenn r,,., ( v, Sat,
a. Dimensions of acreage of lot oc r 36 cares
b. Is this a corner lot? Yom,
G. Will the grade be changed as a result of construction: _Yes _1K No r
d. Public water or Private well ter t YEA -e ��(I
e. Sewer or Private Septic System vet Setolfc 5vs 4e0/
Value of all work to be performed(labor and materials) $ /3 fSv
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. f1
Print Name: �Yra rn L acV ntuv-v"
Signature: .// '') w Date: 6 - 30 -2U/c-/
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
c
Queensbury Building & Code Enforcement - Residential Final Ins�}pec�tio�n,
Office No. (518) 761-8256 Arrive: am/ m arta 20t)/pm
Date Inspection request received: Inspector's Initials:
{ '
NAME: C7 EG�,'��' PERMIT#: 9--a IX!)
LOCATION: , 3 / -/r t IoMARA DATE //_/y /4/
TYPE OF STRUCTURE:
Comments: f Sem C n
Yes No NIA �, 1 ,
4" Building Number Address visible from road r,j ( tom
Chimney Height/"B"Vent/Direct Vent Location (��_
Fresh lr Intane `� r _6, c /5a
3 inch Plumbing Vent through roof minimum 18 inches r�lG act
5a
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 acrasq, 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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs dosed 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 Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plann Variance required
FlooddPlain Certification,if required
Okay to issue C/C or C/O[Temporary/Permanent] (i)
L:\Building&Codes Forns\Building&Codes\Inspedion Forns1Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/12/10,Revised 04/13/11
Town of Queensbury Building & Code Enforcement on o)- T
Office No. (518) 761-8256
Framing ! Firestopping Inspection Report
Inspection request received:
Name: CT ea_ If Inspected on: I
J i get
Location: 33/ Aai k93fc Arrive: ' AD a .1 p.
Permit No.: ry ,a ,0 Inspector's Initials: 0-"a
TYPE OF STRUCTURE: rl 4141
1://
NIA COMMENTS:
,sFramingas
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing/Bridging
Joist hangers
Jack Posts/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 518 inch Type X
Garage side 518 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
Rough Plumbing / Insulation Inspection Reportdat6 i/
Office No. (518) 761-8256 Date Inspection re' . •l,.
Queensbury Building & Code Enforcement Arrive: 4 % 1;0`
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 6;Po i- PERMIT/ 1y'a 'a
LOCATION: 33/ _14-40 j fci44 INSPECT 0 ,: $-/`//'S/
TYPE OF STRUCTURE: RES A l-f-,
Y N N/A
Plumbing under slab
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1Y2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
t 1st*IC`=7
Drain/Vent ,- .,
Air/Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test - --
Water Supply Piping
Air/Head
50 P.S.I. for for 15 minutes
FI__u on/-Residential Check/Commercial Check Fuckku, pT
�mdow Sealing /
�pvek__ ro3rr�ilar Exterior Sealant _�,. � r7 ¶2,A
Proper Vent, Attic Vent Lei u,,6
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace •
tAi"-va _ & I 4E
Duct work sealed properly/No duct tape Cc) Qe0-,-,,
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumhing_Insulation tnspection_02 0513
Town of Queensbury Building &Code Enforcement
Office No. (518) 761-8256 / ��
Framing / Firestopping Inspection Report
Inspection request rreceived: t t 241 If
Name: Jam^ ^r�@A( Inspected on: e ei1 a- c,"°' 17
Location: Arrive: i �:� '.m.
Permit No.: az 4 - ;)-70 Inspector's Initials: Arigir
TYPE OF STRUCTURE: eJ 41d,
Cl �iti 1t/i /Ude'
�1Y / N NIA
Framing Qp-o j ✓/ COMMENTS:
ess 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing/Bridging
Joist hangers
Jack Posts/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 I Holes I Bearing Walls
Metal Strapping for Notches Top Plate
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 1/2 inch or 5/8 inch Type X
Garage side 518 inch Type X
Ceiling/wall
Windows Habitable Space I 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
Town of Queensbury Building & Code Enforcement R--70
Office No. (518)761-8256
Framing / Firestopping Inspection Report
Inspection request received: if (/( y
Name: �s Z Q i ( Inspected on: ♦ is
Location: 3 J( t1 Ptv i PZoe Arrive: = ���� :.m.
Permit No.: / `1- v Inspector's Initials: -'rte
TYPE OF STRUCTURE:
dIPPr
N NIA COMMENTS:
)ftraming sips
Attic Access 22"x 30"minimum F LtCD 5s-
c-� iN
Jack Studs/Headers —
Truss Specification Provided
Bracing/Bridging
Joist hangers
Jack Posts/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 '%(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 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
Foundation Inspection Report
O No.(518)761-8256 Inspection Date 411�:.
Queensbury Building&Code Enforcement Arrive: it-- ? : A "• Depart S -- .
742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini. : �,, � :,�`
NAME: �r,i-ACC P ' #: . 11-I -Z-(C�
LOCATION: x-VA.N1‘k t4 Q, INSPECT ON: —(—
TYPE OF STRUCTURE:
Comment
x
Footings
Piers Z Cr
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
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 R.
LAB iWing&Codes Forrnsgiuliding&Codesunspection Fwrrfloundadon Inspection Report doc
last printed 12/20/2005 9:24:00 AM
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