2014-433 TOWN OF QUEENSBURY
Fom 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140433 Date Issued: Wednesday, December 03, 2014
This is to certify that work requested to be done as shown by Permit Number P20140433
has been completed.
Location: 7 PHILLIPS Ave
Tax Map Number: 523400-303-020-0001-044-000-0000
Owner: CARL MATTISON
Applicant: CARL MATTISON
This structure may be occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property GG�66��'' Tc�7y\l jail
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: P20140433 Application Number: A20140433
Tax Map No: 523400-303-020-0001-044-000-0000
Permission is hereby granted to: CARL MATTISON
For property located at: 7 PHILLIPS Ave
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: CARL MATTISON
7 PHILLIPS Ave Residential Addition $9,200.00
QUEENSBURY,NY 12804-0000 Total varve $9,200.00
Contractor or Builder's Name/Address Electrical Inspection Agency
VOLINO. ANTHONY J. SR.
Plans&Specifications
2014-433
Res. Addition 441 Sq ft
$100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, September 23,2015
(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 Town.of Queue nsbur 41 Tu September 23,2014
SIGNED BY c //J)a%✓P i j for the Town of Queensbury.
Director of Building&Code En • cement
PRINCIPAL STRUCTUR APPLICATION ; 1.1. ' \ Office Uset Only
DATE 161 i g
�\\ 1 rL t �1 if � Received 3
� •t �c`t' 1 G 2�Permit NIoax Map D / • I -
�� g -
TAX MAP ID �� p 3 . 0�0' �� �, �I .I t
A y ►t�-� „.. 't P mit/Fee • 'a ..
ZONING TOg ILDtNG&C CRec=Fee
Site Plan#
HISTORIC SITE Yes No Subdivision #
SUBDIVISION NAME Lot#
TOWN BD.RESOLUTION 8E-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWEWNGS,DUPLSCES
OR TWO FAMILY DWELUNGS, MULTIPLE FAMILY DWELUNGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED &
MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.
APPLICANT I/JI ALJA 4 + . r OWNER
/ n5
ADDRESS ta ADDRESS I JII r t.I/r/
�
PHONE/E-MAIL +\ !.1 it /, i AO ' lr . I / • PHONE/E-MAIL t
CONTRACTOR i I••�( (',, l/��n�,I M��1d COST OF CONSTRUCTION ESTIMATED : $ fLCJ
ADDRESS: l �V iliret`1�/lse eti 7ke' 'UILDINGADDRESS: 7 }/I/i;) )1;
PHONE/E-MAIL `5 3W-1 (.1Th
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: �/ PHONE
TYPE OF CONSTRUCTION
Check alt that apply • Please indicate measurements as required below
New Addition Alteration 1st floor sq. ft. 2nd floor sq.ft. Total sq.ft. Height
Single Family • - F-
.
Two-Family
Multi-Family
(#of units )
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(#of )
Other
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business
Proposed use of building or addition A,�,I; I
Source of heat (circle one) • Gas it Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances &
Chimneys
Are there structures not shown on plot plan?
Are there easements on the property? j
Site Information
a. Dimensions or acreage of lot u__1 -1
b. Is this a corner lot? Nth
c. Will the grade be changed as a result of construction _Yes V No
d. Public water or Private well P ,, C,
c
e. Sewer or Private Septic System ,�eqt/
Value of all work to be performed (labor or materials) $ 011a-00 th •owe y.
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department
approval.
3. 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.
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy.
5. 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 . occu ancy.
I have read and agree to the above: PRINT NAME: es
L 1( 0 DATE
�
SIGNATURE: �/�_ "at, A .,/. .l DATE q
FOR OFFICE USE ONLY
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building&Codes Principal Structure Application July 2014
ue s /04:
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection r ; ..
Queensbury Building&Code Enforcement Arrive: -; � ,Depart: ,
742 Bay Rd., Queensbury, NY 12804 \ Inspector's- Ini is s:
NAME: ('(1 g0 /}a I Q iti �l IT#: / -/ '17-3
LOCATION: 7 1 '11 y r l P INSPECT ON: \\ -755 -19
TYPE OF STRUCTURE: 2A) Ad dl
Comments
`f9
Y N N/A
Footings
Piers 4% SFt%ic-2 0 .�
Monolithic Slab ���
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete. Ct��
Materials for this purpose on site. C/ r, ° Rl.O.{'c! hD
Foundation/Wallpour
Reinforcement in Place 1O,) �
Footing Dowels or Keyway in place
Foundation Dampproofing
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 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
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wi
Rough Plumbing / Insulation Inspection • port � a
Office No. (518) 761-8256 Date Inspection.aq st r;ce' I \-lam
Queensbury Building & Code Enforcement Arrive: 'Aril,. am r r
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: a,— / tit
NAME: (\®-v , sen PERMIT#:
LOCATION: `� FL j [(I' S INSPECT 0 ' _ m / '//
TYPE OF STRUCTURE: PtE.S IT,10- 3/--c1 OM
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 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. for 10 ft. above highest connection for 15 minutes
Pressure Test -- - -
Water Supply Piping
Air/Head
50 P.S.I. for for 15 minutes
slrfa-ion Sidential Check/Commercial Check c7i ss
Window Sealing 2Fc"aoQ
Tyvek or Similar Exterior Sealant C FL�
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation) V — '� LOM.1-1?
Duct/Hot Water Piping Insulation V--_3S
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape ® '-51--V*L\N4
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumhing_Insulation Inspection_02 0513
Town of Queensbury Building & Code Enforcement / meg (9-1/
Office No. (518) 761-8256
Framing / Firestopping Inspection Report
Inspection request received: ,, LL
Name: m0-44.6—So !1 Inspected on: /.o
Location: tJ fl J flips Arrive: �� a.I, p.
J'
Permit No.: i— y.3 3Inspector's Initials: /
TYPE OF STRUCTURE: Fs Add
Y N NIA COMMENTS:
Attic ss 22"x 30°minimum � �
Jack Studs/Headers
Truss Specification Provided
Bracing/Bridging
Joist hangers i� _
Jack Posts/Main Beams e, �
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) 160 nails each side
.11 stopping 1,000.ores. t.floor trusses
• i..11 or Bolts 6 ft. less on center _
ctand wat shield inches frgm'waft
Fir eparation 1,2,3 hour
F
e' all 2,3,4 hour
estopp>
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 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
"Z..= OCD
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection reque -: i t
Queensbury Building &Code Enforcement Arrive: %<fO a 'l11'�/ epart: am n J
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
�i
/ PA — `
_
NAME: 1'14;1"1-11)043 PERMIT#: ,
LOCATION: 7 'P NA tt L R5 R.,\F INSPECT ON: 01 —7 i4— 1 Lir
TYPE OF STRUCTURE:
ECi1 Icia Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
? for 48 hours following the placement
9 �. of the concrete.
Materials for this purpose on site.
(_Foundation/Wallpour
tkstht
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6;:zacIctill
6 mil poly for wet areas under slab
Approval I
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM
Olt \Z .
Foundation Inspection Report
Office No. (518) 761-8256 Date Ins ection request received:
Queensbury Building&Code Enforcement Arrive: 0 Depart: ]J= tt
742 Bay Rd., Queensbury,@NAY X12804 Inspector's Initia s: SO \—
NAME: Make-l.ppt.\ PERMIT#:
[�
LOCATION: f )- tl( s J •
INSPECT ON: p
TYPE OF STRUCTURE: 1—ZIP Lk-
Comments Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
ofthe concrete.
Materials for this purpose on site.
Foundation/Wallpour .0 ESQ_ _�� laECt\V--,1
Reinforcement in Place , 1 \V--V
Dowels or Keyway in place @_ Z_O�� a
Foundation Dampproofing
Foundation Waterproofmg
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 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM
ithp&del 'pmm
Foundation Inspection Reporter cA-Vlei--kE
t�IN , Vek- w Ic_.?-e\-er
Office No. (518) 761-8256 Date Inspgio e 1 ue ci Z=th �'
e
Queensbury Building&Code Enforcement Arrive: Atps.:J.� �tiepart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: c
if
NAME: M Ott l.o, PERMIT#: /#</`—'4133
`4f33
LOCATION: "7 Ph ,v1 1 ► . INSPECT ON: CI—7)419
TYPE OF STRUCTURE: i - / . 74,44
Comments
Y j N N/A
;\ Footings �V/
Piers
Monolithic Slab
Reinforcement in Place Y/
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 Dampproofing
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 ft.
L:\Building&Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM