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2014-548 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: P20140548 Date Issued: Wednesday, December 17, 2014 This is to certify that work requested to be done as shown by Permit Number P20140548 has been completed. Location: 1 MANOR Dr Tax Map Number: 523400-301-008-0001-024-000-0000 Owner: MAPLE WOOD, LLC Applicant: MAPLE WOOD, LLC 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 other issues and conditions as a result of approvals by the Planning Board Director of Building&Code •'orce 4.nt or Zoning Board of Appeals. TOWN OF QUEENSBURY Vera742Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140548 Application Number: A20140548 Tax Map No: 523400-301-008-0001-024-000-0000 Permission is hereby granted to: MAPLE WOOD. LLC For property located at: 1 MANOR 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: MAPLE WOOD, LLC Residential Alteration $8,400.00 6 E MANOR Dr Total Value $8,400.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2014-548 1C Manor Drive Res. Alterations 72 sq.ft. (smoke damage) $60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,October 30,2015 (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 To of Qu sbu /f Ts? S ctober 30,2014 /d G SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only DATE /O sj94/OVVY Received Tax Map ID TAX MAP ID Y f--' �� Permit No. e' - t.J Permit Fee 41- V N Rec Fee ZONING .3\�=; Site Plan# HISTORIC SITE Yes )c No Subdivision # SUBDIVISION NAME Lot# TOWN BD.RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLINGS,DUPLEXES OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED & MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE. AftJ / G/ APPLICANT �L. OWNER ADDRESS — 41)gi)®r O r ADDRESS �'f � LG �� P2)1-1- ctIeca,flour-{/ divid l 2 L) ( Al 1 PHONE/E-MAIL PHONE/E-MAIL ! � CONTRACTOR _ cm • COST OF CONSTRUCTION(ESTIMATED): $ UJ ADDRESS: ? � c BUILDING ADDRESS: / C- 4. s&lrbt /1/1 PHONE/E-MAIL-6-4-30 7 `'V, ?5- CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: )€ r( 1 PHONE (";'1(?--3,61) 'y S TYPE OF CONSTRUCTION Check all that apply Please indicate measurements as required below New Addition Alteration 1s`floor sq. ft. 2nd floor sq.ft. Total sq. ft. Height Single Family Two-Family Multi-Family S;� (# of units I/ )Atv'� 0,2 ��• 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 Source of heat (circle one) Gas Oil Propane Solar Other Fireplace: complete a separate application for Fuel Burning Appliances & /‘_ 4Chimneys Are there structures not shown on plot plan? /7/(/ Are there easements on the property? Site Information di"? - Pcivil 44/1 (Ks, a. Dimensions or acreage of lot b. Is this a corner lot? c. Will the grade be changed as a result of construction Yes No d. Public water or Private well e. Sewer or Private Septic System pr ;r Value of all work to be performed (labor or materials) $ 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. 1 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: : r . in DATE /6 —015_ /1 SIGNATURE: M ,_ DATE/0_J -- 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 ues9I/ Multiple Dwelling, Hotel, Motel, Apartment Final Inspection Report Office No.: (518)761-8256 Date Inspection request received: .� Queensbury Building&Code Enforcement Arrive: am/pm Depa . ' \ -:'�'"'. '' 742 Bay Road,Queensbury, NY 12804 Inspector's Initials. NAME: Y Q -(> (30t PERMIT#: S.-q8 LOCATION: t C Gtnd r D r . DATE: I ok- /L2-4 t"/ Y N NA COMMENTS: Chimney Height / "B" Vent / Direct Vent Location h Plumb Vent Thru Roof Minimum 6" f LJ�'�' 3 f7 /'"&/5 Roof Complete 0 Exterior Finish Complete / Finish Grade 6" In 10' Drop Interior/Exterior Railings 34 Into 38 in. / 36" Landing, Decks, Porches Exterior Handrails, Balconies, Landing 30" Or More Interior Handrails Balconies / Landing 30" Or More Interior Handrails Stairs 1 or More Risers Guardrails 42", Ballisters 4" Minimum Spacing Vestibules For Exit Doors > 3000 sq. ft Doors 36" / Lever Handles Headroom 6' 8" on Stairs Bathroom / Kitchen Watertight Smoke Detectors: Every level, Every bedroom �7 Outside every bedroom, Interconnected Battery \ �-- Backup Carbon Monoxide Alarm - lowest sleeping level V Bathroom Fans / Plumbing Fixtures Complete I Foundation Insulation --1>A441\y^ Fire Separation, 3/4, 1, 2 hr. Fire Walls 1, 2, 3 Hour / Fire Door 3/4, 1 1/2, 2 Hour Handicapped Accessibility / Handicapped Parking/Signage Gas Log In Sealed or Glass Enclosure Gas Valve Shut-Off Exposed / Regulator 18" Above Grade Gas Furnace Shut-Off Within 30 ff. or Within Line Site Oil Furnace Shut-Off at Entrance to Furnace Area Furnace / Hot Water Heater Operating / Fresh Air Intake Low Water Shut-Off for Boiler Relief Valve, Heat Trap /Water temp 110 Degrees Max. Garage Fireproofing Complete, Penetration Sealed Furnace In Separate Room / Protected (In Garage) Light Ventilation per Room /Safety Glazing Attic Access 30" x 20" x 30" (H) / Crawl Space 18" x 24" Final Electrical Site Plan/Variance Required Final Survey Plot Plan / Flood Plain Certification, if Req. As-built Septic System Layout Required Building /Apartment Number on Building or Driveway Build Access All Sides by 20', Driveable Surface 20" Wide • Okay To Issue Temp C/O or Permanent CO (circle one) Okay To Issue C/C L:\B&C APPLICATIONS-OFFICE USE\MULTIPLE DWELLING.doc ca' Rough Plumbing / Insulation Inspection Report rs� u ~ Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: I , r' am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: N\ pkg 10 nock PERMIT#: M'S-cirg LOCATION: d I\66—P cr Dr INSPECT ON: /F17 —AY TYPE OF STRUCTURE: ps 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 Insulation / Residential Check / Commercial Check Window Sealing 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 Blower Door Test Air Sealing COMMENTS_ Rough Plumbing_Insulation Inspection 02 05 13