2014-613 _e TOWN OF QUEENSBURY
`�^�� 742 Bay Road,Qucensbury,NY 12804-5902 (518) 761-8201
_/a
Community Development - Building Sc Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140613 Date Issued: Wednesday, January 07, 2015
This is to certify that work requested to be done as shown by Permit Number P20140613
has been completed.
Location: 79 BOULEVARD
Tax Map Number: 523400-304-017-0001-026-000-0000
Owner: CHERYL POETTE
Applicant: CHERYL POETTE
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
cD. 41/owner of the responsibility for compliance with Site Plan, Variance, orA'
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
Nfr
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140613 Application Number: A20140613
Tax Map No: 523400-304-017-0001-026-000-0000
Permission is hereby granted to: CHERYL POE l I E
For property located at: 79 BOULEVARD
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: CHERYL POETTE Residential Alteration $18,350.00
79 BOULEVARD Total Value $18,350.00
QUEENSBURY NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
RUSSELL LEHOISKY
518-338-6950
6 HILTON Dr
SO. GLENS FALLS NY 12803-0000
Plans& Specifications
2014-613
Res. Alteration
Shelter Planning Project
$50.00 PERMIT FEE PMD-THIS PERMIT EXPIRES: Tuesday,December 01,2015
(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 ee butt', /1 Iondaly,1pecember 01,2014
SIGNED BY A i -_ ,r./" for the Town of Queensbury.
Director of Building&Code Enfo>- ent
.../
PRINCIPAL STRUCTURE APPLICATION - Office Use Only
DATE nl t .4% • , _Received`� !I `'
1iJ)% r ` Tax Map.ip 3111 'f• 117_1-4 co
TAX MAP ID krri t NOV 2€ 2 it N°!J j <1- La 13
1tl t 111 Permit Fee 6"e.)
ZONING 1� A _Rec Fee;Y
` � ni Inti Site Plan#
HISTORIC SITE Yes No
— �— Subdivision it
SUBDIVISION NAME Lot#
TOWN Ba RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWEWNGS,DUPLEXES
OR TWO FAMILY DWEWNGS, MULTIPLE FAMILY DWEWNGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED &
MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.-
APPLICANT '`4-555e1\ Le-L-441 VI( OWNER C7�{vyisOc{Z [�
ADDRESS C (-4I l 0 -... b / ADDRESS '( ! Qa(w a t/0-1 1 Pe J
S. Gtt t c I c �7 I`\_/•y ( 7-$03 awe-ens 7,.^^y IA)/ l a8° I
PHONE/E-MAILZ*-558" o1 I»&II_�'5 L L PHONE/E-MAIL
CONTRACTOR A.55J� L'eln0, Sky 4ns4ucA•LC€OSTOFCONSTRUCTION(ESTIMATED): $
ADDRESS: ( N, Iboii. Ott BUILDING ADDRESS:
SD>~*L 64.,„, Y (�/5 my (-563
PHONE/E-MAIL .5—/1 if S 60 9 CO
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE (/S set( PHONE
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
' New 'Addition Alteration 1s'floor sq.ft. 2n°floor sq.ft. Total sq.ftHeight
Single Family
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 • ,
*N.
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 &
Chimneys ..,
Are there structures not shown on plot plan?
Are there 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 _No
d. Public water or Private well
e. Sewer or Private Septic System
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. 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 occ pagcy.
I have read and agree to the above: PRINT NAME A 'St" ( r� DATE II _ 2' -2a/V
SIGNATUR • L M DATE 11-26 -201,1
ar
FOR OFFICE USE ONLY
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
'y
2
Town of Queensbury Building&Codes Principal Structure Application July 2014
1 Lies F" 3
%-4, Queensbury Building & Code Enforcement - Residential Final Inspecti•n
,i
Office No. (518)761-8256 Arrive: am/p rt:3 am/pm
Date Inspection request received: Inspector's Initials: A
NAME Pha"r4-a PERMIT#: J41-G713
LOCATION: 174:4 6 I 02 DATE: `-(r IS
TYPE OF STRUCTURE: ik a 1-I'•
Comments:
Yes No NIA �p
4" Building Number Address visible from road CQe U 30 frA r n &.ciad
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake 33 8-1a¶150
3 inch Plumbing Vent through roof minimum 18 inches R
Roof Complete/Exterior Finish Complete t0 ts'sail
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 access, 1 sq.fL 150 sq.ft.vents
Bathroom Fans, if no window
Plumbing fixtures -
Foundation insulation to floor/Sticker on Panel
Duct work seated 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
-.Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boler �� a
Relief Velvets)installed/Heat Trap/Water Temp 110 nf ry
Enclosed Stairs Sheetrock Underside minimum'%"Gypsum 4)
A.
Basement stairs dosed rise>4 inches (� l \
Garage Floor Pitched V
Garage fireproofing/%hour fire door/door closer O� 4
Gas Logs in Sealed or Glass Enclosure �� d L �m
Final Electrical;Energy Saving Light Bulbs 50% O
Final Survey Plot Plan y�Oe`if
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles y
Flex Gas Pipe Bonding �� ''O
As Built Septic System/Sewer Dept. Inspection Sticker co
Site Flood Pn Certification,
ertifce required al ,
Okay Plainiissue
/C or Clf [Tem /` ��,_
Okay to issue C/C or C 0[Temporary/Permanent] V//
1 Cuss 1D .9\tnatmie. ad6trnewer
L:1Building&Codes Forms\Building&Codesllnspection Fomrs\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
MOO . /1"4
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Ins a tion re uest received:
Queensbury Building & Code Enforcement Arrive: am/pm
742 Bay Road, Queensbury, NY 12804 Inspecto 'Inifia :
NAME: Pn e a PERMIT#: 3
LOCATION: `7' Q n (i IP 0/9 1'4ct INSPECT ON:
(
TYPE OF STRUCTURE: ' r^'P'C`F
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
("5-
50 P.S.I. for for 15 minutes
nsulation /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: cc----22, b 14V-
Rough Plumbing_Insulation Inspection_02 05 13
Town of Queensbury Building &Code Enforcement 1•/
Office No. (518)761-8256
Framing 1 Firestopping Inspection Report
Inspection request received:
Name: f-7 C- Inspected on: LZ v tk-
11/1MLocation: l' 13AA Arrive: 0 a.m.l p.m.
Permit No.: t4-'- Ce i 3 Inspector's Initials: dear
TYPE OF STRUCTURE:
Y NIA /� COMMENTS:
Framing V/
Attic Access 22"x 30"minimum V/
Jack Studs I 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 7�111
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall �i +
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour
Firestopping -- _
Penetration sealed l--
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
C Y/ Po if-C.. •
aiTH'fISP TANTOALLTIMSEESONPROJFOR1E;T
DURATION OF CONSTRUCTIC.d
QfifC
� SrFT PAPf~,. 'NSULArtor�
� MV WE C(
1 L{ ftIO1V.� OMrgbbb I/SrlL �j/�1�tRED el'
1
r. TOWN QUP M /Z '
9; ;rh A aKvjr: do ocriumi"� ot�a , Nr • .'. Norl�
V�^.<an nur,Oomlrie. s4Fl.rI„etEon,COM it n"t:' `� FOAMIceIN ```. ,F
„ } IfldlCa(kl DO COIY9h'Ucd as �. SI j� /' (()~
p h
New Yark sir with ine Bu Building� n,are in '----....,,,e'..„, �V 11/1UST(fir��
(
15 MlryU7.E
c��,. --"—.Rkttt‘ .
c__�
TOWN OF QUEENSBURY c°`'� ,
� _
BUILDING & COnF 4,. •T, ice; c; i
Reviewed . : �� o
Date: l Z ' ��
f- N
p
i r(• r
•
y
.
_d •
4
a
a ; at a '
�J
;r.. n: ° ."1.- .< °•:'` tis
J N- , . 4
: yh ri ro f `
\rro
. Fy iigw , L ;2,40:r
, „ , fy
4 c,„0 .
y
3 `
car ,,. bo
vi
too =0
',.,.
: a. m ., , . .,. . .