2013-173 TOWN OFQ UEENSBURY
742 Bay
� Road, L N '
1 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130173 Date Issued: Wednesday, June 26, 2013
This is to certify that work requested to be done as shown by Permit Number P20130173
has been completed.
Location: 92 FOX Rd
Tax Map Number: 523400-266-001-0001-042-000-0000
Owner: STANLEY & MARIE LACKEY JR
Applicant: STANLEY & MARIE LACKEY JR
This structure may be occupied as a:
Deck 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 VVV
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
1
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OFFICE USE ONLY
�I TAX MAP NO. L61(I' 1 —1 —(-1a PERMIT NO. 4
FEE PAID $7) BLDG. &CODES APPRO A
ACCESSORY STRUCTURE B ILDING "ERMIT APPLICATION
Use this application for any structure other than the Principal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED
A VALID BUILDING PERMIT.
OWNER: .�
\—� �� INSTALLER/BUILDER:
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ADDRESS: ADDRESS:
PHONE NOS. \\:• ���:`�\Z"C\ ul'• '\V\- ta`-\\R, PHONE NOS.
LOCATION OF PROPERTY: ��.�c�h ' s �u��r ut SUBDIVISION^� NAME:
G
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: ! ct
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES lir-NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
1ST HD PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ,FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH'
BOATHOUSE
•
BOATHOUSE WITH SUNDECK
DOCK
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA & MUST COMPLY WITH FAR (FLOOR AREA RATIO].REQUIREMENTS IF THE
STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done
on the described premises and that all provisions of the Building Codes, the Zoning Ordinance,
and all other laws pertaining to the proposed work shall be complied with, whether specified or
noted, and that such work is authorized by the owner. Further, it is understood that I/we shall
submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested
by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed
surveyor, drawn to scale, showing actual location of all new
construction.
QUESTIONS? CALL 761-8256 OR EMAIL
codesaqueensburv.net
I have read and agree to the above.
VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
Signed o\-c. �� Dated: \�
•
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
QueensburyBuildin & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: Z 1j- am/pm
Date Inspection request received: Inspector's Initials:
NAME: L..6 f'i r� PERMIT#: 13 —117-3
LOCATION: '1' J Fo Rd DATE: I p- /3
TYPE OF STRUCTURE: 0 Q C
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent througkrro�murn,18 inches
Roof Complete/Exteriorkfinish'Com Ip ete .
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
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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.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'/z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 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 Plan /Variance required
-:‘(/)
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codesllnspection Forms1Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: _am/pm Depart: ' �%am pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: )
NAME:_ f�� (� PERMIT#: • - 7-�
LOCATION: C'r�`� !=J)' Y' INSPECT ON: '1
TYPE OF STRUCTURE: -T)
Y N N/A COMMENTS:
Framing 1
Attic Access 22" x 30" minimum jp`)-(4
Jack Studs/ Headers
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 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
L:1Buiiding&Codes Fomes-OLD\Bui thing&CodesUnspeciion Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
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Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: Cj 3
Queensbury Building&Code Enforcement Arrive: am/i m Depart. am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
r
A :;2O ( 3- 173
NAME: PERMIT#: I
LOCATION: a- - / INSPECT ON: 53 /9 / 3
TYPE OF STRUCTURE: /-7K
2 S i Comments
Y
,Footings z/
Piers
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 ft.
L:\Bufding&Codes Forrns\Buliding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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