2010-116 iA TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Q rY,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100116 Date Issued: Wednesday, June 27, 2012
This is to certify that work requested to be done as shown by Permit Number P20100116
has been completed.
Location: 52 MC CORMACK Dr
Tax Map Number: 523400-288-016-0001-067-000-0000
Owner: ANASTASIA R MC CORMACK
Applicant: ANASTASIA R MC CORMACK
This structure may be occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
(-DJIssuance of this Certificate of Occupancy DOES NOT relieve the property I •
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
com 742 Bay Road Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100116 Application Number. A20100116
Tax Map No: 523400-288-016-0001-067-000-0000
Permission is hereby granted to: ANASTASIA R MC CORMACK
For property located at: 52 MC CORMACK Dr
in the Town of Queens bury,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 Queens bury Zoning
Ordinance. Type of Construction Value
Owner Address: ANASTASIA R MC CORMACK
52 MC CORMACK Dr Residential Addition $18,200.00
LAKE GEORGE,NY 12845-0000 Total Value $18,200.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-116
180 sq ft residential addition
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,April 08, 2011
(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 Toi.7
eens 4 , ,u,day,April 08, 2010
SIGNED BY a; for the Town of Queensbury.
Director of Building C ode nforcement
Z ./4. --I-G7
f , -- ,,fir, —,,
l� �� OFFICE USE ONLY I 17),-'s=..�i,.,.-_.. _..,.. .�r..i_.,..
TAX MAP NO. PERMIT NO. I,b;
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /A
ARE THERE EASEMENTS ON PROPERTY? Nu
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. 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.
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes( queensbury.net
Office Use Only VISIT OUR WFRRITF FOR Mf1RF iMGnonn Al I k1
Queensbury Building & Code Enforcement - Residential Fi• . ► spection
Office No. (518)761-8256 Arrive: 10'-35s -rt: O= a m
Date Inspection request received: Inspector's Initials:
NAME: C RM P. IT#: 1Q- 11
LOCATION: Z_ t\c Lo km SPC U e• s A : to —7_7—1 Z
TYPE OF STRUCTURE:
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 through roof minimum 18 inches
Roof 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 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
Furnace/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 closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/' hour fire door/door closer l
Gis Logs in Sealed or Glass Enclosure CQ Z���Z-
Fin I ElectricaNnergy Saving Light Bulbs 50% €CE il E� v3 f
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles INF 9--011`k �t
Flex Gas Pipe Bonding µU ep ) F-12-CA C.bt-t bu14
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required C_ � L Pt V-S
Flood Plain Certification,if required TO F OLC_Ol�
Okay to issue C/C or C/0[Temporary ermanent
1 s$\) CO
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
_j/ - / ),` / .--c Ill. > i (
r
Queensbury Building & Code Enforcement - Resident( 'ai --al Ins •:n
Office No. (518)761-8256 Arrive: ''--1::4--411M;;.-,31: 1/.
Date Inspection request received: Inspector's!nit . <-
NAME: 1 _ i '1 \ MIT#: �f {�,,
LOCATION: �' ? L e,' '' `- r. s ATE: `Z— i — 17_„,
TYPE OF STRUCTURE:
It-) 5 A-1-- . _ Comments:
1st Me . N9
4' Building Number Address visible from road --%1 f`� 1l 1 ►':':=( f /-1 -
Chimney Height/'B'Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 8 inches
Roof 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 i,�
Interior/Exterior Railings 34 indiss to 38 inches . c-)��
Deck Bracing/Handicapped Ramp Compliant
Grade away_from foundation 6 inches with 10 feettv/;
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 A
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 ,..ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation I Insulation 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 o•=rati AIIIIIII •<%--\
Low water shut-off boiler
Relief Vahre(s)installed/Heat Trap/Water Temp 110 , )?`�
Enclosed Stairs Sheetrock Underside minimum W G .sum �J ' tP
Basement stairs dosed rise>4 inches
Garage Floor Pitched /� �►
Garage fireproofing/%hour fire door/door doser 7- t�� �
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
A Final Electrical !. V_.__ _1
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding„
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required : /
Flood Plain Certification,if requiredPE-L-.7— Ci\iC
'g Okay to issue C/C or C/0[Temporary/Permanent I `_ VT
ET
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
ah•ITI frue, h„rd,..
Rough Plumbing I Insulation nspec ,i'on Report
Office No. (518) 761-8256 Date Inspection requ - - •:
Queensbury Building &Code Enforcement Arrive: Z p ani u)
742 Bay Road, Queensbury, NY 12804 Inspector's Initia .
NAME: or # PE' T #:
LOCATION: $z aryy t _ INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing/Nail Plates
Plumbing Vent I Vents in Place
1 %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. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
rl► . _ :d
r 15 minutes ► \ ;
Insulation -esidential Check I Commercial Check Q'ç
N rr"i -imilar Exterior Sealant % '-
'Q
Proper Vent, Attic Vent f
Door/Window Sealed (No Insulation) V _
Duct I Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
- f
Framing / Firestopping Inspection Re.;'" •
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/ Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 5ll,� /!
NAME: /lC� CC('r - cc C AT PERMIT#:
LOCATI : "� lt1 ,r��co�r br INSPECT ON: $ 2 7_/C7
TYPE OF STRUCTURE: v(
nN NUA �Framig COMMENTS:
A i ss 22"x 30" minimum
Jack Studs/Headers
BracingBridging � 9�
Joistthangers
ers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C. Kz1/4
Headroom 6 ft. 8 in.
Stairwells 36 in. or more .-- f C/2 �—'4L\''^'g''i<
Exterior Deck Bracing �
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Wails
Metal Strapping for Notches Top Plate
1 '6(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 wail
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour \�
Firestopping Oa
Penetration sealed (2j t7
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 � r _
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 Fortes-OLD Buildi g&CodesUnspedion Fom sVFrs ring Fw stcpping inspection RepoR.doc Revised January 7,2008
F /0 7v &
•
Foundation Inspection Report °7
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Dep . am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: 7/7‘C- C)f-
4�C PERMIT#: / —//6U
LOCATION: 5 c 'ri't � j.- INSPECT ON:
TYPE OF STRUCTURE: �l �
Comments
Y fN N A
Footings
Piers
• '+ is Slab L 9OCZIT-ej-(
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:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Framing / Firestopping Inspection Report I —
Office No. (518)761-8256 Date InspectiRnrequest received: 5-A 3�
Queensbury Building &Code Enforcement Arrive: I l . . am/ part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 1/1 c C 4 c 1)C PERMIT#: D '1
LOCATION: Co(& pc 1K n(Z , INSPECT ON: 'c 3
TYPE OF STRUCTURE:
Y NISA COMMENTS:
Framing
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts I 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/Bearing Walls
Metal Strapping for Notches Top Plate
1 'A(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'h 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:\Buikllng&Codes Fortes-01O Building&Codesllnspection FonnsTraming Firestopping inspection RepoLdoc Revised January 7,2008
A-T4- 9 - <)73(
Foundation Inspection Report , ---
Office No.(518)761-8256 Date Inspection nest received: � jC)/
Queensbury Building&Code Enforcement Arrive: p art: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
�Zt Sit
NAME: 7-Ek (J t AlfMc�'o (-7-'PERMIT l 04(� -1 I
�a ", � #:
LOCATION: ''5 - /111C-C `4r\IA-IiSSPECT ON: 57 S U / 11
TYPE OF STRUCTURE: Ar4 L56
Comment
Y N NL
Footings
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 Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
••ly for wet areas under slab
Bac is ,..royal
P umbing 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\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
� LoS — TO 3, 1K
Foundation Inspection Report (;21'tit
Office No.(518)761-8256 Date
Inspection request received: 5/3/I6‘
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: Th L C U R-M.A PERMIT#: a d I v -/l
LOCATION: m r C ►9 C u Icy-; INSPECT ON: ci/f O
TYPE OF STRUCTURE:
Comments
l
Y N N/A
Wootings —
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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
0104 Community Development Office
443$1, Town of Queensbury . 742 Bay Rd.
Queensbury, New York •12804 PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
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