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AST-0288-2018TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: AST-0288-2018 Date Issued: Tuesday, April 2, 2019 This is to certify that work requested to be done as shown by Permit Number has been completed. AST-0288-2018 Tax Map Number: Location: Owner: 302.14-2-6 133 DIXON RD Katie Stammel Applicant:Katie Stammel This structure may be occupied as a: 3-season porch 150 sq. ft. By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance 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 or Zoning Board of Appeals. Director of Building & Code Enforcement i - TOWN OF QUEENSBURY ; � .. �) 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 ' _ _ 4:215, Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: AST-0288-2018 Tax Map No: 302.14-2-6 Permission is hereby granted to: Katie Stammel For property located at: 133 DIXON RD 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 Owner Name: Katie Stammel Porch-3 Season,Covered,Enclosed $18,000.00 Owner Address: 133 Dixon RD Total Value $18,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Leone Construction PO Box 4041 Clifton Park,NY 12065 Plans&Specifications 3-season porch 150 sq.ft. $125.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 15,2019 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of eens4 rid. ,I 018 IL SIGNED BY: p for the Town of Queensbury. Director of Building&Code Enforcement A -,,,,,c-seirInci-Tqcffice.s...,,, II `" ADDITION/ALION PERMIT Permit#: 4 .2 ,a-®/ 2/ ,., .. APPLICATION Permit Fee:$ !faCi. TOBG ofCu eensbury �J 742 Say Road,Queensbury,NY 12804 Invoice#: C 3/ P:518-761-8256 www.queensbury.netJ3 3 � /1./ APro'ect Location: f f � 3 r t�',�`�o'� �d tr,t; ,��i'�`�-- Tax Map ID#: 30A Subdivision Name: 17 nilMA � it l CONTACT INFORMATION: 2Oi c t � " L l r�• Aplicant' ;, �s Name(s): 77E 57'1� /E-4.. Mailing Address, C/S/Z: 133 b/XC 2 /0 f✓ ff-ki S ud-'y`AJY/ / g aq Cell Phone: ( .°�/g) 336 �-S15 3 Land Line: ( ) Email: ktcash 69i'?a/wG:CYi-9 • Primary Owner(s): Name(s): K19 i lL 5 /2'l. Mailing Address, C/S/Z:/33 IJiXc l k A.(0e) 4-4.5iu- ? ,A)/ l gag Cell Phone: ( S7g )336—5 53— Land Line: ( ) Email:f CcL$/3/ 9/3 406-`COP-f • Contractor(s): Business Name: 8 CK&mil? � &'Lt E2 L.r , (Fa_FvoAi1T' !Cki c)/t1 t` Contact Name(s): f''1 /CH�9 2/9S S Mailing Address, C/S/Z: %k 8��"itki.4 ,S'j o2 A- j f '3? Cell Phpne: (57g )3 /•--// Land Line: ( ) • Architect(s)/Engineer(s): Business Name: Contact Name(s): t3/3.0 I /iiP/33n/JKK Mailing Address, C/S/Z: Cell Phone: (,a/i9 )q -o?'96 Land Line: ( ) Email:d beLhi S Cuz77SLI_s'd'P®C6/1/ CC. Contact Person for Building&Code Compliance:A/KC- 1.. DA)L it) — Cell Phone: ( SS' g ) s , -- i o ef J ( / LL, 65 Email:/'q//�£'_</eo�e Y9ffcO-C601 CL//%e9,6 1->.4 litiyr f g 1O br. - 6 � Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 PROJECT INFORMATION: TYPE: Commercial X. Residential 3 E,q3 '&.1 tece)1 / WORK CLASS: X.Single-Family Two-Family Multi-Family(#of units Townhouse Business Office Retail _Industrial/Warehouse Garage(#of cars ) —Other(describe ) ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: f 6-O 1st floor: 2nd floor: 2nd floor: 3rd floor: 3rd floor: 4th floor: 4th floor: Total square feet: lam® Total square feet: ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$ / C)/ , 2. If Commercial project,what is the proposed use: 3. Source of Heat(circle one): Gas Oil Propane Solar Other AkkiE Fireplaces need a separate Fuel Burning Appliances&Chimney Application 4. Are there any structures not shown on the plot plan? YES NO Explain:.5,'>,Pa--- &'2J/'e- -�(44.5 5. Are there any easements on the property? YES 6. SITE INFORMATION: a. What is the dimensions or reage of the parcel? /x f 3 5 b. Is this a corner lot? 4V3 NO c. Will the grade be changed as a resul • the construction? YES VO d. What is the water source? PUBLIC PRIVATE WELL e. Is the parcel on SEWER or PRIVATE SEPTIC system? r- Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 DECLARATION: 1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If the work is not completed 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 and/or description of the work proposed, that all work will be performed in accordance with the NYS 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 occupancy. I have read and agree to the above: PRINT NAME: ift-ke vi hihiP_ SIGNATURE: • r ,,..___, DATE: /4I g Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 INSPECTION WORKSHEET (BINS-005114-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:AST-0288-2018 Case Module:Permit Inspection Date:Thu Apr 4, 2019 Inspection Status:Cancelled Inspector:Charles Dyer Inspection Type:Building Foundation Job Address:Parcel Number:133 DIXON RD Queensbury, NY 12804 302.14-2-6 Contact Type Company Name Name Applicant Stammel, Katie Contractor Black Bear Stone Builders, LTD Granted Permission Stammel, Katie Contractor Leone Construction Primary Owner Stammel, Katie Checklist Item Passed Comments Building Inspector Notes NO Footings YES With 2 rows # 4 Piers NO Monolithic Slab NO Reinforcement in Place NO Foundation / Wallpour NO Reinforcement in Place NO Apr 04, 2019 Page (1) INSPECTION WORKSHEET (BINS-005114-2018) Checklist Item Passed Comments Footing Dowels or Keyway in place NO Foundation Dampproofing NO Foundation Waterproofing NO Footing Drain Daylight or Sump NO Footing Drain Stone - 12 inch width NO Footing Drain Stone - 6 inches above footing NO Footing Drain stone - 6 mil poly NO Backfill Approval NO Plumbing Under Slab NO PVC / Cast / Copper NO Foundation Insulation Interior / Exterior NO Rough Grade 6 inch drop within 10 ft.NO Poly Under Slab NO Apr 04, 2019 Page (2) Dyer, Charles (Inspector) INSPECTION WORKSHEET (BINS-007716-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:AST-0288-2018 Case Module:Permit Inspection Date:Thu Apr 4, 2019 Inspection Status:Passed Inspector:Charles Dyer Inspection Type:Building Framing Job Address:Parcel Number:133 DIXON RD Queensbury, NY 12804 302.14-2-6 Contact Type Company Name Name Applicant Stammel, Katie Contractor Black Bear Stone Builders, LTD Granted Permission Stammel, Katie Contractor Leone Construction Primary Owner Stammel, Katie Checklist Item Passed Comments Building Inspector Notes YES For 3 season room, no heat Framing YES Attic Access 22 x 30 minimum NO Jack Studs Headers YES Continuous Header for Garage Doors with Straping NO Truss Specification Provided NO Apr 04, 2019 Page (1) INSPECTION WORKSHEET (BINS-007716-2018) Checklist Item Passed Comments Bracing Bridging YES Hurricane Clips/Uplift Screws/Nail Holes Filled YES Air Seal all Plates and Sills NO Air Seal All Registers at Floor NO Air Sealing all Joints Before Insulation NO Joist hangers YES Jack Posts Main Beams NO Exterior sheeting nailed properly NO 12 O.C.NO Headroom 6 ft. 8 in.NO Notches Holes Bearing Walls NO Metal Strapping for Notches Top Plate NO Draft stopping 1,000 sq. ft. floor trusses NO Anchor Bolts 6 ft. or less on center YES Ice and water shield 24 inches from wall YES Provide ice and water shield Verified 10/31/18 Apr 04, 2019 Page (2) INSPECTION WORKSHEET (BINS-007716-2018) Checklist Item Passed Comments Soffits-Insulation Baffel NO Windows Habitable Space Bedrooms NO 24 in. (H)NO 20 in. (W)NO 5.7 sf above below grade NO 5.0 sf grade NO Design Professional Sign-off, if required NO Apr 04, 2019 Page (3) Dyer, Charles (Inspector) INSPECTION WORKSHEET (BINS-005186-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:AST-0288-2018 Case Module:Permit Inspection Date:Thu Apr 4, 2019 Inspection Status:Passed Inspector:Charles Dyer Inspection Type:Building Foundation Job Address:Parcel Number:133 DIXON RD Queensbury, NY 12804 302.14-2-6 Contact Type Company Name Name Applicant Stammel, Katie Contractor Black Bear Stone Builders, LTD Granted Permission Stammel, Katie Contractor Leone Construction Primary Owner Stammel, Katie Checklist Item Passed Comments Building Inspector Notes NO Footings YES With 2 rows # 4 Piers NO Monolithic Slab NO Reinforcement in Place NO Foundation / Wallpour YES With 2 rows #4 and verticals Approved 7/17/18 Reinforcement in Place NO Apr 04, 2019 Page (1) INSPECTION WORKSHEET (BINS-005186-2018) Checklist Item Passed Comments Footing Dowels or Keyway in place YES Foundation Dampproofing NO Foundation Waterproofing NO Footing Drain Daylight or Sump NO Footing Drain Stone - 12 inch width NO Footing Drain Stone - 6 inches above footing NO Footing Drain stone - 6 mil poly NO Backfill Approval NO Plumbing Under Slab NO PVC / Cast / Copper NO Foundation Insulation Interior / Exterior NO Rough Grade 6 inch drop within 10 ft.NO Poly Under Slab NO Apr 04, 2019 Page (2) Dyer, Charles (Inspector) INSPECTION WORKSHEET (BINS-007649-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:AST-0288-2018 Case Module:Permit Inspection Date:Thu Apr 4, 2019 Inspection Status:Partial Pass Inspector:Charles Dyer Inspection Type:Building Framing Job Address:Parcel Number:133 DIXON RD Queensbury, NY 12804 302.14-2-6 Contact Type Company Name Name Applicant Stammel, Katie Contractor Black Bear Stone Builders, LTD Granted Permission Stammel, Katie Contractor Leone Construction Primary Owner Stammel, Katie Checklist Item Passed Comments Building Inspector Notes YES For 3 season room, no heat Framing YES Attic Access 22 x 30 minimum NO Jack Studs Headers YES Continuous Header for Garage Doors with Straping NO Truss Specification Provided NO Apr 04, 2019 Page (1) INSPECTION WORKSHEET (BINS-007649-2018) Checklist Item Passed Comments Bracing Bridging YES Hurricane Clips/Uplift Screws/Nail Holes Filled YES Air Seal all Plates and Sills NO Air Seal All Registers at Floor NO Air Sealing all Joints Before Insulation NO Joist hangers YES Jack Posts Main Beams NO Exterior sheeting nailed properly NO 12 O.C.NO Headroom 6 ft. 8 in.NO Notches Holes Bearing Walls NO Metal Strapping for Notches Top Plate NO Draft stopping 1,000 sq. ft. floor trusses NO Anchor Bolts 6 ft. or less on center YES Ice and water shield 24 inches from wall NO Provide ice and water shield Soffits-Insulation Baffel NO Apr 04, 2019 Page (2) INSPECTION WORKSHEET (BINS-007649-2018) Checklist Item Passed Comments Windows Habitable Space Bedrooms NO 24 in. (H)NO 20 in. (W)NO 5.7 sf above below grade NO 5.0 sf grade NO Design Professional Sign-off, if required NO Apr 04, 2019 Page (3) Dyer, Charles (Inspector) INSPECTION WORKSHEET (BINS-004983-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:AST-0288-2018 Case Module:Permit Inspection Date:Thu Apr 4, 2019 Inspection Status:Partial Pass Inspector:Charles Dyer Inspection Type:Building Foundation Job Address:Parcel Number:133 DIXON RD Queensbury, NY 12804 302.14-2-6 Contact Type Company Name Name Applicant Stammel, Katie Granted Permission Stammel, Katie Primary Owner Stammel, Katie Contractor Leone Construction Contractor Black Bear Stone Builders, LTD Checklist Item Passed Comments Building Inspector Notes NO Footings YES With 2 rows # 4 Piers NO Monolithic Slab NO Reinforcement in Place NO Foundation / Wallpour NO Reinforcement in Place NO Apr 04, 2019 Page (1) INSPECTION WORKSHEET (BINS-004983-2018) Checklist Item Passed Comments Footing Dowels or Keyway in place NO Foundation Dampproofing NO Foundation Waterproofing NO Footing Drain Daylight or Sump NO Footing Drain Stone - 12 inch width NO Footing Drain Stone - 6 inches above footing NO Footing Drain stone - 6 mil poly NO Backfill Approval NO Plumbing Under Slab NO PVC / Cast / Copper NO Foundation Insulation Interior / Exterior NO Rough Grade 6 inch drop within 10 ft.NO Poly Under Slab NO Apr 04, 2019 Page (2) Dyer, Charles (Inspector) INSPECTION WORKSHEET (001747-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:AST-0288-2018 Case Module:Permit Inspection Date:Mon Apr 1, 2019 Inspection Status:Passed Inspector:Mark Smith Inspection Type:Accessory Structure Final Job Address:Parcel Number:133 DIXON RD Queensbury, NY 12804 302.14-2-6 Contact Type Company Name Name Applicant Stammel, Katie Granted Permission Stammel, Katie Contractor Black Bear Stone Builders, LTD Contractor Leone Construction Primary Owner Stammel, Katie Checklist Item Passed Comments Building Inspector Notes YES 4/1/19 final inspection approved for C/C Site Plan / Variance required NO Apr 01, 2019 Page (1) Smith, Mark (Inspector)