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.
$125.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 15,2019
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of eens4 rid. ,I 018
IL
SIGNED BY: p for the Town of Queensbury.
Director of Building&Code Enforcement
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`" ADDITION/ALION PERMIT Permit#: 4 .2 ,a-®/ 2/
,., .. APPLICATION Permit Fee:$ !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
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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$/3/ 9/3 406-`COP-f
• Contractor(s):
Business Name: 8 CK&mil? � &'Lt E2 L.r , (Fa_FvoAi1T' !Cki c)/t1 t`
Contact Name(s): f''1 /CH�9 2/9S S
Mailing Address, C/S/Z: %k 8��"itki.4 ,S'j o2 A- j f '3?
Cell Phpne: (57g )3 /•--// Land Line: ( )
• Architect(s)/Engineer(s):
Business Name:
Contact Name(s): t3/3.0 I /iiP/33n/JKK
Mailing Address, C/S/Z:
Cell Phone: (,a/i9 )q -o?'96 Land Line: ( )
Email:d beLhi S Cuz77SLI_s'd'P®C6/1/
CC. Contact Person for Building&Code Compliance:A/KC- 1.. DA)L it) —
Cell Phone: ( SS' g ) s , -- i o ef J ( / LL, 65
Email:/'q//�£'_</eo�e Y9ffcO-C601 CL//%e9,6 1->.4 litiyr f g
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Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE: Commercial X. Residential 3 E,q3 '&.1 tece)1 /
WORK CLASS:
X.Single-Family Two-Family Multi-Family(#of units
Townhouse Business Office Retail
_Industrial/Warehouse Garage(#of cars ) —Other(describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: f 6-O 1st floor:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
4th floor: 4th floor:
Total square feet: lam® Total square feet:
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ / 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)