2009-088 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090088 Application Number. A20090088
Tax Map No: 523400-301-018-0001-068-000-0000
Permission is hereby granted to: JEFFREY&KARI BENWAY
For property located at: 13 FAWN Ln
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: JEFFREY &KARI BENWAY
13 FAWN Ln Residential Addition $20,000.00
QUEENSBURY, NY 12804 Total value $20,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-088
576 sq ft residential addition
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,April 02, 2010
(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�6�24V:r
bu ZZrsd17ay, April 02, 2009
SIGNED BYfor the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20090088 Date Issued: Monday, August 10, 2009
This is to certify that work requested to be done as shown by Permit Number P20090088
has been completed.
Location: 13 FAWN Ln
Tax Map Number: 523400-301-018-0001-068-000-0000
Owner: JEFFREY & KARI BENWAY
Applicant: JEFFREY & KARI BENWAY
This structure may be occupied as a:
Residential Addition
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 other issues and conditions as a result of approvals by the 1.61
Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
OFFICE USE ONLY of,
TAX �NO. PERMIT N0._—�
FEES: PERMIT:?j�RECREATION ENGINEERING ,
(If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE O\F'A VALID PERMIT FOR CONSTRUCTION..
APPLICANT/BUILDER: 1V C.'4- D0.k OWNER: atrP--- ' kv-k
ADDRESS: ADDRESS: J �c`�t,J�� (16 y
PHONE NOS. 7C(b'�cCj� PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: N►C Da `e PHONE: _19 b -
LOCATION OF PROPERTY: �j �p�uJn �.alr�e Q�jU
SUBDIVISION NAME: (VlGIy) eC�
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z 0 d
PROJECT 0O . p F-w
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w J o = H O � Z
H 0 Z C1 H � OH � w —
Z Q Q .- (n N (n O LL H w d 2 06
SINGLE FAMILY
TWO-FAMILY
i
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE j
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS:
FQTIMATPn r`rW4ZT01 1r'TIr1A1 rInCT•
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
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 a ree to the above.
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoninq 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.
o Application: ,
r"
B & CODE APPROVAL ZONING APPROVAL 10
, ;
, 11
11
11
OAT DATE
00
QUESTIONS? CALL 761-8256 OR EMAIL
codesCftueensburv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
WWW-queensbuu-net
Operating Permit Issued: Yes No
Queensbury Building & Code Enforcement - esidential Final Inspection
\_,
Office No. (518)761-8256 Arrive: C am/pm Depart: am/pm
Date Inspection request received: inspector's Initials:
NAME: W
PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments•
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 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors _
Handrail 4 or more risers
Guards at stairs deckspatios 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 Bracn /Handicapp2d Ramp Com liant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off a sed/regulator 18 inches above grade
Interior privacy I trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safetv glazing/Window in stairwells safeglazing
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 .ft.-150 s .ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency ress 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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum IN Gypsum
Basement stairs closed rise>4 inches
Gars a Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed Properly
Gas Logs in Sealed or ure
Final Electrical
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 re uired
Okay to issue C I C or C 10 Tern orary/Permanent
L:\Building&Codes Forms\Building&Codes\lnspectiron Forms\Residential Final Inspection Fonn_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
S'
Permit No.�11_ .:.... .........Cert. �0 1118 3 Cut-in Card No.....................................
A): D N #- .Owner............. .
........................................... . .........................
t
Location.......... ..... .................................................................. .. .......
Installation Consisting of. Q..... /...�..........r................................... .............
../i/....�5................................................................................................................................................
....................................................................................................................................................................................
InstalledBy....�.�-�.......f.................................................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of pttk7 inspections at any time, and if its
rules are violated,the Company shall have the right r k thi ertifi ate.
` (9
Date......................... ....................... INSPECTOR......... ..:... ............................................................................
Member N.F.P.A.,I.A.E.I.
d _( �- pv"-
Rough Plumbing / Insulation Inspection Re ort
Office No. (518) 761-8256 Date Inspection requ 0—�
Queensbury Building & Code Enforcement Arrive:``"j/ rt: 2� a m
742 Bay Road, Queensbury, NY 12804 Inspector's Initi
NAME: P IT #: 7
LOCATION: INS CT ON:
TYPE OF STRUCTURE: CTI
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 Y2 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
Air/Head
r 15 minutes
Insulation/ esidentiai Check/Commercial Check 'Vv� � t
imilar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/ Hot Water Piping Insulation =A {\Q°o tz�;
If required unheated spaces �N� y
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
Framing / Firestopping Inspection Repo
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/ Depart: r am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON: D�
TYPE OF STRUCTURE:
i Y N NIA COMMENTS:
Framing i
22" x 30" minimum
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%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. W
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Fomos-oLD WIdN&Codesllrspedion FomisTwOng Firestopping Inspection Rewtdoc Revised January 7,2008
k --��,es�
Framing 1 Firestopping Inspection Report
Office No. (518)761-8256 Date inspection I
Queensbury Building&Code Enforcement Arrive: n rt: a�
742 Bay Road, Queensbury, NY 12804 inspector's snit'
NAME: B01 IAJ PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/a Framing COMMENTS:
Attic Access 22"x 30" minimum
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 h w 16 gauge 8 16D nags each side
Draft stopping 1,000 sq. ft. floor trusses
less on center
Ice and water shiel 24 inches from wall
Fire , 3 hour
Fire wail 2, 3, 4 hour
Firestopping
Penetration sealed
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
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. CM
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forms-0L013uN ft&CodesUnspedion FoffmTranKng Faetoppirg Inspection Repoftdoc Revised January 7,2006
Foundation Inspection Report
Office No.(518)761-8256 Date Ins 'o qu rec e
Queensbury Building&Code Enforcement Arrive: part:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi s:
NAME: L PE T
LOCATION: INSPECT ON.
TYPE OF STRUCTURE:
Commeab
Y N N/A
Footings
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 Repoit.doc
Last printed 12/20/2005 9:24:00 AM