2009-127 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090127 Application Number. A20090127
Tax Map No: 523400-302-011-0001-044-000-0000
Permission is hereby granted to: JANE MORRISSEY
For property located at: 22 FORT AMHERST 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 Value
Owner Address: JANE MORRISSEY
22 FT. AMHERST Rd Residential Alteration $16,000.00
QUEENSBURY,NY 12804 Total value $16,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-127
275 sq ft residential alteration
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, April 28,2010
(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 To o eens say,April 28, 2009
SIGNED BY for the Town of Queensbury.
Director of Building&Code nforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUP-A-N- CY
Permit Number. P20090127 Date Issued: Thursday, December 16, 2010
This is to certify that work requested to be done as shown by Permit Number P20090127
has been completed.
Location: 22 FORT AMHERST Rd
Tax Map Number. 523400-302-011-0001-044-000-0000
Owner. JANE MORRISSEY
Applicant: JANE MORRISSEY
This structure maybe occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
owner of the responsibility for compliance with Site Plan '
property P tY P
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
.............•...........
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, i . l/` / _jj OFFICE USE ONLY �.......................,
TAX MAP N0. ">
PERMIT NO..
ao ,FEES: PERMIT
RECREATION
ENGINEERING ;
.................... (if applicable)
%........................
PRINCIPAL ,STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PERMIT
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION,
IS SUBJECT TO
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APPLICANT/BUILDER:
OWNER: ��_�
ADDRESS: � `�Ccn �'sr'c- _�-..
ADDRESS: QS}-
PHONE NOS._ � �-
PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE:' 4tti - 3 ,
PHONE: ��
LOCATION OF PROPERTY: -Z - ,,
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES
IF S0, INDICATE APPLICATION NO. AND DATE OF APPROVAL: �10
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
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PROJECT 0 YOUR � aOAPPLY T O
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W p w U— U. UU. W -� O 2 =
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Z ¢ Q �, U) Na 0U- OLL XM �
SINGLE FAMILY �. ..��
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COSTA r, ,gyp
FUEL TYPE:
HEAT TYPE: ((3JAtty' ` *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? 6-0IS THIS A HISTORIC SITE? �
PROPOSED USE OF BUILDING OR ADDITION:
*Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office
T11711,,
B 3-LGL 11-05
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, 1 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 1 ---2,- —..�'�x�----
Director of Building & Codes• 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administer 761-8218 (for questions regarding required permits,
q p re ,
application requirements or to schedule an appointment) the permit process,
10
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 0 ; zoning Laws of the Town of Queensbury.
Application:
01
,r I ;
B I I G & CODES:' PROVAL 1 ,
ZONING APPROVAL
,
DST I , ,
' DATE
-
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I
QUESTIONS? CALL 761-8256 OR EMAIL
Off Use Only c=s_cr.__aueensbury net
VISIT OUR WESSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No www.gueensbu .net
Occupancy Type: ��=`7 _Construction Classification:
Assembly Occupancy Limit: !'
Special Conditions:
Towel of Queensbury ■ Community Development Office • 742 BayRoad,, Queensbury, NY 12804
9+5
Queensbury Building & Code Enforcemen - esldentlal final Inspection
No. (618)761-8256 Arrive: am/pm Depart: L am/pm
Date Inspection request received: Inspector's Initials.
NAME: 1 - PERMIT#:
LOCATION: 1Z 2 �> - -_ DATE:
TYPE OF STRUCTURE:
Comments:
//
4" Build Number Address visible from road ,-
Chimney Hei ht/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbina Vent through roof minimum 6 inches
Roof Co /Exterior Finish Complete
Platform at all exterior doors
Handrall 4 or more risers
Guards at stairs decks more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deckporches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Extertor Railings 34 inches to 38 inches
Deck Bracky/Handicapped Romp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off emosed/regulator 18 inches above grade
Interior /trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety /Window in stairwells safe
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 a ht in accessible area
Crawl Spaces 18 inch x 24 inch access 1 sq.ft:150 sq.ft.vents
Bathroom Fans if no window
Plumbina fixtures
Foundation insulation/Insulation Certification
Floor truss draft stopping finished basement 1,000 sq.ft.
EMgMM egress below grade
Gas Furnace shut-off within 30 feet or within line of site
ON Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat 7 Water Temp 110
Enclosed Stairs Shestrock Underside minimum Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed pro r1 G"7�"�� t-,j
Gas Loos in Sealed or Glass Enclosure
Final Electrical c --`--
Final Survey Plot Plan
Arc fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System,/Sewer Dept. Ins on Sticker
Site Plan /Variance required
Flood Plain Certification if required
Okay to issue C/C or C 10 1 Temporary/Permanent
LABuilding&Codes FormslBuilding S CodesVnspection FormsWesidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6126/08
Queensbury Building & Code Enforcement - Residential Final InspectionOffi No. (518)761-8256 Arrive: am/pm part: am/pm
Date Inspection request received: Inspector's initials: rKA
NAME: PERMIT*
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments:
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 Co late/Exterior Finish Complete
Platform at all exterior doors _
Handrail 4 or more risers
Guards at stairs deckspatios more than 30 inches above grade
Guatil at stairwell at 34 inches or more
Guard at deckporches 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 priyn/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 2g.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draftstoppiEg 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 �►�''+T �-
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetroc k Underside minimum W Gypsum
Basement stairs dosed rise>4 inches �-
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
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 required
Okay to issue C I C or C 10 Temporary/Permanent
L:\Building&Codes Fors\Building&Codes\Inspection FormsWesidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Framing / Firestopping Inspection Report
' 410"
Office No. (518)761-8256 Date Inspection request received: Q 7
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 inspector's Initials:
NAME: t c7c7C- A O/V U PERMIT
LOCATION: An INSPECT ON:
TYPE OF STRUCTURE: 4- > j-
ming
Y N j WA COMMENTS:
Attic Access 2Y x 3W minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jadc Posts/Main Beams
Exterior sheeting nailed properly
17 O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Dedc 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 wail 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in ca k min.
Garage Fire Separation
House side%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
LABull ft&Codes Forms-OLDSuilding&CodesVnspection FonnsTran ft Firostpping Inspection Rsportdoc Revised January 7,2008
S'- l 0
Rough Plumbing l Insulation inspection Report
C,
Office No. (518) 761-8256 Date Inspection request received: 5 U I
Queensbury Building &Code Enforcement Arrive: am/pm part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials
NAME: Mar 15)
PERMIT #: Z
LOCATION: t-r 1 INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbi /Nail Plates
Plumbing Vent I Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout eve 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
0 P.S.1 for 15 minutes
nsulation/Residential Check/Commercial Check
lyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No insulation
Duct/ Hot Water Piping Insulation
If Tguired unheated Races
Combustion Air Supply for Furnace
Duct work sealed properly/No duct to e
COMMENTS: ko
Rough Plumbing Insulation Report.nevised Nov 17 2003, revised February 18,2006, revised January 7,2008