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2009-129 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090129 Application Number. A20090129 Tax Map No: 523400-288-016-0001-041-000-0000 Permission is hereby granted to: EDWARD & SUSAN BLONDIN For property located at: 19 MC CORMACK Dr 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: EDWARD & SUSAN BLONDIN Residential Addition $35,000.00 19 MC CORMACK Dr LAKE GEORGE,NY 12845 Total value $35,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2009-129 256 sq ft residential addition $75.00 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 T o ee ry; ay,April 28, 2009 SIGNED BY for 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. P20090129 Date Issued: Friday, May 28, 2010 This is to certify that work requested to be done as shown by Permit Number P20090129 has been completed. Location: 19 MC CORMACK Dr Tax Map Number. 523400-288-016-0001-041-000-0000 Owner. EDWARD & SUSAN BLONDIN Applicant: EDWARD & SUSAN BLONDIN This structure maybe 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 Director of Building&Code t nforceihent Planning Board or Zoning Board of Appeals. Nt.y OFFICE USF_01`11 V TAX MAP NO FEES PFRMLI Rl r'f?LnII M r rJ iirll 1 I'Irr. --- Ilf alfilirahl�) ; PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE Oq VALID ERMIT FOR CONSTRUCTION. n APPLICANT/BUILDER: r I� c )') � OWNER: '? :. �� to ADDRESS: I �t �> -`/ �/ Rd T7 ADDRESS: I cl IM(�Cc r r, PHONE NOS. f / J PHONE NOS. 2g 3 7 `7 7 _7 CONTACT PERSON FOR BUILDING &CODES,COMPLIANCETC M A w�Q� 'K` PHONE: �lq" E 1 C LOCATION OF PROPERTY: SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT. z APPLY TO YOUR z O a Fj w i;u) PROJECT O Q~Q O p J p :z 3 Q W LLL U- . = FQ OC�O w p - (7 o c7 F-f O F W z Q Q .--N N rn O LL N LL d 2 ot1 SINGLE FAMILY TWO-FAMILY MULTI-FAMILY(NO.� TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER I-ntlIr n�-�)ttrrrltihlrrl� • ( r,nnrrrrrrrlll I�r � rlrinnrrrl r !(fir„• - I ' I�nI/ I' ,:r,l. ( !rni•ir:Irrr v ' 1 ',;r)J IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: 7 , l� FUEL TYPE: (:7a HEAT TYPE? * 'HOW MANY FIREPLACE(S) AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION: l�iY1 t V -r c%f ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? 'Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office 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 d agree to th above. Signed �� ' - Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761-8256 OR EMAIL \ regarding Building Permits. construction codes or septic co_desnqueensbury.net Systems) VISIT OUR WEBSITE FOR MORE INFORMATION Zoning Administrator: 761-8218 (for queslions regarding www.queenslwrymet required permits, the permit prnr^ess, application requiremnnls fu In schedule an appointment) This application /proposed action described ; Permission is hereby granted to the above herein is found to be in accordance with the ; Applicant to erect or alt t the building described zoning Laws of the Town of Queensbury. ; herein in accordance ith said Application: ON APPROVAL DATE BULDI & DES APP AL DATE 11 i(Illrll (�I hllll'1'IltiiNlfl( ' ( UIIIIIII1111t1� IIr'i'r'�rr)rlllr'III 1 !�Irr - 1 I�rlr,l I-' ,rl r rlrrr'ri .11rrrr 1 I ";III --------------------- �T00:77" ity Development Office ueensbury - 742 Bay Road - Queensbury, New York -12804 + Marilyn Ryba, Executive Director-David Hatin, Director of Building&Codes ', StampDate Craig Brown,Zoning Administrator-Michael J.Palmer, Fire Marshal :---------------------• APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building &Codes Office for the issuance of a Building &Use Permit pursuant to the New York State Fire Prevention 8, Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations,and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. OWNER: 'SLL �rf'l �}�� INSTALLER/BUILDER: ! 1 _ Gp?. ADDRESS:_�"I ! Ci C'ral 1 L' fe- , ADDRESS: PHONE NOS. �� / �' PHONE NOS. 76 ?`C,33 _ LOCATION OF PROPERTY: 1 C� 1 C>Ff{ _) ( (_ {c' I SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: C4011k/ � Raj 1��C,V) CONTACT PERSON FOR BUILDING&CODES COMPLIANCE �l.%`�1 M L y&r k PHONE:� ► FUEL BURNING APhANCE wboD COAL PELLET GAS otl INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS? GALL 761-8205 or 761-8206 IIUIIVI Y IN C M ►TiC N atOCK .Rt4� S16NE OR EMAIL: firemarshaMnueensburv.net MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE SIZE Its FOR MORE INFORMATION TILE 31f i L tNGNE ' WWW.aueensburv.net FLUE CHECK ONE ✓ DOUBLE CHIMNEY WALL TRIPLE WALL INSULATED DIRECT VENT LINER CHIMNEY MATERIAL CHECK ONE ✓ **IF NON-MASONRY, PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. /6-/0AP1- Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 � Lei Arrive: am/pm Depart:j(�--t-j am/pm Date Inspection request received: 2 Inspector's Initials: NAME: �' PERMIT#: LOCATION: 61 DATE: TYPE OF STRUCTURE: st Comments• Yes No NIA ( � 4" BuildingNumber Address visible from road Chimney Height/"B"Vent/Direct Vent Location f 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 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 lain /Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: �-1� - 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 s .ft.vents L� � ` Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. ! Emergency ress below grade fiV \r � Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to fumace area Fumace/Hot Water Heater operating `l Low water shut-off boiler ��—"'-- Relief Valves installed/Heat Tra /Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%"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 Pian Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Ins ion Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 1 Temporary/Permanent LABuilding&Codes FormslBuilding&Codes\lnspection FormslResidential Final Inspection Fonn_revise0_100405.doc;Revised January 7,2008; Revised 6/26108 Rough Plumbing / Insulation k4ection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:!j nn5n am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:6-1-� NAME: PERMIT ##: LOCATION: r'` INSPECT ON: TYPE OF STRUCTURE: <2 Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/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 ead .S. 15 minutes Insulation i esidential Check/Commercial Check imilar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS:Z� Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping tnspecti eport Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: �l0 PERMIT#: LOCATION: IT INSPECT ON: TYPE OF STRUCTURE: Framing Y N NIA 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 % w 16 gagge 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 4 hour Firestoppi 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 Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. CM 5.7 sf above/below grade 5.0 s#gmde LABuilding&Codes Forms-OMBuilding&CodesUnspedion FomnsTran ft FkestopphV Inspection Reportdoc Revised January 7,2006 -1r � Framing / Firestopping Inspection Report Office No. (518)761-8256 Date lrffecbon request received: Queensbury Building &Code Enforcement Arrive: b am/ Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspecto s nitials: NAME: 144A- PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N NIA COMMENTS: Framing 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 '/ w 16 gauge 8 16D nails each side Draft n9 1,000 sq.ft. floor trusses lVid-hor Bolts 6 or less on center Ice and water sh" 24 inches from wall cati , 2, 3 hour Fire wall 2, 3, 4 hour T Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side's inch or 5/8 inch Type X Garage side 518 inch Type X Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. CM 5.7 sf above/below grade 5.0 sf rade LABul ing&Codes FoMIS431.13t13uiiding&CodesUnspection Forms*rmwng Firestopping inspection Report.doc Revised January 7,2006 Foundation Inspection Report Office No.(518)761-8256 Date Inspectionr6qu t iv CoL Queensbury Building&Code Enforcement Arrive: _ Depart: 742 Bay Rd.,Queensbury,NY 12804 Insp tor's Initials: l e d ` NAME: tit - d U 33t T#: 't LOCATION: G r SPECT ON: �3 TYPE OF STRUCTURE: Comments Oj-naf L Y N N/A 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 doting Dowels or Ke a in place all Oun Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing nder slab Plumb' 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 Report.doc Last printed 12/20/2005 9:24:00 AM CxD ' ) / - -3 IV y Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: j'��am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: t NAME: D PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUC -M� Comments Y N N/A Footings ' iers 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 �� ,� � {��k t 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 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\lnspection Forms\Foundation Inspection Report-doc Last printed 12/20/2005 9:24:00 AM 77 r Or be'ieve saW 6V � £ of, ' -- seen Or c +cv�ved, €:',0 te5, W !�S, ti?eS, fence, f.., } E,a+ 'aiz2 t jni. �a re`prG�Ci�t tii.+L � •the distances SOt '-, th Ot COU•QTNO U.SE A6,571 I T4s (JEcr/0 ,2) 8Z '-.40' - � 4pAD 35 " r713S' (30, 3 75. 0 sq. Fr) N q _ �9 NodsE fV "Y1 21 N ♦__- � �• a Pric n TANK + � ses,4+e g iyf.�.yis+o[E I Pl uvo�etsmuvo ,E�scr.�ic��1° 2o,'To iwr. -Z•.40'- 40= W -- - - - - — — �� Mc O /Vl C 1�.�I ✓E I � � a - wiI .e 'w 0 /zl _ - r77) I 7( � 0 -Nop CONSTRUCrroN �t 4� .�.�`'�" Div. of CC� J o S 0 VI �o Vv CbrecFit,Tun zgement Corp. t 4 V" (518) 798-0338