2009-144 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090144 Application Number. A20090144
Tax Map No: 523400-295-020-0001-004-013-0000
Permission is hereby granted to: RICHARD & SUSAN COUGHLAN
For property located at: 207 FARR 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: RICHARD & SUSAN COUGHLAN
207 FARR Ln Residential Addition $37,000.00
QUEENSBURY,NY 12804-0000 Total value $37,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
OVITT, MOE
Plans &Specifications
2009-144
507 sq R residential addition
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, April 28, 2010
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the f Que butr. �T sda ,April 28,2009
SIGNED BY 4for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (311cl OCCUPANCY
Permit Number. P20090144 Date Issued: Friday, July 17, 2009
This is to certify that work requested to be done as shown by Permit Number P20090144
has been completed.
Location: 207 FARR Ln
Tax Map Number. 523400-295-020-0001-004-013-0000
Owner. RICHARD & SUSAN COUGHLAN
Applicant: RICHARD & SUSAN COUGHLAN
This structure maybe occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the 4 �
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code E or�ement
Planning Board or Zoning Board of Appeals.
`..................... US ONLY .. �.. ......................
�� 0. jFF!1$;E- / 2 ,
o TAX MAP NO. E_ MIT NO. 1 15
FEES: PER ,IT_s RECREATION
ENGINEERING APR 2
-- (If applicable} 1 2009
......_
PRINCIPAL ,STRUCTURE: TOWN OF BUILDING G& CODES
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: e 4e-- ('
,✓� y OWNER: d�jcj fitz6 7tla-fRw co6161(a t,
ADDRESS: / / �ubi , �/�. ADDRESS: 20 C i9
PHONE NHS._ PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: OG PHONE:
LOCATION OF PROPERTY:_20-7
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ❑ NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z 0 LC
p 0 F-.
PROJECT O 00 00 d W 11- w
F-
o w emu. U- U- w Q (L 0
Z Q Q :- a N � OL~L O F- W Z
F W 0- 2 015
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: X
ESTIMATED CONS 111110N COST: /� FUEL TYPE: VIA-
HEAT TYPE: *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S):
ZONING CAT GO Y1: ARE THERE WETLANDS ON THIS SITE? Alo
IS THIS A HISTORIC SITE? IV
PROPOSED USE OF BUILDING OR ADDITION: �(? '
*Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office
Town of Queensbury - Community Development Office - 742 Bay Road, QueensbuM NY 12804
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 state me nt/d escri ptio n 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 ha e re a to the ov .
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
------------------------------------------------
o
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.
Application: 0 ,
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I / , I
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1 .3 ^ // - 00
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SBUILDI DE APPRL r
G AP_.. PROVAL;DAT ' t ;
DAT
/
10
QUESTIONS? CALL 761-8256 OR EMAIL
codes(&-gueensbury net
Office Use Onlv
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No www�aueensbury net
Occupancy Type: - >� _Construction Classification: _ .
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury - Community Developrnent Office - 742 Bay Road, Queensbury, NY 12804
s,S
lkQueensbury Building & Code Enforcement - R idential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart:0 1 am/pm
Date Inspection request received-.. Inspector's Initials: l
NAME: 6 � f
r PERMIT#:
LOCATION: cc DATE:
TYPE OF STRUCTURE:
Commends•
WA
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 decks tios more than 30 inches above grade
Guard at stairwell at 34 indies 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 a sec/re ulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen waterti ht
Safetv glazing/Window in stairwells safety glazing
Interior Smoke Detectors 1 arbon Monoxide Detectors
Every level: Ev ry Bedroom:
Outside every bedroom rea:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(hei ht in accessible area
Crawl Spaces 18 inch x 24 inch access 1 sq.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.
Emeraency egress 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 operati
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock underside minimum W Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed ro rt
Gas Loge 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. Ins coon Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0 Tern ra /Permanent
L:1Building&Codes FormslBuilding&Codesllnspecaon FormsWesidential Final Inspection Form revise0_100405.doc;Revised
January 7,2008;Revised 6/26/08
/- l..r
�7 0 i It �S Ir � — (
Rough Plumbing / Insulation lnspection Report
Office No. (518) 761-8256 Date Inspection request received: '// 16
Queensbury Building &Code Enforcement Arrive: �am/pm Depart: arn/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: V r T wv U PERMIT #: del 1q q
LOCATION: �� �= (,,�.> .. INSPECT ON:
TYPE OF STRUCTURE:
T
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
Air/Head
50 P.S.I for 15 minutes
sulation/Residential Check/Commercial Check
Tyvek or Similar 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. �1 l
2 0
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
l G U0 - //w r'SA LAQ r//lt---
Rough Plumbing / Insulation Insp ttion Report
Office No. (518) 761-8256 Date Inspection r ue
Queensbury Building &Code Enforcement Arrive: a art: �-: am m.�
742 Bay Road, Queensbury, NY 12804 Inspector's Initials. -
NAME: PERMIT #:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N
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
ossure Test
`illiater Supply Piping
Air/Head
6 minutes
tial Check/Commercial Check
ek or_SWilar Exterior Sealant
Pr r Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spacest�1
Combustion Air Supply for Furnace
Duct work sealed properly/No duct to
COMMENTS:
Rough Plumbing Insulation Report,revised Nov 17 2003, revised February 15,2005, revised January 7,2008
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheirn,PA 17545
MUNICIPAY CERTIFICATE - ELECTRICAL APPROVAL
lerrnitNo.07'-�::-14.......Cert' N' 110 81 Cut-in Card No.....................................
)wner.................. ..................................................................
,ocation..... .. - ......?F��/2 ...................................................2..-. .3
nstallation Consisting of.........../t?-Jolo/
..................................................................... ................................................
..................................................................................................................................................................................
..................................................................................................................................................................................
nstalledBy.....At......avi..r7 ............................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
ancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
ntroduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making in coons
at any time, and if its
t I
ides are violated,the Company shall have the right to c Ic e.
v e
k�r :7_
. . . .....
)ate.....�R. �................ INSPECTOR......... .......................
Member
in F .1.
e er A
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received: b13 b
Queensbury Building &Code Enforcement Arrive: am/pm Depart: f m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:��
NAME: CwU h I iU PERMIT#: O
LOCATION: tfi; -&=L- 8Nt-C }� INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N NIA COMMENTS:
Attic Access 220 x 30r 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
irestopping
Penetration sealed
16 inch insulation in cavq min.
Garage Fire Separation
House side's inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Fomos-01.13113uilding&CodeMinspection ForrneWrarning Firedoppft inspection Report doc Revised January 7,2008
Framing / Firestopping InspectG4n Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: amlpm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: V r PERMIT
LOCATION: INSPECT ON: --
TYPE OF STRUCTURE: __ 5_ ti°d'�►'�
Y N NIA COMMENTS:
Framing
ccess 22" x 30" minima
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 We
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 518 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forms-OLD Building&CodesUnspection FormsTren ing Fi estopping inspection Report.doc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials
NAME: C(�Cl�k l G� i 1 PERMIT#: ( ') 7— 1*4.
LOCATION: 20 INSPECT ON: —
TYPE OF STRUCTURE:
Comments
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 J
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofingc:SL:
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 . ve
mil po_ for wet areas under sla
ill 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 Report.doc
Last printed 12/20/2005 9:24:00 AM
t
Foundation Inspection Report !1 ` i lAv—
Office No.(518)761-8256 Date Inspection request
Queensbury Building&Code Enforcement Arrive: ��� am/ part:
742 Bay Rd.,Queensbury,NY 12804 Inspectof s Initials
NAME: PERACT#: l
LOCATION: LA INSPECT ON:
TYPE OF STRUCTURE:
Commenb
Y N/A
ootings C
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing NZ
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\lnspecdon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received: 4 $
Queensbury Building &Code Enforcement Arrive: am/pm De rt: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's initials:
NAME: ((9�° �✓ PERMIT#:
LOCATION: — r INSPECT ON: ka
TYPE OF STRUCTURE: r
Y WA COMMENTS:
Framing
'XWIc Access 22"x 30° minimum
Jade Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams l
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 Wails
Metal Strapping for Notches Top Plate
1 'h w 16 gauge (8) 16D nails each we
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
ce and water shiel s from wall
Ire err
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 518 inch Type X
Ceilingtwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L'Sukift&Codes Forms-OLD13uil N&CodesUnspection FomtsT arning Firestopping Inspection Reportdoc Revised January 7,2008