2008-126TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20080126-34708 Date Issued: Friday, January 25, 2019
This is to certify that work requested to be done as shown by Permit Number
has been completed.
P20080126-34708
Tax Map Number:
Location:
Owner:
Applicant:
This structure may be occupied as a:
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
Planning Board or Zoning Board of Appeals.
Director of Building & Code Enforcement
411111kbak
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080126 Application Number. A20080126
Tax Map No: 523400-296-020-0001-025-000-0000
Permission is hereby granted to: MIKE MC GRATH
For property located at: 159 MEADOWBROOK 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: SHIRLEY SIPOS LE
REGINALD & ELEANOR BURLIN Residential Addition $18,500.00
159 MEADOWBROOK Rd Total Value $18,500.00
QUEENSBURY, NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2008-126
225 sq ft residential addition
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, May 27, 2009
(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 rye AV t4 i..; : ay 27, 2008
41 -
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
� Y2O -- OFFICE USE ONLY
TAX MAP NO. / PERMIT NO. ()1 /?-6 FEES: PERMIT J RECREATION ENGINEERING APR 0 20
o8
(1f applicable)
BUILDING & CODES
PRINCIPAL STRUCTURE:
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: Vi /lt r l4rez °j OWNER: 4/-(c /77C6-rc. 44\
ADDRESS:// t +�a-1 Seuecrk it'y ADDRESS: /51 / 2c L) k at)
PHONE NOS,Sig-798- ,„ -578- 9ss-osa 7 PHONE NOS. !93407` 0)10-07 4/7
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:()/f/f Vide- PHONE: Y'S S--'9L7
LOCATION OF PROPERTY: /5-7 ltaCbc.3 13&o&K
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p o 1--
APPLY TO YOUR Z 1= O co co � � w
PROJECT 0O co O =
H OE' —ram w Q o. = U
W - u-• u- 0w � C1 z U' I p � Cw =
z < < cn c� cn O u- F- u- a = ats
9103
SINGLE FAMILYScarch adSsg_ / t L;u SP��c
TW O-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
1F COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: /8) S O FUEL TYPE:
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 l J Igo v'1
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05
;f •c Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
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 an a t above.
Signed /� e'Z�'�
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)
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:
( e'•-k>----)SL_r-
BUILDING & CODES APPROVAL ZONING APPROVAL
. 2*6
DAT DATE
i J
QUESTIONS? CALL 761-8256 OR EMAIL
codesAqueensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Office Use Only www.queensbury.net
Operating Permit Issued: Yes No
Occupancy Type: 1 C."' Construction Classification:
Assembly Occupancy Limit: Special Conditions:
0 Town of Queensbury ■ Community Development Office • 742 Bay Road, Queensbury, NY 12804
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Community Development Office
''own of Queenshury • 742 Raiff Road • Queensbury, New York •12804
WINDOW SCHEDULE ............_......____,..0
JOB SITE/ADDRESS: / c r ck-- greOL i!> DATE: 1-/`)-ob
OWNER: / 1Z / /l ,CG1/6--c-k APPLICATION NO.:
UNIT OR CLEAR
WINDOW- CLEAR
WINDOW STOCK ROUGH ROUGH SQ.FT. OPENING
NO.OR WINDOW SQ.FT. OPENING SPECIAL HARDWARE OR
MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT
LETTER NAME MODEL/TYPE CALL WIDTH HEIGHT VENT OPENING WIDTH IN IN INSTRUCTIONS
ON PLAN SIZE INCHES INCHES
•
A / i�e�n ✓/6 w �i'ta 3 F} �f VA
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B 26-LTR 11-05
Community Development Office
own of Queensbnry • 742 Bay Road • Queensbury, New York •12804
BUILDING PERMIT CALCULATION SHEET:
NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS
REQUIRED ACTUAL
ACTUAL LIGHT REQUIRED SQUARE FOOT
AREA OF ROOM IN LIGHT VENTILATION
HABITABLE ROOM SQUARE FEET 8%OF ROOM SQUARE VENTILATION-4% SQUARE OPENING FOR REMARKS
AREA FOOTAGE OF ROOM AREA FOOTAGE EGRESS
3- w;,,00� 3 5crcul /Z so Ff
9 X 13 112 S;-F� 3xv. 36 S?-F- d'Av i8 sA_ `
QUESTIONS? CALL 761-8256 OR EMAIL
codesCa queensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.quensburv.net
B 10-LTR 11-20
.............,,...........---..................-
1 ECEUVE
JAN 2 if 2019
.....1.110.0000.1"8•104110.0.0.01.11MIIIN osIONNeo.•••••••••
TOWN OF QUEENSBURY
BUILDING&CODES
--__-..----------
4006 - 12-\a
COMMONWEALTH'ELECTRICAL INSPECTION SERVICE,INC. A
Maio Office 176 Doe Run Road-Manhelm,PA 17545 . ..
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MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL •.:.
Permit No. Cert N9 42425 Cut in Card No.
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Owner 64-4-,i'y e et, 1_ ,I.,1' S .. ,
Location /-5.2 ,/ ,:ia4iA,./atdisa-4./.4.. .etle2 ale-4,4. bi,-.-/
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Installation Consisting or /4.Q.2e7'........,.L.4.4i.ek.e.fra,.6-
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:,''i..:•:: • i $ i 5.464 Y 4 1'J'
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:1(.'''.. • ' Installed By...........4:?/,/e4 Lic. No.
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The conditions following governed the issuance of this certificate,and any certificate previously issued
..
cancelled:- ..
This eertillcalc only covers the electrical equipment and installation conditions as of date Upon the
• 3
s':':.:';. • introduction of additional equipment or alterations•application shall be promptly made for inspection,
Inspectors of this Company shall have the privilege of making inspections at any time, arid if its
.,,
I rules are violated,tho Company shall have the right to revoke this certificate. . .
. .
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Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: 1 . 0 am/pm
Date Inspection request received: Inspector's initials: C`
NAME: ; r'1C.' b're-OCAA PERMIT#: Q 6 / • f�+
LOCATION: j 5 JAaeo DATE:
TYPE OF STRUCTURE: t..f-li,z-)
Comments:
Yes No N/A
4" Building Number Address visible from road I 5_ a()--
Chimney Height!"B"Vent/Direct Vent Location
Fresh Air intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more '4i`/-2.xtd_wit-
Guard at deck,porches 36 inches or more 1%. k
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches v .
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet . -1 � .
6 inch clearance to sill plate ,...
Gas Valve shut-off exposed/regulator 18 inches above grade '-' --1—
Interior privacy/trim/doors/main entrance 36 inches v¢.�
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area: 7(Q
inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area c
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents � � "��
Bathroom Fans, if no window
Plumbing fixtures ��, > 'v C - ►'ti`G"'
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification —
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/.hour fire door!door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
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/C or C/0[Temporary/Permanent]
(bI
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc; Revised
January 7,2008: Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
Queensbury Building & Code Enforcement - Residentia nel inspection
1f
Office No. (518) 761-8256 Arrive: amipm apart: (Lj_ miprn
Date Inspection request received: Inspector's Initials: .61,14
NAME: ,-, /-----) PERMIT#:
LOCATION: � � e- r •t DATE: — )
TYPE OF STRUCTURE
A Comments:
Yes N� N/A
4" Buildin Number Address visible from road
Chimne Hei ht/"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,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inures or more
Handrail Termination at Newell Post or Wail_
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/regtulator 18 inches above grade
Interior privacy I trim I doors/main entrance 36 inches
Bathroom/Kitchen watertight7
w
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 eft.-150 sq.ft. vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation I Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq,ft. 12"r� -'&7
Emergency egress below grade "�
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area L -
Furnace/Hot Water Heater operating
Low water shut-off boiler ee. " e- _ r� __
Relief Valves)_installed/Heat Trap/Water Temp 110 '" `�,_�--�y
Enclosed Stairs Sheetrock Underside minimum'/:"Gypsum
Basement stairs closed 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 T`J
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
,gi____
Site Plan /Variance required
Flood Plain Certification,if required �4—
Okay to issue C I C or C/O[Temporary I Permanent i
L:\Building&Codes Forms\Building&Codes\inspection Fonns\Residential Final Inspection Form revised 100405.doc; Revised
January 7,2008; Revised 6/26/08
. `y - /(- /A t2f-s .
Rough Plumbing / Insulation Inspec ion Report
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: 61 t '"
NAME: M rc&Jk-) PERMIT #: - 2
LOCATION: /0 /fi .10,.)Are).,k =/. INSPECT ON: • - -0 .
TYPE OF STRUCTURE: 47-6t. t w?
Y N NIA
Rough Plumbing / Nail Plates
Plumbing Vent 1 Vents in Place
1 '/2 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
'5-0 for 15 minutes
Insulation /Residential Check/Commercial Check
liar 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 1 No duct tape
COMMENTS: Q_2 e„("G-i
._ L\ - 7
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
/- -40/- ..- • -
Framing / Firestopping Inspection Re• •rt
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart .A am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: __jam_
NAME: /1k ( � PERMIT#:
LOCATION: / '1 121Ok INSPECT ON: If.
TYPE OF STRUCTURE:
' _ Y N NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/Headers V/
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 cavi r 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
L:1Building&Codes Forms-OLD\Building&Codesgnspection Forms\Framing Firestopping inspection Report.doc Revised January 7,2008
( /cer t.S be'Uer-) /0 -!Z f-r1 Ofe5,A7 I I °‘56
Framing / Firestopping Inspection Report l
Office No. (518) 761-8256 Date Ins 'on request received:
Queensbury Budding &Code Enforcement Arrive:( (; am/ Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspectors I itials:
NAME: fib_ 6res tb PERMIT#:
LOCATION: `1, .4►f,,(/F_,f_N.6 2/0it INSPECT ON:
i---e--
u
TYPE OF STRUCTURE:
Y 11131111121M 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 '/2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
or Bd r less on center
Ice and water shield inches from wall
Fire ' n--1 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping IIII
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/2 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 rade
L:\Building&Codes Forms OLD1Buiiding&CodesUnspection Forms'Framing Firestopping inspection Report.doc Revised January 7,2008
kfr-ditek-7
Foundation Inspection Report
Office No.(518)761-8256 Date In on request received:
Queensbury Building&Code Enforcement Arrive: V am/pp, Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's itials:
NAME: fit C /�C. PERMIT#: 10(.
LOCATION: j5 " / 4, /c INSPECT ON: ' '*/,-0
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
Footing Dowel ay in place /
Foundati ' Dampproofmg t/
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 Report.doc
Last printed 12/20/2005 9:24:00 AM
NCO 2 ( n
Foundation Inspection Report
Office No. (518)761-8256 Date Insjc c ' request received: (P 6/0
Queensbury Building&Code Enforcement Arrive:`Arrive: ' v am/p Dep : am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Imhals:J1'
Aiic_6(r-d\
PERMIT#: }"�
LOCATION: n INSPECT ON. �= �'
TYPE OF STRUCTURE: Fedi reei,Q
Comments
Y N N/A
ootings
Piers
Monolithic Slab
/".
Reinforcement in Place i
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 Report.doc
Last printed 12/20/2005 9:24:00 AM