2008-204 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. P20080204 Date Issued: Wednesday, June 09, 2010
This is to certify that work requested to be done as shown by Permit Number P20080204
has been completed.
Location: 415 LUZERNE Rd
Tax Map Number. 523400-308-011-0001-058-000-0000
Owner. JOANNE & DONALD HUNT - LE
Applicant: GREGORY GARAFALO
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 f4
owner of the responsibility for compliance with Site Plan,
r:
property �
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080204 Application Number: A20080204
Tax Map No: 523400-308-011-0001-058-000-0000
Permission is hereby granted to: JO ANNE K. HUNT
For property located at: 415 LUZERNE 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: JO ANNE K. HUNT
415 LUZERNE Rd Residential Alteration $6,000.00
QUEENSBURY, NY 12804 Total Value $6,000.00
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2008-204
896 SQ FT RESIDENTIAL ALTERATION
$89.60 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, May 21, 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 Town of Queensbury; Wedn sday, May 21, 2008
x
SIGNED BY for the Town of Queensbury.
Director of Building&Co Enfo ement
t�
OFFICE USE ONLY ;
PROJECT NAME:
STAFF INITIALS:
BUILDING PERMIT SUBMISSION DATE:
CHECKLIST FOR: -------------------------------------
SINGLE FAMILY DWELLING
................_.........................-........... -------- ._.._.....__..... --- - ----._.......-----.................-..........._................._._........_.._ ----_..................__..__.........._..__....._... ......................-------------------
1. Building Permit Application Completed? YES NO N /A
i 2.
I Energy Form or CheckMate Energy Code Compliance E
i Forms Complete? (2-copies)
p
Energy Code Inspector's Report from Checkmate
3. 1 Program? (2-copies) V
�................... .i..._.._....... __ .._.-. ---- ._..._._._..........................._......._......_......_.............._.__.._......._....._._.__._. _ ._ 1... _._._._.._................1........-..-....._....._....-...........-s...._.._..---.--.
_..._..__. _.................................. ..................... .
Septic application completely filled out?
4. i if applicable)
pp ._.....__......-...._...._.........._........_ ._._._.._._.._.__ __.._._......._............_'_._._._-._-�-'`
5. Electrical Inspection Form complete?
3 i
..._. ..-.._..__... ..._...._....._..__.__.__.._..__.._._-...........-....................... _......._....................._ -- _..................._..................--...._..................._............_......._.......
.......
.._....
..._.._..--- ....__.._..._._._..
6. Two (2) sets of the plans each of the following: YES NO N /A
a. Floor plans (s)?
._._......._.—___.__._...._......
....-.---....____._._.._..___ _.___.---._....._.._.__...__..._.._._.._._._._....- -...................
__.._._.__.._..._.._.__..__----.._....
b. Foundation plan?
i
c. Cross sections (s)?
..__..___..._....:.. ___._..._.........__......_.............._._. __..-...__._..._..-.__..__....-___._.__.....___..._..._._.._..._..__.„_._.__..__..._._.__.._._._.._.._.._....__.............._..._.._-.._... ..........T .+:.!_.-_................_...._._.._._E_..._.__..__.__.---
d. Elevations?
e. Window and door schedule? ✓
f. Natural Light, Ventilation and Emergency Egress
Requirements?
g. Plans signed and sealed by registered architect or I i
engineer?
__.-._._._._.._._--------_-.-.___._---
Two (2) site plans showing location of the structure to be
7. built, location of well or water lines, location of septic
system or sewer line?
r___.____...t.-.....L......_._....__.__......___.._-._.._..._......._..,.._._._.__.-__..._._..-_.___..__.__._.__..___._...__.._..._.___..____._..................._..........._...................-i._......_..........
_...-.._.......____...-........._._.__.__._____......._......_...._
t i
8. Setbacks from property lines to new structure?
--------.._._____...-__........._..........._..___.-_._.._.........--_.............__...._....__ ._._...........___.__.
._.._._._. ._____-.__.____-__._.__._____.._..__._..-.-_-.....__.__.__-_.._.__-..-._
l 8 : Setbacks to neighboring wells and septic systems,
including onsite well and septics stems if applicable)?
J
I 9. Driveway Permit?
�..................__..�.._... ---- _..._....... __..__...._..__.._._._._........_......._._......._....__._...... -- ---- -.._..._.. _..._......................._._.....__... ..._...._._.._._...._...._...._....._....... -..._......._._..........
....._._..__..__._.._.....__.3
Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
B 12-LTR 11-05
r---- ---------------------------,
PROJECT NAME: OFFICE USE ONLY ;
STAFF INITIALS: ;
DATE:
BUILDING PERMIT SUBMISSION f
CHECKLIST FOR: '
MULTIPLE DWELLING or COMMERCIAL PROJECTS
1. Building Permit Application Completed? YES NO 1 N /A
.............
2 Energy Form or CheckMate Energy Code Compliance
Form ss Complete? (2-copies) I
3 ' Energy Code Inspector's Report from Checkmate
Program? (2-copies) __.___._------_--_--_---
LSeptic application completely filled out?
4. (if applicable)
—------
5.
i
S. Electrical Inspection Form complete?
6. Two (2) sets of the plans each of the following: YES j NO N /A
a. Floor plans (s)?
a
b. Foundation plan? i
— r
' J
c. Cross sections (s)?
d. Elevations? r t
3 e. Design loads including floor, snow load, and wind
load?
...__.... --__._
f. Seismic design (required after January 2003)?
...._. .___
g. Plans signed and sealed by registered architect or
engineer?
j
h. Window and door schedule? I i
Two (2) site plans showing location of the structure to be
7 ' built, location of well or water lines, location of septic
system or sewer line with all setbacks and separation
distances shown, and all improvements to the Property?
Solid Fuel Burning or Gas Appliance Form (if applicable)?
9. Driveway Permit '
i
Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
`... ..FF�E USE ONLY................... ...... ._-.-....%
..
TAX MAP NO. PERMIT NO.
FEES: PERMIT E EATION ENGINEERING ° I
(If applicable) ;M1",y
,............... ....-.. .--............................................... _ , ...................
PRINCIPAL STRUCTURE: ` � ' � U
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. ' i
APPLICANT/BUILDER: G(z G 6 +4 k4 rA'� OWNER: 1 U A N N 6- H tok N V—
ADDRESS: _ 3D S Cc.,2i V j ,4 ax> . ADDRESS: 415 L- i-4 2-garj F— gD
PHONE NOS. 6(& -19 b 3 153 PHONE NOS. 5 g _-7 13--ZOCj
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: 6fzgC 6 . PHONE:3q q J
+map - 309,b 11- r - 5
LOCATION OF PROPERTY: 6
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR Z ]r 0 C) d w
UJ
PROJECT 00 � O 1: O = =
w u_ w u_ w Q a U U
0
o Z_
z Q Q � 0 N0) ~OLL F- t~i a- 06
SINGLE FAMILY
TWO-FAMILY l0
MULTI-FAMILY
(NO. of UNITS ) Ilk
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-N //ME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:- FUEL TYPE:
HEAT TYPE: N A" _*HOW MANY FIREPLACE(S): 4 - AND/OR WOODSTOVES(S):►1
ZONING CATEGORY: S(L.i A- ARE THERE WETLANDS ON THIS SITE? �jD
IS THIS A HISTORIC SITE? N y
PROPOSED USE OF BUILDING OR ADDITION: Nl r�-
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
B 3-LGL 11-05
QTown of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY? Iy��
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 agree to the above.
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)
.................................................. ; ------
....----------,
Permission is hereby granted to the above ; ; This application / proposed action described
Applicant to erect or alter the building 0 herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application: 01
1 , 1
1 1
1
I 1 I I
1 / /
1 / ,
1
BUILDING & CODES APPROVAL ' ; ZONING APPROVAL
o DATE 0
; DATE
:.............. 11
.. . ..
QUESTIONS? CALL 761-8256 OR EMAIL
codes@clueensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Office Use Only www.gueensbury.net
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
'fY Town of Queensburyy• Community Development Office • 742 Bay Road, Queensburyy, NY 12804
a.S <
4-5v.S l sPeGT`-i -0
Building & Code Enforcement - Resi ential Final Inspection
QueensdurY 9
Office No. (518)761-8256 Arrive: barn/"rt: am/pm
Date Inspection request received: Inspect is I tials:
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments:
Y N A
,V 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 atlas 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 Brad /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
Safglazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: BafteEy 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 ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation!Insulation Certification
Floor truss,draftstopping finished basement 1,000 s .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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock underside minimum"A*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 'F
Flood Plain Certification,if required
Okay to issue C/C or C 10 1 Temporary/Permanent I Z
LABuilding&Codes FormslBuilding&Codesllnspection FormsWesidential Final Inspection Forrn_revise0_100405.doc;Revised
January 7,2008;Revised 8l26/08
(5N-f293
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Insp cti equest received:
Queensbury Building&Code Enforcement Arrive: m/ epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
-Z NAME: 6VT PERMIT#:
LOCATION: — _ INSPECT ON: 0
TYPE OF STRUCTURE:
F raming Y Nl N/A COMMENTS
Attic Access 22"x 30"minimum �� /4V--r6—"/e
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
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
.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 ''/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 grade
Queensbury Building & Code Enforcement - Resid ntial Final Inspection
Office No. (518) 761-8256 Arriv 2am/p /Deceit: am/pm
Date Inspection request received: InsNect s Initials: t/
NAME: ! I (J PERMIT
LOCATION: ? DATE:
TYPE OF STRUCTURE:
Comments:
Yes No WA
,C Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location /��t. _ ` tj 65) K
Fresh Air Intake 1 1M
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 inches or more
Handrail Termination at Newell Post or Wall
Interior/6derior Railings 34 inches to 38 inches
Deck Brad /Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sal plate
Gas Valve shut-off exposed/regulator 18 inures move grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/IGtc m watertight
Safety glazing/Window in stairwells safety g!2g!pq
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 inch in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.fL-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergencybelow 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 Va s installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum''Gypsum
Basement stairs dosed rise>4 inches
Garage FkPor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Seated property
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Sept"c System/Sewer Dept. Inspection Sticker
Site Plan /Variance reclifired
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent
LABuilding&Codes Fomis\Bu#ding&Codes\lnspection FormslResidential Final Inspection Form revised_100405.doc;Revised
January 7,2008
D O�
- F -4AY 0 7 2008
TO }.}
bliii-i 1.J �.a l FEENSBUR P
E3UILE),Jt� CODES,
4
410- 4M huij,�
r�
Cc' ; C
plan
s
Us.�a3 of
New York
�r
FILEM" COPY
AAA'' .f•i �'� 7 .' ,`r�:A ..
�7-71
1
e
t
t
�j
k j
RY
?,-N
1 f
- T
11}
}' J
jf( ✓�
i
`•. � f c �
} ti
------ —
[ f VNI
i ; t
i t �
.�
f i
} r
i
i
Ti)
r-7
} }
IN
F � i
1
-- -- .
? }
Ct�4
�'0?1 d n �►aY :����Nrvr•
:'�-�C��Yd' '�13:1;�M 3►� �.rr r.i s"��3 a..,�:.�t.��..�:�r.�. -�.�,=tt�'r d •
t 'Ofop 1 euMr,�
e 'ph
a
• "Bust OCR
,
Mai,•+;
I\j
m .
15 t Ilvd, goo
f f,.
1
t
i