2008-430 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. P20080430 Date Issued: Tuesday, April 07, 2009
This is to certify that work requested to be done as shown by Permit Number P20080430
has been completed.
Location: 19 GREENWAY Dr
Tax Map Number. 523400-296-017-0001-030-000-0000
Owner. DARRELL ROBINSON
Applicant: DARRELL ROBINSON
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 Enforcement
Planning Board or Zoning Board of Appeals.
..................___FICE USE ONLY................................% �._...._....___._._...._;
3 ,
TAX MAP NO. PERMIT NO. 0
FEES: PERM! ✓ . ATION ENGINEERING ' ' '
(If applicable) 1 ;
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: 2 ,e& � _�/ OWNER:
ADDRESS: ADDRESS:
PHONE NOS._T e,3-/ PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PHONE:
LOCATION OF PROPERTY: ��
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT 0 o F-
APPLY TO YOUR z0 r wO 0 O w
PROJECT F- 0 1 OJ P w a = _
w Ju_ Ujt_ Q OU
l�s► � ~.a C� z C� 1— F- O 1- W w Z
z ¢ Q c- rn N Cl) O u_ !- u_ a = �s
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
EE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:'1� (i .C% FUEL TYPE:
HEAT TYPE: _`HOW MANY FIREPLACE(S): (7 AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?_IY6-
PROPOSED USE OF BUILDING OR ADDITION: CZ
*Please complete a separate Application for"Fuel Burning Appliances Chimneys"available in our office B 3-LGL 11-05
1 Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
0 4
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? '1�O
ARE THERE EASEMENTS ON PROPERTY?
1 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 have read and ree 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
o
Applicant to erect or alter the building o herein is found to be in accordance with the
10 described herein in accordance with said zoning Laws of the Town of Queensbury.
Application: 10
,
10
01
BUI DING & CODES APPROVAL ZONING APPROVAL
o
DATE10
DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesft- ueensburv.net
Office Use OnIV VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: c Yes No www.gueensbury-net
,
Occupancy Type: F, � 1
Construction Classification: J2
Assembly Occupancy Limit:
Special Conditions:
Tozun o ueensburi - Community Development Office - 742 Bar Road,
f Q J y p ffi y Queensbury, NY 12804
for
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: P20080430 Date Issued: Tuesday, April 07, 2009
This is to certify that work requested to be done as shown by Permit Number P20080430
has been completed.
Location: 19 GREENWAY Dr
Tax Map Number: 523400-296-017-0001-030-000-0000
Owner: DARRELL ROBINSON
Applicant: DARRELL ROBINSON
This structure may be occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property lot
owner of the responsibility for compliance with Site Plan,Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
42t 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080430 Application Number. A20080430
Tax Map No: 523400-296-017-0001-030-000-0000
Permission is hereby granted to: DARRELL ROBINSON
For property located at: 19 GREENWAY 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: DARRELL ROBINSON Residential Addition $18,000.00
GAIL BRUCE-ROBINSON
19 GREENWAY Dr Total value $18,000.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2008-430
480 SQ FT RESIDENTIAL ADDITION
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, August 14, 2009
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To Quee� ,` T,hupday, August 14, 2008
SIGNED BY 7 ; for the Town of Queensbury.
Director of Building$z Code nforcement
Cor►inx:tnitij Development Office
WEN 11°own Of Queensbury • 742 Bay Road • Queensbury, New York •12804
r
I
VaNDOW SCHEDULE '
JOB SITE/ADDRESS: " L' DATE:
1
OWNER: �Q � ii'I� APPLICATION NO.:
WINDOW. UNIT OR CLEAR CLEAR
WINDOW STOCK ROUGH ROUGH SQ.FT. OPENING
NO.OR WINDOW SQ.FT. OPENING WIDTH IN SPECIAL HARDWARE OR
MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT
LETTER NAME MODEL/TYPE CALL WIDTH HEIGHT VENT OPENING IN INSTRUCTIONS
ON PLAN SIZE INCHES INCHES
B 26-LTR 11-05
__________
a,ommuityn Development Office'rnr► of Queensbury- 742 Bay Roan - Queenshury, New York -12804 ;
BUILDING PERMIT CALCULATION SHEET:
NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS
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
UO
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QUESTIONS? CALL 761.8266 ORaEMA1L
c odesSaueensburv.12
VISIT OUR VVESSITE FOR MORE INFORMATION
www.auensburv.net
B 10-LTR i i-20
P
i
w Contmuuitu Development O ice
Town of Queensbuq • 742 Bay Rd.
Queensbury, Nei) York •128u4 PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
SIDE PROPERTY L
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Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: 41itials:
am/ De rt: am/pm
Date Inspection request received: U9 Inspect
NAME: U ('.AS v P-\ PERMIT#:
LOCATION: .-e G h Li c_ DATE:
TYPE OF STRUCTURE: by
Comments:
Yes No NIA
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,patios more than 30 inches above grade
Guard at stairwell at 34 inures 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 dearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior priM/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight _
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors I 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 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 s ,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
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 ProperIv
Gas Logs in Sealed or Vais dosu�e
Final Electrical I IF =�
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bondin
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent
LABuilding&Codes Forms\Building&Codes\lnspecfion Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26108
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICI]rAL CERTIFICATE - ELECTRICAL APPROVAL
rr
'ennit No...... 4:.............. . ...r..'.Cert.�,,' NO- 11135 Cut-m Card No.....................................
owner............ ..........................
_ocation.../...��...........e ............................................................. L. L
installation Consisting of 35x2 rr �./d ,.7. -1,, f/ i J,..
...................................................................................................................................................................................
...................................................................................................................................................................................
nstalled B :...IA Z.-. :.772 ....................................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 inspections at any time, and if its
ules are violated(d,,the Company shall have the right to r v .
e is rtificate.
)ate.../. "...?....� 4F.. .......... INSPECTOR...............". ......................................................................
Member N.EP.A.,I.A.E.1.
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspectigsxrequest received. 4)/ 0
Queensbu Building &Code Enforcement Arrive: . z am/ art. em/ m
ry 9 .��. Pm �P P
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERM
LOCATION: `v<--44SPECT ON:
TYPE OF STRUCTURE: ---�
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 Y2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cieanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above hi hest connection for 15 minutes
Pressure Test
Water Supply Piping
Aar/Head
15 minutes
Insulation esidential Check/Commercial Check r
36
or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Cqmbusfion Aar Supp!y for Furnace
uct work sealed properly le
)-(-/�wrif l
COMMENTS:
Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspect* request received:
Queensbury Building&Code Enforcement Arrived' '3 VV anilp CDppart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: R 6$i OS'b� T
PERMIT#: nq
LOCATION: 62(LC--C N W W� 'CS(z — INSPECT ON: 6
TYPE OF STRUCTURE:
Framing Y N N/A 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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z w) 16 gauge(8) 16D nails each side
Draft.stopping 1,000 sq. ft. floor trusses
chor 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 %z 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)
45 5.7 sf above/below grade
.0 sf grade
10--IP
Framing / Firestopping Inspection Report66,
17
Office No. (518)761-8256 Date Ins request received:
Z6
Queensbury Building &Code Enforcement Arrive: am/ �! art: a pm
742 Bay Road, Queens", NY 12804 Ins oi's nitials:
NAME: PERMIT#:
LOCATION: �-- INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
Frami
Attic Access 2T 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 '/z 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 1i
Fire separation 1, 2, 3 hour l
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
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Fors-OLDSuilding&codesNnspecpon FonnsTraming Firestopping Inspection ReporLdoc Revised January 7,20M
Foundation Inspection Report
' C
Office No.(518)761-8256 Date In 'o request received: ---- s
Queensbury Building&Code Enforcement Arrive:- am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
1`'�'
NAME: w ' r•S PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comment
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 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 po!y for wet areas under slab
Baclfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundatim Insulation Interior Ex r
R- 1.1
Rough Grade 6 inch drop within ft.
L:\Building&Codes Forms\Building&Codes\Inspecdon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
es
Foundation Inspection Report
Office No.(518)761-8256 Date In ec'o quest received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's tials.
— V70
NAME: 0 IV l�� PERMIT#:
LOCATION: 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.
MjLterials for this purpose on site.
Fo dation/Wallpour
einfo lace
Foo ' g Dowel 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\lnspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(S 18)761-8256 Date Inspeoo�equest received:
Queensbury Building&Code Enforcement Arrive: ��vvam/pm,� (, Depart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: �j PERMIT#: 0 l Q
LOCATION: - z" INSPECT ON:
TYPE OF STRUCTURP..
Comment
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place /
The contractor is responsible or
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 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\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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TOWN OF QUEENBBURY BUING OEPART�
Based on our limited examination,
compliance with our comments shall
not be construed as indicating the
plans and specifications are in fu l
compliance with the Building Codes of
New York State.
LTON OF
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