2008-626 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20080626 Date Issued: Tuesday, January 06, 2009
This is to certify that work requested to be done as shown by Permit Number P20080626
has been completed.
Tax Map Number. 523400-302-018-0003-00 1-000-0000
Location: 8 QUEENSBURY PI
Owner. ROLAND & TERRI SURPRENANT
Applicant: ROLAND & TERRI SURPRENANT
This structure maybe occupied as a:
Carport
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the r
property owner of the responsibility for compliance with Site Plan, )j w
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: P20080626 Application Number. A20080626
Tax Map No: 523400-302-018-0003-001-000-0000
Permission is hereby granted to: ROLAND &TERRI SURPRENANT
For property located at: 8 QUEENSBURY PI
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: ROLAND &TERRI SURPRENANT
8 QUEENSBURY PI
Carport $5,400.00
QUEENSBURY, NY 12804 Total value $5,400.00
Contractor or Builder's Name/Address Electrical Inspection Agency
SUGAR HILL CUSTOM BUILDERS
3967 STAE ROUTE 4
KINGSBURY,NY 12804-0000
Plans &Specifications
2008-626
288 sq ft carport
$30.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, December 05, 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 of Qu b ry-, ida , December 05, 2008
SIGNED B for the Town of Queensbury.
Director of Building&Code Enforcement
�..__._ .. .........................__.._.__...__.. ,__._..................
OFFICE USE ONLY 0 %(� J ,
TAX MAP NO. PERMIT NO.
FEES: PERMIT RECREATION ENGINEERING ; 0
(If applicable) ; ;
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: OWNER: �'�~
ADDRESS:, ) 57�je Zf L,��I've� l?�-rof/2:'31�-ADDRESS: e rN ,lUY
PHONE NOS. ` N,2-7g26 ; to//5 f�"36�-5 7S PHONE NOS. Y
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: 4„^5 45'/i'k/ PHONE: R6-36/ -.;,1 j j
LOCATION OF PROPERTY: -?/G�L�
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES [� O
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z LL O C� Uw u_ U)
PROJECT 0 i° O � w J p = _
o ¢ aa.
u_¢ W o O az NU O � U- = 0z_6
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
6;A
OTHER
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: -, -, -/oo pc, FUEL TYPE: /,/A
HEAT TYPE: A *HOW MANY FIREPLACE(S):0_AND/OR WOODSTOVES(S): 0
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? /4
IS THIS A HISTORIC SITE? /--�O
PROPOSED USE OF BUILDING OR ADDITION: C CA XZ t7
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
Town of Queensbury - Community Development Office • 742 Bay Road, Queensbury, 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 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 describedo
.
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: "
,
+ ,
,
G & CODE PROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(&gueensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.gueensburv.net
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Towti of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
.Avow��`
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: a pm a ;rt2: ', a
Date Inspection request received: �� Inspector'sls: r
NAME: >1C� P R iT#:
LOCATION: �4 E:
TYPE OF STRUCTURE:
Comments:
/
4' BuildingY No N/A
Number Address visible from road
Chimney 'B'Height/ Vent/Direct Vent Location
ZL
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 inches 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/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery badku :
Attic access 30 inches x 22 inches x 30 inches(height)in acoessibie area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emernency egress below grade
Gas Furnace shut-oft 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 VaIve(sj installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/2"G sum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fire roofi /%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 De . Ins ction.ac't aek
Site Plan /Variance u'
Flood Plain Certificatio ,if r
Okay to issue C/C or/C/O ern ora r Permanent
LIZ
LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final inspection Form revised_100405.doc;Revised
January 7,2008; Revised 6/26108
Framing / Firestopping Inspection Report le
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: .
L -L /
NAME: PERMIT#:
LOCATION: , 1�' 0 INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N NIA COMMENTS:
Attic Access 22"x 30" minimum
Jadc Studs/Headers
Bracing/Bridging
Joist hangers
Jadc 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. R. floor trusses
dhor Baps 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 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. CM
5.7 sf above/below grade
5.0 sf grade
LASuilding&Codes Fortes-OLMuild ft&CodesNnspsction FomhsTrafn ft FidopphV Ir spec Lion Report.doc Revised Janumy 7,2006
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date In�e,c riy�equest received:
Queensbury Building&Code Enforcement Arrive: -) am /D,Wart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspectonitials:
NAME: fl� �� -di` PERMIT#: o
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A 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
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 f
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)
5.7 sf above/below grade
5.0 sf grade
Framing / Fir stopping Inspection Report
Once No. (518)761-8256 Date Inspecka request received:
Queensbury Building &Code Enforcement Arrive: ,.�`_15 am/pair., Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspect6es initials:
NAME:-NAME: r ^ k�� PERMIT#:
LOCATION: INSPECT ON: -
TYPE OF STRUCTURE:
Y' N WA COMMENTS'
Framing
ttic ss 2T x 3W 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 Dedc 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
r Bolts 6 ft. or less on center
ce and water shield 24 inches from wall
Fi 7
separation 1, 2, 3 hour
ire Il 2, 3, 4 hou
e tration 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
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. CM
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forrns-OLMSuiiding&Codesllnspection FommslFnmring Fkastopping inspection ReporLdoc Revised January 7,2008
Po 1 .
Foundation Inspection Report
Office No.(518)761-8256 Date Ins 'on request received: _
Queensbury Building&Code Enforcement Arrive: ---am/pn) � ` (Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: ' s' . 1` PERMIT#:
LOCATION: ;s - INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
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 pur
jLose 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 R21y 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 f1.
L:\Building&Codes Forms\Building&Codes\lnspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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