2007-499 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4E Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20070499 Date Issued: Wednesday, September 24, 2008
This is to certify that work requested to be done as shown by Permit Number P20070499
has been completed.
Location: 37 STEPHANIE Ln
Tax Map Number. 523400-308-012-0002-073-000-0000
Owner. GARY & PAULETTE HAYES
Applicant: GARY & PAULETTE HAYES
This structure may be occupied as a:
Residential Addition By Omer of Town Board
TOWN OF QUEENSBURY
�Vp
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 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: P20070499 Application Number. A20070499
Tax Map No: 523400-308-012-0002-073-000-0000
Permission is hereby granted to: GARY &PAULETTE HAYES
For property located at: 37 STEPHANIE 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. Tyne of Construction Value
Owner Address: GARY&PAULETTE HAYES
37 STEPHANIE Ln Residential Addition $14,000.00
QUEENSBURY,NY 12804 Total value $14,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
CHAD VIELE
11 DOE Run
GANSEVOORT, NY 12831-0000
Plans &Specifications
2007-499
160 SQ FT RESIDENTIAL ADDITION
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday,August 17, 2008
(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 own eb*, ay,August 17, 2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
µ Community Development Office ; G
own of Queensbury • 742 Bay Road • Queensbury, New York ■12804 ;
Marilyn Ryba, Executive Director• David Hatin,Director of Building&Codes ;
Craig Brown,Zoning Administrator ;
WINDOW SCHEDULE
JOB SITE/ADDRESS: Lit,— DATE:
OWNER: GaZy o_-,j Pnui4L"C /-kye5 APPLICATION NO.:
WINDOW-
UNIT OR CLEAR CLEAR
WINDOW STOCK ROUGH ROUGH SQ.FT. OPENING
NO.OR WINDOW SQ.FT. WIDTH IN OPENING 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
Qaatt
w.nwa DC,?N 7a✓ 6.�f cf ft :� �L L S S Ff 33'�A, dd -----
B 26-LTR 11-05
.------:-----------------
.?y c J�auIjk- 5;
Community Development Office
own of Queensbury - 742 Bay Road - Queensbury, New York -12804 K' Y
Marilyn Ryba, Executive Director- David Hatin, Director of Building&Codes 0
Craig Brown,Zoning Administrator
----------------------
BUILDING PERMIT CALCULATION SHEET:
NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS
REQUIRED ACTUAL
ACTUAL LIGHT REQUIRED SQUARE FOOT
HABITABLE ROOM AREA OF ROOM IN LIGHT VENTILATION
SQUARE FEET 8"%OF ROOM SQUARE VENTILATION•4% SQUARE OPENING FOR REMARKS
AREA FOOTAGE OF ROOM AREA FOOTAGE EGRESS ,Zc
'DQ `- X16 � wd ySliFF [5 CV=•,tj)001) :
00.4,-yc ►be z - 4-. F,F 6` x 6 '8
QUESTIONS? CALL 761-8256 OR EMAIL
codes(cDgueensbu rv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.guensbury.net
B 10-LTR I1-20
I
........................................... .......... . ....................
J� ' 73OFFICE USE ONLY - ' 0
TAX MAP NO. PERMIT NO. �'l� _ 00
FEES: PERMIT RECREATION ENGINEERING
(If applicable) .
---------------------------------------------------------------------' /.......... ...... .0
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/BUI ER: E ko e OWNER: L ,CS
'10 �
e � rac�ing � . .�.�v>�►� �
ADDRESS: / _D 1��� C-��.15tL,�Ce
C f n;Y)763 I ADDRESS: 0 t 1 t rn,,s inr ru tj y Qj 0,V
PHONE NOS.j C -d3L-) 1 .`'l65 - 0031 PHONE NOS.
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: Cf/4 ef PHONE:
LOCATION OF PROPERTY: 31 S�e f)I huul if- W
SUBDIVISION NAME:— 1
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR z � p Cd w cn
PROJECT F- 00 H 0 CC w Q a = v
Oz
SINGLE FAMILY
TWO-FAMILY 1
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: H x�J FUEL TYPE:
HEAT TYPE: Cj 0 HOW MANY FIREPLACE(S): _AND/OR WOODSTOVES(S)
ZONING CATEGORY: � ARE THERE WETLANDS ON THIS SITE? nL
,/ )0 IS THIS A HISTORIC SITE? [
PROPOSED USE OF BUILDING OR ADDITION: n I vi a (L Om
*Please complete a separate Application for"Fuel Burning Appliances&C ' eys"available in our office
B 3-LGL 11-05
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?
l 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 herein is found to be in accordance with the
described herein in accordance with said ; zoning Laws of the Town of Queensbury.
Application: ;
BUTIDING & CODES APPROVAL ZONING APPROVAL
+ A
DAT 0,0 DATE
, ,
QUESTIONS? CALL 761-8256 OR EMAIL
Codes(�gueensbunl.net
VISIT OUR WESSITE FOR MORE INFORMATION
www.ageensburv.net
vat
Town of Queensbury- Community Development Office - 742 Bay Road, Queensbury, NY 12804
1w
Queensbury Building & Code Enforcement - Residential Fi nspection
Office No. (518)761-8256 Arrive: am/pul D art: A am/pm
Date Inspection request received: t a 3 y7 Inspector's Initials:
NAME: 2t PERMIT#: �
LOCATION: 7 DATE:
TYPE OF STRUCTURE: U
Comments �1
Yes No N/A
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
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/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
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:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s . ft.-150 s . ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping 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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum''/2"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
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O[Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
Z-�/ ' lxvr'SdA-�11
Rough Plumbing / Insulation Ins coon Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm D art: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #: 1'' . _ `y-�
LOCATION: INSPECT ON: T 20
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing Nail Plates / 5���
PlumbingVent Vents in Place
1 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
Ai ad
.S.I or 5 minutes
Insulation sidential Check Commercial Check oe
PropegrNerif, Attic Vent
Duct/ Hot Water Piping Insulation
If re uired unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection rr guest received:
Queensbury Building&Code Enforcement Arrive: , I �` am/pm n Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspect rb s Initials: �l]�{�
NAME: PERMIT#: (57
LOCATION: Pl{q,J j - INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing �\ ( b ti?
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging I
Joist hangers I
Jack Posts/Main Beams
Exterior sheeting nailed properly j
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
t
Notches/Holes/Bearing Walls
{
Metal Strapping for Notches Top Plate
1 `/z w 16 gauge(8) 16D nails each side i
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 %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 / Firestopping Inspection 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: K
NAME: , PERMIT#:
LOCATION: wRN L INSPECT ON: /`
TYPE OF STRUCTURE:
Y N N/A COMMENTS
FramingrAk-[146x
Attic Access 22"x 3 "minimum _ 2„p 147—
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 YZ(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 se ration 1, 2, 3 hour
Fi wall 2, 3,4 hour
irestopping
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. (W)
5.7 sf above/below grade
5.0 sf grade
Foundation Inspection Report
Office No.(518)761-8256 Date In ti request received:
Queensbury Building&Code Enforcement Arrive 1. am/pdL/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect 's Initials:
NAME: ' 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.
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 Fortes\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Framing / Fir ping Inspection Report
Office No. (518) 761-8256 Date Inspection re st re ei d:
Queensbury Building&Code Enforcement Arrive: ' a
742 Bay Road,Queensbury,NY 12804 Inspector's Initi s-
NAME: PERMIT#:
LOCATION: ,t q INSPECT
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
ti
Attic A ss 22"x 30"minimum
Jack Studs/Headers =-- "
Bracing/Bridging a
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 1/z(w) 16 gauge 8) 16D nails each side
D mg sq. ft. floor trusses
Anchor Bolts 6 ft. o less on center
field 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour a
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. (W)
5.7 sf above/below grade
5.0 sf grade
�j A'�V I� a /✓
Foundation Inspection Report
Office No.(518)761-8256 Date Ins tion r iv
Queensbury Building&Code Enforcement Arrive: epart:
,r
742 Bay Rd.,Queensbury,NY 12804 Inspector s
NAME: )ERN11T#: 7- -
LOCATION: r INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Cootings
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 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 Foams\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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BUILDING &-CO €S DEPT:_.__ 0 y
Reviewed '
_Date; S
TOWN OF OUEENSOURY_BUILDING DEPARTMENT
Based on our limited examination,
compliance,Mth ouvoomments !"a ____
be construed as indicatMg the
plans and specitic2,tions are in _
compliance with-tpte Budding Code P _-_. _
New York State.
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Prescriptive Package Worksheet Enforcemen———tAg—e
—
(
International Energy Conservation Code (IECC) 674
Permit# I
Builder Name -u p� I " 0 _ Date ( Checked By '
Builder Address _, _ e V J I
Building Address ri (ce
—Date—
Zone Number /^ Package Number IECC Edition
Submitted By (�tf � o le%-r Phone Number 2&-z — C 9srs�8 z
• . / . e ! �
Glazing Area (?
100 X dy 5t,F� + S Y� _ �(T.� % %
Glazing Area Gross Wall Area Proposed Glazing Area Maximum Glazing Area
R-Value
Proposed Minimum
Description Comments R-Value R-Value
Ceiling R- 3C7 R-
Wall R- /! R-
Floor Over Unconditioned Space R- 30 R-
Floor Over Outside Air R- ^ R-
Basement Wall R- R-
Slab Floor R- R-
Crawl Space Wall R-
U-Factor
Proposed Maximum
Description Comments U-Factor U-Factor
Glazing U- U-
Opaque Door U- u-0.35
Check One
Equipment Efficiency(This section may be left blank if Normal is selected on the right.) *Normal
❑ High Heating
Heating AFUE/HSPF ❑ High Cooling
❑ High Heating&Cooling
Cooling SEER
Efficiency Make&Model Number
Statement of Compliance. The proposed building design represented in these documents is consistent with the building plans,specifications,
and other Iculations submitted with the permit application. The proposed building has been designed to meet the requirements of the
Internatto al E rZ C ervation Code..
der/Design r Company Name Date
Version 3.6/April 2003/U.S.Dept.of Housing and Urban Development/Rural and Economic Community Development/U.S.Dept.of Energy/Pacific Northwest National Laboratory