2002-034 41111114 TOWN OF QUEENSBURY
too 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20020034 Date Issued: Thursday, December 19, 2002
This is to certify that work requested to be done as shown by Permit Number P20020034
has been completed.
Tax Map Number: 523400-227-010-0001-020-000-0000
Location: 38 BEAN Rd
Owner: JAMES & JOHN AUGSTELL
Applicant: JAMES & JOHN AUGSTELL
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
tiFo 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020034 Application Number: A20020034
Tax Map No: 523400-227-010-0001-020-000-0000
Permission is hereby granted to: JAMES & JOHN AUGSTELL
For property located at: 38 BEAN 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: JAMES & JOHN AUGSTELL Residential Alteration 15,000.00
22 GENERALS Way Total Value 15,000.00
CLIFTON PARK,NY 12065
Contractor or Builder's Name/ Address Electrical Inspection Agency
PATRICK O'ROURKE
4 PICKLE HILL Rd
LAKE GEORGE,NY 12845
Plans & Specifications
2002-034
240 SQ FT RESIDENTIAL ALTERATION AS PER APPLICATION
$20.40 PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday,January 28,2003
(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 awn of Qu ns ;l Monday,January 28,2002
SIGNED 1314,4 r `„gib." for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury-Dept of Community Development, 742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. 0a`i3
No inspection will be made until applicant has received a Fee Paid $61.0, y.b
valid building permit. All applicants' spaces on this Rec. Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
Applicant: PATRICK 0'ROURKE Owner: JOHN AUGSTELL
Address: 4 PICKLE HILL RD. Address: 7 BITTERSWEET LN.
LAKE GEORGE N.Y. 12845 LOUDONVILL N.Y. 12211
Phone#(518 ) • 792-8767 Phone# (518) 7-85-0669
Property Location: Lot Number: 20 / House Number 38 BEAN RD. KATTSK ILL BAY
Subdivision Name: VanDusen & Steves Tax Map Number: 227.10-1--IO
irjt OD
€] New Building: residence /commercial Estimated Market Value of Construction: SZaseffitiM
0 Addition: residence/ commercial If an Addition,what will use of new addition be?
Iteration: residence/ commercial
'IV change to exterior size: residence/com'l
/ Other work(describe
REPLACE EXISTING ROOF
Check Occupancylnformation lst Floor , 2"Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
0 Single family dwelling r , Zu
❑ Two family dwelling E
o Townhouse r ED
o Multifamily dwelling
#of units c7Q2
o Office TOW
o Mercantile t.7 AND CO,Y
❑ Manufacturing
o 1 car detached garage
`� ❑ 2 car detached garage
o 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
o Other
What is the proposed height of the structure 1 1 feet 8 inches
Will any second-hand or ungraded lumber be used? If so, for what?
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: NONE
Number of Fireplaces to be installed NONE Number of Woodstoves to be installed NONE
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder PATRTCK O'ROURKE 4 PICKLE HILL RD. L.G. 792-8767
Plumber "
Mason NONE
Electrician J COFFEY 793-1465
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
submit,prior to a Certificate of Occupan r Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director o B wand C des, As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new c
Signature: >'r 2._ owner,owner's agent,architect,contractor
I - �
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart j �,
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME Ali� • PERMIT#
LOCATION '[ / DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete__
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above 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
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected � � eke()(607)
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
S ty glazing 18"or less from floor ,�/
final Electrical
/(/ C
Site PlanNariance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent CIO(Certif.of Occupancy)
, Pk- (ZAckftty rekaf
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: d
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart ,pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804 ry�NAME PERMIT# L1�3 Tel
LOCATION DATE i L4 V o l L�2,
TYPE OF STRUCTURE tC.C')4-t t1 -F
N/A YES NO COMMENTS &i
Chimney Height/"B"Vent/Direct Vent Location Veit) �p�S p,Fresh Air Intake rl i
Plumb Vent through roof •J
Roof Complete t// Cd11 Wif1;74-411CL
Exterior Finish Complete ✓
Interior/Exterior Railings 30"to 36" crit I — i71 rt --
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above 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
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans_
Plumbing fixtures
Foundation insulation
3/a hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical ' (��. /4/5,;:-
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_ ✓/
Okay to issue permanent C/O(Certif.of Occupancy)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No. Cert. N 2. 79400 Cut-in Card No..0. — °..7�
1.4.
Owner Li i )6 5 T -2,-
Location 5 ig e Aj /a Q
Installa Cons;s n ting of.a) / 744 /0 � / £> L./ 77- ,
Installed By Jil• t r- Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making i 4.ections at any time, and if its
rules are violated,the Company shall have the right to revo e this e,ate.
Date , z` e Zs-- INSPECTOR O
Member N.RP.A.,I.A.E.I.
Office Use
GENERAL INSPECTION REPORT Inspector:
Ready at time:
Town of Queensbury
Dept. of Community Development Request received: Meet: '
Building& Code Enforcement �� At time: I
742 Bay Road '��,f)
Queensbury, NY 12804 ARRIVE am/pm: DEPART 1( '
am/pm Notes:
(518) 761-8256 Inspector's Initialsi)(. 5(
NAME: .r4/G U j%(C C . PERMIT# 0 Z" Q
LOCATION: C— � �� INSPECT ON(date): 4)7Z-Z---(02---
TYPE OF STRUCTURE:
RECHECK
N/A YES NO MENTS
Footings/Piers
Monolithic Pour Form
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 i
Foundation/Dampproofing
Backfill Approval
PI robing Under Slab t_
P umbing Vent/Vents Plac _._�
ough Plumbing ktt.. ti�/t r _,,
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- `_
Duct work or piping in
unheated spaces R- _____
Proper Vent,Attic Vent _
Framing
Jack Studs/Headers
Bracing/Bridging_
Joist Hangers
Jack Posts/Main Beam
Air Infiltration.Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement .. At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE amlpm: DEPART Z' am/pm Notes: j js�
(518) 761-8256 Inspector's Initials
NAME: .f) PERMIT#C50(
LOCATION: INSPECT ON(date): —
TYPE OF STRUCTURE: .
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
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
Foundation/Dampproofing rst
Backfill Approval
Plumbing Under Slab
L �
Plumbing Vent/Vents in Place
ough Plumbing -- N i A'L� 1� Pc\l— Y `�YE-`/
Heating Rough-In
Insulati
undation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers _
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour—
—
Penetration Sealed
re Wall 2,3,4 hour
>restopping
L:\SueHemingwaylBui]ding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
--
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:a-7jp
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE • .` ' -RT 0 a 4 10Notes:
417A.
(518) 761-8256 Inspector's Initial
NAME: 1 ` `�C -` �'k P' : _ PERMIT# �� !4'
r OJ
LOCATION; S/cc\--, � INSPECT ON(date): I Ef (Mb
.!';'`)
TYPE OF STRUCTURE:
RECHECK
N/A YES} O COMMENTS
Footings/Piers
Monolithic Pour Form p
Reinforceme - *lace \
The contr..ctor is -sponsible for
providing ,rotectiolt from freezing
for 48 hou s followiuv the placement
of the cone ete.
Materials for is purpose on site
Foundation/W 1pour
Reinforcement ' Place
Foundation/Dam..ro. ing_
Backfill Approval
Plumbing Under a.
Plumbing Vf ents Place
Rough Plumbing_
Heating Rough-In
Insulation
Foundation Walls Interio R-
Foundation Walls Exterioi\R-
Floors R-\
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- _
Prop ent,Attic Vent
Fr 'ng
Jack Studs/Headers _
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour _
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection,FORMS\GENERAL INSPECTION REPORT.doc
! 4 a
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OF QUEENBBURY -03
TOWN•
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BUILDING & i ?".4=t2,,,7/P . , ECENED
REVIEWED BY J AN 1 5 2002
®�i
DATE 1 OF 0U ` NSBURY r)CODE
I I
TOWN OF QUEENSBURY BUILDING DE` ' '''NT 1
Based on our united ' j
compliance ;„-. .�.,� !"!' :-N ! ! r y-
- not be cons Il, I as ' 4 I:1. •the 1 , +., 1
i-
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FE CO , ,-1--, __
' NONCE
E a.2T KRAFT PAPER INSULATION MUST BE
NOTICE COVERED BY NON-COMBUSTIBLE BARRIER
SMOKE DETECTORS ARE REQUIRED IN BEDROOM NOTICE
ADJACENT TO BEDROOMS,AND ON EACH FLOOR LEVEL
INCLULUFLLA R BASEMENT. ALL SMOKE FOAM INSULATION MUST BE COVERED
DETECTORS SHALL BE I ERCONNECTED ON ALL LEVELS. BY A 15 MINUTE THERMAL BARRIER
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