2005-072 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
42 Community Development- Building &Codes (518) 761-8256
CERT I F I CAT E )F 0 CCUP-ANCY
Permit Number. P20050072 Date Issued: Monday, January 30, 2006
This is to certify that work requested to be done as shown by Permit Number P20050072
has been completed.
Tax Map Number. 523400-301-007-0001-063-000-0000
Location: 26 CENTENNIAL Dr
Owner. KENNETH & MARILYN RYBA
Applicant: KENNETH & MARILYN RYBA
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
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: P20050072 Application Number: A20050072
Tar-i'vlap No: 523400-301-007-0001-063-000-0000
Permission is hereby granted to: KFT0,T TH& MARII,YN RYRA
For property located at: 26 CENTENNIAL 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: CHRISTINE LEGG
26 CENTENNIAL Dr Residential Alteration $12,000.00
Total Value $12,000.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
KEN RYBA
NY
Plans&Specifications
2005-072
RESIDENTIAL ALTERATION
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, February 15, 2006
(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 Qu stiy; y, February 15, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
I
Permit No. '
jilding&Codes Office-Department of Community Development-Town of Queensbury
Fee Paid
2 Bay Road,Queensbury,NY 12804 Recreation Fee
ave Hatin,Director cod esQaueensburv.net
lone: (518) 761-8256 FAX: (518) 745-4437
n'ncipa I Structure BuildingPermit Application
pplication & Plans subiect to review before issuance of a valid permit for construction.
istructions: A permit must be obtained before beginning construction. No inspections will be made until the
ipplicant has received a valid building permit. All applicants' spaces on this application must be completed and
nust appear on the application form.
kpplicant/Builder f�I & Owner: -
kddress: Address: 2 6 �(r�lT
tome Phone: 7Y-3 Home Phone: 7y
-::mail Address: f �3sa .�� G-� r�-Email Address: �
Cell Phone: Y2��e"I WIf-Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: t�j'.� 0"SA—
Address: 3 Cam '-�r_T — � Phone
Location of proposed construction: Lot No. W5_ Legal Address: � '�<,-Ai MA666f�c JI
Tax Map Number: 1 .7 �-�� Subdivision Name: ti1f� i�`�"°3& A (��°�-'
Estimated Cost of Construction: $ PL', ezc�✓
Proposed construction is for: 'Residential Use _Commercial Use
Name of Business:
If proposed construction is an addition,what will use of new addition bed -F
New Addition Alteration Proposed Construction 10 Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq.Ft. sq.ff. Sq.Ff. Square feet Height
Ft.&in.
Single-Family Dwelling / f:3 v 4A)v
Two-family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Gara a 1, 2, 3
Type of Heating System: Electric, Oil, )Wood, Forced Hot Air, Baseboard, Other:
C(5-4-
If a fireplace and/or woodstove are being installed, please refer to a separate application.
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the 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 Codes, 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 Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale,showing actual location of all new construction.
Date: � !v vim_ Applicant/Builder Signature:
The application of /t�'� ; �� dated y is hereby approved and
permission granted foWt.hecon ruction, reconstruction or alteration f a u ding/and or accessory structure as set
forth above. Date. Authorized Signature: rV
' J_/ -
LASue Hemingway\Building.Permit.FORMS\Principal Structure Permit Appiication.doc V:12/14/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive:/ am/p DeBart- am/pm
Date Inspection request received: Inspe or's it is:
NAME: r\ PERMIT#: C�7Z—
LOCATION: yxn4l ,te— Anx DATE: ! 3 D
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake � �
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Co m lete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in, or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.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
Interior privacy/trim/doors/main entrance 36 in.
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
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
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
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C 10 Temporary/Permanent
L:\PamW\Building&Codes\Insvection Forms\Res, Final Insp. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: �alsrn/p
m e art: am/pm
Date Inspection request received: _ lnspector s Ini , r
NAME: I i-�-->A PERMIT#: �
LOCATION: n: /{-G_ DATE: t�
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete -4
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in, or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. 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
Interior privacy/trim/doors/main entrance 36 in.
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: 1
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures �--
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches IL
Garage Floor Pitched _
Garage fireproofing/'/.hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents
Building No./Address isible rom road
Final Electrical 1
Site Plan /Variance re uired
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res, Final Insp. form 2.docLast printed 2/12/04
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
'6�that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Ken Ryba Date: 01 /26/2006
Occupant: Unknown Location: 26 Centenial Dr.
Occupancy: Queensbury, Warren Co. NY
Single Family Dwg.
ApplicanLF Kenneth Ryba
30 Sara Jen Dr.
Queensbury, NY . P "
�m
-s
a
Equipment:
6 — Switches, 4 Receptacles; 6 — Fixtures
Aft
p A
AC�
e
n .
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void.
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency, Inc. An application for inspection must be submitted to Middle
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building & Code Enforcement Arrive: am/pm D part: _ITZLM am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: n PERMIT #:
LOCATION: w INSPECT ON:
TYPE OF STRUCTURE:
Y IN N/A
� i
Rou h Plumbin / Nail Plates
Plumbing Vent / Vents in Place �Y
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum ` 31
Cleanout every 100 feet change of direction
Pressure Test
Drain / Vent
Air/ Head n�
5 P.S.I. or 10 ft. above highest connection for 15 minutes PC G .
Pressure Test
Water Supply Piping
Air/ Head
P.S.I for 15 minutes
nsulation Residential Check/ Commercial Check Z;,,,
Pro er Vent Attic Vent
Duct/ Hot Water Piping Insulation
If re uired unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct to e
COMMENTS:
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pqi Depart: /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #: oa O1
LOCATION: Qt C INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing Nail Plates
Plumbing Vent / 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
Air/ Head
P.S.I for 15 minutes
nsulation / Residential Check Commercial Check �3
Proper Vent 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 request received: �r-�
Queensbury Building&Code Enforcement Arrive: am/ /` Chart:- 5—ru am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: ` �---
NAME: R-L66A- PERMIT#: d `
LOCATION: -S,�sT�-r.'ti�,�-C_ 4oc- INSPECT ON: U
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing I 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 eparation 1,2, 3 hour
ire 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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: .i
Queensbury Building&Code Enforcement Arriv:: am'. a pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials. jl
NAME: PERMIT#: /
LOCATION: CM INSPECT ON: -- -
TYPE OF STRUCTURE:
ng Y N NSA COMMENTS
mi
Attic Access 22"x 30"minimum }
t
Jack Studs/Headers
Bracing/Bridging i
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
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
Ceilin /wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building & Code Enforcement Arrive: am/ampD epart: � m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: Kw�) F 15k PERMIT #:
LOCATION: Cc-^x R&14 .d tA-C-- tip 2- INSPECT ON: 10 5 '
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent / 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
Air/ Head
50 P.S.I for 15 minutes
Insulation Residential Check / Commercial Check
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
ANo l_H61/e Pt?w, c Da n1 ' T �, kC � �itlG— f4IG/A IG
C A,%,,6_ T-Row- , —5-`-� 6wN64?
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L:Tam Whiting\Building&Codes\Inspection Formsaough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: _am/ Depart: n/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials
NAME: 5 -
PERMIT#:
LOCATION: t INSPECT ON:
TYPE OF STRUCTURE:
X",
Y N Nia COMM �", o
F aming
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
Anchor Bolts 6 ft. or less on center
Ice and snow 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 I ,
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received,
Queensbury Building&Code Enforcement Arrive: am/i)rx De am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: T/
NAME: �y PERMIT #: — 7 Z
LOCATION: 2-4 �,� ,���,�- �� , INSPECT ON: o
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1 R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 Y2 inch min.Drain Size
ashin Machine Drain 2 inch min.
Supply Test
rain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
leanout every 100 feet/change of direction
ater Supply Piping
Cooper Commercial
Cooper, CPVC,Pea One and Two-Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping insulation
If required unheated spam
Combustion Air Supply for Furnace
ct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003
Framing / Firestopping Inspection Report "6 SO �.
Office No. (518) 761-8256 Date Inspection request received:
p
Queensbury Building& Code Enforcement Arrive: am/pp part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
1
NAME: PERMIT D S-6?0/�
' � #:
LOCATION: " n c 1( INSPECT ON:
TYPE OF STRUCTURE: -��
Y N N/A COMMENTS
rack
/Headers
g/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 gaMe 8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
re wall 2, 3, 4 hour
Firestopping dam C 13�p
Penetration sealed
16 inch insulation in cavi 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)
2 in. bove
7 sf a /below grade
5.0 sf ade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
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