2005-203 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUP-A-N- CY
Permit Number. P20050203 Date Issued: Tuesday, May 05, 2009
This is to certify that work requested to be done as shown by Permit Number P20050203
has been completed.
Location: 53 MASTERS COMMON SOUTH
Tax Map Number: 523400-290-017-0001-023-000-0000
Owner. MICHAEL & REBECCA BONN
Applicant: MICHAEL & REBECCA BONN
This structure maybe occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
! ,1
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, �V
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: P20050203 Application Number: A20050203
Tax Map No: 523400-290-017-0001-023-000-0000
Permission is hereby granted to: MICHAEL& REBECCA BONN
For property located at: 53 MASTERS COMMON SOUTH
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: MICHAEL &REBECCA BONN
53 MASTERS COMMON SOUTH Residential Addition $15 000
Total Value $15,000.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-203
140 SQ FT GARAGE ADDITION FOR STORAGE
$75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, April 20, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tow Queens d esday,April 20, 2005
SIGNED BY 171 for the Town of Queensbury.
Director of Building C ode iforcement
Permit N t �0
Building&Codes Office-Department of Community Development-Town of Queensbury
Fee Pal _
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codes@ciueensbury.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subiect to review before issuance of a valid Dermlt_for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder C. ef$ -� U 1/460wner:
Address: 9 --f�P� <. Address: �13 MASTE
1i.4�U.STUN LAY-a: --
Home Phone: 51 —9K,1 - Home Phone: `s;--7145- '7102
Email Address: Al A t,Lo Alit Email Address:
Cell Phone: 1 - " - a 7 Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance REcEI VE
Name: L� �nn
U
Address: S ` Phone
J'
Location of proposed construction: Lot No. v�l Legal Address: +E
Tax Map Number: Subdivision Name:
Estimated Cost of Construction: $ 000 •Ju
Proposed construction is for: Residential Use _Commercial Use
Name of Business:
If proposed construction is an addition, what will use of new addition be? 5-M
New Addition Alteration Proposed Construction ld Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ff. Sq. Ft. Square feet Height
Ft.&in.
Single-Family Dwelling
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached. 1, 2, 3 : 1
Type of Heating System: Electric, Oil, as, Wood, Forced Hot Ai , Baseboard, Other:
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 ew c nstruction.
Date: �� Applicant/Builder Signature: /
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above. 41
Date: Authorized Signature: ��• 4 1"`1
LASue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
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Based on our limited xamination,
compliance with our co(nments shall --
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Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection re est received:
Queensbury Building&Code Enforcement Arrive: a Dep pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initia
NAME: (� 1r PERMIT#: � �
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. Q�
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
estopping
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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: a in D part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials.
v
J _ 3
NAME: ' Cif PERMIT#:
LOCATION: VINSPECT ON: 3f-U�
TYPE OF STRUCTURE:
Y N N/A COMMENTS
raming
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
I)Achor 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 % 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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection reque t received:
Queensbury Building &Code Enforcement Arrive: a Depart: am/pm
742 Bay Rd.,Queensbury, NY 12804 Inspector's Initials:
NAME: i _ PERMIT#: S-c) 3
LOCATION: _ Q t i .yam INSPECT ON:
TYPE OF STRUCTURE: %
Comments
-- Y N N/A
ootings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement I
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/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:\SueHemingway\Building.(;odes,Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
(f " ��� riceWnQueensbury Building & Code Enforcement d Residentialal Inspection r
i
Office No. (518)761-8256 Arrive: ,65 am/pgn �rt: am/pm
Date Inspection request received: Inspector's Initials:
NAME:NAME: %hv` , . PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
_ 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 deckspatios 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
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 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 fumace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
E osed Stairs Sheetrock Underside minimum'/"Gypsum
asement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer T
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 Dept. Inspection Sticker
Site Plan /Variance r uired _
Flood Plain Certification,if uired
Okay to issue C/C or C 10 Temporary/Permanent
LABuilding&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form revised_100405.doc;Revised
January 7,2008; Revised 6/26/08
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: y am/p a rt: am/pm
Date Inspection request received: inspector s in ials:
�NAME: .__. / PERMIT#: -
LOCATION: l" ,,L f DATE:
TYPE OF STRUCTUREF '-VAM:
Comments"
Yes No NIA!
4" Building Number Address visible from road e
Chimne Height/"B"Vent/Direct Vent Location
Fresh Air Intake ' fir"
3 inch Plumbing Vent through roof minimum 6 inches r
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs deckspatios 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
Deck Bracing/Handicapped_Ramp Compliant
Grade awayfrom foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off ex sed iregulator 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 backu
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 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000
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 closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Seated properly IfL' It
Gas Logs in Sealed or Glass Enclosure
Final Electrical f 2tn, ( "�U
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Oka to issue C/C or C 10 Temporary.1 Permanent
LABuilding&Codes Forms\Buiiding&Codes\Inspection FormsWesidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
I--*iL)r,
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrivss:y, 7 am/pml rD part: am/pm
Date Inspection request received: Inspector's Initials: ('
NAME: '�jc�/►/y� PERMIT#:
LOCATION: r`, A6ijG 'j d its , DATE: Z �
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
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 waterti ht
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'h"Gypsum f
Basement stairs closed rise>4 inches
Garage Floor Pitched +.f
Garage fireproofing/3/a hour fire door/door closer /,,v ( -t
Duct work Sealed properly
�as s in Sealed or Glass Enc4urel
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
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
3ermit No..;...................:::........_.Cert. N'M 7028 Cut-in Card No....................................
)wner........... ....... .................................................................
ocation............s5.. s�.42 5 � .rrt.mu n......Sv .'t?i...................................................
........... ........
nstallation Consisting of..../ <AL. ....k.A�.........�t.A�AC--S .............................
............ LT.. j....................................................................................................
.................................................................................................................................................................................
nstalledBy..........S.FI. -XI.C..r..........................................................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,the Company shall have the right to revoke this certificate.
)ate..........:�....:....�c?. .................. INSPECTOR....�. ... .. .......................
19- Member N.F.P.A.,1.A.E.I.
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: b am/p P,&part- am/pm
Date Inspection reque t received: Inspecto 's Initials:
l
NAME: PERMIT#:
LOCATION: DATE: % '2._
TYPE OF STRUCTURE-
Comments:
Yes No N/A
4° Building Number Address visible from rcM
ChimneyHeight/"B"Vent/Direct Vent Location j r �r
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 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 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 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 closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer, C`
Dud work Sealed Properly
Gas Loge 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 t. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Tem ora /Permanent
LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised 100405.doc;Revised
January 7,2008; Revised 6126/08