2005-344 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050344 Application Number: A20050344
Tax Map No: 523400-308-014-0001-052-000-0000
Permission is hereby granted to: PETER PHAIR
For property located at: 183 PITCHER 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. Tyne of Construction Value
Owner Address: ARC COMMUNITIES 14, LLC
900 Residential Addition $400.00
Total Value $400.00
PO BOX 790830
SAN ANTONIO, TX 78279-0000
Contractor or Builders Name /Address Electrical Inspection Agency
Plans&Specifications
2005-344 71 BRIWOOD CIRCLE
232 SQ FT ADDITION TO MOBILE HOME
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, June 02, 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 d te.)
Dated at the T n of )een sday, June 02, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
J , I-I
Permit No.
7 �t
Building&Codes Office- Fee Paid
;Department of Community Development-Town of Queensbury �
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codesQaueensbury.nef
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit 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 ! '7' r_.. i rl- Owner:
Address: Address: 10
6R
Home Phone: - Home Phone:
Email Address: Email Address:
Cell Phone: _3//•--1/ / Cell Phone:
FAX Phone: -7!k -.;?// FAX Phone: 7 Y, —7// i4-
Person responsible for supervision of work with respect to building and codes compliance:
8`-
Name:
Address: " s Phone
Location of proposed construction: Lot No. -7 Legal Address:
Tax Map Number: t � ' / Subdivision Name:
Estimated Cost of Construction: $ RECEIVED",
Proposed construction is for: residential Use _Commercial Use
MAY , Q, ;'lIQS
Name of Business: TOWN OF OUEENSBU
RY
If proposed construction is an addition,what will use of new addition be? 5& - J0
New Addition roposed Construction 10 Floor 2nd floor Other Total Proposed
struct e (Occupancy Type) Sq.Ft, sq.ft. Sq.Ft. Square feet Height
Ft.&in.
Sin le-Famil Dwelling
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage 1, 2, 3
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application. —Yes _)�No
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 ail 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,constructi n.
Date: 1-3le-5— 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.
Date: Authorized Signature:
�E
r
"Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12114104
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE:70' -DEPART: INSP:
DATE INSPECTION REQUEST RECEIVED:
`f rLic
NAME: / �r
LOCATION:
DATE: �? PERMIT#
MOBILE HOME MODULAR HOME
FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING
N/A YES NO
1. foundation support, pier spacing
per manuf. ........................ _
—
2. anchoring per manuf. ............... _ _
3. water line shut off ...................
4. sewer line support @ 4 feet .......
5. heating crossover (dblewide) off grd. — — —
6. dryer vented outside ..;................... _
7. skirting ventilated ....................
8. hot water relief valve piping outside — — —
9. deck, porches, steps, railing ........ — — —
10. furnace/hot water operating ........
11. garage fire proofing .................. _ — —
12. door closers ...........................
13. plumbing fixture ...................... _
14. foundation insulation (if appl.)...... — — —
15. smoke detectors ....................... —
16. final electrical ........................ —
17. variance required ..................... _ —
18. data plate okay .......................
19. mobile HUD seal okay ..............
Model # Serial#
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES I/ NO
Comments:
1�"OU2 qDf�,, C'c+N'�•4G> >�RICG�
o AUotp J;-�-Vr21'K&2
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: "tq, _am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:-4;
, �I �(M P--- 'J14 J" PERMIT#: Q 3 jf
NAME: INSPECT ON: a Sf
LOCATION: r •< <r
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Jack Studs/Headers /
Bracing/Bridgingjt,, �l
Joist hangers
Jack Posts/Main Beams 61^14r (A-4
Exterior sheeting nailed properly
12"O.C. .--
Headroom 6 ft. 8 in. /�r; PCCIrt,
Stairwells 36 in. or more
Headroom 6 ft. 8 in. f j`'`` J
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Platej�,a
1 %2(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
Ceilin r'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.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
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UILDING& Y
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n' t EVIEWED BY l
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'[OWN OF QUEENSBURY BUILDING DER .RTM1ENT
Based on our limited examination,
�± comppliance with our comments shall
$ not be construed as indicating the
plans and specifications are in full
compliance with the Building Codes
of Maw York State.
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