2005-370 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050370 Date Issued: Wednesday, January 25, 2006
This is to certify that work requested to be done as shown by Permit Number P20050370
has been completed.
Tax Map Number: 523400-290-006-0001-028-000-0000
Location: 13 THISTLEWOOD Dr
Owner: LORI WILLARD
Applicant: LORI WILLARD
This structure may be occupied as a:
Garage Attached 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, Y
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
()of 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050370 Application Number: A20050370
Tax Map No: 523400-290-006-0001-028-000-0000
Permission is hereby granted to: LORI WILLARD
For property located at: 13 THISTLEWOOD 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: LORI WILLARD
13 THISTLEWOOD Dr Garage Attached $6,000.00
Total Value $6,000.00
QUEENSBURY, NY 12804
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-370
416 SQ FT GARAGE ADDITION
$41.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 28, 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 wn o uee 'W d June 28, 2005
u
SIGNED BY Vf for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No. = GC'S 3
,Ies Office-Department of Community Development-Town of Queensbury Fee Paid /, 9(
-,ad,Queensbury,NY 12804 Recreation Fee
satin,Director g;odes@aueensbury.net
_,ne: (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 Owner:
Address: /3 /, �;� r,�bvr� J�,��v� Address: 13
Home Phone: ILIS - Home Phone:
Email Address: ►c7 aeS 6-2a�ph,a I)e f Email Address:
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: C� csnf4
Address: Phone
Location of proposed construction: Lot No. Zu Legal Address: 13 1;t3 7 C(_ec%.1�.wz3 ;Zf
Tax Map Number: 7-!2 0 d Subdivision Name: U7-0 06E1 y/LS
C C)
Estimated Cost of Construction: $ QQ
Proposed construction is for: ✓ Residential Use _Commercial Use RECEIVED
Name of Business: iV r3 N11A� ? D
If proposed construction is an addition,what will use of new addition be? y
s'Uil
New Addition Alteration Proposed Construction lei Floor 2nd floor Othe Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. Sq. Ft. Square feet Height
Ft.Mn.
Single-Family Dwelling
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage 1, 2, 3 7
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other: -1_
Is a fireplace and/or woodstove being installed, please refer to a separate application. —Yes I/No
Ap.plications 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 Co es, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of all n c strucf
Date: 105 Applicant/Builder Signature-
The application of C ed is hereby approved and
permission granted for the construction, reconstruction or eratio of it in d or accessory structure as set
forth above.
Date: Authorized Signature:
L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit A/rion.doc V:12/14/04
M_ M
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPA��--7L CERTIFICATE - ELECTRICAL APPROVAL
Permit No.... .aCx... .3.L.L_,.e.Cert. N 2 93567 Cut-in Card No.....................................
1
Owner................. fa.R ..........:j.c�..n.a.s..............................................................
Location.......13........1.l.�l.$✓`:L�s�s,��t.;a.�.......f.?/,.?�.............................................................................
Installation Consisting of..... ...._.....
. �' •..�t r�a ?C�.n� +•
Q. ....9 1.<3.AJ...., .4t....... ..., .QA....2. .p? j...C.4��......1�....1�G.�.j.....3..fS:.rt.t'.�....
....t 5.............................................................................................................................................................
InstalledBy............Axy-L.c............................................................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 inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date....... .............. INSPECTOR .. ..............................
Member N.RP.A.,1.A.E.I.
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: 7 7g
NAME: \ `I C,,,<-U A PERMIT#:
LOCATION: 1 DATE:
TYPE OF STRUCTURE: 'oy-N
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake r
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 a 4 'e t 3 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 y ��
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
Fumace/Ilot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Tern 110
Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/Y4 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 Certificatj26jf re jred
Okay to issue C/ or C/O em or /Permanent
L:\Building&Codes Forms\Building&CodesUnspection Forms\Residential Final Inspection Form revised_100405.doc
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection r ue eived:
Queensbury Building& Code Enforcement Arrive: a e 7,,'7b a pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initi
NAME: Lo qpn PE T #:
LOCATION: i~. INSPE T ON:
TYPE OF STRUCTURE: NVA; _
Y N N/A COMMENTS
Framing
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 %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 I
Ceiling/wall I
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.FORMSTraming Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Repo
Office No. (518) 761-8256 Date Ins ection re est ceiv d:
Queensbury Building&Code Enforcement . Arrive: p part: a p
742 Bay Road, Queensbury,NY 12804 Inspector s Imtia
NAME: "V�\���3 , PE D RMIT#: 3�
LOCATION: INSPECT ON: "U 5
TYPE OF STRUC
Y N N/A
aming COMMENTS
Attic Access 22"x 30"minimum 1
Jack Studs/Headers ,1^
Bracing/Bridging /J
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 %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
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection Wee
Queensbury Building &Code Enforcement Arrive: Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initin r.
NAME: 1�c,�c ti(' PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: o A00
Co ants
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.
rials for this purpose on site.
dation/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:1SueHerrrngway\13uilding,Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
J
Foundation Inspection Report '
r
Office No. (518) 761-8256 Date Inspection request received: 7 U�
Queensbury Building&Code Enforcement Arrive: am/p 4- -2a
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:.
NAME: �t t.tl�✓Y'� PERMIT#:LOCATION: 3 ' .i) ;�����Lam`- INSPECT ON:TYPE OF STRUCTURE:
y N ol N/A /
Footings
Piers ( /
Monolithic Slab
Reinforcement in Place!
The contractor is responsible for n
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place y
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.Codes.Inspection.FURMSToundation Inspection Report.doc January 28,2003
P r
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:.
NAME: PERMIT#:
LOCATION: c3 INSPECT ON: _ —
TYPE OF STRUCTURE:
Commeuts
-- y N N/A
Foo s
C1
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement 1
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.Codes.Inspection.FORM STounda tion Inspection Report.doc January 28,2003
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