2005-506 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NTY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050506 Date Issued: Friday, December 30, 2005
This is to certify that work requested to be done as shown by Permit Number P20050506
has been completed.
Tax Map Number: 523400-302-018-0003-042-000-0000
Location: 117 COOLIDGE Ave
Owner: BETH S SAUNDERS
Applicant: BETH SAUNDERS
This structure may be occupied as a:
Garage Attached
By Order of Town Board
Porch & Deck TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, /d
Variance, or other issues and conditions as a result of approvals by the Director of Building&Cole 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: P20050506 Application Number: A20050506
Tax Map No: 523400-302-018-0003-042-000-0000
Permission is hereby granted to: BETH SAT TNDERS
For property located at: 117 COOLIDGE Ave
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: BETH S SAUNDERS
117 COOLIDGE Ave Garage Attached
Porch&Deck $140 00
QUEENSBURY NY 12804
Total Value $140,000. 0
00
Contractor or Builder's Name /Address Electrical Inspection Agency
ACTION CRAFT
49 BT 7CKBEE Rd
OT TEENSBI TRY_ NY 12804-0000
Plans&Specifications
2005-506
408 SQ FT 3RD BAY ADDITION TO GARAGE
390 SQ FT OPEN PORCH, 240 SQ FT SCREENED PORCH AND
130 SQ FT DECK
$116.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, July 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 Ton of�, ens , July 20, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No.
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid G
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codes@aueensbury.net
Phone: (5181 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 o - ✓a o o,, Owner: ���. t l f a -Se-�
Address: Y2e Q Address: /Z o r,
a Q �+ C G t��. � l.VDy
Home Phone: - O Home Phone: 7 ?- O 16 a 1
Email Address: 11i O.'r to- a I,o - c., L0 Email Address:
Cell Phone: 2 91- o'/1 9 Cell Phone:
FAX Phone: 2V-3 - ofi o FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name:
Address: Mo 4 Phone
Location of proposed construction: Lot No. Legal Address: G. o o� s /T v e .,u
flax Map Number: 30.1 4 Subdivision Name:
00 R
Estimated Cost of Construction: $ /Vo, 0 o 0 '� R i�10 E V
Proposed construction is for: .XResidential Use _Commercial Use ;,JUL ft 15 6105
Name of Business: TOWN OF Q(JE ivS8URY
BUILDING AND CODE
If proposed construction is n,w a wl use dition be?
New Addition Alteration Proposed Construction V Floor 2nd floor Other o Proposed
structure ccupancy Type) Sq.Ft. sq.ff. Sq.Ft. Square fee Height
I— Iin.
Single—Family Dwelling
Two-Family Dwelling
Townhouse
Multifamily Dwelling Rs
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage 11 2, 3 O
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other:/U 0��,� s A a(-C
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 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 l/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: 05- 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: `7 Authorized Signature:
L:\Sue Hemingway\Building.P rmit.F RMS\Principal Structure Permit Application.doc V:12/14/04
Permit No. ooa s S0
3uilding &Codes Office-Department of Community Development-Town of Queensbury Fee Paid
142 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes®aueensburv.net
'hone: (518) 761-8256 FAX: (518) 745-4437
Accessory Structure Building Permit Application
4pplication & Plans subiect to review before issuance of a valid permit for constrgZi�a ' V E Q
6,ny structure other than the principal structure (i.e., house), typically a garage, shed, greenhouse, doGk'de1ck, 1105
atc. (not necessarily limited to the list below). Refer to attached Informational Brochure No. 3 II�1
Y
nstructions: A permit must be obtained before beginning construction. No inspections will be m!NOWL
applicant has received a valid building permit. All applicants' spaces on this application must p
must appear on the application form. � t�' Cs�u'`'' �'n
Applicant/Builder e CrcA 0 A v t j. ,Owner:
Address: A
,) Address: o p
Home Phone: 3- ,ol 60 Home Phone: Ix
Email Address: MaY jo oL c7k:o— c%.w Email Address:
Cell Phone: ovet Cell Phone:
FAX Phone: ? A - D 1 6 a FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: L v A c
Address: Phone
Location of proposed construction: Lot No. Legal Address:�// 7 �06 g Ay C.
,Tax Map Number: �_�G` "1 Subdivision Name:
Estimated Cost of Construction: $ 1 . 0 0 d
i
Does an accessory structure currently exist on the property2 _Yes / kNo
If YES, list all existing accessory structures:
Proposed Construction 111 floor 2nd floor Total Proposed Height
sq.ft. sq.ft. S .t, ft.&in.
Open Porch 3 90 ,lg
v re or Iiclosed Porch _S�, -j,�,,`.^1
on(csidered floor area&must comply to FAR [Floor Area R� atio]
requirements if the structure is located in the Waterfront 1
Residential zone. a 10
I
3-s on porch is considered an enclosed porch.
ec e-,t Y30 0 S
Boathouse
Boathouse with sundeck
DOCK
Shed
Pole Barn
Detached Garage 1, 2, 3 car
Other Accessory Structure:
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.
ti
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: ,2'-SV 0 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:
L:\Sue Hemingway\Building.Permit,FORMS\Accessory Structure Permit Application.doc V:12/28/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.(
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. N 2 93755 Cut-in Card No.............................
WOO�t
Owner...................... ................/............. ................. .................................................................. ......
Location....L.�.. .............`l ..L.: .A.�9.8 ................................................. ... ........
Installation Consistin fl �� ....�� 0 ......................
................................. .........................................Ai° '...........................................................................
. .... ......
Installed By.......fiCZ7tJ.../ ...0/G .....................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 mak' g inspections at any time, and if it:
rules are violated,the ComEp!aqy,shall have the right r k t rtifica
Date... .............. INSPECTOR..............................................................................................
ti
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: _3Iam/pm(,��P am/pm
Date Inspection request received: Inspector's Initials: WI
NAME: PERMIT#:
LOCATION: -C DATE:
TYPE OF STRUCTURE:
Comments
Yes No N/A
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 J
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade ` J L
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall yU�'
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 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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed pr9perlA
Gas Logs in Seale r la s 1E os e
Final Electrical kk
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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: '
Queensbury Building&Code Enforcement Arrive: am/pn Dep am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
C7
NAME: 1. PERMIT#:
LOCATION: _ INSPECT ON: -
TYPE OF STRUCTURE:
Y N N/A `
Fr ng COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers
1 � 3
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams I
Exterior sheeting nailed properly
12"O.C. � I
Headroom 6 ft. 8 in. /ADD 1 )A\LS
Stairwells 36 in. or more Headroom 6 ft. 8 in. RA,F T�C A 5
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 w) 16 gauge(8) 16D nails each side I �A,
Draft stopping 1,000 sq. ft. floor trusses
i
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
� Y ELL
� G
Firestopping
Penetration sealed C,)A)
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.
Queensbury Building&Code Enforcement Arrive: ._am/ in epart: pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: �a(Uti - le5 PERMIT#: 0 `5--`�
LOCATION: �': ��� ( CSC— - INSPECT ON: 1 !SJ
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing C-�VAC C-K-
Attic Access 22"x 30"minimumJ'�,
Jack Studs 1 Headers
Bracing/Bridging _ �Q
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
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 request received:
Queensbury Building&Code Enforcement Arrive: am/pm & Depart I Al m a /pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: -mJ-
F cc
NAME: PERMIT#: �J
LOCATION: INSPECT ON:
TYPE OF STRUCT R :
Comments
Y N 1V/A—I
ootings
Piers
Monolithic Slab s
Reinforcement in Place �-
The contractor is responsibleir
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 T
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.InspectionTORMSToundation Inspection Report.doc January 28,2003