2005-652 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: P20050652 Date Issued: Tuesday, October 18, 2005
This is to certify that work requested to be done as shown by Permit Number P20050652
has been completed.
Tax Map Number: 523400-301-014-0001-064-000-0000
Location: 32 LADY SLIPPER Dr
Owner: DAVID & JULIE ROLLESTON
Applicant: DAVID & JULIE ROLLESTON
This structure may be occupied as a:
Porch 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: P20050652 Application Number: A20050652
Tax Map No: 523400-301-014-0001-064-000-0000
Permission is hereby granted to: DAVID $ 1TJI,TF,RnI,I,FSTnN
For property located at: 32 LADY SLIPPER 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. Tyne of Construction Value
Owner Address: DAVID & JULIE ROLLESTON
32 LADY SLIPPER Dr Porch $14, 00
Total Value $14,000. 0
00
QUEENSBURY, NY 12804
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-652
384 SQ FT PORCH
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 06, 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 4T September 06, 2005
SIGNED BY V for the Town of Queensbury.
Director of Building&Code Enforcement
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Job Site Address: � �:) Date:
Owner: An Application No. File No.
WINDOW SCHEDULE
Window Window Mfg. Window Unit or Iutte�r1er dear Special Hardware or
Number or Name Model Stockx
Letter on tght Instructions
Or Type Number
Plan Call SizeILA
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L:\SueHemingway\Building,Permit.FORMS\Window Schedule.doc
Building &Codes Office Department of Communit Permit No. 5-
- S
742 Bay Road,Queensbury,NY 12804 Y Development-Town of Queensbury Fee Paid
Dave Hatin,Director lades@aueensbury net
Phone: (518) 761-8256 FAX: (518) 745-4437
Accessory Structure Building Permit Application
4-PplicationA Plans subiect to review before issuance of a valid permit for construction
any structure other than the principal structure (i.e., house), typically a garage, shed, greenhouse, dock, deck,
etc. (not necessarily limited to the list below). Refer to attached Informational Brochure No. 3
nstructions: 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
nust appear on the ap/plicati n form.
!'I i
Applicant/Builder Owner:
Address: Address:
Home Phone: TLE Home Phone:
Email Address: Email Address:
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
'erson responsible for supervision of work yvith respect to b 'Iding and codes compliance:
Name:
CSr��7 r33��3
Address: f Phone
ocation of proposed construction: Lot No. / Legal Address: L
ax Map Number: �� % ` Z_ Subdivision Name:
:stimated Cost of Construction: $
)oes an accessor stru t r y c u e currently exist on the property? _Yes / _No Ai If_ 10
If YES, list all existing accessory structures:
Proposed Construction 10floor 2^d floor Total Proposed Height
sq.ft. sq.ff. S ,ft. ft.&in.
Open Porch
Covered qf En lose Porch
(considered omply to FAR [Floor Area Ratio]
requirements if the structure is located in the Waterfront I
Residential zone.
G
3-season porch is considered an enclosed porch.
Deck
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.
'he Building and Codes Office will allow commencement of your proposed project only after
ssuance of your permit.
)eclaration: Please sign below after you have carefully read the statement:
.o the best of my knowledge, the statements contained in the application, together with the plans and
pecifications 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
Droposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner.
=urther, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
Being issued, as requ sted by the Zoning Administrator or Director of Building a Code , n As-Built Survey by a
icensed survey r, r�awn to scale, showing actual location of all new onstru on.
Date: 11�� Applicant/Builder Signature: 2
[he applicati n 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:E1Authorized Signature:ly
-:\Sue Hemingway\Building.Permit.FORMS\Accessory Structure Permit Applicotion.doc V:12/28/04
Foundation Inspection Report /A/
4
Office No. (518) 761-82.56 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: jp0
—
NAME: ` '- � PERMIT#:
LOCA'CIUN: INSPECT ON:
TYPE OF STRUCTURE:
Comments
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.
Materials for this purpose on site. _
Foundation/Wallpour
Reinforcement in Place
Founda ' n Dampproofing
F ptfn'dation/Waterproofing
Type of Dampproofing/Waterproofing 1
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.FORMS\Foundation Inspection Report.doc January 28,2003
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
'ermit No........................................Cert. N 0 8 9 9 7 3 Cut-in Card No...................................,
)wner..............�4...9Z L GEC TLS N
.ovation....4'...l �L.....5'L 1�' ' ... .:...............................4 �f......,
nstall on Consisting of...> ...{:! ../ �............/` ...... ..�'� ...................,
............�`.....T.l.:�.......................................................................................................................................
..................................................................................................................................................................................
nstalled By.... 1..-...SG� t. .�� .�Ly ................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 mak4iw inspections at any time, and if its
ules are violated,the Company shall have the right to ev e is rtific te.
)ate.............�� 5...J.............. INSPECTOR................... ..........................................................................
Queensbury Building & Code Enforcement - Residential Final Inspection
� �
Office No. (518)761-8256 Arrive: am/ Depart: . m/pm
Date Inspection reque eceived: Inspector's Initials:
NAME: Cl PERMIT#:
LOCATION: �, DATE: 7
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" 1�
Roof Complete/Exterior Finish Complete
Guard 30 in.or more(a),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: i 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 IS"x 24"access, 1 s . ft,150 s . ft. vents
Building No./Addresjy'sijle_jram road
Final Electrical
Site Plan /Varian a fired
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\Insvection FormslRes. Final Inso. form 2.docLast printed 2/12/04
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request c ' d:
Queensbury Building & Code Enforcement Arrive: a pm epart: - am/o-
742 Bay Road, Queensbury, NY 12804 Inspector's Initials 4
NAME: PERMIT #: Q s' c�
LOCATION: INSPECT ON: 9 -a=
TYPE OF STRUCTURE: U3
c�
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 / chan a 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 . for 15 minutes
ulation Residential Check/ Commercial Check il_i�'
Proper Vent Attic Vent z k--1
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&CodeAnspection 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:
Queensbury Building&Code Enforcement Arrive: am/pm Depart• am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: �� 1
CD
NAME: �' PERMIT#: `� (0�
LOCATION: INSPECT ON: S
TYPE OF y,TRUCTURE:
Y N N/A COMMEN
rig 11
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
.Tack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 35 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
I %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 water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestoppir -
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: am/p epart: Z- am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: ' 16ZZt5TI1J PERMIT#:
LOCATION: ( 4i(9 -alpd INSPECT ON: 657—
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
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.
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) 1613 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 1/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
Framing / Firestopping Inspection Report
Office No.(518) 761-8256 Date Inspection request receive /
Queensbury Building&Code Enforcement Arrive: ani/jIm Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: U o�
LOCATION: c. , INSPECT ON:
TYPE OF STRUCTURE: WV
Framing Y N N/A COMMENTS
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.
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
I 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 request received: g!y:�ani/pm
Queensbury Building&Code Enforcement Arrive: am/ Depart:
742 Bay Rd.,Queensbury, NY 12804 Inspector's Initials.
I�UNJNAME: � � X PERMIT#:
LOCATION: ` INSPECT ON: �=T��
TYPE OF STRUCTURE:
Comments
^� Y N N/A /
otings '� J
Piers
Monolithic Slab
Reinforcement in Place The contractor is responsible for
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,Inspection.FORMS\Foundation Inspection Repomdoc January 28,2003
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