2005-900 � TOWN OF QUEENSBUIRY
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742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development-Building & Codes (518) 761-8256
CERTIFI CATE OF OCCUPANCY
Permit Number: P20050900 Date Issued: Friday, January 27, 2006
This is to certify that work requested to be done as shown by Permit Number P20050900
has been completed.
Tax Map Number: 523400-295-020-0001-018-000-0000
Location: 61 FARR Ln
Owner: EDMUND &LAURA SIPOWICZ
Applicant: EDMUND & LAURA SIPOWICZ
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,
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.
--r- TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
tit
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050900 Application Number: A20050900
Tax Map No: 523400-295-020-0001-018-000-0000
Permission is hereby granted to: F.DM[TND &T,ATTRA STP0WTC7,
For property located at: 61 FARR Ln
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. Tie of Construction Value
Owner Address: EDMUND &LAURA SIPOWICZ
6 OAK TREE Cir Garage Attached $16,000.00
Total Value $16,000.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
MfCHAEL SCHUSTERTTSCH
24 LADYSLTPPER Dr
OTTEENSBITRY. NY 12804-0000
Plans&Specifications
2005-900
416 SQ FT GARAGE ADDITION
$41.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, November 25, 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.)
g X i
Dated at the Town Quee sb ; ¢ Fr}11 i vetlber 25, 2005
1,
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SIGNED BY � for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No. O O
Building &Codes Office-Department of Community Development-.Town of Queensbuy Fee Paid
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director code si§aueensburv,net
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Build-ng Permit Application
Application & Plans subiect 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 a- 1wi_7'c=r7(kC_4Owner: VF,f 0A Sr qi,1tc S
Address; L C Address: �) i
[AbGl�! e. IL��S Un /v /ado°f
Horne Phone; Gal 2 23 i 3 C 36 Home Phone: ,3
Email Address: Email Address:
Cell Phone: L Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance: i
Name; 3o7 301-t
Address; , ,L ' . v� Phone Z1�J'-3&1�3
Location of proposed construction: Lot No. Legal Address:
Tax Map Number: 0-9 C i
� Subdivision Name;
Estimated Cost of Construction: $ &6_0 MECEIVELJ
Proposed construction is for: _ esidentiah�Use ,Commercial Use
NOV 16 2005 +
Name of Business: TOWN OF QUEENSBURY
BUILDING AND CODE
If proposed construction is an addition, what will use of new addition bed E
_J V
New Addltlo.n Alteration Proposed Construction 10 Floor 2 d floor Other Total Proposed
structure (Occupancy Type) Sq, Ft. sq,ft. Sq.Ft, Square feet Heigh'
\
Ft, &Ir
Single-Family SIngle-Family Dwelling
Two-Family Dwellln
Townhouse
Mulfifamlly Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Gaia
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, 6i lie r: 0A
Is a fireplace and/or woodstove being installed, please refer to a separate application. _Yes
Applications are subject to Zoning Administrator, Code Compliance, and Stuctural Plan review.
The Building and Codes Office wlll 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 plens 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 Buildi odes, an As-Bbilt Survey by a
licensed surveyor, drawn to scale, showing actual location of all newt stru —�
i
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 ak;ove,
Date: Authorized Signature:
LASue Hemingway\Building,Permit,FORMS\Principal Structure Permit Application.doc V:12/14/04
Queensbury Building & Code Enforcement - Residential Final,Inspection
Office No.(518)761-8256 Arrive: � am/pm Depart: Z ��j0 am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#: 75� '70D
LOCATION: —G ` DATE:
TYPE OF STRUCTURE: -
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location n
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 �rn
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 watertight
Safety lazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:Outside every bedroom area: — IKJ n v'
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'/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 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 Certificatior,af re uired
Okay to issue C/C 9 r C f l 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 U��
MUNICIPAL CERTIFICATE — ELECTRICAL APPROVAL
Permit No........................................Cert. N 2 _ 93937 Cut-in Card No....................................
Owner................................. 7�
........................................................................U..................
Location.......e1j.... /z... !(Jt�...................................................... �,r ..............
Installation Consisting of. /� f .....��(:. r� ��...... - ..............
....................................................................................................................................................................................
...............................................................�........................q..... ...
Installed By. '�.SC '�S� �y .`Y 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' ' spections at any time, and if its
rules are violated,the Company shall have the right to rexoke t ce Mica
Date.f�.�..%0..6...............INSPECTOR... .... ..................................... .................................
U-h-NFPA TART
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:,
NAME: PERMIT#: W
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
aming
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
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 re est ceiv d:
Queensbury Building &Code Enforcement Arrive: ?t Depart: Z;f b a n
742 Bay Rd., Queensbury,NY 12804 Inspector's Initia s: "
NAME: P IT#: Lo S _ck _
LOCATION: (41 F i�RR �—P�g F PECT ON:
TYPE OF STRUCTURE:
Comments
Footings �
Y N N/A /,�
-
Piers FC)OT-\ OG
Monolithic Slab
Reinforcement in Place V 2 C D4� �d� ���1
The contractor is responsible for + � CS�(�LL Iglu
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. _
Foundation/Wall.pour
Reinforcement in Place
Foundation Dampproofing 1�A L \
Foundation/Waterproofing �. ,Q 1--,) 1-� �1r�
Type of Dampproofing/Waterproofing v'E�—>AV-A
Footing Drain Daylight or Sump V--E-Vv\1 lV 1 V")� 6�) `--
Footing Drain Stone: b
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.
I.:\SueHemingway\Buil ding.Codes.InspectionTORMSToundation Inspection Report.doc Januaiy 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
05 rn
NAME: i O_yJ eZ , PERMIT#: l
LOCATION: p `J �� Dr y�Q INSPECT ON: J
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 22"x 30" minimum V
Jack Studs/Headers v 1
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 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,Ig
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 518 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/pm Depart:� im/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: i :VL( ((((.• ((
NAME: U�-'L 1 r _ PERMIT#:
LOCATION: " .� `= Lr2 _ INSPECT ON: - C�
TYPE OF STRUCTURE: I
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.
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 i Z.
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
f
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