2004-498 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: P20040498 Date Issued: Wednesday, January 26, 2005
This is to certify that work requested to be done as shown by Permit Number P20040498
has been completed.
Tax Map Number: 523400-227-014-0001-025-000-0000
Location: 1167 PILOT KNOB Rd
Owner: HAROLD SMITH
Applicant: HAROLD SMITH
This structure may be occupied as a:
By Order of Town Board
Garage - 1 Car Attached TOWN OF QUEENSBURY
_ l
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040498 Application Number: A20040498
Tax Map No: 523400-227-,014-0001-025-000-0000
Permission is hereby granted to: HAROLD SMITH
For property located at: 167 PILOT KNOB 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. Type of Construction Value
Owner Address: HAROLD,SMITH
167 PILOT KNOB Rd Garage- 1 Car Attached $5,000.00
Total Value $5,000.00
KATTSKILL BAY, NY 12844-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2004-498
464 SQ FT GARAGE REPLACEMENT
$46.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,,June 30,.2005
(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 Quee nesday, June 30, 2004
SIGNED BY for the Town of Queensbury.
rY.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761.8256
A permit must be obtained before beginning construction. Permit File No, a --
No inspection will be made until applicant has received a Foe Paid $
valid building permit. All applicants' spaces on this Roe.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form. y
Applicant: NAP-o4-!> A sm i-R4 Owner: .sA��
Address: 1&-7 Pi c-o-r K,✓o A R-b> Address:
eA—r-rSriLL_ rV4,44-
Phone#(,j)�,-a- 3�3 - - Phone#(�) - A V.q,,7 ;�-a
Number
Property Location: Lot Number: / House N
Subdivision Name: Tax MapJ�ub vvr �4
8.z0 . —}
T-
o New Building: residence /commercial 'Estimate ggnstruction: $
o Addition: residence/ commercial Addition,wha w addition be?
a Alteration: residence/ commercial tvlA
�W No change to exterior size: residence/com'1 —' ,
0 Other work(describe )
Check Oeeupaneylnformation 1` Floor. 2 Floor Other floor Total
Below sq.ft. sq.ft, sq.ft. Square Feet
ci Single finily dwelling
a Two An-dly dwellin
n Townhouse
0 Multifamily dwelling
#of units
0 Office
o Mercantile
o Manufactutin .
0 1 car detacWgarage
0 2 car detached L=ge
a 3 car detached pmge
1 car attached garage
0 2 oar attached e
a 3 car attached garage
v Storage building-
commercial
o Storage building-
residential
a Other
What is the proposed height of the structure 13 feet —inches
Will any second-hand or ungraded lumber be used? If so,for what? -
Type of Heating System:-electric/ oilW'cod /forced hot air bas d other: N C
Number of Fir-enlaces to be installed _ Number of Woodstoyes to be installed C^
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder
Plumber
Mason
Electrician
Dom; please sign below after you have carefully read the statement:
To the best of ray knowledge the statements contained in this 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 Code,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 Uwe 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 Bulit Survey by a licensed surveyor;drawn to scale,showing actual
location of all new ustruction.
Signature: owner,owner's agent,architect,contractor
Queensbuly Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm� Depart: Z'35am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#: 6V✓ 1
LOCATION: t DATE:
TYPE OF STRUCTURE: t1RG6 G/z'T
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in. or more @ 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 ''/z"
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: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Batluoom 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/1/4 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 18"x 24"access, 1 s . ft.-150 s . ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan j
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent]
L:\ParaW\Building&Codes\Inspection Forms\Res.'Flnal Insp. form 2.docLast printed 2/12/04
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection re t rece
Queensbury Building & Code Enforcement Arrive: am/p e rt:
742 Bay Road, Queensbury, NY 12804 Inspector's In s' m
NAME: 1 PERMIT#:
LOCATION: f! 7 r Loi iJc3r3 rJ , INSPECT ON:
TYPE OF STRUCTURE:
Y 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
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASucl-Iemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /
Queensbury Building&Code Enforcement Arrive: am/ epart: ' am/pm
742 Bay Rd.,Queensbuiy,NY 12804 Inspector's Initials:
NAME: VV-C f K PERMIT#: 04
LOCATION: INSPECT ON: 5y d
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place 2 } LJ
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 Dampproofig
Foundation/Waterproofing
Type of Dampproofmg/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.
LASueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doe January 28,2003