2004-528 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: P20040528 Date Issued: Monday, October 24, 2005
This is to certify that work requested to be done.as shown by Permit Number P20040528
has been completed.
Tax Map Number: 523400-309-015-0001-069-000-0000
Location: 61 HAVILAND Ave
Owner: ANTHONY NIILKO
Applicant: ANTHONY N 1LKO
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
' f
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.
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. J _ off g
No inspection will be made until applicant has received a Foe Paid $-G0�
valid building permit. All applicants' spaces on this Roc.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
Applicant: AvAelvy L I`C) Owner:
Address: U Liar% Address: i` b
:,Pei-stvr4 AJY 1290Y r
Phone#(SI) 7q?_- .j:96 fc Phone#( ) 6
Property Location: Lot Number: / House Number _
Subdivision Name:_&u(.n off, Ave Ax -- Tax Map Number: 3Crl�
o New Building: residence /commercial 'Estimated Market Value of Construction:$
O Addition: residence/ commercial If an Addition,what will use of new addition be?
Aae-Alteration: s donca commercial
o No change to extmiBRK -residence/com'1
6�e_Other work(describe 0041er5, )
Check OccupancyInformation ill Floor 2° Floor Other floor Total
Below sq.It sq.ft, sq.ft. Square Feet
o Single family dwelling
o Two family dwelling
o Tovmhouse
o Multifamily dwelling �} L
#of units
OW
o Office W E
o Morcautile
o Manufactutin
0 1 car detached sang
o 2 car detached gmge
o 3 car detached garage
o 1 oar attached garage
0 2 car attached gate e
o, 3 car attached garage
o Storage building- -
commercial
o Storage building
residential
Other I R C �GiFC�
What is the proposed height of the strnctnr 'et inches
Will any second-hand or ungraded lumber be used? Jf so,for what?
Type of Heating System: electric/ oil �hotaY baseboard/other:
Number ofEkaiaces to be installed �_ Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder n, (C ko G 1 WVILOWA. AW t U 2y3 —11 a�
Plumber
Mason --
Electrician -
Declaration; please sign below after you have carefully read the statement:
To the best of my 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 Vwe 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,anjs Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: caner, wner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
i
Office No.(518)761-8256 Arrive: am/ m Depart: .D�rr
Date Inspection request received: _ Inspector's Initials:
NAME: PERMIT#:
o>aUO d-)� a
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N d6NIA
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" On
Roof Com lete/Exterior Finish Com lete �I J
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 %"
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
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/'/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, I s .ft.-150 s . ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
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\Buildinp,&Codes\Inspection Forms\Res. Final Insv. form 2.docLast printed 2/12/04
Rough Plumbing / Insulation Inspection Rep rt
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #:
LOCATION: 1 . INSPECT ON:
TYPE OF STRUCTURE:
Y. N N/A OA
Rou h Plumbin / Nail Plates
?lurhbing Vent / Vents in Place
1 1/2 finch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change 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/ :ead
5 .S'I for 15 minutes
sulation / Residential Check/ Commercial Check
Proper er Vent Attic-Vent
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&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003,doc Revised February 15,2065
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: `
Queensbury Building& Code Enforcement Arrive: _ai art: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: `� 1 PERMIT :
LOCATION: INSPECT ON: ( C)LA
TYPE OF STRUCTURE: rrJ�.�
Framing Y N N/A COMMENTS
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
An or Bolts 6 ft. or less on center
e 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 % 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
LASueHerningway\Building.Codes.Inspection.FORM STFrarning Firestopping Inspection Report.doc January 28,2003
r .
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspectio equest r ce. e
Queensbury Building&Code Enforcement Arrive: am/p art: p
742 Bay Road, Queensbury,NY 12804 Inspector's I itials:
C
NAME: ,�� PERMIT#:
LOCATION: INSPECT ON: _a5
TYPE OF STRUCTURE: „� z y
Y N N/A COMMEEN S
,Yfaming
Attic Access 22"x 30"minimum G�1 .
Jack S /Headers
acin I i ing Z-K-` .
oist 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 hourj
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
"a+
) NAUILA/Vh AVir f)'T
NOTICE
FOAM INSULATION MUST BE COV EER"
BY A 15 MINUTE THERMAL
R ECE_
�d✓pe JUL 0 6 2004
< 1
HO►TiCE
AUL :Y TOWN OF QUEENSBURY
r/ KRAFT PAPER INSULATION MUST BE BUILDING AND CODE
COVERED BY NON-COMBUSTIBLE BAMIR
FILE
COPY
I Or'iN OF QUEENSBURY BUILDING DEPAR N s
Based on odr limited examination, `, C' ! +
compliance with our comments sha J� p
not a construed as indicating the
plans and specifications are in full-
compliance with the Building Codes/
of New Yoek State. _ ! ! / C L N A/S
REVIEWED BY
LATE
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