2003-773 i II
TOWN OF QUEENSBURY
woo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE I F OCCUPANCY
Permit Number: P20030773 Date Issued: Friday, June 04, 2004
This is to certify that work requested to be done as shown by Permit Number P20030773
has been completed.
Tax Map Number: 523400-227-014-0001-021-002-0000
Location: 157 PILOT KNOB Rd
Owner:. WILLIAM H WALKER III
Applicant: WILLIAM H WALKER III
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
j 4
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
tie:* 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
' Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030773 Application Number: A20030773
Tax Map No: 523400-227-014-0001-021-002-0000
Permission is hereby granted to: WIT,T TAM H WAT,KER ITT
For property located at: 157 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: WILLIAM H WALKER III
1151 RTE. 44-55 Residential Alteration $15,000.00
Total Value $15,000.00
CLINTONDALE, NY 12515
Contractor or Builder's Name /Address Electrical Inspection Agency
CGABRTEL R. ARMANDO
24 STONEBRIDGE Rd '
OITEENSBITRY_ NY 12804
Plans&Specifications
2003-773
RESIDENTIAL ALTERATION AS PER PLOT PLAN SPECIFICATIONS
$130.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, September 26, 2004
(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 - of Qu sb ;: ' V"i s.,,.- September 26, 2003
SIGNED BY . /)A.aV
'`:1,. 11 ,. for the Town of Queensbury.
Director of Building&Code Enforcement
a
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
a
No inspection will be made until applicant has received a Fee Paid $ •
�I�_�`yC,��S
valid building permit. All applicants' spaces on this Rec.Fee Paid ' u�v
application must be completed and must appear on the Reviewed B, i .1(application form. . .
Applicant: `tww4di At. iereie l 2 Owner: SO r1le , u'zu nif
Address: I/.'J ,2fl 4ii•sr Address: n,�
eimer' WOA ' ",--i� /z /r a`r 1 � 2OG
Phone#( ids-)OLL- 7 7 Phone#( ) Q14 j 0F.,a
Property Location: Lot Number: / House Number /I4'7/ Meer rtvd/2 Rd,
Subdivision Name: Tax Map Number: z z 7./0-/-Z/..2-
o New Building: residence /commercial Estimated Market Value of Construction: $ /5,ad a,
oe
o Addition: residence/ commercial If an Addition,what will use of new addition be?
lie Alteration: residence commercial
�( No change to - •or size(residenc com'l
o Other work(describe )
' Check Occupancylnformation 1' F o,r pow" Floor Other floor Total
Below s• -t.' s•.ft. -
0 ,1 i1-
1e Single family dwelling /fir,1z6
o Two family dwelJini --- -- gn
o Townhouse � .✓
o Multifamily dwelling J' `,r 0
#of units y `
o Office. (; �r{_ -- -
o Mercantile .. _ R_ "(
o Manufacturing
O 1 car detached garage `" '' "
O 2 car detached garage - f F r 7 ._ =, _T
O 3 car detached garage . , e " •
O 1 car attached garage
O 2 car attached garage Yr "f .i I - u.g _
. ♦ ` .
O 3 car attached e _ �..
O Storage building- V ;,
commercial n
'� r �v� � i 5_m ! " '� ���; � !RI .
o Storage building- ��• t ``
residential - a`: -----'. :-fr •?..—t:S - -
o Other . - �`� 77Sr -
t$.Sidi Iib'�C, ,( -di,*f ---
What is the proposed height of the structure feet inches - , ,-, L_
Will any second-hand or ungraded lumber be used? If so,for what? /o ,gi tx
14
Type of Heating System: electric/ / ga /wood €cedh )' baseboard/other: 4I'44eru7 ;la 1"
Number of Fireplaces to be installed O Number of Woodstoves to be installed 0
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder 6.4a&-Axelatiek, 14 Sm '1 rzerice 49, aure .//.J mw 7 9:,.C3 /
Plumber I r
Electrician 9
Decl aratiom 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 I/we shall
•submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all .1.w construction. 1
Sigaatur _ ,. owner, •wner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection °O /
Office No.(518)761-8256 Arrive: am/prr} }�epaart: t i am/pm
Date Inspection request received: Inspector's Initials: , 1
' � 1 11 t
NAME: 1 ; -A� PERMIT#: D3- -y 7
LOCATION: f r)i2 (<c) DATE:
TYPE OF STRUCTURE .rf
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 L stairs, decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more7//
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 Valve(s)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/3/4 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" acc ss, sq. ft.-150 sq. ft. vents
Building No./Address isi le om/r
Final Electrical /J/�•J)
Site Plan /Variancd r qui ed
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res.Final Insp. form 2.docLast printed 2/12/04
OW, Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
• s' . �" 761-8205/761-8206
fax 7454437
Factory Built Gas Fireplace/Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
Permit# Y3 Schedule Inspection S l(41 I°' Time I am pm anytime Inspector_
Name LO l 0 Ye`W LeL'r— Address 45 7 Q' r 16-t'' Rough In Final
Appliance Manufacturer 4M L Model# 0\1
Direct Vent Factory Built Chimney Flue Size i-4 Double Wall Triple Wall Insulated
__ Yes No N/A Comments
Floor Protection
��5 i l�kg I�
Clearances to Combustibles (all sides) c.)( Ci, .22-0.
Firestop(s) Vertical Chase 1 f,t,L- < i D 1 C I€c�^'^� S 13
Wall Penetration T,
1 Qc 25.�
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible 1
construction within 10 feet
Gas Shut-Off Valve .c) nP ��
Combustion Air
Hearth Extension (if any)
\c\C^
. Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
_ +"
White-Building Dept. Yellow-Cuhomer Pink-Fire Manhal
41011110h4l, Town of Queensbury Fire Marshal
1%ice '' 742 Bay Road
�, Queensbury,NY 12804
�:�-, F.
y.,7?3 t Y' :.: 4- 761-8205/761-8206
fax 745-4437
jactory Built Gas Fireplace/Stove Inspection Report
Notice:New York State requires that all f.L Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or sp ifica ions is allowed.
Permit# C)CY-3' `�7,Schedule inspection ' -Time J ina +, pm anytime Inspector �_�
Name C/v 9///Al'L1 i.2 l �i._�_Address 5 t- D" /LO _____ Rough InX Fin: �j
Appliance Manufaclstrer IN e3i L Model# O�/E r , 7
i
Direct Vent X- Factory Built Chimney _ Flue Size 1 i Double Wall )1\Triple Wall Insulated
Yes No N/A Comments
Floor Protection )( - D K 4'A; '` 'k 6 f t) WOO() ,%_
,,syec5 ,-. 0 I) At( "ide, At- IA 1-- - L/i .
Clearances to Combustibles (all sides) Ni
" 643-uki, 1 yz,;' (g�L .
Firestop(s) Vertical Chase �r�` � �� t6t,l/(
n�Wall Penetration >C. clEJ
Vent Clearances to Combustibles - S P � � 1 r/ AC l�,�R� 7//
Vent/ChimneyTerminationr
_ te,(K,1,1,1k7 0.4 f h}1 ,� 3 e.
�ney height must be 3 feet above roofX
�� I
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve 3 Shut ( - ' ACC Ivey >/a'C4_I(id..
a h `Va v X
Combustion Air X �V'a{, ifi Lt-k,'\,j L - (ek
Hearth Extension (if any) I j- 14-WA
avi-fo .
Mantel — / 6 f e-k w e 61)-.e L .
Height above f/p opening ! Z �� •
Witness Operation .?( - akeci- .?-0 iii,r1-A)0 opeociTorL
_________
Tank Placement(if LP) if
1-0,9EA
2, al 04
( ^ l
White—Building Dept. Yellow—Customer +:-Iy) 05 i ln —Fite hal
•
Framing /Firestopping Inspection Report --
Office No. (518) 761-8256 • Date Inspection request received: //1 ,
Queensbury Building&Code Enforcement Arrive: • am/RTT Depart: Gv; am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:.1
NAME: Wpi\\_ \ems✓ PERMIT#: 73
LOCATION: l , 7 Qi l -- K� ,e�\ INSPECT ON: -()j�
TYPE OF STRUCTURE: Avg . ' I
v -_- V
1v 'N/A . COMMENTS
„ramrng .
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
ire separation 1, 2,3 hour
Fire wall 2, 3,4 hour
Firestopping _
I-F
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 •
•
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
i
Rough Plumbing / Insulation Inspection Report f
Office No. (518) 761-8256 Date Inspection request received: /11
Queensbury Building&Code Enforcement Arrive: am/ epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: iA,,,,,0
. ,
NAME: 0` PERMIT #: / lT
LOCATION: / Dp0)7 J -� �`)INSPECT ON: J Oi� - ��Z/
TYPE OF STRUC D 1 TURE:
J �1 ir-1-1-7 Girl
Y N N/A.
PVC: R-1, R-2,R-3,R-4 Drain/Vents 4
Cast Iron, Copper Drain/Vent/Comm. /7
Plunging Vent/Vents in Place ://
\7fough Plumbing/Nail Plates
1'' inch min.Drain Size
Washing Machine Drain 2 inch min.
ad or Air Supply Test 7Drain:=and�Vents-- -
\ —5 PSI or l0'feet above highest
connection for 15 minutes
eanout every 100 feet/change of direction
Water Supply Piping
Co per Commercial
ooper, CPVC,Pex One and Two-Family
nsulation/Residential Check/Commercial Check
Proper 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:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Repoitdoc November 17,2003
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection requ-.t r c : id: f 11 ia—Cf0
Queensbury Building&Code Enforcement Arrive: a ,pm Depart: rfi
742 Bay Road ueensbury,NYY, 12804 Inspector's Initia :
NAME: PERMIT • c2 V -7 7 3
LOCATION---NO lejk_s9ee2,.k------
DATE: / )
•
`- �""'` --� COMMENTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location e ,
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish Grade Complete 6"in 10' or Equivalent moo'+- — lriw `\t, ir---
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in. /Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 sq. ft.
All Doors 36 in.w/Lever Handles/Panic Hardware, if req'ired
Exits At Grade Or Platform 36 (w)x 44" (1)/Canopy or Equ v.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade 1
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap/Water Temp. 110 Degrees Maximum • D`/'
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 'Y2 doors
> 10%> 1000 sq.ft.
3/4 Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft. Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage f/ O
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification, if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20' wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc
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