2004-687 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CER"VIFI.C. A_ E.__O '. -OCCUPANCY
-:-Permit Number _ _ -P2004068.77 _ Date Issued: Thursday, October 28, 2004
--- .This:is>_to.certify.that>work'requested.to be done as shown by.Permit Number P20040(87
has been completed.
Tax Map Number: 523400-301-008-0001-050-000-0000
Location:-,_, . 5 POPLAR Ln
Owner; -_ __ _ _ EUGENE & SYBIL MURPHY
Applicant: EUGENE & SYBIL MURPHY
This structure may be occupied as a:
By Order of Town Board
Porch TOWN OF QUEEMBURY
Residential Addition
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: P20040687 Application Number: A20040687
Tax Map No: 523400-301-008-0001-050-000-0000
Permission is hereby granted to: EUGENE& SYBIL MURPHY
For property located at: 5 POPLAR 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. Type of Construction Value
Owner Address: EUGENE& SYBIL MURPHY Porch
5 POPLAR Ln $28,950.00
Residential Addition $555.00
QUEENSBURY, NY 12804 Total Value $29,505.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-687
20 SQ FT RESIDENTIAL ADDITION(SHOWER) and 224 sq ft SCREEN PORCH
$96.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 10, 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 To o ensb F pi a Se tember 10, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit A 01C ation
P ,
Town of Queensbury—Dept of Community Developmcnt,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. q 97
No inspection will be made until applicant has received a Fee paid $ �'-
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By:.
application form.
Applicant: ' � c, Owner:
Address: Address: ---��/a r• 1a a
k
Phone#( ) - Phone#(§24)
roperty Location: Lot Number: / House Number
Subdivision Name: Tax Map Number: �rn
�o New Building: residence /commercial 'Estimated Market Value of Construction: $ :�5%_
Addition: residence! commercial if an Addition,what will use of new addition be?
0 Alteration: residence! commercial ^�,
0 No change to exterior size: residence/com'1
a Other work(describe )
Check pccupancylnformation 1` Floor V Floor Other floor Total
Below sq.ft. sq.it. sq.ft. Square Feet
Single ftnily dwelling _ .26 26
o Two family dwelling
a Townhouse
o Multifamily dwelling
#of its
o Office
o Mercantile
o Maaufactutin -
0 1 car detached garage
o 2 car detached ge 4
0 3 car detached garage _ WN
0 1 car attached garage DING Y
o 2 car attached gars
a 3 car attached garage {
o Storage building-
commercial
o Storage building-
residential
a Other
What is the proposed height of the structure^. feet inches
Will any second-hand or ungraded lumber be used? If so,for what? '6
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: _
Number of Etmolaces to be installed Number of W-o dstoYg$to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder
;Plumber �?
Mason
Mieetrician
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,an Sri vev by a licensed surveyor;drawn to scale,showing actual
location of all new o9n
O=tion.
Signature: owner,owner's agent,architect,contractor
Porch, Deck, Dock, ox°Boathouse'Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road, Queensbury,NY
(518)76178256
A permit must be obtained before beginning construction. No Permit File No.���' - '7
inspection will be made until applicant has received a valid Fee Paid $
building permit. All applicants'spaces on this application must be Reviewed By:
completed and must appear on the application form
Applicant: '" L, Owner: -9C/V J te-- V-61-eoe- ;?22u,?,4 4
Address: _ Address:
Phone#(�', ) - C Phone#(V? ) _
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name , , „� „�-- Address: Phone
Property Location: Lot Number: / House Number /
Subdivision Name: Tax Map Number: 30 J 9 --/-56
Estimated Market Value of Construction:$ ,610
Porch 5CrCV1 1 \ C E V
❑ Deck
Eu
❑ Dock
❑ Boathouse _ SEP 0 2 2004
❑ Other work(descnbe;
TOWN OF QUEENSBURY
Size of structure to be built square feet BUILDING AND CODE
Submit along with this application:
I. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed
structure showing setback dimensions from all property lines. Show location of
water supply and location and configuration of septic disposal area.
2. Two sets of structural drawings. Indicate size of posts or studs, floor joists,
decking or flooring material to be used. Show how the porch or deck will be
fastened to the building. If a roof will be constructed, indicate the size of posts or
studs,roof rafter spacing and span. Indicate type of roof. sloped,flat, shed,or
other. Indicate the type of material being used for the roof.
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. j
Applicant's signature:vu-
�Ji �f Date:
L 1SueHemingway\Building.Permit.FORMS\Porch.Porch.PermiLdoc 8113/02 revised per DH
COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC.
Main Office 176 Doe Run Road-Manheini,PA 17545 0
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. 8. 983 Cut-in Card No.......................
),,
Owner................................................... .......................................
Location.......IS.......106.P-1-4 ................
Installation Consisting of
.................................. ..........................1................................................................
...................................................................................................................................................................................
...................................................................................................................................................................................
Installed By—P.....2....F1..........72.'.D....C......W.......... .............0.....X-5.A.................Lie.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 making;' ons at any time, and if its
rules are violated,the Company shall have the right to right e this c ti e. Al
Date../ . .... ...
C........................?!�........ INSPECTOR. .. ............... ...............................................................
Member N.F.P.A.,I.A.E.I.
Framing / Fire stopping Inspection Report
1,
r
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: 7i am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �i
NAME: LC, L�'(1® PERMIT#: cD3 G8 7
LOCATION: INSPECT ON: �7
TYPE OF STRUCTURE:
-- Y N N/A COMMENTS
"3Fi`amirig_._
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 snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
r
);ire wall 2, 3, 4 hour
�F�irestopping•:`';,.; (�-� �CnC-/�-�
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
LASueHemingxvay\BuiIding.Codes.Ins pecti on.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Queensbury Building & Code Enforcement - Residential Final Inspection
fo
Office No. (518)761-8256 Arrive: am/pm Depart: -�am/pm
Date Inspection request received: Inspector's Initials:
NAME: \ _ PERMIT#: Qq 7
LOCATION: �S 0 DATE: —
TYPE OF STRUCTURE:
Comments
Y N N/
Chimney Ht./"B"Vent/Direct Vent Location I�
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks, atios
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 2 'acf ess, 1 s . ft.-150 s . ft.vents
Building No./Addres vi i J91 fronApail
Final Electrical
Site Plan /Varian e r quir d
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\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request eceive :
Queensbury Building&Code Enforcement Arrive: am/ppp
a art: pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: a PG I. PERMIT #:
LOCATION: p L ;'z INSPECT ON: G
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min. n
Head or Air Supply Test
Drain and Vents /
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/chan a of direction
W "ter Supply Piping
Cooper Commercial
Coo er, CPVC,Pex One and Two-Family
Insulation/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 Report.doc November 17,2003
Rough Plumbing / Insulation Inspection Report
Office a
i No. (518) 761-825b Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: m/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT #: e" (OR 7
LOCATION: gs INSPECT ON: - c�—
TYPE OF STRU URE:
Y N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
Plug><IPIn Vent/Vents in Place
yea_ou -Plumbin /Nail Plates
1 % inch min. Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
0o er, CPVC,Pex One and Two-Family
tslafon%.Residential Check/ Commercial Check
"Pro�er Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air S!!pply for Furnace
Duct work sealed properly/No duct tape
o
C MMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
l
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request cei e .
Queensbury Building& Code Enforcement Arrive: pm ep am
742 Bay Road, Queensbury,NY 12804 Inspector's Init' Is: -
NAME: PERMIT #:
LOCATION: INSPECT ON: Lj
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Pi ing
Cooper mmercial
C er, CPVC, Pex One and Two-Family
sulation/Residential Check/Commercial Check
Proper Vent,Attic Vent Zk vq>�
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
e
19
LASueHemingway\Building.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November 17,2003
J'
Framing / Firestopping Inspection Report /
Office No. (518) 761-8256 Date Inspection req st r eived: ( d
Queensbury Building&Code Enforcement Arrive: p D r•
742 Bay Road, Queensbury, NY 12804 Inspector's Initi s:
NAME: \ r PERMIT#: �' V 7
LOCATION: ES 20 INSPECT ON:
TYPE OF STRUCTURE:
Y N NSA (COMMENTS
r ng
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
USueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report r
Office No. (518) 761-8256 Date Inspection re s receiv wC
Queensbury Building& Code Enforcement Arrive: n�/p a e rt: ; a n
742 Bay Road, Queensbury, NY 12804 Inspector's Ini a
NAME: PERMIT#: , 7
LOCATION: L INSPECT ON: Z Q
TYPE OF STRUCTURE:
Framing Y A 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 %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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection reque t received:
Queensbury Building&Code Enforcement Arrive: any/ Depart: pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials.
NAME: _ ✓n V/ 19 / PERMIT#: _!
LOCATION: _ — lap it LAA,-P INSPECT ON: —
TYPE OF STRUCTURE:
Comments
_
Y N N/A
tings
iers-
lithic 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
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.
tL.:Sucl4-ciningway-\Building.Codes.Inspection.PORMS\foundation Inspection Report.doc .January 28,2003
AII&N, �i odd
Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspection requeq received: — fzz
Queensbury Building&Code Enforcement Arrive: any/ Depart! _!am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: _ PERMIT#: _`4 () lD 97
LOCATION: _ C\ I _ INSPECT ON:
TYPE OF STRUCTURE:
Comments
_ __`------- __ Y N N/A
otings
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 purr ose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above .footing
6 miles 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:\SueHciningway\BuiUng.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003
i1
k
RECEIVED
SEP 0 2 2004
TOWN OF QUEENSBURY
BUILDING AND
TOWN OF QUE-E,NSDURY BUILDING DEPARTMENT CODE
Based on odr limited examination,
con Nance Eirith our comments shall
not obe construed as indicating the
plans and specifications are in full
compliance with the Building Codes
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BUILDINK-1 . 0 .
PT.
REVIEWED BY
-- --- DATE v
NOTICE NOTICE
FORM INSULATION MUST BE COVE KRAFT PAPER INSULATION MUST BE
BY A 15 UMM THERMAL BARRIER COVERED BY NON-COMBUSTIBLE BARRIER
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