2004-837 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: P20040837 Date Issued: Tuesday, September 13, 2005
This is to certify that work requested to be done as shown by Permit Number P20040837
has been completed.
Tax Map Number: 523400-301-017-0002-022-000-0000
Location: 13 ALGONQUIN Dr
Owner: TIMOTHY & VICTORIA PIETRYKA
Applicant: TIMOTHY &VICTORIA PIETRYKA
This structure may be occupied as a:
Garage - 2 Cars Attached By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the J
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 Bu ding&Code Enfo emen
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040837 Application Number: A20040837
Tax Map No: 523400-301-017-0002-022-000-0000
Permission is hereby granted to: TTMC)THY& VTCT0RTA PTF,TRYKA
For property located at: 13 ALGONQUIN Dr
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: TIMOTHY& VICTORIA PIETRY
13 ALGONQUIN Dr Garage-2 Cars Attached $18,000.00
Total Value $18,000.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
JEFF MCMT TRRY
31 HELEN St
WDSON FALLS_ NY 12839-0000
Plans&Specifications
2004-837
624 SQ FT 2-CAR ATTACHED GARAGE
$62.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, November 15, 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 Tow of ensb d ,.November 15, 2004
SIGNED BY for the Town of Queensbury.
r .9
Director of Building&Code En orcement
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.
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec.Fee P d $
application roust be completed and must appear on the Reviewed
application form.
Applicant: ` irn (4 Owner: . /1
.Address: 3 1 e �e e+- Address: i
µ scm Rdis N U m9 5 u uc Z
Phone#(. Imo) 17qj_- 0 ZZ`- Phone#(�L)`M - "
nn Z
l G- /7q7
- Property Location: Lot Number: / House Number.j.
Subdivision Name: lawl - YYS Tax Map Numb ' Ot j 7 --
to New Building: residence /commercial ;Estimated Market Value of Construction. =y
Ar Addition: C:je: cep/ commercial If 9:g ddition,what will use of new addition be?
0 Alteration: residence/ commercial
C No change to exterior size: residence/com'1
1.0 Other work(describe
Check OccupancyInformation 1' Floor 2114 Floor Other floor Total
Below sq.ft. sq,f, sq.ft. Square Feet
0 Single famil dwellin
0 'Iwo f anil dwellin
a Townhouse
o Multifamily dwelling
#of units
o Office
0 Mercantile
-_o Masiufacttlting
0 1 car detached ge --
0 2 car detached eme
-0' 3 car detached garage
!` v 1 oar Attached garage
2 car attached prage
0 3 car attached garage
0 Storage building-
eommeroial
o Storage building-
residential
0 other
What is the proposed height of.the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what? W
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: ACt'fi
Number of Ft�"er�iaees to be installed d Number of Woodstoyes to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name _ Address• Phone Number
Builder I.V MC Cf 4 `3> e "e .•F-
Plumber .--
Mason i
Electrician rf 3f e14, P7
Decl 1S�o 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,axe'a true and complete statement of all proposed work to be done an 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 or Director of Building and Codes,anAs Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all,new construction.
Signature; ] owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/ Depart: am/pm
Date Inspection request received: _ Inspector's Initials:
NAME: � �(' PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE: 5-MIN ` � ��� s
Comments
Y le1 N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake /
3 inch Plumb Vent through roof minimum 6"
Roof Co lete/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 '/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 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/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"access, 1 s . f .-150 s . ft.vents
Building No./Address v'siblt frop r ad
Final Electrical
Site Plan /Variance re ire
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&CodesUnspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.O
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. NO 9 O 0 7 7 Cut-in Card No..............................r2.
Owner...... .......![....�.(,�.. ! ........... ..
Location.... � pi ....................................... �....
....... .................. ................. ............................................................................ ...................
Installation Consisting of-6 e"6g' �� ��' /V PP'&re&6
...........................................................................................................-
....................................................................................................................................................................................
.......................................................................... ..............................................................
Installed By..J.:....M................ou/Z
.......... ............................................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' g spections at any time, and if its
rules are violated,the,Comany shall have the right t r rke t ' rtificat .
Date.. w.�..�..................... INSPECTOR....................6.1.........................................................................
Member N.RP.A..I.A.E.I.
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection re est r cei ed•
Queensbury Building&Code Enforcement Arrive: in/pm Depar : lrpm
742 Bay Rd., Queensbury, NY 12804 Inspector's Ini a -
_
NAME: fi'e �L RMIT#: Zola
LOCATION: I DLI1 y L,°�. lJ����—� INSPECT ON: L11j U 5
TYPE OF STRUCTURE:
Comments
Y N N/A
Foot'n
Pies
ono hthi/c Slab
Rein �ement in Place
T�e contractor is responsible for
p oviding protection.from freezing
�r 48 hours following the placement
f the concrete. l
aterials for this purpose on site.
F ndation/Wallpour
R inforcement in Place
F un in Dampproofing
Fou /Waterproofing
Type of Dampproo ing/Waterproofing
Footing Drain D , light or Sump
Footing Drain/Atone:
12 inch ldth ��i `
6 inch above footi g
6 nu of for wet eas under slab
Back f Approval
Plu ing Under S1
PV /Cast/Co er
Fou dation I ulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
LASueHemingway\13uilding.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection re ue�f cel ed: r�
Queensbury Building& Code Enforcement Arrive: �n/pm _part: :.�I am/ '
742 Bay Road, Queensbury, NY 12804 Inspector's Init1 s: -� ✓
NAME: PERMIT#: (9 y—.V
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: l�V
® Y N /A COMMENTS
Framing
Jack Studs/Headers
Bracing/Bridging p
Joist hangers �w` ®�C' _
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 ���u �G�? ���1T CEC 1r✓
Metal Strapping for Notches Top Plate S`'� ►�'� h�� —� � Z ��;
1 % (w) 16 gauge (8) 16D nails each side � �t—�
Draft stopping 1,000 sq. ft. floor trusses
Anc Bolts 6 ft, or less on center . C— v\e-
ce and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hours L_ V`
Firestopping F—A \
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
LASueHemin-way\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003
C(A4-1(
Foundation Inspection Report /
Office No. (518) 761-8256 Date Inspection reques received:
Queensbury Building&Code Enforcement Arrive: am/p Depa U- am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: S37
LOCATION: 1-3 INSPECT ON: —
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
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 purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
1.2 ' ch width
6 nches above footing
mil poly for wet areas under slab
ackfill 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.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 2 6
Queensbury Building&Code Enforcement Arrive: anv�m Depart: m/pm
742 Bay.Rd., Queensbury,NY 12804 Inspector's Initials: i
NAME: _ LC— Y 1-I PERMIT#: 2U D__
LOCATION: _ _ INSPECT ON: _ 1 a dV —
TYPE OF STRUCTURE:
Comments
ootings
Piers
Monolithic Slab
Reinforcement in Place ��ff//f ,,,,��
The contractor is resp�Isible br�
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.
LASucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003
- - �-0 JASIL 1.
MIS
v
r-OpyfI�
TOWN OF QUEENSBURY BUILDING DEPARTMENT ,
Based on oUr limited examination,
lance with our comments.s I
not be construed as indicating the.. Sr�1•c
plans and specifications are in full
tvmpliance with the Building Codes- 7a w:4
of New York State.
.....
a . 5 N Nou5I;
"I"),, 11 '-Ci E �Ur-cY
z BUILDING D
NOTICE REVIEWED B
KRAFT PAPER INSULATION MUST BE GATE
COVERED BY NON-COMBUSTIBLE BARRIER
1
NOTICE
Of We e �FOAM i SULATION MUST BE COVERED
MINUTE THERMAL BARR° I
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