2003-392 TOWN OF .QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit.Number: P20030392 Date Issued: Thursday, September 11,2003
This is to certify thatwork requested,to be.done as shown by.Permit Number P20030391.
has,been completed:
Tax Map Number: 523400-266-003-0001-064-002-0000
Location: 52 CLEMENTS Rd
Owner: RANDOLPH&CINDY SEVERENCE
Applicant' RANDOLPH&CINDY SEVERENCE
This structure may be occupied as a:
By Order of Town Board
Garage-2 Cars Detached TOWN of QUEENSBURY
Director of Building&Code Enforcement
TOWN.OF QUEENSBURY Y.
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518}761-8256 ..
BUILDING PERMIT -Kv,
Permit Number: P20030392 Application Number:' A20030392
Tax Map No: 523400•=266-003-0001-064-002-0000
Permission is hereby granted to: RANDOLPH& CINDY SEVERENCE
For property located at: 52 CLElVIENTS 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 Queensburp Zoning
Ordinance. Type of Construciion Value
Owner Address: RANDOLPH& CINDY SEVEN Garage-2 Cars Detached $10,000.00
52 CLEMENTS Rd Total Value
QUEENSBURY,NY 12804 $10,000:00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-392
576 SQ FT 2-CAR DETACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
$57.60 PERMIT FEE PAID-THIS PERMIT EXPIRES:" Sunday,June 13,2004
(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 'f Que bu ljlr 'flay,June 13,2003
.SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury Department of Community Development,742 Bay Rd., Queensbury,NY 12804
(518)761-825-6 �
A permit must be obtained before beginning construction. Permit No.: Q -2 r
No inspection will be made until applicant has received a Fee Paid:
valid building permit. Form must lie completed. Rec.Fee Paid: 3 J& z
Reviewed By: Qy�,� 2pp3 '
�Ult N c
Applicant: i Owner: Gr}{ CQ
Address: Address:
Phone#:
Tax Map Number:
Subdivision Name:
(if applicable)
Lot Number: /House Number: `—/Street NameOR �`
Property Location: t .�F f'.fi%'T d%�;
New Building: esidentia Commercial Estimated Market Value of Construction:4,1)M 0
❑ Addition: Residential/Commercial If an Addition,what will use of addition be?
❑ Alteration: Residential/Commercial
❑ No change to
Exterior size: Residential/Commercial
❑ Other work: (describe
Check Below Occupancy Info I"floor sq.ft. 2" floor sq.ft. Other floor sq.ft. Total Sq.Ft.
Single Family Dwelling
Two Fancily Dwelling
Townhouse
Multifamily Dwelling
#of units
Office
Mercantile
Manufacturing
1 car detached garage
2 car detached garage "'iJ
3 car detached garage
1 car attached garage
2 car attached garage
3 car attached garage
Storage Bldg.,Comm.
i�-
Storage Bldg.,Res.
Other
What is the proposed height of the structure: feet inches
Will any second-hand or ungraded lumber be used? If so,for what? /
No. of Fire-places to be installed:
No.of Woodstoves to be installed:
List below the person(s)responsible for supervision of work in regards to Building Codes:
Name Address Phone No.
Builder
Plumber 4
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 Uwe shall submit,prior to a Certificate of Occupancy or Certificate
of Compliance being issued, as r q ested by the Zoning Administrator or Director of Building and Codes,an
As Built Survey b is nsed s ry yor; drawn to scale,showing actual location of all new construction.
Signature: / {circle one: owner,owner's agent,architect,contractor}
Foundation Inspection Report
oui
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart: r am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
\!riK/
NAME: Y1 PERMIT 0
LOCATION: WA
INSPECT ON: 4-0
TYPE OF STRUCTURE:
Comments
Y N/A
;ootings
s
Monolithic Slab
Reinforcement in Place Z
The contractor is responsi or�
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 of for wet areas under slab
Back fill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Reportdoc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: Z- am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: ^�, .L� PERMIT
LOCATION: ; INSPECT ON:
TYPE OF STRUCTURE: -6AZ
;Act-e�L/
t
N N1A COMMENTS
Framing
9
Jack Studs/Headers ,f�G�o 16 �L 6 alS
Bracing/Bridging 1 " r�-G
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
Residential Fir'lal Inspection J
Office No.(518)761-8256 Date Inspection request received: � '"'� r 3
Queensbury Building&Code Enforcement Arrive: _ am/ rn��'/Depart: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: 3t'
NAME: PERMIT#: 3 —_3 I
LOCATION: DATE: f
TYPE OF STRUCTURE:
Comments
Y N.. N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through of
Roof Ca lete
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
Grade away from foundation 6 in.with.10 ft.
Handrail Termination`at Newell Post or Wall
8 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 o eratin
-Low water shut-off boiler ;
Relief Valves installed -
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: 1 -Batter backup:
Bathroom Fans;if no window
Carbon Monoxide detector
Plumbin fixtures
Foundation insulation
Floor truss;draft stopping stoppigg finished basement 1,000 sf
Errier ncy egress below Stade
Basement stairs closed rise>4.inches
3/a hour fire door/door closer,
Garage fireproofing
Duct work Sealed pMerly
Attic access 30 in.x 24 in,x 30 in.(ht.)Inaccessible area
Crawl S aces 18"x 24"access, 1 s .fit.-150 s .ft.vents
Building No./Addrgs 'vis 1 ' om road
Final Electrical ,
Site'Plan /Variance 444d
Final Survey Plot Plan'
As Built Septic System/Sewer De t.Ins' ection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Teniporary C/O'(Cert.Of Occii anc ) -
Okay to issue Permanent-C/O(Cert.Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc.cdited January 28,2003
Framing /.Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received-
Queensbury Building& Code Enforcement Arrive: an�l�part:V'� pm�pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: Y-3 INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N/A COMMENTS
Jack Studs t Headers
Bracing t 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
I V2(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 V2inch 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:\SLieHemingtivay\Building,Codes.Iiispection.FORMS\Framing Firestoppin.-Inspection Report.doc January 28,2003