2003-728 TWNU QUEENSBURY
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742 Bay Road,Queensbury,NY 12804.5902 (518)761.8201
Community Development Building&Codes (518) 7618256
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utixflFICATE Vr CCUPANVrjvL
Pen u Number. P20030728 Date Issued: 'Wednesday,January 21,2004
This is to cettif that work requested to be done as shown by Permit Number P20030728
has been completed,
Tax Map Number; '523400-308-009-0001.021-000-0000
Location: 617 LUZERNE Rd
Owner. MELODY SMITH
Applicant- MELODY SMITH
This structure maybe occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
/%
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: P20030728 Application Number: A20030728
Tax Map No: 523400-308-009-0001-021-000-0000
Permission is hereby granted to: MFT.ODY SMTTH
For property located at: 617 -LUZERNE 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 Yalug
Owner Address: RAYMOND &MARIA VAN.EVER
PO BOX 2288 Residential Addition. $1,200.00
GLENS FALLS,NY 12804 Total Value $1,200.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-728
288 SQ FT ADDITION TO EXISTING GARAGE AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 25, 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 Toneensb Th rsday,September 25, 2003
SIGNED BY for the Town of Queensbury.
Director of Building godeforcement
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 constriction. Permif File No��_�
No inspection will be made until applicant has received a Fee Paid � <
valid building permit. All applicants`spaces on this Ree.Fee Paid $
application must be completed and must appear on the
application form. Reviewed By:
Applicant: W , sAeNt Owner:_ .� AU� 2 20Q3
�
Address: Address:��i-1 �t� ,� �,,�,
Phone#(�)Z&-;� .. Phone# �e ,� OF QUEENSS
BUILDING Ai\ID-Coo
Property Location Lot Number:�=/ House Number
Subdivision Name: Tax Map Number: 3
�o ew Building; r once /commercial �stim=ated Market Value of` Adltdeirtaitoinon: �—�s-rreesbiider c aa I
Construction:
commercial oe wadt icommercial $
be? .
Cl% No change to exterior size: residence I com'2
Q '.tither work(describe )
Check OccupancyInformation 1` Floor 2° Floor Other floor Total
� /J 1 Below sq.ft. sq.ft. sq.ft. Square Feet
o Single Paaiily dwelling
Two#!MUy dwelling
_..Q. Townhouse
' LaMultifamily dwelling
of units
office
(r Q Mercantile
j - Q M'anufacturin
G 1-car detached garage
2 car detached garage
Q 3 car detached garage
Q I car attached garage
i Q 2 car attached garage
Q 3 car attached garage
Q Storage boil ' _ -
t vial
t forage uilding-
t BidentiaT
27
What is the propo ei t of a structure_t feet' r inches
Will any second-hand or ungrad d 1 cr be used? 7f so,for what? �.
Type of Hbating System: electric/toil I.gas/wood /forced hot air/ baseboard/other:
(_�, [?NC, -
? �./
N ber"of Flcwhwes to be installed Number of W ods ves to be installed
Li below the person(s)responsible for supervision of work as regards to building codes:
Nam® Address
umber
-
one N
Mason
Electrician l _� -
DeclM3&ion 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 or Director of Building and Codes,an,4s Built Survey by a licensed surveyor,drawn:-to scale,showing actual
location of all new construction.
Signature.
� � owner;owner en archite
s agent,g t, ct,contractor
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection quest received:
Queensbury Building&Code Enforcement Arriv- } am/pm Depart: am/pm
742 Bay Rd.,Queerisbury,NY 12804 Inspector's Initials: . .
NAME: V)_ PERMIT#: 0 —7�=I W
LOCATION: DATE: -- t
TYPE OF STRUCT
Comments
Y N N/A.
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof 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
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/re ulator 18"above grade
Gas Furnace shut-off within 30 fl. 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
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:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s .ft.-150 s . ft.vents ���
Building No./Address visible from road v
Final Electrical
Site Plan I Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept,Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C Cert.Of Compliance)
Okay to issue Temporary C/fl Cert. Of Occupancy)
Okay to issue Permanent C/O(Cert. Of Occu anc -
L:1SueHemingwaylBuilding.Codes.Inspection.FORMSIRes.Final Insp.form 2.doc edited January 28,2003
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection req st r cei e q c e i eed,
re ;
p
Queensbury Building&Code Enforcement Arrive: fn/p e rt: a
P_
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi s:
NAME: T
PE T#:
LOCATION: -7 TE.
JDTE:
4
144. a
TYPE OF STRUCTURE: - %�-
0 Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof 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 N/
Interior/Exterior Railiri s 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
Fumace/Hot Water Heater operating
-Low water shut-off boiler
Relief Valve(s)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: _ / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage fireproofing
Duct work Scaled properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I sq.ft.-150 sq. 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(Cert. Of Compliance)
Okay to issue Temporary C 0(Cert.Of Occupancy)
Okay to issue Permanent C 0(Cert.Of Occupancy) V
L:\SueHemingway\13uilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Foundation Inspection Report
Office No. (51'8) 761-8256 Date Inspection requ t ce' e
Queensbury Building&Code Enforcement Arrive: a m / Depart: 'fl a p
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
NAME: _ t �'� P #:
LOCATION: 1 Q 1 'Z INSPECT ON: In
TYPE OF STRUCTURE: 6---1 ky - Nr,>
Comments
\ Y N N/A
Footings
Piers
\Monolithic Slab
:enforcement in Place
The contractor is responsible for
providing protection from freezing
or 48 hours following the placement
the concrete.
�terials for this purpose on site.
ttion/Wallpour
Klement in Place
Fo "
Dampproofing
Fa
Waterproofing
�pproofing/Waterproofing
Food
Daylight or Sump
Footin
12 done:
,
6 inc mil,
6 \footing
BacicfI 'Iet areas under slab
Plumbing'
PVC/ Cast
Foundation':
R_ 'terior/Exterior
Rough Grade
5rithin 10 ft.
L:\SueFiemin€way\�,
t.ction.FORMS\Foundation Inspection Report.doc January 28,2003
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Framing/Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection re e t rec d:
Queensbury Building&Code Enforcement Arrive: p part: a.6p ��
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initi
NAME: PERMIT#: 06-3--7ZR
LOCATION: S z INSPECT ON: Io-3i—t-z
TYPE OF STRUCTURE:
Y N N/A
Framing 7- 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
I V2(w) 16 gauge(8) 16D nails each sid6
Draft stopping 1,000 sq.ft. floor trusses
Anchor Bolts 6 ft. or less on center V/
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 1/2inch 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)
7 sf above/below grade
1.0 sf grade
LAS�mingway\Building.Codes,Inspection.FORMSTraming Firestopping Inspection Report.doc January28,2003
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