2002-033 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: P20020033 Date Issued: Friday,Jauuary 10, 2003
This is to certify that work requested to be done as shown by Permit Number P20020033
has been completed.
Tax Map Number: 523400-316-009-0001-006-000-0000
Location: 9 BOSS Rd
Owner: WENDY INGLEE
Applicant: WENDY INGLEE
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
(00�
Director of Building&Code Enforcement
TOWN .OF QU.EENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Comniunity.Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20020033 Application Number. A200200A3
Tax Map No: 523400-316-009-0001-006-000-0000
Petmission"is hereby granted to: WENDY INGLEE
For property located at: 9 BOSS 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: WENDY INGLEE Residential Addition 15,000.00
PHILIP ASHE Total Value 15,000.00
9 BOSS Rd
QLTEENSBi7RY,NY 12$04
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2002-033 WENDY AND PHILIP ASLE(INGLEE
480 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATION
$75.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,February 26,2003
(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 of een . T d ,February 26,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application � � E C It
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 Paid
application must be completed and must appear on the Reviewed By
application form.
Applicant' / ``)Owner:
Address: 11 5 Address:
43�u-y_�-_ N t
Phone# U Phone#
` Property Location Lot Number: I House Number_0/ /aiss
Subdivision Name: Tax Map Number:. 0
❑ New Building: residence /commercial Estimated Market Value'of-Construction: $ /S OD v.
X• Addition: residence t 4a9M9w~ If an Addition,what will use'of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence 1 com'1
❑ Other work(describe )
Check Occupaneyluformation I"Floor 2"d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
_Z4. o
3W Single family dwelling
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ - Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
�i ❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached.garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure / feet inches
Will any second-hand or ungraded lumber be used? If so, for what?
Type of Heating System: electric/ oil / as wood. / orced hot air/ aseboard/other:
Number of Fireplaces to be installed 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 ' ,' S tcs�sS y��3
Plumber
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 requested by the Zoning
Administrator or Director of Building and Codes,an As Built Sttrvey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature,z`, // owner,owner's agent,architect,contractor
ENERGY CODE 'COMPLIANCE .A.PPLXCATION
• _ TOWN OF"QUEENSBURY, -W-ARREN COUNTY
9000 HEATING DEGREE DAYS
ComDli ance Methods: P?RT S - Acceptable Practice Method
1&2 Family Dwellings '(only)
• PART 6* - Thermal_ Rating -- Component Trade Offs
1&2 IF' ily Dwellings} I_uiti-Family
Dwellings (3 staries or less)
PART 4_ = Design "by Component Performance
Commercial Buildings-Hi Rise "Residential
*Requires submission of worksheets
A'0PL1C.ZN,-T` S NA` E: PROPERTY LOCATION:
C ZLZI iD
PART 5 IETHOD OF COMPLIANCE BY ACCEPTABLE PIUCTICE:
1 . Cross Floor Area - 7 � saua_e feet
2 . `1'_rpe of Feat - Electric Oil -Gas. Ot+er
3 . I s building mecLanica?_'j y cooled? Yes Rio
4 . Pe.ce:?tage of area of wi dows a-d. doors Over 17� under 179s
5 . R-`I L ES FOR INSuL..:T70NI G_vEN BCL•O'w i-f-li S T CORRES?O.111D TO -V'A=•ii S AS
S=OtjN ON- PLANL S" SUBMITTED:
a . Roof R
b . TxteZior wa= s
C . C-lazed area= c2
d . -Ext_erfor doa_s
e . -Floors ove: uncleared spaces R
Face o-- slat an o=aYe (heater buildin.g� R
C. 3esementjcellar wars (move- grade] R
BasementjcrTlar wal ..l (belorw . g;�.de)
;zeat7 na/cool?ng-C:uct -p3.p2..ng in- L:Ph-hated space R
6 . Se_-r_ce (donest_c) hot w_ter hea- nc devi c
Co==o=s to m_ num e' _ciency� per- code Yes NO
TE;iP=Rr'1TURE" CONTROL MUL7,1H.M14 SETTING 1400 - WILL NOT BE EICrr0'ED
a Z U-3 Date
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. �
Main Office 176 Doe Run Rand - Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Penn t No, NO 7 9 5 12 Cut-in Card No,
.{i.l4il/Ni##il..##.#iil{I..i{{#i/
ownerWIM100#0#1 P#. ii/11r41#44ti Mi 41i MN!!i 144MlfiN o•of tttttt###M#t4iM#m mtoN1oo1441M#to4l4#rN 0ooNon#MB##1#01#4114M44lNMMi4#41MtilF1l MINi1l4
d,
Location,,mo, 414r!M00#169164#too411liiiiii 9+Nii * J###ti{fattttt..attitta..i.iltua.lttl{t{.Ntuttfatttfaitiitlttl.iilftff..ii ii!#olio#i#.4uu.t{ill
/��] r 1
Installfat on Consistin o ##i##�1 •.#f###1#f# #44{tiff i#########i##.B{.!####41t t#i.##• u##.4#1•{1ltN4Mi#.lii##. .
#o Bli #M1#4{#! 1+ # #
6 so
U
Mot1 it14001 ..It liii fiiitt ! ii fill{ii#liiHttiii too ttt.#tftttgfttltitU{ttpt{iNttaIMM{ttt.t{t.1tt{Hit Mt.iptt/1i#fi{41i41#i##ittit#p litotes too lomoil
of 4#t1NBNfi4#of1!l14101409#400011111bMttl6191#0116404146M116114#6t464i#11411411#6#4444111t#441641##i#i•###06061#0#01t#{##44#i6######1##fo#t#61464414lli##11#0#0#6#0tu#1###0#1
InstalledBy,,,,,,,, totM6416MOM4.t4#ttf.M#t#.fii##4ftlt+NtNNllili4l4f..M11441MM41r.liB + i No, liil4illi##i###,in4##iH4Nl1#41MN/4141MM•11
The conditions following governed the issuance of this certificate, and any certificate previously issued il,
cancelled: -
This certificate only covers the electrical equipment and installation conditions as of date, Capon thl
introduction of additional equipment or alterations, application shall be promptly trade for inspection#
Inspectors; of this company shall have the privilege of mak' inspections at any time, and if its
rules are Violated, the Company shall have the right.to vok tt s ifi tel
, 0 All .�
Date,i, �-
##!.##4###BMf##oemsIIM6111414i#i1i{1M! INSPECTOR #M• B##4l11l• +4M#4##4411i#44411#4411i4141111#4t#u1#091#Boor###or1#tMIMM#44oWtofW
141ket#NAft RI I) 1 i A I? i
RESIDENTIAL FINAL.INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement A
Dept,of Community Development Arriveamlpm Depart
Town of Queensbury Inspector's Initia
742 Bay Road
Queensbury,New York•12804
NAME 2\- ,% 0 # na
LOCATION DATE- ��
TYPE OF STRUCTURE J
NIA YES NO COMMENTS /
Chimney Height/"&"Vent/Direct Vent Location
Fresh Air Intake r
Plumb Vent through roof +'✓`
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
FurnaceiHot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails BalconieslLanding 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif,of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent CIO(Certif.of Occupancy)
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE IA -,bcaml Notes:
jag�D.�PARTZ-'0
(518) 761-8256 Inspector's Initials
NAME: PERMIT#..�(wd--0�3)
LOCATION: INSPECT ON(date):,
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
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__
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
�Hetaig R ahqr <I 21ationv�Foundation Walls Interior'k-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- 'AID
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmig-
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppmg_
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT- Inspector:
Town of Queensbury
Ready at timeQ-w.
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road Notes:
Queensbury, AT 12804 ARRIVE
(518) 761-8256 Inspector's Ini i
NJ
NAME: 67 PERMIT
N
LOCATION: _� k �. INSPECT ON(date): �25:0
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezin e CJN39,
for 48 hours following the placem t I 6�D Q� 's L OtA
of the concrete. le
Materials for this purpose on site
Foundation/Wallpour "-, /r
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval 6—c> D Y_
Plumbing Under Slab
Plumbing Vent/Vents in Place V:,-)c>K�>
XRou Plumbing
He ing Rough-In
tl sulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- ALA_
Duct work or piping in
unheated spaces R-
P �r Vent,Attic Vent
Jack Studs/Headers
2aming
1:�ell
Bracing/Bridgi
1119—
Joist Hangers VIAO %_
Jack Posts/Main Beam
Air Infiltration Barrier Fire Separation 1,2,3,hour
WPeng.ttation Sealed
Wall 2,3,4 hour
Firestoppm' g;_____L__j_ -FO
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORTAm
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time
.Dept. of Community Development Request received: Meet:
.Building& Code Enforcement At time:'
742 Bay Road ��
Queensbury, NY 12804 ARRIVE am/pm: .DEPARTIC)` o m/pm Natea, ,
(518) 761-8256 Inspector's Initials
NAME: `� ��2. PERMIT#
LOCATION: INSPECT ON(date): —0,A
TYPE OF STRUCTURE: r
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this pu osI on site
FoundatioNallpa r
Reinforcement in ace _
Foundation/Damp roofing
Backfill Approval
Plumbing Under Sl b
Plumbing Vent/Ven s it lace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls ; tenor R-
Foundation Walls kxterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or pipin in
unheated spaces R-
Proppf Vent, f 'c Vent
amrn
Jac - ds/Headers 22
BracingBridgmg ti51+EGG l'� 1 1; �
.Kist Hangers t
hack as t""s7li'Iarn Beam tC a3 Ctl o 2 PbS j s �OP
Air Infr�ltration B zer =
Fire Separation 1,2,3,Dour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:1SueHemingway\Building.Codes.Inspection.FORMS\GENERAI..INSPECTION REPORT-doe
Office Use
GENERAL INSPECTION REPORT Inspector:
To,Aln of Queensbury Ready at time:
Dept. of Community Development Request received: 0 Meet:
Building& Code Enforcement At time:
742 BayRoad
Queensbury, AT 12804 ARRIVE In, �Notes:
/
F7
(518) 761-8256 Inspector's Ihiti is
7 NAME: PERMIT# _nCZ
LOCATION: 9 &Xss INSPECT ON(date):
Y
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is resp fon6libi��,ror
providing protection fro free
fxree n
�
for 48 hours following
t ft
h
I place ent
of the concrete.
Materials for this purpose on s
Foundation/Wallpour
Reinforcement in Place
Foundation/Dam roofing----.
Plumbing Under Slab
Plumbing Vent/Vents invippe
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
L:\Sueffemingway\Building.Codes.Inspection.r,ORMS\GENERAL INSPECTION RFPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at tirneo 4�t�
Dept. of Community Development Request received: 1 ilevo Meet:
Building& Code Enforcement At time:
742 Bay Road Notes:
Queensbury, NY 12804 ARRIVE U-1
A
DE
(518) 761-8256 Inspector's Initi ?,s --
-J7n PERMIT
C
NAME: PERMIT#
LOCATION: S's INSPECT ON(date):
TYPE OF STRUCTURE: jpw- (
'Y
RECHECK
N/A YES NO COMMENTS
Footings/Piers A
ono ithic our
Reinforcement in ace
The contractor is sp Bible for
providing protecti fi, rn freezing
for 48 hours follows e placement
F
Reinforcement
0 e T p fo
r
0
t The
providing
e 0 r
v 4
g
r c i
t s
h
c d
0
e
Ic n ln
8h
g
0
e
Pour
e
contractor
0
s
n c p hours r
to
in
r
ot P I e-s cti
f
Footings/Piers
s 0 10
11t
u
I w
P r I
P
sible for
m f -
Teezing
Ig e placement
L on site
of the concrete.
Materials for this purpo on site
I
r Place 0 f
m
Foundation/Wallpour
I
Reinforcement m
in Place
j p
Foundation/Damppro rin
f
Backfill Appro��a
Plumbing Under Slab
Plumbing Vent/Vents in Pla
Rough Plumbing
Heating Roughd�-
Insulation
Foundation Walls Interior
Foundation Walls Exterior -
Floors Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
L:\SueHemingway\Building.Codes.Inspection.FORrvfS\GENERAL INSPECTION REPORT.doc