2002-212 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: P20020212 Date Issued: Wednesday,August 27,2003
This is to certify that work requested to be done as shown by Permit Number P20020212
has been completed.
Tax Map Number: 523400-308-01 MOO 1-035-000-0000
Location: 430 LUZERNE Rd
Owner: LEONARD&MARY SCHAEFER
Applicant: LEONARD&MARY SCHAEFER
This structure may be occupied as a:
By Order of Town Board
Garage-2 Cars Attached 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: . P24020212 Application Number: A20020212
Tax Map No: 523400-308-011-0001-035-000-0000
Permission is hereby'granted to: LEONARD &MARY SCHAEFER
For.property located at: 430 LUZERNE Rd
in the Town.d£Queehsbury,to construct or place
at the above 16cation,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: LEONARD.&M.A.RY SCHAEFER Garage-2 Cars Attached 9,000.00
430 LUZERNE Rd Total Value: 9,000.00
Q.UEENSBURY,NY,12804
Contractor or Builder's Name/ Address 'Electrical Inspection Agency
LEONARD SCHAEFER
430 LUZERNE Rd
OUEENSBURY.NY 12804'
Plans &Specifications
2002-212
952 SQ FT 2-{CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
$95.20j PERMIT FEE PAID.- THIS PERMIT EXPIRES: Wednesday,April 09,2003
(If a longer period is requited,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date)
Dated at th own f Qu s u day,April 09,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
-2
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:9-
application form.
Applicant: Owner:L�U,,,z 56"
Address: 30 4-,k- Fl Address: o
&),e t— 5 611 /^ L ,Je m !:n,9,& E,�'
Phone# Phone ?13 z 2-2-a P-
Property Location: Lot Number: I House Number
Subdivision Name: Tax Map Number: 1--71
al5iqew Building: residence /commercial Estimated Market Value of Construction: $ C>Dcc
W'' Addition: csidenc ercial If an Addition,what will use-of new addition be?
L3 Alteration: residence/ commercial
U No change to exterior size: residence com'l
U Other work(describe
Check Oe' I"Floor 2'Floor Other floor Total
.cupancyllnformation
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling ri
p Two family dwelling
U -Townhouse
La Multifamily dwelling
#of units
0 Office
❑ Mercantile
io Manufacturing
U 1 car detached garage
.0 2 par detached garage
U 3 car detached garage
E3 1 car attached garage
k 2 car attached garage 2-
0 3 car attached garage
iLZI St brage building-
commercial
;u Storage building-
residential
U Other
Whitt 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 / gas/wood /forced hot air baseboard other:
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number-
Builder :I
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 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 As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of 1 7 w 7 Dons 'on.
Signature: 721'1 owner,owner's agent,architect,contractor
Residential Final Inspection
Office No. (518)761-82'56 Date Inspection request ceived-
Queensbury Building&Code Enforcement Arrive: a prn
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi
NAME: E #:
E: 0
LOCATION; D 7W
TYPE OF STRUCTURE: 2 LIAR GR9 GV---
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/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 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
-'/4hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 2 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)
k
Z—
,—�n�g �� P �Framin -g / Firestopp InspectionTe0
Office No. (518) 761-8256 Date Inspection ceive
Queensbury Building& Code Enforcement Arrive: a p De a a
742 Bay Road, Queensbury, NY 12904 Inspector's Initi
NAME: PERMIT#:
LOCATION:Li. INSPECT ON:
TYPE OF STRUCTURE: C
Y N N/A COMMENTS
ming
Headers Braci Bridging
angers
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 WallsMetal 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
ire separation 1, 2,3 hour
Aire 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:\SueHemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Office 176 Doe Ron Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE w ELECTRICAL APPROVAL
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The conditions following governed the issuance of this certificate, and any certificate previously issued i�
cancelled: -
This certificate only covets the electrical equipment and installation conditions as of date. Upon thl
introduction of additional equipment or alterations, application shad he promptly made for inspection.
Inspectors of this Company shall have the pridvil,g,,,,,.f making ' s ections at any time, and if it.
rules are violated, the Company shall have the righte thi " rt' cate
datef � '� NET/i�yj,�jiyj`fttflNllliitlHifl#i!/IIYIIIINIMIIfiifillff#,#, P C f R f#ff #########iff#to#f ff1101MCMf fi 1#i q/N#Nff#1#flM i ff i off#M#M,
Member N.F.P.A.. I.A.F.I.
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time
Dept. of Community Development Request received.-- b �c�— Meet:
Building& Code.Enforcement At time:
742 Bay Road
Queensbury, NY 12804. .ARRIVE 4 oampn: D A T a m Notes:
(518) 761-8256 Inspector's Initia s
NAME: f 'i. PERMIT#
LOCATION: j_ 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/Dam roofing
1 ppro 1
er a
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation n Of
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
Firestoppmg
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL.INSPECTION REPORT.doc
Office Use
,,-GENERAL INSPECTION REPORT Inspector:
To"In of Queensbury Ready at time:
Dept. of Community Development Request received.- Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbuty, NY 12804 ARRIVE am/pm: DEPART&k�mlpm Notes:
(518) 761-8256 Inspector's Initials
NAME: Z?jefb, e-41— PERMIT#
LOCATION: zzG INSPECT ON(date):
TYPE OF STRUCTURE: Ae
RECHECK
N/A i YE NO COMMENTS
Q —f�pz V
gs r
otmgsrlgj.
Mono It is 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 Vallpour
Reinforcement in Place
Foundation/Dainpproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
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/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:1SueHemingway\13uilding.Codes.Inspection.FOPlvfS\GENERAL INSPECTION REPORTAOC