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2002-632 TOWN of QUEENSBURY 742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 u"" RTIFICt'ITI E 0".r' OCCUPANCY Permit Number; P20020632 Date Issued: Tuesday, August 30,2005 This is to certify that work requested to be done as shown by Permit Number P20020632 has been completed, Tax Map Number, 523400-308-010-0001-036-000-0000 Location: 12 HERALD Dr Owner. DAVID&DEBORAH WITHERELL Applicant; DAVID&DEBORAH WITHERELL This structure maybe occupied as a: Garage- 1 Car Attached. By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the , 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 Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY MM F t 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 "i P�4 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020632- Application Number: A20020632 Tax Map No: 523400-308-010-0001-036-000-0000 Permission is hereby granted to: DAVID &DFBORA14 WTTHERELL For property located at: 12 HERALD Dr in the Town of Queensbmy,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: DAVID &DEBORAH WITHERELL Garage- I Car Attached 12 HERALD Dr Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name Address Electrical Inspection Agency MATT 14ANCHETT NY 12804-0000 Plans&Specifications 2002-632- 216 SQ. FT.BAY ADDITION TO EXISTING GARAGE PER PLOT PLAN& SPECIFICATIONS. $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 01,2003 (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 Town of Queens T rsday,August 01,2002 SIGNED BY or the Town of Queensbury. ' v Director of Building&Code Enfor;07�!% Building Pe* rmit 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. _QA) 613 No inspection will be made until applicant has received a Fee Paid $­ - Z.. valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appea on the Reviewed By: application form. Applicant: M)977-- NRA!"E weer: IDPWIE 141_r_7-ffERj I- Address: /,R HLUC SzW-) ddress: 0/2 AA oW Z>A-_06 /VY /,-,k80,3 Phone# &7 27 hone#(ag - 2�194 3 _)T78 Email Address: fto)T I-jigsVC0150-(2 A3,)& IZ4"Ul:,n�r 'mail Address: Property Location: Lot Number: t House Number 12, / 140JQAV-0 -P1q_Vr, Subdivision Name: KfP-DIJ) 54'. VrLLr*rE- Tax Map Number: 308.10 C3 New Building: residence /commercial Estimated Market Value of Construction; $ j j, -500 as Addition: residence/ commercial If an Addition,what will use of new addition be? Alteration: residence/ commercial No change to exterior size: residence I com'l C3 Other work(describe /Walur !$Aejf ) Check Occupancylnformation I"Floor 2" Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single familyAwdlfing J 'g a 41 C9 c3 T)Co -y dwelling 0 Townhouse 0 Multifamily dwelliniz #of units C3 Office 0 Mercantile g:i 0 rv-,- C3 Manufacturing C3 1 car detached garagp' 0 2 car detached garage 0 3 car detached garage L-Z. f 0 1 car attached_7garage­ 2- L d' U 2 car attache 4 2- 1 p ,j'l garage�_­�� 0 3 car attache garage 0 Storage buil& commercial 13 Storage building- residential 0 Other What is the proposed height of the structure O feet 0 inches Will any second-hand or ungraded lumber be used? If so,for what? Njo Type of Heating System- electric/ oil / gas/wood /forced hot air baseboard othet: N/A Number of Fireplaces to be installed Number of Woodstores to be installed N/11 List below the person(s)responsible for supervision of work as regards to building codes: Name Address . Phone Number Builder mn:n: 1-4 An_xnd&TV e,(0EBE(,Lj) %f-A)Lf 1-2-90 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 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 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 Survey by a licensed surveyor;drawn to scale,showing actual location of all n"v constru9tion. Signatureq.: �A64w- owner,-owner's agent,architect,contractor COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Main Office 176 floe Run Road 4f Manheim, PA 17545 , MUNICIPAL CERTIFICATE w ELECTRICAL Permit No, N 0 90155 Cut-in Card 14tf4tp14#44# off •f4ff#ii#iNiq iii�f•iffffftfNi4 alalltflil•fflU&666 i #f#aiafHi#iH4lf4fp}##ate#tI4t44tiaiift##tR#N1114ftitHaiRfai#4faft4#a4ti4flfit►itii}# / , I Locattonf}iff•i•l�f4#1•ff••.fif it•tta i#a Nffl4R. 1lfiffffYllf 4aIRf►f4ffffRlffYiftit44ittttia•aHfifff4f•fiffffi/4fffff• f•f •f ifi .Yf t 4 R II f N f#Ia11ii4i Y � '}�4�\} �ii`fff' Installation Consigofstin f4 #f Yf• if4if4• flltft4f4ff•fi ff•tffi•4•ffiffl4f4li4if•ff►f4ffffifYff4441ff}!/IaIa41#f#t1#}#411aIRia4tf4t41f#f}}iRi#laRfH •4•f f iiftl4•Nitiffaf44f4fRNNiN►iffffff4F4Hi4f•HRHfatNl4tNfflfl4fffffN/M1 4Y441Y/ttittfffff I foot toff######YY/tYff iaffiif f#########If pgiff►#af#It oMMIaf fi•###If of f 4/4Y/a oomof44#4f6444 too fffiftffii►tool}4fo*@fool..##&fff f•i4li#R14ffI$*##*#$I##I"*ffllfff if4►4Rfff4Ri iffiYYsftf fit ftf44ffff►4fiffffffffffff►Nif•4ffffff►ffitofff ISO f44iffiIII Installedroof mmof 609 0100944 MoMM I M 114#44 mm►#4444tf1ffYf4�f � No, toff...HillfYYlOff/ifiif•iilfff,fffiNiilf4ff4ft4 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 iniroduction of additional equipment or alterations, application shall he promptly made for inspection/ 01 Inspectors of this Company shall have ,the privilege of maki 'nspeetions at any time, and if its rules are violated, the Compan hall have the right t r ke thi certificat }yin'/y' �y I' ate�fftiffl f//YNalaaliff►!!lfffffY►/N}/iNHY INS �•'4�+'TOR fff 4fff4H4H}ififi4114R f!/44f#41MIIff H4fg4N4f}fff ififf iff4flHi4fi4f1ifffa44iaNf4lffft Memher N.FP.A..I.A.P.I. Queensbury Building & Code Enforcement - Res' ial Final Inspection Office No.(518)761-8256 Arrive: am/prn a - a M In Date Inspection request received: Inspector's ials: NAME: bu( IT#: .0Z LOCATION: 1kATE: TYPE OF STRUCTURt: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" A16 .Roof Complete/Exterior Finish Corn fete 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 V2" 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 -L6w-water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Ternp 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: i 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/%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 IS"x-24"access, 1 sq. ft.-150 sq.ft.vents Building No./Addres's 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 or C/0[Temporary/Permanent—I L:1PamW\]3uilding&Codes\lnsvection Forms\Res. Final Inso. form 2.docLast vrinted 2/12/04 Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbuy .Dept. of Community Development Request received:�Z- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am/pm: ,DEPARTG/2.Om/pm tes: (518), 761-8256 Inspector's Initials NAME: '' mod PERMIT - 0 LOCATI N:` L M �+ _ INSP CT ON(d /�� Z 7 6,e i, TYPE OF STRUCTURE: RECHECK NIA YES NO COM 'TS 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 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:1SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc 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 aWpm: DEPART O am/pm Notes: (518) 761-8256 Inspector's Initials"" NAME: oe.k-L . PERMIT# dam- LOCATION: INSPECT ON(date): / TYPE OF STRU TURE: RECHECK N/A 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 Hearing 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 Stads/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\Bttilding.Codes.Inspection.FORMS\GENERAI.INSPECTION REPORT.doe 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, ArY 12804 ARRIVE am/pm: DEPART / am/pm Notes: (518) 761-8256 Inspector's Initials NAME: 1 PERMIT# Z,66 Z i- B 2- r LOCATION: C- 0 INSPECT ON(date): -Z/0 TYPE OF STRUCTURE: RECHECK N/A YES NO1' COMMENTS ootings/Piers 16 " Monolithic Pour Form Reinforcement in Place The contractor is responsible for ML)W, providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundationiWaRpour Reinforcement in Place Foundation/Dampproofmg_ 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/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-.\SueHemiiigway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION R EPORT.doc REFERENCE FARE SUBDIVISION S L DICKINSON 'ERSIZED HAP F—7 ILY 14, 1987 11 L C,T.V, TRANS TEIE ELEC, © ,r q 41,29' FOUNDAnoN 30.72' { N 140.76' s4j • sQ, 5z93 LOT 4422,771 sq. ft. p •`��� NEB) 179 R3, MAP OF N ©-f04 40 LOT 44UP 1 �" TOWN OF 4UEENSSURY SCALE t 1"=30' PHASE 11 LAND SURVEYORS, *10 ® L D 1�l Y 14 E 90 L.ID V PI v e _ 35 31 0 33 r., j . rt 0 T . °FROM SFCC)kl 0 , ? � )I (SARAC,E 'F©VhJDl:NTT-0Nj POU R F-f) f 007t-w c k:► 5Lt1t3 { EQo �ta4� n�xx_ ms :XIST1;4d A. Foutitj��T T 0 A) 7 S (LJ" 7wa RE 64 PC r (SLOW v p rpir VIE v\l bar 7iZUSS& S - 7//G 058 O/i - -- . �i WOT -E.S S ; fK G ST NWONW FEA(nVJ(- 1(; ac--W"L5 ,jx 10 T VLE HEA6&M-DOWLS 9,-Iq KAAFr- wqu.S R-3% 14ZAFr- CE. r-X�NC 'TR�PL� �'Arc.11. PLATV AT �A2Arac 000R . �}Er�AE2 T�IVEIC W�,.A� WRt1-� 't-op PLATE Ye FUE. (oRo av '-APE !Z" 5gE.T/LOGC - WALL-S VINYL FACLA /Sof- x t rrlgrCA EkXC T'.T.*JC SibE EN 'r24 W(L 40 ul a, �I TOWN OF GUEENSBURY BUILONG DEPARTMENT Based on our united examination, compliance with our cornrnerb shah not be construed as the plans and specifations are in U compliance with the code, c (NopY �.00Rrvu� . IL I-Kaol f> N`r tIgo 4 ;tq suer 1007, --