2001-620 TOWN OF QUEENSBURY
*Pr, 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
•
�Ic
Permit Number. P20010620 Date Issued: Tuesday, March 20, 2007
11'':``' This is to certify that work requested to be done as shown by Permit Number P20010620
has been completed.
Tax Map Number. 523400-279-017-0001-022-000-0000
Location: 6 DREAM LAKE RD. SOUTH
Owner. MICHAEL DOUGHER
Applicant: MICHAEL DOUGHER
This structure may be occupied as a:
• Residential Alteration 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
A
WS742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010620 Application Number: A20010620
Tax Map No: 523400-279-017-0001-022-000-0000
Permission is hereby granted to: MICHAEL DOUGHER
For property located at: 6 DREAM LAKE RD. SOUTH
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: MICHAEL DOUGHER Residential Alteration
6 DREAM LAKE RD. SOUTH Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2000-620
RESIDENTIAL ALTERATION DUE TO FIRE DAMAGE AS PER APPLICATION
•
$40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,August 17,2002
(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 Qu nsbury; r. ay,August 17,2001
SIGNED BY 4 for the Town of Queensbury.
irector of Buil '•g& de Enforcement
_/ . ENERGY CODE COMPLIANCE APPLICATION
IF
;.3 TOWN OF QUEENSBURY, WARREN COUNTY
=` -~ 9000 HEATING DEGREE DAYS
Compliance Methods : PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings ( 3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME : PROPERTY LOCATION:
4 )fic_-(14 eL 2 ov6 ("cif
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - i�/U.471 square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled? Yes e/No
4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R
b. Exterior walls R
c. Glazed areas R ff--
,
d. Exterior doors R "
e. Floors over unheated spaces R
f . Edge: of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R _
h. Basement/cellar walls (below grade) .R
i. Heating/cooling-ducts-piping in unheated space R
6 . Service .(domestic) hot water heating device
Conforms to. minimum efficiency per. code (Yes No
TEMPERATURE CONTROL MAXIMUM. SETTING 140° - WILL NOT BE EXCEEDED
A plica t' 5,,.1,gn�ure v/rdi
9'qK - Tr , bPo Nue
INSPECTOR' S REMARKS : q,,5--^ /6'S
1
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 construction. Permit File No.000 1 --(.9(1
No inspection will be made until applicant has received a Fee Paid S 1--k0 , Od
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: i'' ;1 / �. /i/i C C O G V /` Owner:
Address: ' L/C (_/ /r/1'/0• .S . Address:
iJ t=cyv; ,(' fI e k/ t t
Phone#(,q,`/') )1/ '- f 9 6 v ( Phone# ( ) f l -
RECEIVED
Property Location: Lot NumbeK)6 / House Number /
Subdivision Name: Tax Map Number: • • AUG 1 3 .20 01
TOWN OF QUEENSE3URY
o New Building: residence /commercial Estimated Market Value of ConstructmatiNG AND CODE
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alterati• : •- / commercial
a No change to exterior size: residence/com'l
O Other work(describe 1c _
. Check Occupancvinformation lst Floor 2"Floor Other floor .Total
Below sq.ft. sq.ft. sq.ft. Square Feet
tit Single family dwelling 6 6
❑ Two family dwelling
❑ Townhouse
o Multifamily dwelling
#of units
o Office
❑ Mercantile
❑ Manufacturing
o 1 car detached garage
o 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 / 4 feet inches
Will any second-hand or ungraded lumber be used? If so, for what? f `J()
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 C l ?/r //4e,L1962G//P/e 6a6Wt e,,i/nft/c'A J 4/6 -iy9 fc-1
Plumber cj-- / G S q
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 Survey by a licensed surveyor;drawn to scale,showing actual
location of all newvnstruction.
Signature: �c��i owner,owner's agent,architect,contractor
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
• 742 Bay Road
Queensbury,NY 12804 Arrive /0-dam/pm Depart am/pm
Inspector's Initials 94-
NAME: 11/ ,DL). Imo•' PERMIT# 4 z0
LOCATION: (, L C it fL DATE: .3 / Cc-
TYPE
OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respons ble for
providing protection from ez4.g 7 3 - 0634
for 48 hours following the lace ent
of the concrete. CIL L.,
Materials for this purpose on s
Foundation/Wallpour
Reinforcement in Place,
Foundation/Dampproofing 1 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- I
Duct work or piping in /J
unheated spaces R-
Proper Vent,Attic Vent
FramingC6
Jack Studs/Headers
Bracing/Bridging r�
Joist Hangers `'!�`/adzi, 2 r. Au. C ite,f
Jack Posts/Main Beam
Air Infiltration Barrier — °I— e'z ir- W er ),101-)
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 3rL0 am/pm Depart am/pm
Inspector's Initials
/
NAME: /� r` �7 Cc" n PERMIT# L%
LOCATION: ( ed L` �j(I JGu IL DATE : z 22 at.._
TYPEOF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I f
Monolithic Pour Form
Reinforcement in Place
The contractor is responsib - for
providing protection from fr:ezing
for 48 hours following the p1. -me
of the concrete.
Materials for this pu n.se on site
Foundation/Wallpour c ff.
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval 44.44- G,,erPlumbing 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 i in 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
fl�ce use
GENERAL INSPECTION REPORT Inspector:
Ready at time:
Town of Queensbury
Dept. of Community Development Request received: Meet:
Building & Cade Enforcement At time:
742 Bay Road Notes:
Queenslaury, IVY 12804 ARRIVE 3,5am/pm: DEPART . am/pm
(518) 761-8256 Inspector 's Initials
NAME: e l� C PERMIT # L f
LOCATION; INSPECT ON (date): _ � 2 ! ��
"�? ��i
TYPE OF STRUCTURE: --- -
RECHECK
_ NIA YESIN01 COMMENTS
Footings/Piers _ T
Monolithic Pour Form — -�_�-
Reinforcenientin Place _
The contractor is respotvsi le r
providing protection fro freez ng
for 48 hours following the lace ent
of the concrete.
Materials for this purpose on to r
Foundation/ Wallpour . �.
Reinforcement in Place..
Foundation(Darripproofing.. -_
Backfill Approval.`-- __
Plumbing Under Slab —
Plumbing Vent/Vents in
Rough Plumbing__--- ____..
Heating Rough-In.
Insulation.....,...
Foundation Walls Interior R-
Foundation Walls Exterior R- .
Floors Walls R-
Ceiling R_ _
Duct work or piping in
unheated spaces R- � L
Proper Vent, Attic Vent _.__ � � .► (' 4ar
Framing w 0(0
Tack St-udslHeaders__
Bracing/Dridging_..__ ...-
Joist Hangers.-,-...
Jack Posts/Main
Air Infiltration
Fire Separation 1 , 2, 3, hour_ .—_._
Penetration Sealed_ - _ -
Fire Wall 2, 3, 4 hour._ , _ _
Firestopping —.
L:; SueHemingway,Building.Codes.Inspectic)n.FC)RMS'GENERAI, INSPE:CUON REPORT-doc
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept, of Community Development Arrive f f1V am/pm Depart am/pm R111
Town of Queensbury Inspector's Initials Oft' 'L
742 Bay Road
Queensbury,New York 12804
NAME C 1 . / PERMIT# ter!' 60
LOCATION p S DATE ; --� —.2 02)
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimne Height/"B" nt/Direct Vent Location
Fresh Ai Intake
Plumb ent through roo
Roof Co plete
Exterior inish Complet• •
Interior/E erior Railing. 30"to 36"
Exterior E: drails,bal•.nies,landing 18 in.or more �� /� j�• a§fInterior Han. ails stair,both sides 3 or more risers 'L /
Grade 2%al y from fo i dation
8"clearance to ill plat G( g
4 /ee- G J�rGas Valve shut .i exp sed/regulator 18"above grade J 4 c�'
Gas Furnace shut .ff ' in 30 feet or within line of site /�
Oil Furnace shut-o i at entrance to furnace area � ..10J/, Ui.)
Furnace/Hot Wate -ateroperating /� C,4/tram�j
Relief Valve(s)install' d
/
Headroom,6 ft.6 in.o stairs
Basement stairs,6 ft.4 i .
Handrail exterior stairs bo sides more than 3 risers •
Interior privacy/trim/doors ain entrance 36"
Floor Finish
Bathroom/Kitchen watertight\
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairtlls
Smoke Detectors:
every level 1
every bedroom
outside every bedroom 1
inter connected 1
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 C/O(Certif.of Occupancy)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive/OIYfam/pm Depart am/pm
Inspector's Initials 'Cl.)/,f
NAME: I `� 1 i PERMIT# .% ��
LOCATION:_ , L! —ci L - • _ do DATE : )O -(46I C)
TYPE OF STRUCTURE: (\ .
RECHECK
N/A YES NO COMMENTS
Footings/Piers 7-r- I
Monolithic Pour Form
Reinforcement i
The contractor"s re sible for
providing prote ion fro freezing
for 48 hours folio ving th placement
of the concrete.
Materials for this pu •se o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Ve in P :ce
Rough Pluitnbing-
Heating Rough-In
Insulation
Foundation Walls Interior '-
Foundation Walls Exterior '-
Floors R-
Walls / R-
Ceiling' R-
Duct ork or piping in
u eated spaces R-
Pro Vent, Attic Vent
F ming
Jack Studs/Headers /r
Bracing/Bridging �,•'6�� -o/f •- • Ir j
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive / 7)am/pm Depart am/pm
Inspector's InitialsZ -.
NAME: /7/ �) 1la r PERMIT# C ( 6
LOCATION: i,Q,.�. 1k 4( ✓f(. DATE:
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 1
Monolithic Pour Form
Reinforcement in Place Iezir ✓/h U�
The contractor is responsible for 6
providing protection from freezing 1 !
for 48 hours following the placement jTh lee. 4 Lie il-s ��
of the concrete. •
Materials for this purpose on site ro. jh-cW Or- Shell-rock,
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
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials:
NAME: ip,,(J r- / PERMIT#:
LOCATION: 6 Arrti-i _ -e DATE:
TYPE OF STRUCTURE: ��ll
Pr:7S Comments
Yes No N/A
Building Number/Address visible from road .>01)
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete ��jam`% ' ni,Vi" 0901r
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade fej-kr./a 3/16ID7•
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall �i 1€ VO u �e�
Interior/Exterior Railings 34 inches to 38 inches 5
Interior Handrails @ stairs 2 or more risers / /c- 3 g `3
Grade away from foundation 6 inches with 10 feet �( v
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
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:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet 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/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%"Gypsum
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
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certificati. .'uired
Okay to issue C/C or C/O emporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart • i pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME 'C J11Q o� PERMIT# 0 / 10d-C
LOCATION ��e a m cs -- DATE
TYPE OF STRUCTURE (a\} '
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,Ianding 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
Furnace/Hot 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 Balconies/Landing 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 C/O(Certif.of Occupancy) ✓
•
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LIvo& 'ROOM
TOW?of QUEENSBURy BINLOfNG DEPARTMENT
Based, on our linked examination,
pop e4ith our comment;shall
pot be construed as ink the
plans and specifications are in full
with the code.
TOWN � ;; L c::NsBUr
BUILDING E EPT
A/ett Sib/ 0: z)Oc r 'og&dv fur REVIEWED BY
gebo .2-Aef m--ricw lit/ ,h e Aryl) C "/I/N6- (j/ v(7444, DATE ;,
FILE COPY