2002-953 i
IJ}
�r TOWN OF QUEENSBURY
742 Bay Road,Queensbuq,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
Y
:. CERT'IFIC.ATEDFOCCUPA - .
Perrriit Number: -:pa20020953 Date Issued;:,:_ Tuesday;January 03;2006
This is to certi that work re nested to be done as-shown b Permit; Iumber.
q y pa2002O953
has been completed.
Tax Map Number: 523400-301.013.0002.049-000-0000
Location: 19 ALGONQUIN Dr
Owner: GRAY&CHRISTINE PAEGLOW
Applicant:.. GRAY&CHRISTINE PAEGLOW
This structure may be occupied as a:
Residential Alteration By order of Town Board
77 OF UEENSBURY
t �.
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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: pa2002O953 Application Number: a2002O953
Tax Map No: 523400-301-013-0002-049-000-0000
Permission is hereby granted to: GRAY& CHRISTINE PAFCTT,OW
For property located at: 19 ALGONQUIN Dr
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: GRAY& CHRISTINE PAEGLOW Residential Alteration 90,000.00
19 ALGONQUIN Dr Total Value 90,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
MOOSE CREEK - SCOTT THOMAS
555 ROUTE 418
WARRENSBURG.NY 12895
Plans&Specifications
2002-953 RESIDENTIAL ALTERATION DUE TO FIRE DAMAGE
AS PER APPLICATION
$200.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,December 27,2003
(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 ;0,gj�*,December 27,2002
SIGNED BY J1 -----jor 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
A permit must be obtained before beginning construction. Permit File No.�AY3
No inspection will be made until applicant has received a Fee Paid $V_i:2_bPj ////I,vat
valid building permit. All applicants' spaces on this Rec. Fee Paid $
application-must be completed and must appear on the Reviewed By:
application form. V
Applicant: 71-4,r-, d,,kl r3,1 _ Owner:
Address: ,sj_^p, a t- 6&A Address:
W14'e'e -j ZV,K S—
Phone# _70 Yc,4-7 Phone#
Z3
Property Location: Lot Number: Hous:e Number-!
Subdivision-Name: Toze Map NunnlYer:. of• 1?2 �� Hq
c3 New Building: residence /commercial Estimated Market Value of Construction:$ 5�0
C3 Addition: residence/ commercial If an Addition,what will use"of new addition be?'
<tjV cteration: rest e/ commercial
to et,
0 gge to exterior size: residence/com'l
akl-Other work(describe iAP- e
Check Occupancylinformation 1"Floor 2nd Floor Other floor Total
3e,= sq.ft. sq.ft. sq.ft. Square Feet
Zr/ Single family dwelling
U Two family dwelling
U Townhouse
0 Multifan-dly dwelling
#of units �R)e_
C3 Office
ca Mercantile
C3 Manufacturing
C3 _,47-oar detached garage
ta'' 2 car detached garage
r- -3 car detached garage
C) I car attached garage
0 2 car attached garage
C3 3 car attached garage
C3 Storage building-
commercial
0 Storage building-
residential .
d Other
What is the proposed height of the structure feet inches
i
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil Q ga0wood. /(forced hot ai / baseboard other.
Number of Fireplaces to be installed Number of Woodstoves to-be installed Z;< -I-
List below the person(s)responsible for supervision of work as regards to building codes:
Name Adoress, Phone Number
Builder e- zo?'17
Plumber yip-1
Electrician Y- 7511
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the stalcments 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 all new cons on.
Signature: owner,owne<nag.. rhitect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm epart:*,*Vam/pm
Date Inspection r{e-gquest received: Inspector's Initials:
NAME. PERMIT
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from rand
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches i
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more I
Guard at deck,porches 36 inches or more C),
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
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 Ffety glazing
Interior Smoke Detectors:
Every level: Every Bedr m.
Outside every bedroom area:
Inter Connected: Batte backu :
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, I s .ft,150 s .ft. vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .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
�' V =
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 \ KQ ='
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door J 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 Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form—revised-1 00405.doc
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
, fel),&A�Ihat the electrical wiring to the electrical equipment fisted below has been examined and is a �
pp roved as
being in accord with.the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: PADIOla Date n 1 ;%0o.
Occupant: f^,ME location: 0 k I G,I
Ny
Occupancy: c e F a n,i,, .l,y Dwg
Applicant:. JC11HN HEhdKE El..EURTC
• ;3
Equipment. <r r i n
An i nspec-t ' r `^ 1 tII _ '
,� •.:� � i11..,t..,s-, Ci � �'� ,..k P 0 S�!C� C=�.=�t^�„1' 1,�`.i�` "�-' �,�.�,pt'fl P 1"i� in t h E
r,
?#
ti
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null�and void.
ciency or fitness of the equipment for anyparticular purpose. This certificate shall In the event that this certificate becomes'invalid based upon.the above conditions,
' be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated.upon reinspection by Middle Department
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection,most be submitted to Middle
ed to,the introduction of additional electrical equipment andlorthe replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged forthis service.
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: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initial]*--
NAME: J PERMIT#
LOCATION: � INSPECT ON(date):
TYPE OF STRUCTURE: U
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 J
Reinforcement in Place j
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-
Pr er Vent,Attic Vent
rare ng
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.FORMS\GENERM,INSPECTION REPOR'r.doc
Residential Final Inspection
Office No. (518)761-8256 Date Ins4Ini
equest received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury, 12804 Inspectols:
NAME: PERMIT#:
LOCATION: DATE: Z j7
TYPE OF STRUCTURE: _-- --
`� Comments
Y N NIA
Chimney Ht./"B"Vent/Direct Vent Location
1'
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Ca lete
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 -
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. Qr
Outside every bedroom area: Ae—
Inter Connected: / Battery backu :
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures 3
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
Gara e 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
Final Electrical .
Site Plait [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)
_11001-
OkaX to issue Temporary C/O(Cert. Of Occupancy)
Okay to issue Permanent C/O Cert. Of Occupancy)
L:iSueHerningwaylBuilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
� Residential Final Inspection P
Office No. (51 761-8256 Date Insp ction request received:
Queensbury Bui e Enforcement Arrive: am/pI Depart: am/pm
742 Bay Rd., Queeiisbury,NY 12804 Inspector's Initials:
�
dd ldl+�x / ,�e !J o L-) F"C� PERzI IIT#:
LOCATION: L DATE:
TYPE OF STRUCTURE: _,
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location "� d� " j
Fresh Air Intake r
3 inch Plumb Vent through roofs
Roof Complete
Guard 30 in. or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more C � (}G� T"^`
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 ex osed/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 r
Furnace/Hot Water Heater operating
Low water shut'-off boiler
Relief Valve ;)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight ,1
Safety glazing
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom /
Outside every bedroom area:
Inter Connected: / Batter 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 j'
Basement stairs closed rise>4 inches
34 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
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/O(Cert. Of Oceii anc
Okay to issue Permanent C/O(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003