2002-980 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
CERTIFICATE OAF OCCUPANCY
Permit Number: P20020980 Date Issued: Monday, February 10, 2003
This is to certify that work requested to be done as shown by Permit Number P20020980
has been completed.
Tax Map Number: 523400-301-006-0002-071-000-0000
Location: 13 HAVEN Ln
Owner: JERR.Y&MICHELLE AURIELIA
Applicant: JERRY AND MICHELLE AURELIA
This structure may be occupied as a:
By Order of Town Board
Garage-2 Cars Attached TOWN OF Q EENSBURY
Single Family Dwelling
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: P20020980 Application Number: A20020980
Tax Map No: 523400-301-006-0002-071-000-0000
Permission is hereby granted to: ' TERRY AND MICHFLLF, AURELIA
For property located at: 13 HAVEN Ln
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: Twe of Construction Value
Owner Address:
13 HAVEN Ln Garage-2 Cars Attached
QUEENSBURY NY 12804 Single Family Dwelling 70,000AO
Total Value 70,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
TACOUF,S PEARSON
RD#1- 13OX214
DIAMOND POINT.NY 12804-0000
Plans&Specifications
2002=980
Fire"restoration of a 1,666 sq ft single family dwelling and attached two car garage per-plot plan and
specifications.
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,December 02,2003
(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 T n of een W
o ecember 02,2002
SIGNED BY for the Town of Queensbuuy.
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, da
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: J� �1G °LGG ,��G<.� Owner: SZ
Address: 3 Address:
Phone# Phone#
Property Location: Lot Number: / House Number /
Subdivision Name: Tax Map Number: 3of,j:; 7l
t ❑ New Building: residence t commercial 'Estimated Market Value of Construction:$
❑ Addition: residence t commercial If an Addition what will use of new addition be?
❑ Alteration: residence/ commercial '
❑ No change to exterior size sidence co "I
Ne Other work(describe r- I'Le-
Check OceupaucyInformation 1' Floor _ 2nd Floor Other floor. Total
Below. sqi ft. sq.ft: sq.ft. Square Feet
Single family dwelling
❑ 'Two family dwelling
❑ Townhouse
v Multifamily dwelling
#of units
❑ Office
o Mercantile
❑ . Manufacturing
❑ 1 car detached garage-
2 car detached garage
o 3 car detached.garage
❑ 1 car attached garage
9 car attached garage
❑ 3 car attached garage
o Storage building-
commercial
❑ Storage building-
`residential.
❑ Other
What is the proposed height of the structure feet inches
W Jk any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: .electric./ oil / gas/wood /forced hot a' baseboar44 other:
Number of Fireplaces to b&installed _ Number of Woodstoves to be installed
List below the persons)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder_.. Ate.
Plumber uo
Electrician
f
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.tbat 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 thatI/we shall-
submit,prior to a Certificate of Occupancy or Certificate-of Compliance being issued,,as requested by the Zoning
Administrator or D' ector of Building and Codes,an As Built Survev by a licensed surveyor;drawn to scale,showing actual
location of evsr constructi
Signature:, _ . s owner,owner's agent,architect,contractor,
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received- 0
Queensbury Building&Code Enforcement Arrive: am/p�P rt: M '�;Vam/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: 9000
LOCATION: DATE:
TYPE OF STRUCTURE:
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 C2rn plete
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 Tennination 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
Safe!y glazing
Window in stairwells safe! lazing
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 I
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4hour fire door/door closer
Garage fireproofing
Duct work Scaled properly
...........
Attic access 30 in.x 24 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 V
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 Occupan y) 716=�0
L.\Sue,Hemingway\Building.Codes.Inspection.FORMS\,Res,Final Insp.form 2.doc edited January 28,2403
Pire:o7ppingInspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: a p Dep a�jp
742 Bay Road, Queensbury,NY 12804 Inspector's Initial
NAME: ���{ PERMIT#: �D
LOCATION: ( Cv-e'k- INSPECT ON: ---1. ,� 2--
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
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 Walls
Metal Strapping for Notches Top Plate'
I lz(w) 16 gauge $ 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
Fire separation 1,2,3 hour `
+
__ . _ =
Fire wall 2, 3,4
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %z inch 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 I below grade
5.0 sf grade
a Town of Queensbury4
Fire Marshal's Office n , �,p
742 Bay Road 't'i { , ° o . l� "7 --
Queensbury, NY 12804
Phone (518)761-8205 1 Fax(518)745-4437 (�06 ' %tires
Fire Marshall* In pection Report
Request U,� SCHEDULE _�•z� -lam
Received: Q Permit# INSPECTION ON-
Name- 1 L��{. I� quo—AM / PM ANYTIME
Location: 146 Q ij
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS n , Lu-'
EXIT SIGNS-NORMAL r�4 1 j� �i ���
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE IV .
COMPRESSED GAS �rI .
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS � �} � bD
CLEARANCE TO ELECTRICAL �t... �0,` -�,l�' '� � (,
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY 1
MASONRY ROUGHIN
FINAL
CHIMNEY a I'VL Jl '��,�7 r OK
FACTORY BUILT ROUGH IN
FINAL
WOOD y l
STOVE ROUGH IN � o/'�L 1'-j
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DATE K FOR D OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECT
FINAL 7—
COMDEV/CHRISJNVORDILETTERS20011FIREMARSHALINSPECTIONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE--BUILDING DEPARTMENT COPY
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 at Depart
spector's Initi
NAME: t PERMIT#
LOCATION: DATE : -^
TYPE OF STRUC
RECHECK
N/A YES NO COMMENTS
Footings/Hers —�
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-ln
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
office Use
.GENERAL INSPECTION REPORT Inspector:
- Ready at time:: .
.Town of Queensbury f
Dept. of Community Development Request received., - � bz' Meet:
Building& Code Enforcement At time: _
742 Bay road �` �
Queensbur}; ATY 12804 ARRIVE am DEPA T f an fpm otes:
(518) 761-8256 .Inspector's Initial
NAME: Xrt G PERMIT# Z— r6
LOCATION: � C� ���� �-�' INSPECT ON(date): �/ Z
TYPE OF STRUCTURE: f-y 1—P-
6a__-_Lty�—
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
Heating Rough-In
Insulation
Foundation Walls Interior R- .
Foundation Walls Exterior R-
Floors R- f
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
J rami 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:\SucHemingway\Building,Codes.Inspect on,FORMSIGENERAL INSPECTION REPORT.doc
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Property Address:13 Haven Lane State:NY Zip:12804
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Appraised Date:September 14,2002
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..gREA CALCULATIO1i
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CodeOescH tton
Size -Totals 6teakdown. = .Subtotals
fdx1 Fi=et Floc= 1fi66.00 1666.0 First F1o�•
26.0 x 30.0 720.00
22.0 x 28.0 616.00
,15.0 x 22.0' 350.00
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TOTAL ENABLE {rounded) 1666 i 3 Areas Total(rounded). 1666
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