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2001-879 TOWN OF QUEENSBURY 742.B Queensbury, 12804-5 02 (518) 761-8201 � ay Road,Q ury, 9 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010879 Date Issued: Thursday, October 16, 2003 This is to certify that work requested to be done as shown by Permit Number P20010879 has been completed. Tax Map Number: 523400-279-019-0001-008-000-0000 Location: 55 JENKINSVILLE Rd Owner: NANCY BURKE Applicant: NANCY BURKE This structure may be occupied as a: By Order of Town Board Porch TOWN OF QUEENSBURY noiviP if/ Director of Building&Cod' Enfor ment 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. No inspection will be made until applicant has received a Fee Paid $ 6-6 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 d / Re 2 a Owner: fl G,h c BUS(CQ, Address: SS S1a-,,(c- „..(i,� /2'( Address: SS teh(cr'tsLA'/P Kc- - )e e w f/ovrvra l0-/ l 2 C y Phone#(S ) 135-- 3 gg Phone# (StV) -752r- a(QO -9135 - / Property Location: Lot Number: / House Number a / �t�� `h `` ,so l� Subdivision Name: 5 2 I A- Tax Map Number:. . SZ -- ( -- C,) ❑ New Building: residence /commercial Estimated Market Value of Construction: $ S 9 o Addition: residence/ commercial If an Addition, what will use of new addition be? j,k9 Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l o Other work(describe no YZ�o� ) Check Occupancyln"formation 15`Floor , 2"d Floor •Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet g e family dwel • Two-IcrZiramily dwelling le- • o Townhouse ❑ Multifamily dwelling • #of units ❑ Office o Mercantile o Manufacturing o 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage ❑ 2 car attached garage ❑ 3 car attached garage o Storage building- commercial o Storage building- rest ential_i--------- -- What is the proposed height of the structure 63 feet inches Will any second-hand or ungraded lumber be used? If so, for what? fl D ' Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: fn Number of Fireplaces to be installed n Number of Woodstoves to-be installed 0 List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder FYI l lam= e�-jU 9R 3 Z 1g" 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 all new construe ion. Signature: P 'r� owner,owners architect contractor agent, '. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010879 Application Number: A20010879 Tax Map No: 523400-279-019-0001-008-000-0000 Permission is hereby granted to: NANCY BURKE For property located at: 55 JENKINSVILLE Rd 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: NANCY BURKE Porch 500.00 34 PINE St Total Value 500.00 HUDSON FALLS,NY 12839 Contractor or Builder's Name/ Address Electrical Inspection Agency • Plans &Specifications BP 2001-879 Construction of a 240 sq. ft. porch. Area Variance No. 73-2001 Approved by ZBA 9/26/2001 for setback relief. $40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,November 29,2002 (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 wn o ue nsb; , ; sday,November 29,2001 SIGNED Y ir• iik,k, for the Town of Queensbury. Director of Building&Code Enforcement _.- • Residential Final Inspection G (7D64.„e___ . Office No. (518) 761-8256 Date Inspection reque receives [� Queensbury Building&Code Enforcement Arrive: a. p c ►-*art: —l r 1 am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial.:�4, • NAME: / c7 ,�//�^/f / P "IT#: 01— k) LOCATION: eAlct."..1'�Gk. k/ 111.. E: iU O. TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 0 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 D Interior/Exterior Railings 34 in.to 38 in. c ---- 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 afety glazing / Interior Smoke Det tors: - Every level: / Every Bedroom: Outside every bedroom•rea: 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 '/4 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 sq, ft.-150 sq. ft.vents Building No./Address visible from road Final Electrical V'V-b Ndk\ 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) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No. Cert. 8, I 8 414 Cut-in Card No Owner .a./ L Location N ��,7Z-'7U/e& c?JS//000f /��o Chic 1 Installation Consisting of.. .$t ' 7 s f Ctrs/ -70 et j Installed By Alin Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued i cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon till introduction of additional equipment or alterations,application shall b romptly made for inspection. Inspectors of this Company shall have the privileg of maki in ections at any time, and if it rules are k violated,� the Company shall have the right to ke t ific Date... J te`a INSPECTOR "-4 !Wernher N_F.P.A_.I.A.E.I. ,�. Office Use GENERAL INSPECTION REPORT ;,,._' .F<, Inspector: Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road - Queensbury, NY 12804 ARRIVE 1f,` '�arrt/,pm��,,DEPART am/pm Notes: t. (518) 761-8256 i Inspectors Irc.itialsD/l/ ' NAME: ,fG d�/1` PERMIT# LOCATION: 3) V C.44 -r=4 e,, INSPECT ON(date): `0 �` • • TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers _.__ Monolithic Pour Form Reinforcement in Place The contractor is responsible for . 'A,,s� <. ice+ providing protection from freezing F` �`'" t ` ki idte, ,, /2 for 48 hours following the placement .J J' r X 4,t'- of the concrete. - - - �O /1• 7 . .. Materials for this purpose on site / �'' " Foundation/Wallpour (`1e)$J -.S0c ri`�� °` e.U�. - Reinforcement in Place Foundation/Dampproofing • —/Jed - ',;4/ e�c' Backfill Approval _ / / „," Plumbing Under Slab / ,tXl�✓"P`4- Plumbing Vent/Vents in Place /'')�` `�� y ' Rough Plumbing-- - al 'Z / r 40 -- , Heating Rough-In ` �l Ga Insulation Foundation Walls Interior R- • /,/3j"' Foundation Walls Exterior,R- /J Q�7O frv/iik_ Jle' �' Floors `R- 35 , Walls "fit- t ' 7 , Ceiling R- P•` Duct work or piping in.-;, „ fiq.. _' _ , unheated spaces 'It:. ,"r;:s =`:( e�` Al � s.�,:- p j.2i 'dL f,�l • Proper Vent,Attic Vent . • Framing ' , • Jack Studs/Headers I r JJ, A' - Bracing/Bridging /r'J v v Joist Hangers 22 /'3° Jack Posts/Main Beam Ir Z Air Infiltration Barrier /' j f�/Fire Separation 1,2,3,hour Mt& �tlt UL(al ''" Penetration Sealed 7c l_0 T 3 6 Cy -'G),f J 1 Fire Wall 2,3,4 hour_ _ . Firestopping . L'1 l7es� /" 6 e�� I '6- • ' L:\SiieHemingway\Bui!ding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc ,I - ei),_ • OG,,/e Sco1y, \ .I \ . Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE =_am/pmr,.PEPART am/pm . Notes: (518) 761-8256 Inspectors Initials - NAME: ,� . n f=/'ft ✓/ fe" PERMIT# (�� ` Q2`� LOCATION: �S�I I INSPECT ON(date): f 6 ci d�- TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form• Reinforcement in Place ® r The contractor is responsible for /� 1/�J' C(Jr/ '�'J6 4/— providing protection from freezing J for 48 hours following the placement j .sG 41.4 eR of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place • Foundation/Dampproofing 1111 f // Backfill Approval jZ�3vf/5Z �` "' � Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing • Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- 1111111111 Floors R- Walls 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:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc C 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 Ma&pm Depart Inspector's Initial NAME: 0 R its Cj G '\ E PERMIT# 9 LOCATION: e_O Vif t,�j��77\LL.0 DATE : TYPE OF STRUCTURE: Y9 P,C-). / RECHECK • N/A YES NO COMMENTS Footings/Piers 1-1-1 Monolithic Pour Form r Reinforcement in Place The contractor is responsible fore providing protection from freezing for 48 hours following the placement �� t ( of the concrete. PE.R —\ITTMaterials for this purpose on site Foundation/Wallpour \ I Reinforcement in Place \1 Foundation/Dampproofing / 7\ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing I 1 Heating Rough-In 1 Insulation / Foundation Walls Interior R- / Foundation Walls Exterior R- j Floors R- Walls R- / G Ceiling R- / Duct work or piping in unheated spaces R- r Proper Vent,Attic Vent 1 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 TOWN OF QUEENSBURY TGY!E 0 JEENt1R`.BUILDING DEPf�RTMENT BUILDING & B U Based on our limited examination, ,; compliance with our comments shall REVIEWED BY _ not be construed as indicating the DATE 4 �. plans and specifications are in full ccmpliance w►th the code, c . s io 0 GA "7Q ®' 41'8 IuoiH , Cel?\( /7 .-----------"------------._____________ , s"-----....., z —7i. / 7-- k s , , (1 (i'l(Pt iit, 249 Ste-. 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