98-410 TOWN OF QUEENSBURY
742 Bay road, Queensbury,NY 128D4-5902 (518) 761-8201
Community Development - Building & Codes (518) 761=8256
RTIFI CATE CIFUP.ANY
Pemut Number. 98410 Date Issued: Tuesday, January 30, 2007
This is to certify that work requested to be done as shown by Permit Number 98410
has been completed.
Tax Map Number. 523400-309-013-0001 -007-000-0000
Location, 27 INDIANA Ave
Owner. MELODY ALLEN
Applicant: RONALD G. BACON
This structure may be occupied as a:
Unknown 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, C At
rV
Variance, or other issues and conditions as a result of approvals by the Director of Building & Go En fo ment
Planning Board or Zoning Board of Appeals.
BUILDING PERMIT
VALUE s 500 TOWN OF QUEENSBURY No. 98410
TAX MAP NO . 127 . — 8 - 17 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to BACON r RONALD , G .
OWNER of property located at 27 INDIANA AVE . , Street, Road or Ave.
In the Town of Gueensbury, To Construct er place a REPAIR BOTTOM SECTION OF GARAGE
at the above location in accordance to application together with plot plans and other information hereto filed and
approved rand in compliance with the Town of Oueensbury Building and Zoning Ordinance.
t 2�iIEN is
DIANA AVENUE
QUEENSBURYr NY 12804 12804
2. CONTRACTOR or BUI LOER'S Name
BACON , RONALD
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
S. ARCHITECT'S Address
6. TYPE of CorMruction — (Plans@ indicate by %) RESIDENTIAL ALTERATIONS
I Wood Frame I I Masonry I $ Stasi 11
7. PLANS and Specifiottions
REPAIR .BOTTOM SECTION OF GARAGE AS PER APPLICATION
B. Proposed Use
REPAIR BOTTOM SECTION OF GARAGE
10 July 13 2000
S PERMIT FEE PAID - THIS PERMIT EXPIRES 19
Ill a ionger period is required an application for an extension moil be made to the Building and Zoning inspector of the
town of 4ueensbury Ise fore Me expiration data,!
13 July 1998
Dated at the Town of Gueensbury this Day of 19
SIGNED BY for the Town of Gueensbury
Buiiding ■nd xo ing lt%rp ar � ��
mica ing Pertnit Appl "cation
r
?'own of QueensbUJy - DeIN. of Community Development. 742 Bay Road, Queens bury, NY 12804 {761 s25dj
���� BUILDING . CODE ENFORCEMENT
Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO.
beginning construction. No inspections , 3�
will be made until applicant has received 0 Tvrrl►tg Board Action PERMIT FEE PAID $
a VALID BUILDING t'ERM1717. All Area Use
applicants' spaces on this application RECREA77ON FEE PAID 1t _�----
of [tie be scan must and file sigrtatura �J Plaruilrrg Board Actlort REVIEWED DY. ,�s/'
of the applicant must appear on flue SI'R 1 Subdivision 1 OII►er
Buflding Inspeaw
plication form. r>k..� ,.. Recreation Fee 'Payment
Applicant; Owner: r
n6 C jy
Ave_dress: Qt___ t c^ � r t Address;
Cift t s clry. . IVY r28s6y l �
I'htrno ( ..4 M_) L7 c . I'hnrlo # .� w
..car
Z c)`Z_
I'rts ltur l y76_1��,_...1l..�.
Subdivision Names Tax Mal) Number
Section Block Tint
NATURE PROPOSED
R HORC x
New I3uildinga ESTIMATED MARKET VALUE OF 4TH E
CO"STRUCTIOH e $
residence / commercial -
Addition to Building .
residence / commercial OCCUPAIQCY INFORMATION t
Alteration to Building : Primary Building
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Farnil + Ina
� ►�19
y/ Office g
Other Work. ( describe below ) Mercantile
&e p n V� V ff-l_�PS -- QM C r AR Hanu f a urin� .g
Q,
GROSS AREA OF PROPOSED STRUCTURES other
lot t' loorr . . . . . . 0 sq , ft , If ADDITION , what will. use
2nd .Floor . . r r . . . sc3 . ft . of new addition be ? s
Other Floors * sqr ft ,
( not unfinished cellar or basement ) ACCESSORY titJXLi3IN@& 2
TOTAL FLOOR AREA : S a: Detached Garage 1 , 2 car
Q . FT . Attached Garage 10 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
FEET' DC FEET
Foundation Type : C_Q_MJn-i7 Will ariy mecohd-hand or ungraded
Number of Stories . t lumber be used? If sot for what ?
( habitable space only ) D
Height ( grade to ridge ) . feet TYPE OF HEATING SYSTEMS _
Number of fireplaces and/or w�000dBtove ( circle ' all which � appliga )
to be installed : Electric / Oil / Gas / ,blood
Forced llot 'Air / Sasebvard / th r
Person reBponsible for supervision of work as regards to building
codes is s CAI A waIC l
Name Addreass Phone
Builder :
Plumber *
Masan :
Electrician : .
DEC`L.ARA770N:' Please slgrt belinp gfte'r ,you have carefully read the statentertt,
To the best of my knowledge the statements containers in this application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done on
Ilse described premises and that all provisions of the. 13uilding Code, the 'Zoning Ordinance and all
olber laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is atithorized by the owner. Further, it is understood that i/we shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being, issued, an AS BUILT PLAT PLAN by
a licensed suu-veyor; drawn to scale, showing actual location of project on premises.
Signature: — .
(owner, owner's agent, architect, contractor)
Queensbury Building &, Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive_�i �_. mlparr[,.E.Dppart: am/pm
Date Inspection request received: _ Inspec is Initials: •---1�iC-. I
NAME: Q DATE:DATE:PERMIT #: ywS -� �
LOCATION: --_-1 ie'�.+t.+.,,c�.�. ,
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number / Address visible from road
Chimney Height / "B" Vent(Direct Vent Location
Fresh Air Intake
3 inch Plumbin 'Vent through roof minimum 6 inches
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
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior R.ailin s 34 inches to 38 inches
Interior Handrails g 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 rivac / trim / doors / main entrance 36 inches
Bathroom / Kitchen watertight
Safety glazing / Window in stairwells saf lazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Ba!Lea 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 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
Low water shut-off boiler
Relief Valy s installed / Heat Trap/ Water Tern 110
Enclosed Stairs Sheetrock Underside minimum %" Gypsum
Basement stairs closed rise > 4 inches
Gars a Floor Pitched
Garage fireproofing / _/4 hour fire door / door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final 2ynLey Plot Plan
As Built Septic System / Sewer D t. Inspection Sticker
Site Plan / Variance required
Flood Plain Certification, if required
2h!!y to issue C I C or C I D Temporary / Permanent
L:1Building & Codes Forms\Building & CodesUnspection FormslResidential Final Inspection Form revised_100405.doc
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building &. Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive a 4:g�ZSam/pm Depa>6•'epm
Inspector's Initials ,C�C -"!1'"/
NAME: /4 �•� � PERNITY # �J7f 4
LOCAnON. er DATE :
TYPE OF STRU
RECHECK
N/A YES NO CONfMENTS
Footings/Piers I
Monolithic Pour Form 7-r CAW
Reinforcement in Place f �� {J
The contractor ;s responsible for
providing protection from freezing
for 48 hours following the Vlacement
of the concrete.
Materials for this purpose on si
Foundation/Wallpour �[ �/� (033 -T ,
Reinforcement in Place ((
Foundation/Dampp ng _
Bacidxll Approval
�....
Plumbing. Under Slab
Plumbing Vent/V ants in Place
Rough Plumbing_ 60AVe,
Heating Roush-lr e5--e--D
Insulation
Foundation Walls Interior R- A ��� � 1� 1:�)A
Foundation Walls Exterior R- f }
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack StudsfHeaders
Bracing/Bridg,ing
Joist Hangers_
Jack Posts/Mj in Beam _
Air Infiltration Barrier
Fire Separation 1 , 2, 3, hour
Penetration Sealed _
Fire Wall 2, 3, 4 hour.
Firestopping
lee
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TOWN
FILE COPY BUI , . ., q
TOWN Of QUEENSBURY BUILDING DEPARTMENT
7ple, 11 50,
Based on our limited examination, .
compliance with our comments shall
not be construed as indicating the �/ J
plans and specifications are in full t
compliance with the code. I • ,- I
JUL 7 1
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