2006-252 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060252 Application Number. A20060252
Tax Map No: 523400-295-019-0003-068-000-0000
Permission is hereby granted to: KATHLEEN LANT
For property located at: 14 FOX FARM Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans ankther information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the t eensbury Zoning
Ordinance. T i.e of Co` ction Value
Owner Address: KATHLEEN LANT
14 FOX FARM Rd Garage-2 Cars • tached
QUEENSBURY,NY 12804-0000 R: .ential�cdd i.I $19,800.00
T t. Val IBJ $19,800.00
Contractor or Builders:Name/ dress ectrical InspeZgency
Plans &Specifications
2006-252
540 sq ft RESIDENTIAL ADI " ION WITH 495 SQ FT 2-CAR ATTACHED GARAGE
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Monday, May 26, 2008
(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.)
7
Dated at the own o ee uf " ay May 26, 2006
SIGNED BY ' for the Town ofueensbu
Q r .Y
Director of Building&Code Enforcement
OFFICE USE ONLY
c� J r � Q ---33 -6l
TAX MAP NO. ERMIT NO. /
r7 `1
FEES: PERMIT )' RECREATION
ENGINEERING
' (If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: 3 rt.) G e OWNER: roc.e La, .
ADDRESS: IF k I a,'., (Z cle ADDRESS: 14/ ;)c F✓.z, c
PHONE NOS. 6-4- 7 Liss--11 -2 ) PHONE NOS. LC? k- 7 5'S--cc'
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: Lbw c c PHONE:
LOCATION OF PROPERTY: "i/ w Far n, !R c.{ Q✓ee r �j,,•j, .-Q f ID
SUBDIVISION NAME: N/4„
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT0 cc
z
APPLY TO YOUR z
04
PROJECT p O O w
o CL 0
d Z C'1 O cwt
Z < < � fn NU) Ori I- � n- Iots
SINGLE FAMILY VJ 5' Lc-yO
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE 1/
RETAIL-
MERCANTILE � \ 14
_ J �
FACTORY OR `
INDUSTRIAL )\)->
(1 y A
ATTACHED 2rI
GARAGE(1,2,3) Y 95
OTHER
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: 1?, (SAO 0 FUEL TYPE: 44 60,46feu. u��rP�:s .•5I
HEAT TYPE: 5 4 5 *HOW MANY FIREPLACE(S): ( AND/OR WOODSTOVES(S): J
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? .4-'0
PROPOSED USE OF BUILDING OR ADDITION: 1; Spa
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
B 3-LGL 11-05
exelk Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ye $ � a! ' too.,cl /10J
ARE THERE EASEMENTS ON PROPERTY? Al O
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I.have read,and agree to the above.
Signed
•
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
1f
!/
B it G &COD . a `PROVAL ZONING APPROVAL
D E DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(aDq uee nsbu ry.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
01) Tozna of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
TOWN OF QUEENSBURY
I F00 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20060252 Date Issued: Friday, April 03, 2009
This is to certify that work requested to be done as shown by Permit Number P20060252
has been completed.
Location: 14 FOX FARM Rd
Tax Map Number. 523400-295-019-0003-068-000-0000
Owner: KATHLEEN LANT
Applicant KATHLEEN LANT
This structure may be occupied as a:
Garage - 2 Cars Attached By Order of Town Board
Residential Addition 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.
Foundation Inspection Report
Office No. (518) 761-8256 Date Insp i quest received:
Queensbury Building&Code Enforcement Arrive: ctp p� / Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspect° Initials: .,b
NAME: _lam A h1r PERMIT#: O�j r z 3
LOCATION: L Lt INSPECT ON: �l P
TYPE OF STRUCTURE: 11
Comments
YN N/A
FootingsPiers
Monolithic Slab
Reinforcement in Place
The contractor is responsible Ter —1
providing protection from freezing
for 48 hours following the placement
of the concrete. T�
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place I`
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
--
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Sucfemingway\13uiiding.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:j r, •mi'pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: et4.4)
�V
NAME: PERMIT#: 062
_ -Z f
LOCATION: k INSPECT ON:
TYPE OF STRUCTU E: R,C3 M2 1) � }
Comments
T N j N/A
Footings
Piers <
Monolithic Slab �i�&k.
Reinforcement in Place UP' C.. 2=c
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
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval (—
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.(:odes.Inspcction,FORMSWoundation Inspection Report.doc January 28,2003
2 Eh JEST - iz -06
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 7 /2 - Q�
Queensbury Building&Code Enforcement Arrive: /D am/p �/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: �4 , PERMIT#: Oc , " 2,c2LOCATION: FOX. f _ INSPECT ON: 7 - /2 -r
TYPE OF STRU TU :
Comments
Y N N/A
Footings
Piers /09
I 2 -4.1-,C-1
Monolithic Slab
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
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
NATI
Rough Plumbing / Insulation Inspe tion Report
Office No. (518) 761-8256 Date Inspection reque -: :•:
Queensbury Building & Code Enforcement Arrive: i , t� a O5' epart:
'-?,O am/pm
742 Bay Road, Queensbury, NY 12804 Inspectors Initia f#:
,�/
NAME: C3RUC,E 1_NOT PER rclo — z1,5?
LOCATION: FOPRM 'RD INSPECT ON: 9 IcR--C(0
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head
50 P.S.I for 15 minutes FLOOP�
�1F Insulation /Residential Check Commercial Check ova?.N HOG
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation o� 7 \
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
L:\Pam Whiting\Building&Codcs\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
`x - 11 L1J5sMy C-21 - 06
Foundation Inspection Report
Office No. (518) 761-8256 Date Ins.-cti• request received: 6 _2 / 06
Queensbury Building&Code Enforcement Arrive: / / am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspec is Initials: k � /
NAME: PERMIT 4: ` * — ZS Z
LOCATION: �`'►� R _ INSPECT ON: D
TYPE OF STRUC f'r C23- 2.
Comments
CpY N N/A L-1
Footmgs &
Ak 1
iers
Monolithic Slab
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
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Buliding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/ GPNE4
Queensbury Building & Code Enforcement - Residential Fe - Inspection
Au
Office'M (518) 761-8256 Arrive: c ,�• 3YLI‘oWn7
Date Ins,'ection request/t '
received: _ Inspector's to - :
NAME: ERMIT#:LOCATION: >c 7 ,- IJ DATE:TYPE OFSTRUCTUR
Comments:
Yes No NIA
4" Building Number Address visible from road - c-0�I�LE�� /jam TUBAL
Chimney Height/"B"Vent/Direct Vent Location D
Fresh Air Intake -`7-a' Mi LE
Pct\Zb5
3 inch Plumbing Vent through roof minimum 6 inches f -L.b D_ 6EAt�-1 "1-k-14<7- kk
Roof Complete/Exterior Finish Complete � -11,DS
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade -- ?El.) S\ DE OF PECY-
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more / 6‘ R\Q -,
Handrail Termination at Newell Post or Wall ‘t3
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant - Q-\ 7F--Q-� lJlrE�--c"C�
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate �'� CiL-'o `7ENp.
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy I trim/doors/main entrance 36 inches ‘7-
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing//.hour fire d /door closer -� 6 G 1 1 6 o
Duct work Sealed pro
Gas Logs in Sealed or Glass Enclosure ✓ F 1 Ze_
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\lnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008
Queensbury Building & Code Enforcement - Residential n;I nspection
•
Office No. (518) 761-8256 Arrive: • o • • Depart: am/pm
Date Inspection request received: Inspector's Initials:
NAME: /. 371-
PE361T#: a-2 52
LOCATION: >c �T DA : 3— )2 b`1
TYPE OF STRUCT RE:
5 ' c Comments:
Yes No N/A
4° Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location /
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers LZI wiaJE 1 TE M 5
•.Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more C_O MP c_-TC_LN 1J DRA5
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
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 I trim I doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
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/Insulation Certification
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 stair closed_risjc"4 inches
Garage Floor Pitched
Garage fireproofing .hour fire door/door close
Duct work Sealed properly T
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms _
Flex Gas Pipe Bonding
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 100405.doc; Revised
January 7,2008; Revised 6/26/08
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: C 1l 1 am/pm
Date Inspection request received: Inspector's Initials:
NAME:. PERMIT#: C �
LOCATION: -2/4{.
: DATE: Z S--.5'67 L`�.
•
TYPE OF STRUCTURE: eeN� 1'
�C
� Comments:
_Yes No N/A
4° Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Ve://-
Handrail 4 or more risers
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 Vit,„
W I�/`'�
Interior/Exterior Railings 34 inches to 38 inches
Deckaway
Bracing I foundation Ramp Compliant f-(Zai 1
Grade away from foundation 6 inches with 10 feet i.. l `.0 l"
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/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup: _
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/Insulation Certification
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 IP b
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 I%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
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_100405.doc;Revised
January 7,2008; Revised 6/26/08
MAP
Map
JEFFREY L KELLEY t GREGORY d WEAVER
DATED APRIL I , 1986
BY Coulter d McCormack
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LAND SURVEYORS,GLENS FALLS,NE11 YORK
N.Y. STATE LIC. ND. 35617