2006-852 Abi TOWN OF QUEENSBURY
� �r 742 Bay Road,Queensbury, 2
} N Y 1 804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20060852 Date Issued: Monday, March 28, 2011
This is to certify that work requested to be done as shown by Permit Number P20060852
has been completed.
Location: 9 LYNN Ave
Tax Map Number: 523400-303-020-0001-060-000-0000
Owner: SHELLY HOLCOMB
Applicant: SHELLY HOLCOMB
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
' +l
Issuance of this Certificate of Occupancy DOES NOT relieve the \ , /
/ f
property owner of the responsibility for compliance with Site Plan, y-
Variance, or other issues and conditions as a result of approvals by the Director of Building St Code Enforcement
Planning Board or Zoning Board of Appeals.
1
0.1` TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060852 Application Number: a20060852
•
Tax Map No: 523400-303-020-0001-060-000-0000
Permission is hereby granted to: SHELLY HOLCOMB
For property located at: 9 LYNN Ave
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: SHELLY HOLCOMB
9 LYNN Ave Residential Alteration $25,000.00
QUEENSBURY,NY 12804-0000 Total Value $25,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2006-852
residential rehabilitation HUD
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 28,2007
(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 To:.._:. .• eens , es ay,November 28,2006
SIGNED BY for the Town of Queensbury.
‘r
Director of Building&Code Enforcement
1� _60 OFFICE USE ONLY .-.-
303 2 o_
TAX MAP NO. ;
PERMIT N0. Date
FEES: PERMIT
RECREATION
� � ENGINEERING
Stamp
..........RECREATION______
(If applicable)
PPRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL
A=RERNIIT MUST BE OBTAINED BEFORE BEGINNING & BUILDING PELT
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUC�ON APPLICATION IS SUBJECT TO
APPLICANT/BUILDER: ,((SSS i C
n)5 / OWNER: r4- /`}'Shell C n ��
ADDRESS: a 3 c_ #G,n G- f k _ADbRESS:
PHONE NOS. 6 ' •
PHONE NOS, - c3 6 90
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: r �
�A�� �tTflcaHONE:Z__52..ay
LOCATION OF PROPERTY: •
Z A,
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
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APPLY CO YOUR O a
c>: O O
E W O � O w � W
I- u_ u, lil
Z ¢ g &I O � 0 � a=
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS____)
&Ea 11°R, -e& ' ---
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:25 p t�
,,......_..,,, .FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S):
AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: E.,
f iY � �'rI ArC
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
B 3-LGL 1 I-05
:l Town of Queensbury• Community D
euet ment Offira. • 747 Rn,/ �.,�,� n..,_.. .„.-- _
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
•
I acknowledge no construction acti Itles shall be.commenced prior to issuance of a valid
permit. I certify that the application, pians, 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 tothe above.
Signed
Dire.or of Buil in -d s: •761-8266 (for questions regarding.Building Permits, construction
codes or septic s stems
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
Application: zoning Laws of the Town of Queensbury.
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/
BUILDING &CO. OVAL
ZONING APPROVAL
DATE
DATE
QUESTIONS 7 CALL 76�.g g OR EMAIL
COC._ ps.agDgueensbu net
VISIT OUR WEBSITE FOR MORE INFORMATION
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
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Queensbury Building.& Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart /O I Cam/pm
Date Inspection request received: Inspector's Initials: . .gra..
NAME:
c,► PERMIT#: Aar — /
LOCATION: _ J DATE: fir
TYPE OF STRUCTURE: 4
A.S Comments:
4" Building Number Address visible from road E 90pf[ D
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
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 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
Interiorprivacy/trim/doors I main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom: C�
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 I 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®Installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum IA"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing 1%hour fire door I 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
jr?
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 I
L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final inspection Fomn revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
a �s 'P-S //1- --)
Queensh0 Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart l .. am/pm
Date Inspection request received: Inspector's Initials:
NAME: ICOPE #: _ s
DATE: a IMAM '
LOCATION:
TYPE OF STRUCTURE:
ub Comments:
in NA NIA
4 Building Number Address visible from road >D /1'-
Chimney Height/°B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches /Roof Complete/Exterior Finish Complete Cot. T
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs decks •atios more than 30 inches above !rade
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 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
Interiorprivacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight ft,,M0701
Safety glaring/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom: MCA)S C (D
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 ������ J
Plumbing fixtures <'lv d4
is4_5
Foundation insulation/Insulation Certification C�
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Fumace 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 door/door doser
Duct work Seated 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 l C or C/01 Temporary/Permanent I
L:1Building&Codes FormssBuilding&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc;Revised
January 7,2008;Revised 6/26/08
'-,, ---&-C-f-S •
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Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/part:irOpain/pm
Date Inspection request received: Inspector's Initials:
4-LLONAME: 80 lionqb ii PERMIT#:
CATION: Lvi Aie
ATE: 7
TYPE OF STRUCTURE: /� ���Air .
Commnts
Yes No N/A
Building Number/Address visible from road e.2010 /1 /2.5>/o7
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake ` e›
3 inch Plumbing Vent through roof minimum 6 inches ,?I'd prri'V in.
Roof Complete/Exterior Finish Complete 127/69Platform at all exterior doors ktkr op.... j
Guards at stairs,decks,patios more than 30 inches above grade ,
Guard at stairwell at 34 inches or moreJ ��kl---
Guard at deck,porches 36 inches or more
/ 2
Handrail Termination at Newell Post or Wall ✓
Interior/Exterior Railings 34 inches to 38 inches 01/‘- / 242'W°7-
g Y
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate vw-Vi-eDsz-- icz.
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches e"1--
Bathroom/Kitchen watertight
çti-/)
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors: gif4)`44A
Every level: Every Bedroom:
Outside every bedroom area: Pt5tPlk ISA-IN–W-5
Inter Connected: Battery backup:
------------
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area CAA4A--- fdafa
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window C` A a-�W—
Plumbing fixtures
ca
-��
Foundation insulation
Floor truss,draft stopping fmished 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 stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofmg/3/a hour fire door/door closer
Duct work Sealed properly dA4-k-e...A>t3.4.3,4:). -
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
'i
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