2011-558 TOWN OF QUEENSBURY
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742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
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Community Development - Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110558 Date Issued: Tuesday, December 13, 2011
This is to certify that work requested to be done as shown by Permit Number P20110558
has been completed.
Location: 424 LUZERNE Rd
Tax Map Number: 523400-308-011-0001-060-000-0000
Owner: JUDITH GUIMOND
Applicant: JUDITH GUIMOND
This structure may be occupied as a:
Certificate of Occupancy(RES) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property �� �`°e � ;t /
owner of the responsibility for compliance with Site Plan,Variance, or I
Avidl
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
41011111A TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FiTO
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110558 Application Number: A20110558
Tax Map No: 523400-308-011-0001-060-000-0000
Permission is hereby granted to: JUDITH GUIMOND
For property located at: 424 LUZERNE 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: JUDITH GUIMOND
424 LUZERNE Rd Certificate of Occupancy(RES) $24,400.00
QUEENSBURY,NY 12804-0000 Total Value $24,400.00
Contractor or Builder's Name/Address Electrical Inspection Agency
RUSSELL LEHOISKY
338-6950
76 DEAN Rd
HUDSON FALLS NY 12839-0000
Plans&Specifications
2011-558
residential rehab- HUD
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 07,2012
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To Queens ry; o ,s ay,November 07,2011
SIGNED BY c„,4 for the Town of Queensbury.
Director of Building&Code nforcement
TA 01../71/ 60 OFFICE USE ONLY
�............... ..
X P N --
FEES: PERMIT (4'- `' PERMIT NO.IL- Z:2r.._ ,__ , ,'
4 "CREATION
,...,, ENGfNEERING
........-.. (If applicable .
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
s ll Lel�o,s4c-�t C,,v‘s OW S,„'t
APPLICANT/BUILDER:
ADDRESS: �,,,� T1(rtc�56v� OWNER:
`C l(s i� I2I
PHONE NOS. 5-7$' .?_M -25'.5---6 ADDRESS: Z L�zc2n,P �i
G2-�1�y Ec�re) 792
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: 'PHONE NOS. S"y/jC4
LOCATION OF PROPERTY: K 14 `e�c,3 ig 36 -5--CPHONE:
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: APPROVAL? ❑ YES 0 NO
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR Z 0
PROJECT O 0 O
o oLL 0 • w cn
a LJJ 0 � w
J F-
Z Q '� LLC'! g C'J = 1- CL 0 C=7 V
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c•10 0LL IOU. a = 05
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE _______
L'>.
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATFI� f'n�.icToi .m, ---)ii if.--).
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
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-an agoeela : as eve.
Sign c—L
Director of Building & Codes: 761-8256 (for questions regarding Buildin Per
codes or septic systems) g mets, construction
Zoning Administrator• 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
r
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.
B & COirS - =PROVAL
ZONING APPROVAL
DATE
DATE
QUESTIONS? CALL 761-8256 OR EMAIL
O_ e Use Only codesgueensbury net
VISIT OUR WEBSITE FOR MORE INFORMATION
www Permit Issued: — Yes tin n���.,�w..__ _
Queensbury Building Code En orcement - Residential Final In ection
1 ffice No. (518) 761-8256 Arrive: am/pm Depart:( 1 am/pm
INite Inspection req st received: Inspector's Initials:/J
r1.., _____ ___
NAME: `, , ( PERMIT#: .� ,.
LOCATION: / / i/ .� F - DATE: �� ;"7 - .S� r"/
TYPE OF STRUCTURE:
E: <,t, '. �,--- /� ")LI ) 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 18 inches
Roof Complete/ lete
Platform at all exterior doors C.--
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
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety gl g
Interior Smoke Detectors/Carbon M noxide etectors
Every level: bid Eve Bed
Outside every room ea: V
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 to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification �'"
Floor truss,draft stopping finished basement 1,000 sq.ft. �C� ��M�
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 W Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving s-56%..
C—D
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required0
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection FormslResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
00 -4/ CJe&& tom:
Framing/Firestopping inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm • ; ' . .i am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: . 0
NAME: (2 U i 6� )l 1 PERMIT#: — I�
LOCATION: 42 /,.rte j'i'b_,_- INSPECT ON: Mr--
TYPE OF STRUCTURE:
Framing I .N COMMENTS:
Attic Access 22"x 30' minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
17 O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 6(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor tresses
,iiiItloitieft. or less on center
Ice and water bid 24 inches from wall
on 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity ' .
Garage Fire Separation
House side'A inch or inch Type X
Garage side 5/8 inch ype X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:Building&Codes Forms OLIMBuilding&Codes nspsction Fomhs*Fmming Firestopping Inspection Reportdoc Revised Jemmy 7,2008