2011-345 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110345 Date Issued: Wednesday, October 15, 2014
This is to certify that work requested to be done as shown by Permit Number P20110345
has been completed.
Location: 4 BERRY PATCH Dr
Tax Map Number: 523400-289-012-0001-022-000-0000
Owner: JOSEPH RICHARDSON
Applicant: JOSEPH RICHARDSON
This structure may be occupied as a:
Residential Alteration 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, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110345 Application Number: A20110345
Tax Map No: 523400-289-012-0001-022-000-0000
Permission is hereby granted to: JOSEPH RICHARDSON
For property located at: 4 BERRY PATCH Dr
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: JOSEPH RICHARDSON Residential Alteration $10,000.00
4 BERRY PATCH Dr Total Value
QUEENSBURY,NY 12804-0000 $10,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-345
350 sq ft residential alteration (bonus room)
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 09,2012
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town Queen bury; es$ y, ugust 09,2011
f!'
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
FFICE USE ONLY I ,'
/A pzT,,
-------------------------- - -------------------------------
I' TAXXMAP NNO. PERMIT NO.- r
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BUR
FEES: PEIT
E REATION ENGINEERING i � !� 1 5
(if applicable) I ';
PRINCIPALTURE: APPLICATION FOR ZONING A
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF AAVALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: 64"11�1 OWNER: LwDs-w DIJ
ADDRESS:—_— — _— ADDRESS. �QT
PHONE NOS. - �,�83 PHONE NOS. ' 222- otl�
�►.Ibl }}ptC.
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:�eAwsyA ,j}AW___PHONE:—15ftbsp-Lat _
LOCATION OF PROPERTY: beep-? MgA —m_ n_U 5eaP (
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE SUBDIV ION'APPROVA S
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: A--------c ` --
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p ❑ i--
APPLY TO YOUR Z F- O � Cj
w -w
PROJECT 0 �o . OF w aO "-W " O= _Ui " Oz
C � Ww ❑ _j a Z O
z cn NCO OLL LL a = as
SINGLE FAMILY f 141" A 'VIP
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
oI
RETAIL- \1O
-MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:_ gltt
ESTIMATED CONSTRUCTION COST: (V i WD FUEL TYPE: �_LA
HEAT TYPE: *HOW MANY FIREPLACE(S):_ N P—AND./OR WOODSTOVES(S):-
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?__9U__
PROPOSED USE OF BUILDING OR ADDITION: 51TA&W
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY? 11bNNt5___NWA
"Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
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 ag t he bove.
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)
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
____________________________________________ _____________
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:
'BUILDING &.CODES APPROVAL ZONING.APPROVAL
, ,
DATE ; ; DATE
QUESTIONS? .CALL 761-8256 OR EMAIL
codes(ftueensburv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.gueensbury.net
Operating Permit Issued: Yes _No
Occupancy Type: _Construction Classification:
Assembly Occupancy Limit:_ — Special Conditions:
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
PROJECT NAME: fiGtl+lyP � Veslowc4s Office Use Only
Staff Initials:
BUILDING PERMIT SUBMISSION Date:
CHECKLIST FOR: D
SINGLE FAMILY DWELLING JUL 15 toll
rW
1. Building Permit Application Completed? 13UILDIN' A.
2. Energy Code Inspector's Report from.ResCheck? (2 copies) ✓ !
3. Septic application completely filled out? (if applicable)
4. Electrical inspection agency selected?
5. Two (2) sets of the plans for each of the following:
a. Floor plan(s)
b: Foundation plan ✓
c. Cross Sections ✓
d. Elevations
e. Window and door.schedule
f. Natural Light, Ventilation and Emergency Egress Requirements
g. Plans signed and sealed by registered architect or engineer
6. Two (2) site plans showing location of the structure to be built, location of well
rlb G4*0(�S
Or water lines, location of septic system or sewer line
7. Setbacks from property lines to new structure
8. Driveway Permit f
9. Solid Fuel Burning or Gas Appliance Form (if applicable)
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
` Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: 1hj am/pm D art: am/pm
Date Inspection request received: Inspector's Initials: 40
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments:
Yes No NIA
4" Building Number Address visible from road Chimneyf�Height/"B"Vent/Direct Vent Location �i t i AWJ ason
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete "a-1p,�L
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
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Mono Detectors
Every level: ,✓/ Every Bedrr m:
Outside every bedroom Area:
Inter Connected: a/ 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 s .ft.-150 s .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 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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%"Gypsum
Basement stairs closed rise>4 inches
Gara a Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
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 required
Okay to issue C/C or C 10 Temporary/ ermanenY
L:\Building&Codes Forms\Building&CodesUnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11