2011-521 TOWN OFQ UEENSBURY
I OW742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110521 Date Issued: Tuesday, December 18, 2012
This is to certify that work requested to be done as shown by Permit Number P20110521
has been completed.
Location: 15 KNOX Rd
Tax Map Number: 523400-239-007-0001-021-001-0000
Owner: 15 KNOX ROAD LLC
Applicant: PAUL DONNELLY
This structure may be ocA 1 SAD
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Residential Alteration _x,
Issuance of this Certificate of Occupancy DOES NOT relieve the property4 Or j
owner of the responsibility for compliance with Site Plan, Variance, or c'
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
vrig 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110521 Application Number: A20110521
Tax Map No: 523400-239-007-0001-021-001-0000
Permission is hereby granted to: PAUL DONNELLY
ANDREA ASAD
For property located at 15 KNOX 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: 15 KNOX ROAD LLC Garage Attached
7 BERKERY Pl Residential Alteration $100,000.00
ALPINE,NJ 07620-0000
Total Value $100,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
WILLIAMS &WILLIAMS DESIGNERS
798-4687
509 GLEN St
GLENS FALLS NY 12804-0000
Plans&Specifications
2011-521
93 sq ft residential alteration& 1882 sq ft garage
$342.30 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 31, 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 QueenAiry;4 a October 31,2011
fir/ ;
SIGNED BY avp, V �s"' for the Town of Queensbury.
Director of Building&Code Enforcement
7-,----,
4„MAP ,, . t J 1 / OFFICE USE ONLY "" ,- '-ri -'
PERMIT N0. jL5T?J . =� 1 '
FEES: PE T .����
RECREATION ENGINEERING ' '
; : - v'-
i, y
(If applica : .,,f -
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.
A PLIC T/BUILDER: IUdkl
1.1',Ad 1. 04 OWNER: [A• D, ►,,„ 4 D'
ADDRESS: C0 SZ '
k ADDRESS: � i ' i' (7 \ , , , : ' al
PHONE NOS. 1 PHONE NOS. 20(-“8 -97 l fr
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: 1,t S PHONE:
LOCATION OF PROPERTY: ,s 6 `, 1-4I
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES NO
IF SO, INDICATE APPLICATION N AND
DATE OF PPROVAL:
•
2/7/a
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR Z x o 0d 0 p LL
PROJECT 0 Ix 0 0 LU w
o W _J � i � W ¢ a = =
Z LU < -J r- d . I .
O � a = ed
SINGLE FAMILY r/ 11n_ ,�� met --
MA
TWO-FAMILY ���
7 ° ��G
MULTI-FAMILY 447
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED )( � ��
GARAGE(1,2,3) Q 111 J �` .�` I,n
OTHER I !�Q (j-30
67(4: ,72 SA '
IF COMMERCIAL OR INDUSTRIAL- N i, E OF BUSINESS: ' '
.i'
ESTIMATED CONSTRUCTION COST: 1 I Oo D_ 0 o Gi ici Tvoc. t IL
B 3-LGL 11-05
4
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /1'
r,.? +
ARE THERE EASEMENTS ON PROPERTY? i,/
v
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 41/1 ?
- R
.
Air
Director of Buildin & 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 . ' d 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.
BUILDING & CODES APPROVAL
ZONING APPROVAL
DATE
DATE
QUESTIONS? CALL 761-8256 OR EMAIL
Office Use Onl codes Queensbury net
VISIT OUR WEBSITE FOR MORE INFORMorinu
Operating PPrmi+
Queensbury Building & Code Enforcement - Residential Final Inspection
•
Office No. (518)761-8256 Arrive: am/pm rt: </cam/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#:
LOCATION: - l DATE: (2 (L
TYPE OF STRUCTURE:
Comments:
Yes No NIA
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!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
j).
Interior privaal trim/doors I main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/W .a in stairwells safety gl ing
Interior Smoke 9 :.«ars I Carbon M oxid et
Every level: Ev Bed .
Outside every bedroom rea:
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 I Blower Door Test 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 I Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum"A"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door doser
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 I 0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codesllnspection Foims\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04!13/11
-� f/(&CAa-{(
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: ! am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:&A
NAME: 1->) PERMIT#:
LOCATION: A . INSPECT ON: MM.
TYPE OF STRUCTURE:
Comments
Y N ,NIRA
Footings
Piers
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 5
Footing Dowels or Keyway in place
Foundation Dampproofing
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\Inspectlion Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
71
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart:S\k-cam/pm
Date Inspection request received: Inspector's Initials: 01/4•A--
NAME:
OO]) ( elt5 $ d PERMIT#: � - 5` /
LOCATION: DATE: 1 Z `'2�
TYPE OF STRUCTURE: j 51<e)62( kd
Comments:
Yes NQ N/A
4" Building Number Address visible from road p 0-31- )a
Chimney Height/'B'Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 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
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: '~ S3
Outside every bedroom area:
Inter Connected: Battery backup: C3L7K _--
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 fc ' A-L
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 7ce ( - C� 01Low water shut-off boiler �j
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 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
C
As
Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/01 Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
MOr
Inspection Rough Plumbing I Insulation In sp Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/p Depart:ram/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials. `
NAME: PO . [L PERMIT#: //---SA/
LOCATION: /5 / 'n O)6 Rd INSPECT ON: /6-/ -i
TYPE OF STRUCTURE:
Y N N/AI
Rough Plumbing/ Nail Plates
Plumbing Vent I Vents in Place
1 %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
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
C.4:arlo\--CLA-Copg
COMMENTS:
1 -2�
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
MorldcA -1
Framing / Firestopping Inspection Report 3
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Departq I if--am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials•, 7L • l l
NAME: D O ' aQQ /A-Saj PERMIT#: // —5A./
LOCATION: /5j41„ INSPECT ON: y--fi,-.6-1
TYPE OF STRUCTURE: 120„,_S A j
Framing Y N COMMENTS:
Attic Access 22'1x 30' minimum ��►
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12”O.C.
Headroom 6 ft. 8 in.
Stairw las 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in. •
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'A(w) 16 gauge (8) 16D nags each side
Draft stopping 1,000 sq. ft.floor trusses
Anchor Bolts 6 ft. or lesson center
ce and water shield 24 inches •Ai r 0
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1Buiiding&Codes Fours-OLD\Building&Code&Unspeafon FonnsiFtmting Firestopping Inspection Repoit.doc Revised Janu.y 7,2006
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:12.20 am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: /1
NAME: L>- 4 PERMIT #:
LOCATION: f f INSPECT ON: Op l (
TYPE OF STRUCTURE: r z 5 A AA.
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent 1 Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/chan9e of direction
Pressure Test �--
Drain/Vent
Air/Head
5 P.S.1. or 10 ft. above hi,hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.1 for 15 minutes
(4)
Insulation/Residential Check/Commercial Check
T ek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door I Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: TO
- Ut.2-4AAA")
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm art:z)\ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: ' A PERMIT #:
LOCATION: MINI° ; INSPECT ON: ikV4:VZ.
TYPE OF STRUCTURE: r S
At Oval
Row h Plumbin, /Nail Plates
Plumbing Vent/Vents in Place
1 34 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I 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 '447
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
(- ( 6 Y' I C)
Framing / Firestopping Inspection epo -- (.4
Office No. (518)761-8256 Date Inspection request received: 1" /
Queensbury Building&Code Enforcement Arrive: am/pm : \ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Z,
NAME: D t (Y/A S PERMIT#: l i - .S J-L
LOCATION: it5l. 14 .v'y.- (-'1>. INSPECT ON: =77.‘g.7.6/:
TYPE OF STRUCTURE: 67-A-4--4-• f24 :�-
N jja COMMENTS:
4aming
Attic Access 22'x 30* minimum
Jack Studs/Headers Ii/
Bracing/Bridging rl/
Joist hangers �
Jack Posts/Main Beams �J
Exterior sheeting nailed properly
12"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 %(w) 16 gauge(8) 16D nags each side
Draft stopping 1,000 sq. ft.floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour l
Firestopping
Penetration sealed ��
16 inch insulation in cavity min. '�'�
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1BuIWhng&Codes Fortes-OLD1BuUdhW&Codeslnspedfon FormsaFraming Fireetopping Inspection Repoitdoc Revised Jemmy 7,2008
Framing / Firestopping Inspection Report � t 0
Office No. (518)761-8256 Date Inspection request received: 464„2.0Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: l • [ �
NO
NAME: �� h�I PERMIT#:
LOCATION: 1' ena< INSPECT ON: -a la .6 1 a.
TYPE OF STRUCTURE: Re C���
KtA
Framing Y N COMMENTS:
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"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 trusses
r s • Bolts 6 ft. or less on center
Ice = • water shield 24 inches from wall \i/
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1Bu0dirg&Codes Forms-OLD113uUding&Codesllnspedhon FonnsVmrning Firestopping Inspection Rsportdoc Revised January 7,2008
: 2 -'-/ (-t / - - .
-4/ (---/'-if da-7
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: ,,, i.\5ain/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: j it
' ),
NAME: 41''1 V\d/L1_ e- PERMIT#: Y �
LOCATION: / k � �' INSPECT ON: ia / 1/
—
TYPE OF STRUCTURE: -:., 1 ;�' �'
Comment;
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
cont
Materials for 's purpose on site. . }"'
Foundation/Wall ur
VI/
Rein orce en m Place ' 2_f -, t
Footing Dowels or Keyway in place
Foundation Dampproofing
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