2011-617 itiak TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
� � Q rY>
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110617 Date Issued: Wednesday, October 24, 2012
This is to certify that work requested to be done as shown by Permit Number P20110617
has been completed.
Location: 35 GARRISON Rd
Tax Map Number: 523400-302-011-0001-038-000-0000
Owner: JOSEPH & ELAINE MIHINDUKULASURIYA
Applicant: JOSEPH & ELAINE MIHINDUKULASURIYA
This structure may be occupied as a:
Residential Addition By Order of Town Board
Residential Alteration 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
%vim 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110617 Application Number: A20110617
Tax Map No: 523400-302-011-0001-038-000-0000
Permission is hereby granted to: JOSEPH&ELAINE MIHINDUKULASURIYA
For property located at: 35 GARRISON 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: JOSEPH&ELAINE MIHINDUKULA Residential Addition $450,000.00
35 GARRISON Rd Residential Alteration
QUEENS BURY,NY 12804 Total Value
$450,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-617
1101 sq ft resdiential addition&2986 sq ft residential alteration
$668.10 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,December 29,2012
(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 Tow of ieensbuc; Thursday,December 29,2011
SIGNED BY for the Town of Queensbury.
Director of Building&&de Enforcement
4tiNI
r
- 'I`� 17 1L)?FFICE USE ONLY
7TC."-)".C47-nE N (TAX'M P NO. PERMIT NO. t� 1 ���[ P,� lFEES: PERMIT U/b1• l hECREATION ENGINEERING 2 2011 ...t
(If applicable)
OWN OF OUEENSBURY
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPRdiag '4.69 "'
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
d
APPLICANT/BUILDER: HHC() �^6l`>tk-tic i -rl OWNER: 1%1' _1C'`'- '�� ' fii 17, ! 1 I-�c(ct;ril �j
ADDRESS: _� {Z C' C 1 Y k C"a c-C / /('; ADDRESS: 3 _`) i✓�-t r -1 5 c F-) (N--)c- a_ 4
',II !25> irr - Lc e)E'{751'(ll
PHONE NOS. `)1 , '%`7 C. - ? PHONE NOS. 513, 77
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE I C fV\ IA 1 kre c 14 PHONE: f ( K ca..ci `k7C `f
LOCATION OF PROPERTY:, .�") Phi. I'Y^ I `j F
C 0 \
'3Ca- A
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 'YES ❑ NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: f. 1Q1I 1 1 CL-e. .1 t-71 CC 11
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR z CJ w u)
PROJECT o cc O i-: O � J p I- =
w � w ,I LL w Q O
0
o z
LU 0 < Z � 0u I— U-
d1o6
l'a /0I a7U.d
SINGLE FAMILY •,\:-X_,, �t� 7
TWO-FAMILY - .291.j' 41
lo W ''
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
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:
ESTIMATED CONSTRUCTION COST: (15; o C FUEL TYPE: 6- 4 -S
HEAT TYPE: X71+ R,1 *HOW MANY FIREPLACE(S): NJ C AND/OR WOODSTOVES(S): K) C
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? !\i C
IS THIS A HISTORIC SITE? 1\./1C' 11 n
PROPOSED USE OF BUILDING OR ADDITION: OCC WI ft IL a 1 C S1-c � �j
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? �1 C
ARE THERE EASEMENTS ON PROPERTY? AIC
*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 agree to th, above.
Signed C, (te-
1/4
�`2�_��,
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
Queensbury Building & Code Enforcement - Residential Final lrltpection
Office No. (518)761-8256 Arrve: am/p Depart: ( I am/Pm
Inspection request received: Inspector's Initials: ��,/�
NAME: : _ , 17
L� PERMIT#: Jf (�/
LOCATION: _3 5 Pa DATE: / ,o
TYPE OF STRUCTURE:
Comments:
Yes No N/A h f�S
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
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwe = == - : •'
Interior Smoke 17ctors/ -. •• onoxide D= = _=
Every level: Eve - •—•- .
Outside every bedroo 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 property/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/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
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/0[Temporary/Permanent]
L:1BuiIding&Codes Forms\Building&Codes\Inspection FomissResidential Final Inspection Form revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
Queensbury Building & Code Enforcement - Residential al Final Inspection v(/
Office No. (518) 761-8256 Arrive: am/pm rt: /pm
Date Inspection request received: Inspector's Initials:tr
NAME: , 1`I C�i'-(, PERMIT#: ll -69 f
LOCATION: DATE: 9—A t—k
'TYPE OF STRUCTURE: R f-}
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
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Wi in stairwells safety gI: 9
Interior Smoke rs/Carbon Monoxi _ •etectors
Every level: Eve edroom:
Outside every bedroom a: /
Inter Connected: Battery backup: d
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 L,17---
Bathroom Fans,if no window
Plumbing fixtures tJ 61 VC S2J
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification Q
Floor truss,draft stopping finished basement 1,000 sq.ft.
�
Emergency egress below grade —f> i �V�`� `"–
Gas Furnace shut-off within 30 feet or within line of site Pk
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating_ /�
Low water shut-off boiler "�"�
Relief Valve(s)installed I Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage
Garage fireproofing/%hour fire door/door closer 7 Pit, -LnIZ__V
L_
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
0
Okay to issue C/C or C/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection FornssResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
' 1 c1--cil -I G ax.,_
Rough Plumbing I Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: q)tk-'61°'
Queensbury Building &Code Enforcement Arrive: am/pm Depa am/pm
742 Bay Road, Queensbury, NY 12804 lnspec;tor's Initials: _ til
NAME: JAIt Lit\ALA___ �. PERMIT#: I 1 - ( 7
LOCATION: ?, ( e, k,--r-.. :Cd INSPECT ON: /mil 37 7/ /
TYPE OF STRUCTURE: IRO Meit., D1 , _c_7 u r\
Y N N/A
ough Plumbi / 'I Plates
I Vents in Place
1 14 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
15 minutes ,,
Insulation esidential Check/Commercial Check 1;4 b
or Similar Exterior Sealant
Proper Vent, Attic Vent
0...•, /Window Sealed tnsuiation)
OP Hot Water Pip' insulation 2
required unheated
-‘-2
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: f_g,v -
f°111`k-----: i,UK2K21-)S (U.-- ' 2- 1S(-4 )7/50W,,I
cr' --(431/4)-C-- I c (')Q
r .4-. a q -
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
firs d6th oRou h PlumbingI Insulation Inspection- Report
Office No. (518) 761-8256 Date Inspection request received: 5////
Queensbury Building &Code Enforcement Arrive: am/ m Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: DAN 'h �_ PERMIT#: //'' CQ l '7
LOCATION: 3 5 .3ctivuk:stst. , INSPECT ON: 5/4l/iA
TYPE OF STRUCTURE: PRe, -i -d41+
0 —rb rn.
Y N N/A I -. g_�3a7
Rough Plumbing /Nail Plates ��
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washi Machine Drain 2 inch minimum fit'
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
Air/Head
50 P.S.I for 15 minutes
1-"V
Insulation/Residential Check/Commercial Check
T ek 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
N) c'
COMMENTS:
Rough Plumbing insulation Report,revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart. pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: t\kv t'' M " PERMIT#: / to/
LOCATION: 3 5�(--QAA1.6., \ RSI INSPECT ON:
TYPE OF STRUCTURE: �` t 4--ta •Wt`4-24 -Ait,c—d_ '“?_ -
Y N INA COMMENTS:
Framing
Attic Access 221 , ' minimum r
Jack Studs/ • =Bracing/ : • ,ing ---,kdj,kai----c_
Joist hangers
Jadc Posts/ :in : = ms
Exterior sheet! • : '_ , property 1
12*0.C. i
Headroom 6 ft. ; in. (
i•
�t
Stairwells36 in. or more \_
Exterior Deck B - • !, ,k
iit-e-GAM W
Headroom 6 ft. 8 in
Notches/Holes/ : =aring Walls Vi` CZA V--"( '6
Metal Strapping for otches Top -
1 'r4(w) 16 gauge(: 16D Haus . . . PCJ-S `� GDraft stopping 1,000 .ft.floor t �_ --
Anchor Bolts 6 ft. or = son center yi\lk,
Ice and water shield 2 inches from :II
Fire separation 1, 2, 3 „ r e>lrbA‘A,( -L_ A-Ca-Cli/ek-
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
I •
16 inch insulation in cavity .
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. £ ve
cc
' r`) 0` Ct57sf /below grade
5.0 sf grade
7(a.
t� 2,c5
L:Building&Codes Forms-AI.DIBuilding&Code llnspection FormslFmming Firestopping Inspection Reportdoc Revised January 7,2008
/v — /A-urs
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart am/pm
742 Bay Road, Queensbury, NY 12804 Inspectors Initials:gokLar") •
NAME: i I I PERMIT#: // c /
LOCATION: r 5 17c:el" 5o INSPECT ON:
TYPE OF STRUCTURE:
Framing
COMMENTS:
Attic Access 22'x30"minimum f),Aa
��
Jack Studs/Headers
frait-
Bracing/Bridging
Joist hangers VN-C2.<-166 C12_C--
Jack Posts/Main Beams
Exterior sheeting nailed properly j r---;
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 ----------� M--------
Metal Strapping for Notches Top Plate
1 6(w) 16 gauge(8) 16D nails each sib Z- J`- �- = "
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 waft 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/Bedrooms
24 in. (H)
20 in. (VV)
5.7 sf above/below grade
5.0 sf grade
L:\Building&Codes Fonns-OLD Building&Codes Inspection FonnsiFreming Fin stcPpng Inspection Reportdoc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: 4, )G j-e 1/
Queensbury Building&Code Enforcement Arrive: am/pmDepart: .._ am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
411-)
NAME: MUk'wcl G( PERMIT#: /I—L / 7
LOCATION: INSPECT ON: 3�;l
TYPE OF STRUCTURE: - , j
Comments
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
of the concrete.
ur ose on site.
Foundation/Wallpour
Reinforcement in Place
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 I Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Bullding&Codes Forms\Buiiding&Codes\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
1-3
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: /l —am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ! `I7
NAME: f fl t IJ ` PERMIT#: (-6/7- `
LOCATION: 3s—(� y�;'Sc�� INSPECT ON:
TYPE OF STRUCTURE:
Comment
N N/A
Footings
i
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 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:\Budding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: :z 9 0 ,
Queensbury Building&Code Enforcement Arrive: am/pm Dep. am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: +) 0
NAME: PERMIT#: . /-C2/
l
LOCATION: 3 5 Ee1�S i---- INSPECT ON: / /i ti-!) aeft 4J-d/3-
TYPE
, /S-
TYPE OF STRUCTURE: �tl t'_ ' U.c., 4Th i1
F3ii ' 1 h
Commentt
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
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
V
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
i po y or we under slab //
,([...Backfill Approval i'
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior /
It?wilt,
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM