2010-146 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
. - Community Development- Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100146-36748 Date Issued: Friday, August 6, 2010
This is to certify that work requested to be done as shown by Permit Number P20100146-36748
has been completed.
Tax Map Number: 297.17-1-21444.
Location: 39 MEADOW LN ✓
Owner: Michael Travis
444 t10?1
Applicant: Morse Construction Inc
-4444*
This structure may be occupied as a: Residential Addition 523 sq ft
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 Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
2 2 A/71. -2 1 OFFICE USE ONLY {
/ A, i : — ,
TAX MAP NO. PERMIT NO. 2-6/6)
FEES: PERMITO�,) RECREATION ENGINEERING A • JIj1U
N
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.
.,
APPLICANTIBUILDER: MOrsE. IGN.rLOWNER:Mme £ SLbSta•A 1r�4S
ADDRESS 144l ScAviDoht.G�Q, 1 ADDRESS: q r, _ ` 3 •
C. a BMs 01
PHONE NOS. Sf ej 5�3Z 1564 I 2:5" 74') PHONN'E NOS. 111' .. 0443
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: tl l\Le Aa14``Y1 PHON`E�: S��Z1
q
LOCATION OF PROPERTY: 1 1a -.^'1N2_• � -�S AIA 1 i--31SUBDIVISION NAME: 1
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR 0 cc C7 a w U-y
PROJECT O o r p H co J 0=_
Cl.
o w LL x r o�z
z 0 Q �d cim OLL FOU_ re
SINGLE FAMILY X 30 k- 2:7-7.-- S/2 ,,
3 I1-d
TWO-FAMILY L 1
MULTI-FAMILY
(NO )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCAN FILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(I,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-TME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:: ‘01 000 FUEL TYPE:
HEAT TYPE? "mow `HOW MANY FIREPLACE(S) AND/OR WOODSTOVES(S):
ZONING CATEGORY: 4b . ARE THERE WETLANDS ON THIS SITE? 1.30
IS THIS A HISTORIC SITE? _ NtD
PROPOSED USE OF BUILDING OR ADDITION: LaV S. /„...i_ ___•
Town of Queensbury•Community Development Office• 742 Bay Road, Queensbury,NY 12804
i
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
"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 Builidng 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.
have read and re to th
•
Signed: .4dt •
•
Director of Building&Codes: 761-8256(for questions QUESTIONS 7 CALL761-8256 OR EMAIL
regarding Building Permits,construction codes or septic codestalqueensbury.net
Systems) VISIT OUR WEBSITE FOR MORE INFORMATION
Zoning Administrator: 761-8218(for.questions regarding www•queensbury.net
required permits, the permit process,application requirements or to
schedule an appointment)
Permission is hereby granted to the above This application/proposed action described herein is
Applicant to erect or alter the building described found to be in accordance with the zoning Laws of
herein in accordance with said Application: the Town of Queensbury
BUILDING&CODES APPROVAL ZONING APPROVAL
DATE DATE
Office Use Only
Operating Permit Issued: Yes No
Occupancy Type:
Construction Classification:
Assembly Occupancy limit:
Special Conditions:
Revised 9/22/09
Town of Queensbury•Community Development Office• 742 Bay Road, Queensbury,NY 12804
•
Town of Queensbury Building & Codes Fee Schedule
Activity Fee
1 & 2 Family Dwelling (includes septic system permit) $0.12 per sf
Additions: Commercial $0.14 per sf: Minimum $100 fee
Alterations: Commercial $0.12 per sf: Minimum $ 50 fee
Additions: Residential $0.12 per sf: Minimum $ 75 fee
Alterations: Residential $0.10 per sf: Minimum $40 fee
Boathouse w/Sundeck $50
Building Permit Renewal: Extends permit for period of 1 yr. $25
$20
Certificate of Compliance & Use
Certificate of Occupancy No fee
Commercial, Industrial, Public Assembly, Day Care Center, etc. $0.15 per sf: No Maximum
Commercial/Industrial: Unheated structures (i.e, warehouse) $0.05 per sf: No Maximum
Deck, Porch $0.10 per sf: Minimum $40
Demolition $ 20
Dock $30
Fire Marshal Inspection
$ 25 per inspection
(Includes Solid Fuel burn permit, installation of chimney/wood $100 per special projects
stove)
Floodplain Development Permit $ 25
Garages $0.10 per sf: Minimum $30
House Moving Permit $30
Mobile Homes (includes septic system permit) $0.06 per sf
$ 25, Above Ground;$35, In-
Pool Ground
$ 25, Residential; $35, Commercial
Septic Systems: Alteration or New System Only
Septic Variance (requires Town Board of Health review) $ 50
Sheds/Storage Structures, Pole Barn, Picnic Pavilion, Misc. $20 per inspection
Signs: Permanent $2 per sf
$ 10 per 12 days /$50 cash deposit
Signs: Temporary
Townhouse, Condo, Apartments, Multi-family $0.14 per sf: Minimum $100
Revised 1-17-07
111111- t ; PP l l 'L)Vc>
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: .am/pm Depart _� am/pm
Date Inspection requestrreceived: Inspector's Initials:
i(.A1� PERMIT#: 2.810 — AL,NAME:
•LOCATION: '2)C.4( 14 t DATE: //2
14 .
TYPE OF STRUCTURE: _ "�
���'''�' Comments:
N. N/A
an Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake 111
3 inch Plumbing Vent through roof minimum 6 inches ■
Roof Co i•tete/Exterior Finish Com Mall
.ete
Platform at all exterior doors
Handrail 4 or more risers ' r�
Guards at stairs,decks,patios more than 30 inches above a rade FNM
Guard at stairwell at 34 inches or more ■■■
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall IIIII�
Interior/Exterior Railings 34 inches to 38 inches ■■■
Deck Bracing/Handicapped Ramp Compliant
Grade awa from foundation 6 inches with 10 feet SMI
8 inch clearance to sill plate FNM
Gas Valve shut-off exposed/regulator 18 inches above !rade MI
Interior privacy/trim/doors/main entrance 36 inches U
■
Bathroom/Kitchen waterti•ht
•I:i. T. /W - - -I1= _: - .l-ti • NM
Interior Smoke Detectors/Carbon Monoxide Detectors
Every levet Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches hei,ht in accessible area N�
Crawl S.aces 18 inch x 24 inch access, 1 -•.ft.-150 s..ft.vents SME .�
Bathroom Fans,if no window �� V tqd
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft st•y•i • finished basement 1,000 =•.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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
1111
Enclosed Stairs Sheetrock Underside minimum W G •sum
Basement stairs closed rise>4 inches
Garage Floor Pitched M�
Garage fireproofing/%hour fire door/door closer .111�
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical ll
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 HMIS
Okay to issue C/C or C I 0[Temporary/Permanent INIII
MI �
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
•Jit,
Permit No. IL / 1 - Cert. No 10136 Cut-in Card No
Owner I g4 S ,ter
Location 3 l7
/ E 7`I�Crlt3 LFII. QLCLi-/7
Installation Consisting of...7.d.?t1 7 T c i f,, °
Installed By in I l J Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be romptly made for inspection.
Inspectors of this Company shall have the privile e of maki g ins ctions at any time, and if its
rules are violated,the Company shall have the right to ev thi certif ate.
Date..1r37'0 INSPECTOR -
Member N.F.P.A..I.A.E.I.
/ _ - —/-'i
Rough Plumbing I Insulatio nspectr n Report 1
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/p ar't:'7j am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 1_` PERMIT #: 16 f/2/CD
LOCATION: .r_ //z4 INSPECT ON: 6--/7-/(7
TYPE OF STRUCTURE: c-4-....7 AND
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I chane 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 C�
-V • 15 minutes
Insulation/ - -sidential Check/Commercial Check C ___,
T :lc • : milar Exterior Sealant
•roper Vent, Attic Ve f�
Door/Window Seal •►(No Insulation) 47---
Duct/Hot Water Pipi ^_':. _ ;• -- _
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
?. ..)-1AA 0•5 �4-\---1- �- -
COMMENTS: C, v- `h-------'
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
0 -7 0 6-7 --'77r - --- „, '/II,,r-k-,,e_-,,,
Rough Plumbing / Insulation InspecyOn Report -
Office No. (518) 761-8256 Date In, . - « r- l es, re ' •:
Queensbury Building &Code Enforcement Arrive: = ��-y' �- .art: 7=2 ar
742 BayRoad, Queensbury, NY 12804 Inspector's I' ;�-y��
rY P , �
NAME: y PER #: /0 - /4(c?
LOCATION: 7 4e0 . 0e._ ; INSP CT ON: ( / 7 A)
TYPE OF STRUCTURE:
Y N N/A
R• ,h Plumbin. I Nail Plates
Plumbing Vent I Vents in Place
1 %inch minimum Drain Size ■■■
Washi ! 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
4 50 P. .I fo, 15 minutes II
Insulation is =j- _ .,, rlM: = IA= �'f -P _r-,N'�
_ ..= • Similar Exterior Sealant � 4
Proper Vent, Attic Vent g :.hc Q U
Door/Window Sealed (No Insulation) �� ` �
Duct/Hot Water Piping Insulation
If :•uired unheated •aces Z
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Repoitrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report -21 72
//�Office No. (518)761-8256 Date Inspection request received: � �b /a
Queensbury Building &Code Enforcement Arrive: am/pm Depart j am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: TR-AVS. PERMIT#: 1761./-Yr (
LOCATION: 3`'! n d LA >v* INSPECT ON:
TYPE OF STRUCTURE: AC)
Y N M A COMMENTS:
gaming
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts I 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 %(w) 16 gauge(8) 16D nails 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
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. (W)
5.7 sf above/below grade
5.0 sf grade
L:Suilding&Codes Forms-OI DDBuilding&Codes\lnspection Fwmscrarning Firottopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report er--/ AjecitAeSok
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depa - am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials(�.. D•.
NAME: PERMIT#: dp
LOCATION: -- INSPECT ON: Gam/ —
TYPE OF STRUCTURE: -j'7 1\--\--)77•1/4-)
Y N N/A COMMENTS:
Framing
22' x 30' minimum frovt---
Jack
Studs/Headers 5-3Z -7-F0</
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 'h(w) 16 gauge (8) 16D naiis 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 5 �/v
Fire wall 2, 3, 4 hour --7
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 Forms-OLD%BuIding&CodesMnspection FamssFramIng Firestopping Inspection Report.doc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: / j pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: / •
NAME: PERMIT#: — .t1L(12
LOCATION: 11' INSPECT ON: I L f
TYPE OF STRUCT URE:
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.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above foot
mil poly r wet areas un ab
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
Foundatio Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Dep . am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /` '�`�
NAME: L`" G 'tPERMIT#: / — 1'Y .
t
LOCATION: 3 7 .- + � �-� INSPECT ON: S°'= - V
TYPE OF STRUCTURE: 1Z��'
3 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.
Materials for this purpose on site.
Foundation/Wallpour
72)
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
'17
Foundation Waterproofing
Footing Drain Daylight or Sump j 'a ONI Z '-.
Footing Drain Stone:
12 inch width
6 'e , • ,: • ooting
6 .1* ' ly or wet areas und- lab
B: ill 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 Inspecctioon Report.doc
Last printed 12/20/2005 9:24:00 AM
10%' -
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:/&i,„5 am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Irutials�_�
NAME:
f 7/i L' ,� � f PERMIT#:
LOCATION: `>7 j) / , / i. i INSPECT ON: —`
TYPE OF STRUCTURE: f - .c 4' J0
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
•i ..•�TWrar
als for this . ••, on site. _
Foundation/Wallpour
einforcement in Place
ity Footing Dowels or Keyway in place —�_ 5 ro �h t
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\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
iZ2- ( r,d
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:2_ ,am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: U). PERMIT#:
LOCATION: s7 e= ,f .- INSPECT ON: -
TYPE OF STRUCTURE: i
Comments
N N/A
Footings
)
iers
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 Z A l - L
Footing Dowels or Keyway in place �40 Z�` � `t`�,��
Foundation Dampproofing 3 1�
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\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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