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2010-472 TOWN OFQ UEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20100472 Date Issued: Thursday, November 04, 2010 This is to certify that work requested to be done as shown by Permit Number P20100472 has been completed. Location: 1 PEGGY ANN Rd Tax Map Number. 523400-301-013-0001-044-000-0000 Owner. R. BRIAN & JEAN JOHNSON Applicant: R. BRIAN & JEAN JOHNSON This structure may be occupied as a: Residential Addition By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the (Di aq 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. TOWN OF QUEENSBURY ET 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100472 Application Number. A20100472 Tax Map No: 523400-301-013-0001-044-000-0000 Permission is hereby granted to: R. BRIAN &JEAN JOHNSON For property located at: 1 PEGGY ANN 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: R. BRIAN&JEAN JOHNSON 1 PEGGY ANN Rd Residential Addition $14,000.00 QUEENSBURY, NY 12804 Total Value $14,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency NORTH LAND CUSTOM CARPENTRY, I 792-0315 104 TUTHILL Rd QUEENSBURY,NY 12804-0000 Plans&Specifications 2010-472 160 sq ft residential addition to be a walk in closet $75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, September 28, 2011 (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; T eday, September 28, 2010 SIGNED BY , I for the Town of Queensbury. Director of Building Code nforcement CV* /` —2/4' 2 j OFFICE USE ONLY //////p^-L, IIECEOVIE . J / 1 • A T ? TXk MAP NO. AG ----- �,—�, PERMIT NO. FEES: PERMIT " RECREATION ENGINEERING F SEP - G !U10 tiff (If applicable) L TOWN 4F CTUE NS13 PRINCIPAL STRUCTURE: BUILDING & CODES APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID ERMIT FO CONSTRUCTION. APPLICANT/BUILDER: 74� /1 .7t- i/€ /NER: 49rAah/ _\7o4,1 se'1 ADDRESS: /oL/ / c.7`A-// a2 /* i-(7-,s 4�c ADDRESS: /Ai' '4-'7 ,in.-",F'C y ,e., PHONE NOS. 7 j',. ` ca 3/5"4//?V/o'l7S ( PHONE NOS. ,r?-5b S"- CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: .,ecc,P -/f..( PHON : 7-> -©?,S_ LOCATION OF PROPERTY: / /07,-,:y ,e1,1h ilL3.NQ ea,-1y,,,7sG17 HAS THERE BEEN A SITE PLAN REVIEW, VARIANCE OR SUBDIVISION APPROVAL? 6 YES 13`NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: I PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z0 o APPLY TO YOUR z0 Q O cn OJ 11 u) PROJECT p W 0 � 0 -J 0 = _ o a o o z_ z < < co O Nco OL OPLL O Iotf SINGLE FAMILY ' (-- AC ' ' A+. P, A- Ac /3 '' TWO-FAMILY MULTI-FAMILY (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL j ATTACHED GARAGE(1,2,3) O HER )/4.fr. ;h ( f 5(7. I I IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: J719- ESTIMATED CONSTRUCTION COST: /yid''''/L* FUEL TYPE: 14/1 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 and agree to the above. Signed �1 J vp- Director of Building & Codes. 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zonina 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 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 codesungueensbury net VISIT OUR WEBSITE FOR MORE INFnPMATI ki //1'-/ 't/ e' /fest • Queensbury Building & Code Enforcement - Re dential Final Inspection Office No. (518)761-8256 Arrive: �' �am/ m De `rt am/pm Date Inspection request received: Inspector's Initials: gI — PERMIT#: /6 L LOCATION: / �.�-� �l�.�G. ��-1 DATE: /i— 3--/r) TYPE OF STRUCTURE: Comments: Xis Ns. NA 4° Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 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 WI to sill plate Gas Vahre shut-off 4• = ulator 18 inches above !nide 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: Outside every bedroom area: Inter Connected: Battery bac p: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, l sq ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing}Mures Foundation insulation/Insulation 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 Fumace/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 doser Duct work Sealed properi Gas Logs in Sealed or G s ndcsure Final Electrical �' !U ` U 1."L Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System I Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\lnspection 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 Permit No..... l --- Cert. N2 10921 Cut-in Card No Owner + ,/ QST!`' Location / 17e-6-C.Y. /17v4) (M)• ,���99 C2f�r Installation Consisting of / /7-041,t...,?1 3 6 Lf t S. Installed By rJ ; /A/6n�i Lie.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 promptly made for inspection. Inspectors of this Company shall have the privilege of making ctions at any time, and if its rules are violated,the Company shall have the right to rev e this ertifi te. Date //-Z--/O INSPECTOR ` Member N.F.P.A.,I.A.E.I. Ins'jtionRou h Plumbing / Insulation Report Office No. (518) 761-8256 Date Inspectigc request received: Queensbury Building &Code Enforcement Arrive: Z' 11' am/p % - *art: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Id NAME: � 1 K50 tom-- PERMIT#: ,1O4'72 LOCATION: / INSPECT ON: /d /S in TYPE OF STRUCTURE: Y N N/A 6a /) tJ ht✓w Rough Plumbing/Nail Plates WO 6) Plumbing Vent/Vents in Place ` � U -- i -' - 4 1 %inch minimum Drain Size r Washing Machine Drain 2 inch minimum ?f/' -01/75- Cleanout O1/ / SCleanout 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 2 ( Va,- Water Supply Piping 50 •.b.i • 15 minutes k2 2),3 Ce(Le Insulation/ esidential Check I Commercial Check ✓ / _ • 'miler 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 Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 F__Ar , est �'� sh< <' /Cj/ Framing / Firestopping Inspection Report Office No. (518)761-8256 Date I uest received: /0 Y/e) Queensbury Building&Code Enforcement Arrive:! am/pm 742 Bay Road, Queensbury, NY 12804 I • - . is Initials: NAME: '. c1 SCvN PERMIT#: C/Z) 7 7 LOCATION: / r / At r INSPECT ON: Adr/ TYPE OF STRUCTURE: naming Y COMMENTS: Attic Access 22'x 30' minimum CiA/-( S' t (,-' SyUJck Studs/Headers / � Bracing/Bridging (`�. 7/ � � 5e e Joist hangers Jack Posts/Main Beams �A . Exterior sheeting nailed properly ( - 0 `"l 7 S 12'O.C. Headroom 6 ft. 8 in. , StairweNs 36 in. or more / Ci / 1Ti Exterior Deck Bracing ( r 1-/ Headroom 6 ft. 8 in. As -L, � � Notches/Holes!Bearing Walls Metal Strapping for Notches Top Plate C . � 1 16(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft.floor trusses Anchor Bolts 6 ft. or kiss on center lice 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 .rade L:\Buildingg&Codes Fomes-OU)8ulidino&Code&Vnspedlon Fo msVnmirp FMStopping inspection Repoit.doc Revised Jimmy 7,2008 'Ve Fr'a Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart/64.T am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: S� � ` PERMIT#: .-2,/7 2_ LOCATION: J Peeti: A K_w `/ , INSPECT ON: /D f /L7 TYPE OF STRUCTURT?. / Comments Y N to 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 F•.• • -= _ in 'lace Foundation Dampproofing oun,n,on "a ••fing 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\Bufding&Codes\In ion Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 1 3 jV(ovJi' Foundation . ;ion Report Office No.(518)761-8256 Date do request received: Queensbury Building&Code Enforcement Arrive: ( ani/ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector In'itials: NAME: JiL5r,i�, PERMIT#: 4"77y ,4i& INSPECTON: / 7— Il) TYPE OF STRUCTURE: v(� Comments y Footings Monolithic Slab Reinforcement in Place 2 �{ 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/Walipour 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:\Buiiding&Codes Forms\Buiiding&Codes\Inspection Forns\Foundation Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM Li -Olfic A'1-1/7776:- .t.- -RECEIVED-- (. of C. a FEB 161993 O ^1Da & CODEDEPT. SHERWOOD ACRES C RATION U E D tV t SO D/0 Builders, Developers, Rental Units RR5 Box 119, Queensb , N.Y. 12804 Est. 1970 Daniel R. Barber,Pres. Tel. (518) 798-4252 a--- -----g--___aztetzh 0i2 yw < S1 `f g- 17 t A-3 1 P ' , L1S' • ..,..../._____ ,astc. 1*** ., , 4„. tV iti)-( \ , /474 --,..„?0 ,-, , to„/0-,Y' It. ---,_, _. 4) ��ra- ` t,,,,,,a iti2i U I c 01, 6 .p Of, /t is / i SQATOWN OFENSBURY Ee -- k OttCU" s-v Q ,CC ° ,DEPT..; REVIEWED B %L. +� .t DATE /2- _9 it' / ARi 4 C WN`: ,�. , cation s 6-2 °� p 1 42 21993 9I I\ 4_ i ` 9 --1c ` c g. MTEg f Zoning Administrator C .' iia ID if Fr ' TOWN raltl �Rf RY ` o6 ml 4Ag_ L - S 0EEHA- ice.', i FAQ y•-• n74js i 1A .