2010-380 TOWN OF QUEENSBURY
TTO 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100380 Application Number. A20100380
Tax Map No: 523400-295-020-0001-054-000-0000
Permission is hereby granted to: JORGE &BELINDA CABAN
For property located at: 101 FARR Ln
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 Queens bury Zoning
Ordinance. Type of Construction Value
Owner Address: JORGE &BELINDA CABAN
101 FARR Ln Residential Addition $17,500.00
QUEENSBURY,NY 12804-0000 Total Value $17,500.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-380
288 sq ft residential addition
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,August 10,2011
(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�of Quee bu , 'T+" ,August 10, 2010
SIGNED BY it r P„ \ for the Town of Queensbury.
Director of Building&Code Enforcement
I •
/� OFFICE U E ONLY
TAX MAP j�0. 275-2°
�}5 2°—/— /PERMIT NO. t",A7-)
FEES: PERMIT RECREATION
ENGINEERING
(If applicable)
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.
APPLICANT/BUILDER: r $
.`'� I. f.
OWNER: sv't�&, t z .: .° -
ADDRESS:' ,
' .� '1 ` ' `� ,
`. '``1 — `�c ADDRESS:
PHONE NOS.
PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: , - � `
PHONE: �, - '
LOCATION OF PROPERTY: 7 ' -
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ID NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z D_ g
PROJECT O ¢ O 0 cn w
I= w O •
o E ,� u w ¢ d = =
Z < < � � N ° OLL OH � 2Z
r
a
SINGLE FAMILY
I. a
CB/ _7
'
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL– NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:
- FUEL TYPE:
" 1
B 3-LGL 11-05
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ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? t ,, L
t.
ARE THERE EASEMENTS ON PROPERTY? l`fj
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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 Cod- local building laws and ordinances, and in
conformance with local zoning regulation:. I acknowledge that prior to occupying the
facilities proposed, I or my agents will c ctain a ertificate of occupancy. I also understand
that I/we are required to ! ovide -n 4e-built Si rvey by a licensed land surveyor of all newly
constructed facilities • r(r toA is:1 e of . ertificate of occupancy.
I have read and . a cove.
r
Signed „ , _._..mp
Director of Building & Codes: 7. - . (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 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 a(�.queensburv.net
Office Use Only
VISIT OUR WEBSITE FOR MORE INFORMATirm
.4_ TOWN OFQ UEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
Qu ry�
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100380 Date Issued: Monday, November 15, 2010
This is to certify that work requested to be done as shown by Permit Number P20100380
has been completed.
Location: 101 FARR Ln
Tax Map Number. 523400-295-020-0001-054-000-0000
Owner. JORGE & BELINDA CABAN
Applicant: JORGE & BELINDA CABAN
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 (7. , birZ1/
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.
,�.�c�wDec._ 6_r 2010' 12: 1OP J,L,, DIA, Wat: rvl t, NY , '. '.`'a,i., �.�•�• ���° i? No. 4355 P. 2/4 •.1• ��,
_', MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
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;�, 5?eey that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date :i4,
i\h
noted below and is issued subject to the following conditions. ,- ,1
Owner: Date: i(� ����� w�
4 Jorge Caban 11/12/2010 >>
` Occupant: Location:ft (� '� \
Same 101 Farm Laneh�
��� Occu enc Queensbury, Warren Co. NY � ..
r'',`,, p y Single Family Dwg.
, Applicant: <;��
Jim Curran rgrc ,1R$nV. .Fa�
. PO Box 344341" e' r kt p�{j,,�,� ' ^�
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Saratoga, NY 12866 '� ç ,c) ' :.; �—r•.: .�.tis"� f /Y1.•. n •!1 '1;•
ytS L (�it(,� `-,,e. J -..,� �"p/p-s pa `':+jam
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Raymond A. Nov t "44'i 4, : ; „�
r<s�� ::uipment
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~31801 rr 'An' 1,ti• Git•; : Tt x.F `%. s
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3-Switches; 6-Receptacle 2-FiXures ,f' $`
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%! This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and �(�',
"' 'oi.
•C above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership ",1
��) Inspection. No warranty is expressed or implied as to the mechanical Safety.efti- of the property Indicated above,this certificate shall be Immediately null and void. .4 i
1'`%� aency or fitness of the equipment for any particular purpose. This certificate shall in the event that this certificate becomes invalid based upon the above conditions, `'
E,`4 be valid lora period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department,,
g system to which this certificate applies be altered In any way,Including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle ( `)
;Y ed to,the Introduction of additional electrical equipment and/or the replacement of Department inspection Agency, Inc. to initiate the inspection and revalidation
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any of the components Installed as of the above noted date,this certificate shall be process. A fee will be charged for this sOMC*. r
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Enforcement - Residential Final Inspection J ✓
Queensbury Building & Code Enf
Office No. (518)761-8256Arrive: am/pm I rt: � am/pm
Date Inspection request received: Inspector's Initials: 11/1
.�..�
NAME: C1. n fi/UPERMIT#:
LOCATION: 1 (3 ,� (l 1 DATE: it//10
TYPE OF STRUCTURE: _ it CS jj�ael;1 Lam^
Comments:
ye NQ WA
4' Building Number Address visible from road
Chimney Height i"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 inch clearance to sill plate
—
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy I 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 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 Fans1 if no window
Plumbing fixtures
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 ELECTRICAL INSPECTION
Low water shut-off boiler
Relief Valves)installed/Heat Trap/Water Temp 110 MIDDLE DEPARTMENT INSPECTION AGENCY
Enclosed Stairs Sheetrock Underside minimum' Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched I -
Garage fireproofing/' hour fire door/door closer /17 / INSPE
Duct work Sealed properly , _
Gas Logs in Sealed or Glass Enclosure CONCEAIRING O.K.DATE///� /(J/`7�
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms UTILITY NOTIFIED
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker FINAL APPROVAL DATE
Site Plan /Variance required '
Flood Plain Certification,if required I
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
QtY/6
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 Inspector's Initials:
NAME: (A,13 2 at -•�
PERMIT#:
LOCATION: i 9 ( ' 4fjz_ kit INSPECT ON:
TYPE OF STRUCTURE: 44)t)
Y N N/A COMMENTS:
Framing
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging yz(
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 I Bearing Walls
Metal Strapping for Notches Top Plate
1 'i4(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:1Buliding&Codes Fortes-OLDrBuilding&Codes1inspection Fomns1FrarnIng Firestopping Inspection Report.doc Revised January 7,2000
itcb y- io
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received: ' 15 o toj
Queensbury Building&Code Enforcement Arrive: am/ Depart• 1 am/pm\ I
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: /' 1
NAME: aCtI9(0' PERMIT#: d-a 10 _ C)
LOCATION: 101 FGfi P INSPECT ON: �,,I1 i U
4
TYPE OF STRUCTURE:,
Y N N/A COMMENTS:
Framing
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
• - = = = 6 ft. or less on center
Ice and water ,Meld 24 inches from wall
FIre separ= 'on 1, 2, 3 hour
Fire wall 2, 3, 4 hour R74.1( 1)1
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:1Buiiding&Codes Forms-OLD1Buiiding&Codeslinspedion Forrns\Framrng Firestopping Inspection Report.doc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Inspects Ner quest received:
Queensbury Building&Code Enforcement Arrive: J• am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect6r's Initials:
NAME: Cil/�i9' / PERMIT#: 0— 3 SO
LOCATION: ..Q-iC!/ INSPECT ON: rarMir
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab 3 /J
Reinforcement in Place
The contractor is responsible for
providing protection from freezing / f-;
?
for 48 hours following the placement s 66„- D u C,71 `�
of the concrete.
Materials for this purpose on site. e
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofmg
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 Fonms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection uest cceived:
Queensbury Building&Code Enforcement Arrive: ',�, pm Depart: am/pm
! cJ
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: C ,a�. ,,i,j PERMIT#: 1°6
LOCATION: r,"4/ef INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
stings —
Piers rexo
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 footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior 1 Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspectlon Foam\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection uest received: S/l
Queensbury Building&Code Enforcement Arrive: �m m Depart: am/pm
742 BayRd.,Queensbury,NY 12804 Inspector s Initial •
NAME: PERMIT#: /7/t00 "'i
LOCATION: I D ( f -i (2- l--►�V INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N / NA.
j 'ootings _
Piers \ k42-1\
n l^
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 Waterproofmg
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 Fors\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
MAP REFERENCE:
INDIAN RIDGE PUD
F`HASE THREE
DATED NOVEMBER 15. 2002
REVISED JANUARY 24. 2003
BY VAN DU5EN + STEVES
LAND SURVEYORS. LLC
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Town of Queensbury, Barren County, New York
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TO TMC AS&GNM OF INC UNOM OOMUHON'
Map made for
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Town of Queensbury, Barren County, New York
N0. I DATE
DESCRIPTION
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