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2010-404 TOWN OFQ UEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20100404 Date Issued: Thursday, September 30, 2010 This is to certify that work requested to be done as shown by Permit Number P20100404 has been completed. Location: 53 PINEWOOD Rd Tax Map Number. 523400-308-016-0001-040-000-0000 Owner. DAVID MONSOUR Applicant: DAVID MONSOUR 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 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. if TOWN OF QUEENSBURY 1 h 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100404 Application Number. A20100404 Tax Map No: 523400-308-016-0001-040-000-0000 Permission is hereby granted to: DAVID MONSOUR For property located at: 53 PINEWOOD Rd in the Town of Queens bury,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: DAVID MONSOUR Residential Addition $8,000.00 22 POTTER Rd Total Value GANSVOORT,NY 12831-0000 $8,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-404 208 sq ft residential addition $75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,August 20, 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 Town of poeensb , L Fr ayv/A iig ist 20, 2010 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement r , SC>� . /f l_ /� , OFFICE USE ONLY ., TAX MAP NO. � v PERMIT N0. �" _J - FEES: PERMIT ?1 RECREATION :tl�; ' — ENGINEERING I � '• �� (If applicable)- I PRINCIPAL STRUCTURE:. .: ... APPLICATION FOR ZONING APPROVAL & BUILDING A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PERMIT REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION IS SUBJECT TO APPLICANT/BUILDER: /,a 'I L. • OWNER: _ Lithd 61c2nam Com_ ADDRESS: 5 '2' 1 , .. 0 4 /4 eia ADDRESS: 2 A "�' PHONE NOS. yj, 1_ 1 �� '• %:r PHONE NOS, _i)a CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: )}Ir)ic//%f „t PHONE: LOCATION OF PROPERTY: 5 f ' i HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES 121,IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: NO PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z PROJECTAPPLY TO YOUR Oz O 0 0 co p ILL.! OJL O •• cc � �LL w Z Q W d a = = a � � Nd ~O � 0 � ceWz SINGLE FAMILY / a = '� TWO-FAMILY NO8 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: . f3,c2(y FUEL TYPE: rii .- B 3-LGL 11-05 } ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /1(1) ARE THERE EASEMENTS ON PROPERTY? 1/1C.) 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 a ee to the above. Signed / - Th 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) ,- 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 codesaaueensburv.net Office Use Only -z _4/ /u/J=4,4 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/p part .s am/pm Date Inspection request received: Inspector's Initials: • NAME: PERMIT#: AP LOCATION: , _ DATE: TYPE OF STRUCTURE: T2 Comments: 4° Budding 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 Comrhlete/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 t 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 I doors I 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: Bette bac ku•: 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/Insulation Certification Floor truss draft s •!,•in c 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 o•:rati • 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 Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical �' ° V Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding_ As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance =•uired -aft Flood Plain Certification,if required /^ Okay to issue C I C or C/0[Temporary/Permanent] L:\Building&Codes Forms\Buiiding&Codes Inspectlon Forms1Residenttal Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 ip ` Rough PlumbingI Intubaton Inspection Fteport Office No. (518) 761-8256 Date Inspection request received: _ Queensbury Building &Code Enforcement Arrive: am/p Depart: + am/pm 742 Bay Road, Queensbury, NY 12804 inspector's Initials: _ NAME: Ji 0 500 PERMIT#. /O4'D 4 LOCATION: INSPECT ON: ,'T—%() TYPE OF STRUCTURE: _ L_,_,.l A ;c)k.) Y N NIA Rough Plumbing/Nail Plates Plumbing Vent/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 0 P.S.l fo 15 minutes Insulation/R idential Check/Commercial Check dar 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: \L— FL C6.4%-k-11 " Rough Plumbing insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 '-/O /Acr d Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME:, �r Oc150PERMIT#: 00d� LOCA <3 �;`�.e.i o�� INSPECT ON: -%/j TYPE OF STRUCTURE: Y N COMMENTS: Framing ss 22"x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12 O.C. Headroom 8 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 'i4(w) 16 gauge(8) 16D nails each tilde Draft stopping 1,000 sq. ft. floor trusses � . : . = : ft. or lesson center Ice and water , ield 24 inches from wall 1, 2, 3hour 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:lBuiiding&Codes Forms-01O Building&Codes inspection Fonns1Fmm ng Firestopping inspection Rpo tdoc Revised January 7,2008 air- 151�� Framing / Firestopping Insp=on Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm : am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ('...M))�� NAME: _ , PERMIT#: LOCATION: � ;Z )i) 7-Nei INSPECT ON: TYPE OF STRUCTURE: C2,a-ic I _V NiA COMMENTS: Framing Ess 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 116(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses . L«. . 6 ft. or less on center e Ice and = - shield 24 inches from wall 'C- • �on1, 2, 3hour 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:1Buildirg&Codes Fortes-OLDlBuilding&Codes\nspection FoimeeFrmming Fimutopping Inspecbon Repoitdoc Revised January 7,2006 Foundation InspectionReport Re ort ( 0 A Office No.(518)761-8256 Date Inspection request received: 'h C9/ (0 t Queensbury Building&Code Enforcement Arrive: am/pm Depart ' 1 am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: /fit C' So m PERMIT#: I LOCATION: S 3 p..awn Up t'L coq.J) INSPECT ON: :SMS 0 TYPE OF STRUCTURE: ft 44)D 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 Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width es above footing 6 i s'.• r, 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 Fonm\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM LOT ;321 NOW OR FORMERLY 2 LANDS OF PAUL F. MA TIE do ROBIN L. MATTE 2 LIBER 1125, PAGE 185 a TAX MAP: 308.12-2-67 CHAIN —LINK FENCE n — n — IRON PIPE FOUND 0.25' SOUTH -� OF CORNER NOW OR FORMERLY LANDS OF GARY L. LANGDON do PAULA V. LANGOON LIBER 592, PAGE 355 TAX MAP: 308.12-2-52 CAPPED IRON ROD FOUND CORNER S 85-34'50"E 19 \ / /0 O O' W I W I I a I � 0. 34 ACRESt a x LANDS PROPOSED TO I I I BE CONVEYED TO I I I DAVID MONSOUR I I I I I I I I W N f� o � 2 �J 6.5' ly k Mfg t IRON PIN FOUND 1.0' NORTHEAST N OF CORNER HOUSE x 32' /W 5' k� LOT W NOW OR FORMERLY I'< LANDS OF I RAYMOND J. BLAIR do NANCY J. BLAIR �] LIBER 723, PAGE 233 TAX MAP: 308.16-1-16 w w 0 Ix 0 Q, WOOD FRAME N 8534 50" W SHED L A WN 150.00' WOOOED 24 PROPOSED GARAGE N ►M , O' mac. L 7 -r STOCKADE N io NOW OR FORMERLY LANDS OF VERNON A SCOTT & GLORIA F. SCOTT LIBER 633, PAGE 1002 TAX MAP: 306.16-1-39 PROPOSED 2 STORY N o HOUSE a 32' 5' L A WN NOINH£AST CORNER OF STOCKADE FENCE POST IS ON PROPERTY UNE - 1 1 STORY WOOD FRAME HOUSE 1l IRON PIPE FOUND 0.55' WEST OF CORNER PROPOSED DRIVEWAY 35.0' SMALL CEDAR TREE \- - Q" 0 2 W � J 0 W a 0 Q O o � 0 N � ail p GUY ANCHOR - Q Lu Z UTC. Q POLE 0 O � 2 0 U 1O I "I have seen or observed, or all obtects-,!jc;; �1ses, 1 shown on tt!s 4 perso a iy,;�'- :)u .� le dis SIGNATURE DEED REFERENCE eve I saw evidence of, trees, fences, enc., resp It ' stave e�:J, ,,� = j,I , qr di,m GS sed ..r Lh :�the � agrd;.rr DATE DONALD V WEEKS, k. & LOIRRAINE D. WEEKS TO VERNON P. SCOTT & GLORIA F. SCOTT DTD. AUGUST 15, 1980 RCD. AUGUST 16, 1980 LIBER 633, PAGE 1002 MAP REFERENCE 'IAP OF A PROPOSED SUBDIVISION OF LANDS OF WALTER OOMBEK; MADE BY COULTER & MCCORMACK, LICENSED LAND SURVEYORS DATED SEP7EMBER 26, 1980, AND FILED IN THE WARREN COUNTY CLERK'S OFFICE ON NOVEMBER 7, 1980. TAX MAP REFERENCE TAX MAP: SECTION 308.16, BLOCK 1, PARCEL 40 NOTES: 1) REFER TO MAP REFERENCE FOR CIRCLED LOT NUMBERS 2) ONLY COPIES MADE FROM THE ORIGINAL OF THIS SURVEY MAP WHICH ARE MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL AND BEARING THE SURVEYORS ORIGINAL SIGNA7URE IN RED INK, SHALL BE CONSIDERED TO BE VALID AND TRUE COPIES 3) UNAUTHORIZED ALTERA770N OR AVD17101V TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STA 7E EDUCATION LAW. 0-172