2010-031 01411A TOWN OFQ UEENSBURY
742 4 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100031 Date Issued: Monday, April 09, 2012
This is to certify that work requested to be done as shown by Permit Number P20100031
has been completed.
Location: 43 MEADOW VIEW Rd
Tax Map Number: 523400-297-017-0001-076-000-0000
Owner: GLADYS ZORN
Applicant: GLADYS ZORN
This structure may be occupied as a:
Enclosed Porch By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property (-- (2 /f
owner of the responsibility for compliance with Site Plan,Variance, or ��t
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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100031 Application Number: A20100031
Tax Map No: 523400-297-017-0001-076-000-0000
Permission is hereby granted to: GLADYS ZORN
For property located at: 43 MEADOW VIEW 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: GLADYS ZORN Enclosed Porch $17,000.00
43 MEADOW VIEW Rd Total Value
QUEENSBURY, NY 12804-0000 $17,000.00
Contractor or Builder's Name / Address Electrical Inspection Agency
LUCAS MONTGOMERY
NY 12804-0000
Plans&Specifications
2010-031
196 sq ft enclosed porch
$40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, March 10, 2011
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of wueen ° ;; e s i . j March 10, 2010
SIGNED BY 4\ for the Town of Queensbury.
Director of Building&Code Enforcement
FFICE USE ONLY
IIECE071 TAX MApQ NO��� PERMIT NO. ��/� '� /
FEE PAID BLDG.&CODES APPROVALFEB ® 9 2•
4OWN-OF Q IJEEACCESSORY STRUCTURE BUILDING PER auiLDING C c
CATION
Use this application for any structure other than the Principal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED
A VALID BUILDING PERMIT.
OWNER: li'���G, +i�j '2O(V'� J�/�INSTALLER/BUILDER: �/CC S I� (o v -4-c Cbz--�,Q �V
ADDRESS: �^/ ?� ��� �A U i `tn� �� ADDRESS: 2 / v �,,- P,.
PHONE NOS. 1�j (.S� — -3-!)` •-;-/ C PHONE NOS. ,5($" — 3-30 -73(0Z-
LOCATION
•j(: I
LOCATION OF PROPERTY: dr 3 72 A,1 C LA)J n i SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: PO r { ,2 [L,f is ,a, 4 (4Q 1/44,
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES 0 NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ /77 c)00;)ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? .5.
IF YES,PLEASE LIST: } C( (1)._
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:
�.iJ Gt:t S g701,1717)--1.R- '1/ PHONE: J? –7?) 30 —"t‘
PROPOSED CONSTRUCTION1sT FLOOR 2ND FLOOR / PROPOSED
TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT.
FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH* %die /
BOATHOUSE j
BOATHOUSE WITH•SUNDECK
DOCK
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA & MUST COMPLY WITH FAR [FLOOR AREA RATIO] REQUIREMENTS IF THE
STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done
on the described premises and that all provisions of the Building Codes, the Zoning Ordinance,
and all other laws pertaining to the proposed work shall be complied with, whether specified or
noted, and that such work is authorized by the owner. Further, it is understood that I/we shall
submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested
by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed
surveyor, drawn to scale, showing actual location of all new
construction.
QUESTIONS? CALL 761-8256 OR EMAIL
57c,5 «S?c7Oz
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: DU am/pm
Date Inspection request received: Inspector's Initials:
NAME: ��-f��l'L� �
I PERMIT#:
LOCATION: l /nr___7 /'ej_ - DATE: 1111
TYPE OF STRUCTURE: ..�
Ie
Comments.
Yeslj�Q NlA
r
4° Building Number Address visible from road 3 r9�r
Chimney Height/°B"Vent/Direct Vent Location ... `'
Ci
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete 3//0//7'
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 I regulator 18 inches above grade
Interior privacy 1 trim I doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safey 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 Fans,if no window
Plumbing fixtures
Foundation insulation I Insulation Certification
Floor truss,draft sto,•in. finished basement 1,000 =..ft.
Enver, -,cess below 'rade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumac e/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap!Water Temp 110
Enclosed Stairs Sheetrodc 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 —
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 I C or C I O[Temporary/Permanent]
L:\Building&Codes Forms\Buiiding&Codes\Inspection FormslResidential Final Inspection Form_revised 100405.doc;Revised
January 7,2008;Revised 6/26/08
1r3 tRakkal
Rough Plumbing / Insulation in `- -ction Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm ',;•art• am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .1.111k
NAME: terIlle
PERMIT #: �'
LOCATION: . r INSPECT ON: /
TYPE OF STRUCTURE:
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 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
Wa . . . . -iping
Head
0 P S.1 for 15 ► inutes
Insulation/R= dential Check/Commercial Check ,
Tyvek •: = ilar Exterior Sealant
P • • =r 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: � � 1) 11-5
<2-Q,4114 LWS3( 005-T 'kb' cct ITIf!
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:am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 6..A
NAME: 0 2,�J PERMIT#: IC) c9
LOCATION: " INSPECT ON: 7 f,)
TYPE OF STRUCTURE: t\-J � �• �j 'J U5-�.��
Y N N/A COMMENTS:
Framing
Attic Access 22"x 30' minimum / V
Jack Studs/Headers ✓
Bracing/Bridging ✓ � �� ga-Ah. -9
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. - 7^r
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 6 w 16 •a •e 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 cavity min.
Ga -..e Fire S
- . • _ = s 1- •- •r 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:1Buiidmg&Codes Forms-OLD18uilding&Codesllnspection FofmsTraming Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report ( — 3 1
Office No. (518)761-8256 Date 1 uest received: `l/540
Queensbury Building &Code Enforcement Arrive: am/ part: am/pm
742 Bay Road, Queensbury, NY 12804 tnspecto I " Is: W.-
NAME: 0" NI PERMIT#: '1010 U I
LOCATION: „ P_c_v 1-M) INSPECT ON:
TYPE OF STRUCTURE:
N
Framing Y COMMENTS:
Attic Access 221 x 301 minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
121 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 I below grade
5.0 sf grade
L:\Building&Codes Forma-OLD SuiIding&Codes\Inspection FwmslFraminp Fig Inspection Repoitdoc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Ins .tipn request received:
Queensbury Building&Code Enforcement Arrive: Liu am/ C�epart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector' Initials: \ �
NAME: h-- ' PERMIT#:
LOCATION: Lr3 l) ix.-U;r INSPECT ON: — a
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
ithic 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:\Buiiding&Codes Forms\Buiiding&Codes\Inspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheint,PA 17545
MUNICIPAL CERTIFICATE ELECTRICAL APPROVAL
Penrrtit .....Cert.
No... .. .`..... N2 10219 Cut-in Card No.....................................
Owner............. ...-20c,
.................................................... .......I........................................................................
Location... '-..�-4..... .........................................aae..z............
Installation Consisting
.....................
...............I...........I....................................................................................................................................................
...............................................................................................................-......................................................
Installed By..../............ ..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 data Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makK' g-1'4§pec ions at any time, and if its
rules are violated,the Company shall have the right to reib.ke th certificate.
...................
Date.....5�—&-/_/........................ INSPECTOR... ..........
Member N.F.P.A.,I.A.E.I.
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