2010-260 TOWN OF QUEENSBURY
too
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100260 Date Issued: Monday, July 25, 2011
This is to certify that work requested to be done as shown by Permit Number P20100260
has been completed.
Location: 75 ROCKHURST Rd
Tax Map Number: 523400-227-013-0002-034-000-0000
Owner: ROBERT A PHOENIX
Applicant: ROBERT A PHOENIX
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the Cm\' 1/1.) /1://
property owner of the responsibilityfor compliance with Site Plan, ,; ;Vv
Variance, or other issues and conditions as a result of approvals by the Director of Building&Codg Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
`ora 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100260 Application Number. A20100260
Tax Map No: 523400-227-013-0002-034-000-0000
Permission is hereby granted to: ROBERT A PHOENIX
For property located at: 75 ROCKHURST 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: ROBERT A PHOENIX Residential Alteration $12,000.00
PHYLLIS PHOENIX
P.O. BOX 4 Total Value $12,000.00
ROUND TOP,NY 12473-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-260
854 sq ft residential alteration
$85.40 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,July 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 of Queepfbury; / /W,Wdnesday,July 28, 2010
SIGNED BY / ,r•. :`t' for the Town of Queensbury.
Director of Building&Code Enforcement
Z I r _ 17E- ICE USE ONLY p IT`� : `' ~. t} - ..._ 1
It TAX MAP NO. O PERM(T NO_ /D �� . ;: ' .
�� . e
FEESRI I T _5 RECREATION ENGINEERING iEERING !; ;� ' 11;1 ) t? s 10 , °_ ' i
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PRINCIPAL STRUCTURE: ..�_�._..- , . _K_.
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.
APPUCANT/BUILDER: C.,_3=- :1 i,14—e1 i I OWNER: pi T
ADDRESS: 4 'i( V — :2-9.7 Cx:t:::17,1 ADDRESS:
PHONE NOS. 6 2_3 ~}'1' 6 l- 5 D PHONE NOS.
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: b l= - • PHONE: .'t?4=-(+'-'
LOCATION OF PROPERTY:
j ej Ii_.:: f C'E-4--4- •3---'3'''' • .6::-f4 4iii2-;) "C.-Z--
SUBDIVISION NAME
i
PLEASE INDICATE IKASLlI2EMENTS AS REQUIRED BELOW: f
CHECK ALL THAT z ; I p j
APPLY TO YOUR Z o X ! p pn C 3 O U,
PROJECT o < o t LL CY i I a a w
0 ~ �di LL u. S - t— QRZ
o 1- OF tru'
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z Q 4 •:...coitW Cu. .1,. ! t—u. { 0-X0
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SINGLE FAMILY i K �tt4�_ €''` E;59 s
r M-FAMILY
MULTI-FAMILY " !
(NO.--) ! I j
! S j
TOWNHOUSE + {
BUSINESS OFFICE [ I
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL { I
ATTACHED
GARAGE(1,2,3)
OTHER
_ I s
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONS I RUCTION COST:11 12 0 00 FUEL TYPE:
1
HEAT TYPE? 1:-'1-I - 'HOW MANY FIREPLACE(S) 0 AND!OR WOODSTOVES(S): C
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? N 0
IS THIS A HISTORIC SITE? N 0
PROPOSED USE OF BUILDING OR ADDITION_
Town of Queensbury•Community Development Office-742 Bay Road,Queensbury,NY 12804
M
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? 1,40
ARE THERE EASEMENTS ON PROPERTY? r }
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.
I have read and agree to the above.
Signed:
Director of Buildina&Codes: 761-8256(for questions minces z CALL 761cee
regarding Building Permits,construction codes or septic codes aueensbury.net
systems)
VISIT OUR WEBSITE FOR MORE 1NFORMAT1ON
Zoning Administrator: 761 8218(for questions regarding www.4€aeensbury.nf
required permits,the permit process,application requirements or to
schedule an appointment)
Permission is hereby granted to the above ; This application I 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
BUSWING 81 CODE ✓APPROVAL ZONING APPROVAL
DA DATE
Office Use Only
Operating Permit Issued: Yes No
Occupancy Type: CR'
Construction Classification:
Assembly Occupancy limit:
Special Conditions:
Revised 9/22/09
Town of Queensbury•Community Development Office-742 Bay Road,Queensbury,NY 12804
,fii -ns Ma y, 2 6. 2 010-12: 11 P it,b- t M D I A, IN a t e r v 1l' e t, N V Q',';v,4•W�}�� A�V'W ;;:?%; �.;41., 5;' ?', N c, 0 9 5 9';�•P, 2/21g4,1;.
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�',l1 MIDDLE DEPARTMENT INSPECTION AGENCY, INC. (w?
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st Ve e that the electrical wiring to the electrical equipment listed below has been examined and is approved as .,
et•J being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date \Gj
(,.., noted below and is issued subject to the following conditions. �J �Gr
,r Owner: Unknown Date: 05/21/2010 ,0 0
,•4,sLocation:;• Occupant: game Location:75 Rockhurst <<a�
jQueensbury, Warren Ca NY "»
- Occupancy:Single Family Dwg. '
Applicant: Phoenix Electricians Co. .
(t': PO Box 666 E.' p ' ""' ,. r4;
�) Cairo, NY 12413 1), �,.�<..�•.....a , ' 3.* �:
,/, ,‘, ,k.,,,,„„..--,
t Raymond A. Nov k ,,a. s .., p* � �� ,
• No. p1402 =is E s7 anti `'
/(_} .... ,G. . k(s .Equipment: i k n .F e 11 ,L '' 't
''e $' r0 T"i. a 6.i�_ „a.; fav .:t° '13' ,t r ,. (,�.
An inspection has been m e of thee. pa"--• ell i .%"'ment 1 ��emise i d ted. N6 obvious ��
�ts`� unsatisfactosi
ry condition was oundN .�g.,I ,i� v `�'���
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.. This certificate applies to the electrical wiringto the electrical equipment fisted null and void. This certificate onl to the use,occupancy and <<'"
PPimmediately appliesY ,4
`,, 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 -;;
;.
� � inspection. No warranty is expressed or implied as to the mechanical safety.BHf• of the property indicated above,this certificate shall be immediately null and void. j
c`: clency 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. ;,�
%<t be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department r:
;) 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 W,'
(�:) ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation 6
.;:,, any of the components installed as of the above noted data,this certificate shall be process. A tee will be charged for this service. !,�
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Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: (3-4—' am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: =/'—
I .li 0 a
NAME: :.)•:-� l'',/1t.'rr"K" PERMIT#:
LOCATION: ?-j ic c•.4 (,,-,I /).../ DATE: ' , 17 /0 el
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof / .�✓ j Civ �, I 41 low.eA'
Roof Complete
Guard 30 in. or more @ stairs,decks,patios t /e_ /c%rF
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors / F / / , ;
Interior Handrails stairs 2 or more risers t..M.,j i. r',.'s. g://4i/7
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
•
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler FZi Relief Valve(s)installed f 1;,• 7,„
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing
Interior Smoke Detectors: . ^ °/
Every level: / Every Bed,room: if"
!
r c `'"� Ll /`"i L�~
Outside every bedroom area: If /'f j ' 1.)Inter Connected: / Battery backup: V '� 1 - f� 'a' h
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inchesr
%hour fire door/door closer L C.,, >- ,e`y(/ < t om Y
Garage fireproofing r, / .;•�
Duct work Sealed properly i'/41 L (�.i: „, I/4.
c'Y
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area /
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents _ ,,., ( t- ret-f/ 't- 1 I POS
Building No./Address visible from road
Final Electrical v/
Site Plan /Variance required Kr; f / 'j .
Final Survey Plot Plan CP++c.�. jv S.'
As Built Septic System/Sewer Dept. Inspection Sticker +!-
Flood Plain Certification, if required j A.3 f<<I ( -u. e s S 1y ff f`^,/
Okay to issue C/C(Cert. Of Compliance) f' --, ,
Okay to issue Temporary C/0(Cert. Of Occupancy) `/ .�—+, ^U�t� �(11,6,-%
Okay to issue Permanent C/O(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003