97-519 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
February 5 98
Date 19 _
til - 1- 61
This is to certify that work requested to be done as shown by Permit No. 7 519
has been completed.
288 SQ. FT. RES. ADDITION (24 X 12 ' )
This structure may be occupied as a
80 COUNTRY COLONY -
Location
Owner
PENDERGRAS S, THOMAS
TAX MAP- NO. 47 , -3-2 By Order Town Board
TOWN OF QUEENSBURY
at,
Director of Bldg: do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 20000 No. 97E19
TAX MAP NO. 47 . —3-2 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to PENDEPGR4 OS , T4IO4 AS
OWNER of property located at 30 ( O-UNTRY COLONY Street, Road or Ave.
in the Town of Queensbury,To Construct or place a ., . )
at the above location in accordance to application together with plot plans and other information hereto fil an
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
30 COUNTRY COLONY
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
RIST CONSTRUCTION
3. CONTRACTOR or BUILDER'S Address
1368 BAY ROAD
LAKE GEORGE , NY 12845
4. ARCHITECT'S Name
COMMONWEALTH
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL1 ADDITION
( )Wood Frame ( )Masonry ( )Steel
7. PLANS and Specifications
No.
8. Proposed Use
288 SQ. FT. RES . ADDITION. ( 24 ' X 12 ' )
$ 24 PERMIT FEE PAID —THIS PERMIT EXPIRES September 16 1g 99
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 16 Day of September 19 97
SIGNED BY /�-P� �(�,-�� for the Town of Queensbury
Building and Zoning Inspector
Building Permit Application
"O ir
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
t
T BUILDING & . CODE ENFORCEMENT
I1 O i ICE Requirements prior to issuance
of this permit: 1 PERMIT FILE NO. [A permit must be obtained before
-I 5�/9
beginning construction. No inspections
will be made until applicant has received n .Zoning Board Action PERMIT FEE PAID$ 62#000
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE PAID$
MUST be completed and.the signature n PlanningBoard Action - rail--
of
the applicant must appear on the REVIEWED BY.
`pplication form. n ,,„, SPR / Subdivision /Other
Building Inspector
ankJ Recreation Fee Payment
Applicant: 1q1- tired.,tZi3errl'orJ L- Owner: tot4im ilkomas •P +..mt v S5
• Address: 11 Al .M ar) ‘I-P,u.-6► .y , Address: 3(3 f'3"rriL..t 6 �,11 .�Xit1-L-i-J u tJ•k(..t ,
Phone # (S i ca ) --Fr¢t - ova_i_ Phone # (SI ta ) ` i Q, - (PS ti-S'
Properly Location: •t&Q cc'�T Co.t_a n ... _
,"ItiI'iIIvI uii Nnntul t�^t r '-�� Tim Map Nnnthpr .,� _._.� 7---_-_,,
HNBtIOn Illnek 144
NATURE OF PROPOSED WORKt ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ Zo1 oc�
Vresidence / commercialddition wilding:
residence / commercial OCCUPANCY INFORMATION:
Alteration o Building: Primary Building -
residence / commercial r/ Single Family Dw
ageEIVPD
Residence / Commercial Two Family Dw 11 .
no change to exterior size . Family welling
Office SEP .0 91997
Other Work (describe below) Mercantile
Manufacturing TOWN OFQUEENSI RY '
Other L BUILDING Atdp CODE
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor 2 �j sq. ft. If ADDITION, what will use
2nd .Floor of new addition be? :
sq. ft. 5V tJ J�.s�rn, •uA
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: - 4' . SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
- ,4,-- FEET X (7, FEET
Foundation Type: 1�'t `i c,.x .i` Will any second-han•) or ungraded
Number of Stories: 1 - lumber be use. - so, for what?
(habitable space only) 5't,J D�,_..�/� .
Height (grade to ridge) : ( -77. feet TYPE OF HEATING SYSTEM:
Number of fireplaces and or woodstove (circle all which" applies)
to be installed: / oA/ :_ . tic / Gas / Mood
o / Baseboard /_ Other
Person responsible for supervision of work as regards to building
codes is : T cZt A t•-J C_AS t-1 ,
Name Addresss Phone
Builder: - .(S r- Coo.c-r, ca. 1.36 f EA(Ii2 k , LAt-6- a6D . 7cle -1 g 5.3 9
Plumber: I Ctars -i2kbc%- t,)34-- Cio P
• Mason: *-a 6; c :r,;6r AI G-rt IDN1 G,,,,
Electrician: 1Si'�e.b"M5,1PZZV"GT1pN Go 4
DECLARATION: Please sign below after you have carefully read the statement.
To the best of my knowledge the statements contained in this 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 Code, 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 Uwe shall submit prior to a
Certificate of Occupancyor Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: , . '
-_ (ow , o ne agent; architect, contractor)
.3
� ----:.
RESIDENTIAL FINAL INSPECTION REPORT . /,-,
•
Office No. (518)761-8256 Date inspection request received:,-,)" -6)
Building& Code Enforcement rf'
Dept. of Community Development Arrivt'� am/pm Depart 0- iS pm
Town of Queensbury
Inspector's Initials
742 Bay Road
Queensbury,New York 12804 �''�
Dv,LDb v d PERMIT# Q/7_1' ,a/
NAME � r DATE r $
LOCATION , (�
TYPE OF STRUCTURE ' _ 77( 2- "
N/A YES NO COMMENTS
\
Chimney HeIIght1'B'Vent/Direct Vent Location 1
Fresh Air Intak
Plumb Vent tiro oof
Roof Complete ti f
Exterior Finish Corn ete \ l
Interior/Exterior Rail. 30"to 36" \(
Exterior Handrails, co 'es landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers ///�����i
Grade 2%away from foundation 1,/
8"clearance to sill pl to v
Gas Valve shut-off 9 posed/regulator 18"above grade li
Gas Furnace shut-off within 30 feet or within line of site Y
Oil Furnace shut-off at entrance to furnace area ��
Furnace/Hot Water Heater operating I.
Relief Valve(s)installed ✓
v/A.
Headroom,6 ft. 6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers li
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight 4
Interior Handrails Balconies/Landing 18 in. or more
•
Railing across window in stairwells t//
Smoke Detectors: V
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans �/`j
Plumbing fixtures C
Foundation insulation
3/4 hour fire door/door closer wV;;i/l,
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage) o
Light ventilation per room J
Safety glazing 18"or less m floor tVo
/7"/
Final Electrical 1'2�)� oj 7 -
Site Plan/Variance requir d
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
4)
Okay to issue permanent C/O(Certif. of Occupancy)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545 4.? 7 S�`
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. _Cert. 5253 6 Cut-in Card No.
Owner + toG Am ca. G/z SS
Occupant p ��
Location 0 U ea—tA-Ai ?7 / eO7-Cjv C-s'.�c-te-tx-
Installation Consisting of [ / /40 2CP
- =fr4-A 5, / /aJ#�0G16o-e-Z,i 2 -/ -oSGU Gc./•1-e13-
Installed By et ✓ ' i f Lic. #
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 maki g 'n ecy,ttt ns at a time,and if its
rules are violated,violated,,the Company shall have the right to revoke th' c ficakte.
/Date.. .,Z`/ 7-q 7 INSPECTOR
ember N.F.P.A.,I.A.E.I.
(518) 761-8256
't
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT a1',.
742 BAY RD., QUEENSBURY NY 12804 •- - r;
INSPECTOR'S REPORT: ARR DEPAR11/1( N
REQUEST R INSPECTION RECEIVED:
NAME - .N6-q619, 5
LOCATION (.7`�i)y\ a "LUF+� ,�
DATE 1/ \PERMIT If CT [ •>
TYPE OF STRUCTURE:
RECHECK APP OVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
\ -
REINFORCEMENT IN PLACE I _
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE '
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING: e
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
—r
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- '
FLOORS R-
WALLS R-
CEILING R , \
-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
1.
1
Nr)) (518) 761-8256
TOWN OF QUEENSBURY "
BUILDING & CODE ENFORCEMENT r
742 BAY RD., .QUEENSBURY NY 12804v - -
INSPECTOR'S REPORT: ARR DEPAR ) IN iv6_
REQUEST OR, �INnSPPEr ION RECEIIVEDD:: I 1 ---(0 n 1
NAME �/ " �C \JCv3 J -11 4' Y w Nc
LOCATION 6 0 �c Kr)a C Th
DATE \`'— ( O 1. 1 PE IT I G1- "S,
TYPE OF STRUCTURE: - )(7)k--V1`0.-r-,
RECHECK _ APPROVED
N/A YES NO
/
FOOTINGS/PIERS _ /
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE \
THE CONTRACTOR IS RESPONSIH'E FOR
PROVIDING PROTE TION FROM F EZING
FOR 48 HOURS FOLLOWING THE PCE-
MENT OF THE CONCRETE. \\
MATERIALS FOR THIS PURPOSE ON ITEI
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE f
ROUGH PLUMBING _
PLUMBING UNDER SLAB _
FRAMING:
JACK STUDS/HEADERS _
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER \ ,
HEA INC ROUGH-IN
INSULATION: _ 1,
FOUNDATION WALLS INTERIOR R- t _
FOUNDATION WALLS EXTERIOR R- 1
FLOORS R- {
WALLS R-lCSV
CEILING R-3615 ___
DUCT WORK OR PIPING IN
U HEATED SPACES R-
RbX V6-",v r a V
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 J //
INSPECTOR'S REPORT: ARR DEPAR)(//� IN,""
REQUEST FORK NSPECTIO/4-
N RECEIVED:
Ci NAME / 1� a6/C
LOCATION /``EA) WU/L1T/e7 660.�f1%
DATE /E/(�//,47 PERMIT # ?7- ,J //
TYPE OF STRUCTURE:
RECHECK - APPROVED
N/A YES ` NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM _
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON IDLE FOR
PROVIDING PROTE TION FRO FREEZI
FOR 48 HOURS FOLLOWING T PLACE
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON S TE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING '
CKFILL APPROVAL
IUMBING
VENT/VENTS IN PLAC _11 /;/(r________
UGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: _
JACK STUDS/HEADER 1
BRACING/BRIDGING i
JOIST HANGERS i
JACK POSTS/MAIN EAM
AIR INFILTRATION BARRIE
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS IN ERIOR R-
FOUNDATION WALLS EX ERIOR R- ., B
FLOORS R-
WALLS R- --
CEILING R-
DUCT WORK OR PIPIN IN
UNHEATED SPACES R- •
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURRY . - 12804�/f. lt,. _.
/(,/INSPECTOR'S REPORT: ARRII DDEPARI/7 IN'!^
REQUEST FOR NSPECTIONN RECEIVED:
NAME e,IUe /1`i/�o IG�jS
LOCATION 'O 0:7u,cr Y COLC14/Cil
/
DATE ®J� 2/ 7 PERMIT N �/` 6G
TYPE OF STRUCTURE: /
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FO _
REINFORCEMENT IN PACE /f _
THE CONTRACTOR IS R' •PONSIBLE FOR /
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWI e THE PLACE-
MENT OF THE CONCRETE. -
MATERIALS FOR THIS PUR•..SE ON SITE ,/
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL W
PLUMBING VENT/VENTS IN PLAC
lir
R UGH PLUMBING
i / _
LUMBING UNDER SLAB /r
' FRAMING: f
JACK STUDS/HEADS�
BRACING/BRIDGING( �7[!J#tt ]6 _
JOIST HANGERS I
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN f
INSULATION: j _
FOUNDATION WALLS INTEkIOR R- \
FOUNDATION WALLS EXTERIOR R- 1 -
FLOORS } R- 1
WALLS \ R- i _
CEILING 1 R-
DUCT WORK OR PIPING IN UNHEATED SPACES R- i
1
v-k\A ^N• � j (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 .1'4! ,.
INSPECTOR'S REPORT: ARR >! 'DEPART '`)NT SJ
REQUEST NSP CTION RECEIVED:
NAME ! � 1 F).-S
LOCATION ()- C CQ
DATE r V-�U- \� ERMIT $
L �j
TYPE OF STRUCTURE: "�� S-
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS �t
MONOLITHIC POUR FORM
I _
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONS BL`e FOR
PROVIDING PROTE TION FRO FREEZING
FOR 48 HOURS FOLLOWING T PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPO ON SITE _
FOUNDATION/WALLPOUR -_
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING -
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _.
ROUGH PLUMBING _
BING UN ERSSLLAB
PLUING: ���l�� t /
JACK STUDS/HEADERS V
BRACING/BRIDGING / _
JOIST HANGERS V
JACK POSTS/MAIN BEAM V
AIR INFILTRATION BARRIER _
HEATING ROUGH-IN-
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
.-1k5
'' v�-�-qQ/\-
4_ ) � (518) 761-8256
TOWN OF QUEENSBURY • +,
BUILDING & CODE ENFORCEMENT z'' '•u`
742 BAY RD., QUEENSBURY NY 12804 's y,
INSPECTOR'S REPORT: ARR/o/ ,DEPART . IND,,-
REQUES OR INS CTION RECEIVED: ` 10^ / 7
NAME \ � l f
LOCATION q!-T,,,...1
DATE / ( J ! -9 7 PERMIT g -7 c " (
Re-STYPE OF STRUCTURE:
RECHECK \ APPROVED\
�• N/A YES NO
t
FOOTINGS/PIER'
MONOLITHIC POU FORM \
REINFORCEMENT IN :,ACE
THE CONTRACTOR IS SPON IBLE FOR
PROVIDING PROTE TI)N M FREEZING
FOR 48 HOURS FOLLO 4ING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS/ PURPOSE ON SITE, _!
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUUNNDATION/DAMPPROOFING '
.$'ACKFILL APPROVAL i
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- `
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
VAIY\) (518) 761-8256
TOWN OF QUEENSBURY rr
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 41-41 _
INSPECTOR'S REPORT:, ARR DEPAR'I111
.' NT�JI
REQUEST R INSPECTION RECEIVED: C)\ -,a71-�`� /
NAME Q/1C�t Q
LOCAT N "N r
DATE ' a. -C PERMIT \
TYPE OF STRUCTURE: 'e 3 ) ,
RECHECK APPROV
N/A YE NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE -
it
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PU POSE 0 SITE
, \ '
FOUNDATION/WALL UR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: _
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- --
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R •
-
C ` ®� (518) 761 8256
TOWN OF QUEENSBURY Y.
BUILDING & CODE ENFORCEMENT
•
742 BAY RD., QUEENSBURY NY 12804 ^ � _
INSPECTOR'S REPORT:, ARIAIV DEPAR' Wl6 INJT V/ e
REQUEST FO NSPECT ON RECEIVED:
NAME J-��-/\%. aC �`���lJ '-r-r o+m
LOCATION C) C2 i&
DATE C)\-"eq 9 / PERMIT Ri_50
TYPE OF STRUCTURE: {P
RECHECK AP APPROVED •
1VMM/a N/A YE NO
✓FOOTINGS s cu> ;r;�1/L ev
Mr" 1k/Y� {� �
MONOLITHI •OU• F RM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPU ' FILE FOR
PROVIDING PROTE TION , ROM REEZING
FOR 48 HOURS FOLLONIcG THE PLACE-
MENT OF THE CO 'BETE;
-r
MATERIALS FOR THIS P'RPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE �--
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
• JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION-WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- ,
. rat..,...............„.................,......-
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RECEIVED
SEP 0 5 1997
TOWN OF QUEENS8URY
BUILDING AND CODE
T—E--- 14 s Li_ R. o47125---------
Zsr Coivs-rEuc-rionl ,
/01.7116/44-5.-. avb&iz.. P.As_s.
.
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