Loading...
RC-0573-2018 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-0573-2018Date Issued: Friday, December 21, 2018 This is to certify that work requested to be done as shown by Permit Number RC-0573-2018 has been completed. 301.20-1-78 Tax Map Number: 21 GENEVA DR Location: Robert Kirker Owner: Patrick Burke Applicant: This structure may be occupied as a: Residential Addtion (Sunroom w/gas FP and basement rec room) 1216 s.f. 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. 411111K. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development - Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: RC-0573-2018 Tax Map No: 301.20-1-78 Permission is hereby granted to: Robert Kirker For property located at: 21 GENEVA DR 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 Owner Name: Robert Kirker Single Family-Addition $68,000.00 Owner Address: 21 Geneva DR Total Value $68,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Patrick Burke 936 Bay RD Queensbury,NY 12804 Plans&Specifications Residential Addtion(Sunroom w/gas FP and basement rec room) 1216 s.f. $ 489.80 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, September 11,2019 (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 ueens4ues. , - i er 11,2018 i SIGNED BY: i \ for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only vo ADDITION/AL ;jragl4i11/11Y1 i #: f 573 - ( APPL{ '�NSEP 0 7 2018 P Fee:$ 3 Lis. 0 ()limns.Town of()limns. ry Ui 742 Bay Road,Queensbury,NY 12804 n oite#: �' P:518-761-8256 www.queensbury.net ���' �� � `�� ` ) n BUILDING& C'ODr 3 Project Location: 1 c,cy‘tvf, Tax Map ID#: 30v —I Subdivision Name: C. r°11(VA lD✓ /vAC $L'cdv7j? 6 r) CONTACT INFORMATION: • Applica t: Name(s): ,LtRCJç Mailing Address, C/S/Z: 9:1 (3 G J A,Y (2t0'( Cell Phone: ) 2 2 - Land Line: ( ) Email: iltAr 9' irre.. t(-D r►\ • Primary Own r(s): Name(s): O ( - Ve )De.c(( ky-)"e_Y Mailing Address, C/S/Z: 21 6 t_ th, �7r Cell Phone: ( ) Land Line: ( ) Email: r k�r*eems Y4cA C.civr • Contractor(s • Business Name: a\ck (t_U Contact Name(s): ���-roc ‘.-ckc Mailing Address, C/S/Z: 9,1 Cell Phone: ( ) Land Line: ( ) Email: • Architect(s)/En ineer(s): Business Name: Li, '.6.1-- ti o." S OcS'koncif Contact Name(s): if,11:1„, Mailing Address, C S Z: t Cell Phone: (51k ) 7 ei t —11 Land Line: ( S ) 7 6 -7- Email: (J0.�@)t /,�`.o`r*�tart)LJe\\, c s e��c c_rS, corn Contact Person forBuilding&Code Compliance: Da)-y-,cje, twig( Cell Phone: ( 1 ) 22 2— q 1, Land Line: ( ) — Email: i bt -k Ct 3-6 UM Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 PROJECT INFO MATION: TYPE: Commercial X Residential WORK CLASS: \t\ Single-Family Two-Family Multi-Family(#of units ) Townhouse Business Office Retail Industrial/Warehouse Garage (#of cars _) Other(describe ) ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: (((< 1st floor: 2nd floor: 2nd floor: 3rd floor: 3rd floor: Basement(habitable space): 60/ Basement(habitable space): Total square feet: 12/ Total square feet: ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ G coo 2. If Commercial project,what is the proposed use: 3. Source of Heat (circle one): Ort, Oil Propane Solar Other Fireplaces need a separate Fuel Burning Appliances&Chimney Application 4. Are there any structures not shown on the plot plan? YES 61D) Explain: 5. Are there any easements on the property? YES NO 6. SITE INFORMATION: a. What is the dimensions or acreage of the parcel? .34 a L b. Is this a corner lot? YES 0 c. Will the grade be changed as a result of the construction? YES 60D d. What is the water source? PUBLIC PRIVATE WELL . . e. Is the parcel on SEWER or a PRI E SEPTIC system? 54.tA C Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 DECLARATION: Y: 1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. I certify that the application, plans and supporting materials are a true and complete statement and/or description of the work proposed, that all work will be performed in accordance with the NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. 4. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. • 5. 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: PRINT NAME: SIGNATURE: ` C DATE: q -7 - I E( Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 FUEL BURNING APPLIANCE & Office Use Only CHIMNEY AP' ■ w , •-- : 12 -05-73--2G($" GEOW.751-" it ee:$ I -S . cJO Town of Queensbury I l SEP 0 7 2Q i� e#: ©a32 742 Bay Road, Queensbury, NY 12804 1 P: 518-761-8256 www.queensbury.net ° ��-----�-�-- -� LT:litzimiOF Q llr�lt l RY DING& CODPS Project Location: Geic Dr Tax Map ID #: Room of Install: ,S m Planned Install Date: 1 r)ie.. O O 1_r **ONE APPLICATION PER APPLIANCE** CONTACT INFORMATION: • Applicant: Name(s): Qckck 17rke� Mailing Address, C/S/Z: 6 ,A Rei accey,S 4/ Cell Phone: ( c a ) 272- q 76S"" 7 Land Line: ( ) Email: p )ft CA:I •c cxv J • PrimaryOwner(s): ` , Name(s): ok 4 P CC K r-ire_< Mailing Address, C/S/Z: 2\ 6(xi'we-, Or_ Ovve e 1,,r btAcy Cell Phone: ( ). Land Line: _( ) Email: r" r kt Tc„;\ tcorn • Installer/Builder: . Business Name: 6 Le /) rS4 *"(��►�'� Contact Name(s): /Tc-- Shti Mailing Address, C/S/Z: LI-4S Kd Cell Phone:_( ) Land Line: _( 518 ) 9K—.�; ZZZO Email: W '.` clo-ynt f. C,rs -1 v orY\ \ to Contact Person for Building & Code Corn liance: ,�\-c\ 4 t_ 4 Cell Phone: _(,�I� ) 12? - Land Line: ( --- ) -� Email: P��ck� q�as—e rn cvn• Fuel Burning Appliance &Chimney Application Revised March 2017 l' FUEL BURNING APPLIANCE INFORMATION: TYPE OF DEVICE: Stove Fireplace Insert Fireplace Fuel Fired Equipment (Garage Only, 18" clearance per IMC 304.3) 1 Fireplace, factory built** (**Manufacturer's name: Tc t — Okfcs...-LM\ CApLCVModel#: DVD,3 SOURCE OF HEAT: Wood Coal Pellet (' Gas CHIMNEY INFORMATION: Masonry (require plans to be submitted): block brick stone Flue: 1 e 6 s7� tile steel �t X size, in inches Material*: ‘tio,double-wall triple-wall insulated (*Manufacturer's name: �v ,r(1.vr.l v Model #: q 4 0 Y N ADDITIONAL INFORMATION: 1. Two inspections are required. A rough-in inspection, prior to installation and a final inspection, after installation. 2. Manufacturer's installation manual must be available at the time of inspection. 3. Masonry fireplaces & chimneys require plans to be submitted. 4. Twenty-four(24) hour notification is required for inspections. Declaration:Construction/installation must conform to NYS Fire Prevention & Building Code and/or manufacturer requirements. The applicant or owner agrees to comply with all applicable laws,ordinances, regulations and all conditions that are part of these requirements and also will allow the inspector to enter the premises to perform the required inspections. I have read and agree to the above: PRINT NAME: ?' \ \c-k aNc t_, SIGNATURE: DATE: 9--7-% " Fuel Burning Appliance&Chimney Application Revised March 2017