2007-447 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20070447 Date Issued: Tuesday, May 01, 2012
This is to certify that work requested to be done as shown by Permit Number P20070447
has been completed.
Location: 19 WARREN St
Tax Map Number: 523400-304-017-0001-016-000-0000
Owner: ROBERT & ANDREE JOHNSON
Applicant: HELEN & TECKLA BAKER
This structure may be occupied as a:
Certificate of Occupancy (RES) 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 Planning Board Director of Building&Code iWorceNltnt
or Zoning Board of Appeals. ij
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&.Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070447 Application Number. A20070447
Tax Map No: 523400-304-017-0001-016-000-0000
Permission is hereby granted to: HELEN &TECKLA BAKER
For property located at: 19 WARREN St
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: HELEN&TECKLA BAKER
19 WARREN St Certificate of Occupancy(RES) $10,000.00
HUDSON FALLS,NY 12839 Total value $10,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-447
480 SQ FT RESIDENTIAL ALTERATION INVOLVING SHEETROCK& INSULATION
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,July 18,2008
(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 o ensb d sda ,July 18,2007
SIGNED BY W
for the Town of Queensbury.
Director of Building&Code Enforcement
i
.......... ................ .........................
--------------
�� l f�OFFICE USE ONLY -------------------
TAX MAP NO. PERMIT NO. 7
FEES: PERMIT RECREATION '
, ENGINEERING
a,e
If applicable) ;
=-------------------------------------------------- --
PRINCIPAL STRUCTURE:
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..
APPLICANT/BUILDER: /7
/?e,�� _� jj�Sril OWNER:Z�� �GV /`tl1�t�P� O/z17SO�I
ADDRESS: ��C ADDRESS: _/Q ( Ia( ren S+
PHONE NOS. PHONE NOS,
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: P2 PHONE: '
LOCATION OF PROPERTY: G 7s' 1'
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR z LL 0 d w U
PROJECT O Iz p J O = _
w oUj ` u Z a ? o� z
z a a r c0 NCO O � � U-- a = as
SINGLE FAMILY TWO-FAMILY
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: '/� i oce, FUEL TYPE:
HEAT TYPE: Co(is, *HOW MANY FIREPLACE(S):___Q_AND/OR WOODSTOVES(S):�_
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? 0
PROPOSED USE OF BUILDING OR ADDITION: ,
*Please complete a separate Application for Fuel Burning Appliances&Chimneys"available in our office
B 3-LGL 11-05
Town of Queensbury- Community Developncent Office • 742 Bay Road, Queensbury, NY 12804
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
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 agree to the,above.
Signe
,Fr
Director of Buildinq & 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 CAD PPROVAL % ZONING APPROVAL '
- ► ,
DATE DATE
_-___,�
_-__-__ _- _('_ ._..__.,
QUESTIONS? CALL 761-8256 OR EMAIL
codesftueensburv,net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.aueensbury.net
" Tozrn of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Queensbury Building.& Code Enfdi-cement - ResidenfR
a I pection
Office No. (518)761-8256 Arrive: �art a �Ip2m
Date inspection request received: Inspectors Initials:
NAME: i��-�LOCATION: D
TYPE OF STRUCT
Comments•
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbina Vent through roof minimum 6 inches
Roof Co /Exterior Finish Com ete 1c)
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs decks more than 30 inches above grade,
Guard at stairwell at 34 inches or more
Guard at dock,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Romp CompMnt
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plwte
Gas Valve shut-off Dmaw/regulator 18 inches above grade
interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen wateftht
Safety /Window in stairwells safety g4ft
interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
inter Connected: - Battery bm*u :
Attic access 30 inches x 22 inches x 30 inches ht in accessible area
Crawi Spaces 18 inch x 24 inch access 1-9g.ft:150 -ft.vents
Bathroom Fans if no window
Piumbin fixtures
Foundation insulation/Insulation Certification
Floor truss draft stopping finished basement 1,000 SQ.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
ON Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating-
Low water shut-off boiler
Relief Valves Instated/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Game hwroofinaI%hour fire door/door closer _
Duct work Sealed propoy
Gas Loos in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc fault Breaker in Bedrooms iR Y
Flex Gas Pi Bondi 1�
As Built c System/Sewer Dept. Ins on Sticker
Site Plan /Variance required
Flood Plain Certification if required
Okay to issue C/C or C 10 1 Tem or /Permanent
LABuikiing&Codes Forms\Building&CodesUnspedion FornsWesidentiai Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
/- -
a - n -
1 sRou h Plumbing / Insu tio ection Report rt
N
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm De art: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
l
NAME: PERMIT #: 4�-7 .
LOCATION: 7 kix(-1 INSPECT ON: n-�2-0 '-07 ,
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing Nail Plates
Plumbing Vent Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet change of direction
Pressure Test
Drain / Vent 1 �(
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
d
5 � .1. f r 15 minutes
Insultion Residential Check Commercial Check
n Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS: 'S -;o ram,ftacled our
LAPam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
BY THIS NOTICE OF DEFECT THE 07
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
on the application of upon premises of
ANDREE JOHNSON ANDREE JOHNSON
251 WEST RD. 19 WARREN ST.
ARGYLE,NY 12809 QUEENSBURY, TN, NY 12804
Application Number: 3047192
Located at 19 WARREN ST.
QUEENSTBURY,-TN,NY
Section: Block: Lot: Building Permit Number:
Regrets to advise that the electrical installation of the stated premises is not in compliance with requirements of
the reference standard as set forth below:
Item Location Description Reference Std.
more than 24 inches between 210-52c1
receptacles
receptacle outlets 1 st Floor kitchen countertopspace installed so
there in not
of dwelling 210-52e
receptacle outlets Outside one receptacle outlet installed front
and rear
bathroom circuit 2nd Floor 20 amp branch circuit with no other 210-11c3
outlets
2nd Floor is more than 6 feet from an outlet 210-52a1
receptacle outlets 1 st Floor shall be installed so no point along
floor line
This notice of defect is issued by: WALTER SONNTAG on the 28th day of September, 2007.
A239
QUEENSBURY,TN+
TOWN OF QUEENSBURY
742 BAY ROAD
QUEENSBURY,N.Y. 12804
Paae 1 of 1
BY THIS NOTICE OF DEFECT THE 03
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
on the application of upon premises of
ANDREEJOHNSON ANDREEJOHNSON
251 WEST RD. 19 WARREN ST.
ARGYLE,NY 12809 QUEENSBURY, TN, NY 12804
Application Number: 3047192
Located at —19 WARREN ST. _
QUEENSBURY,TN,NY
Section: Block: Lot: Building Permit Number:
Regrets to advise that the electrical installation of the stated premises is not in compliance with requirements of
the reference standard as set forth below:
Item Location Description Reference Std.
more than 24 inches between 210-52c1
receptacles
receptacle outlets 1st Floor kitchen countertopspace installed so
there in not
of dwelling 210-52e
receptacle outlets Outside one receptacle outlet installed front
and rear
bathroom circuit 2nd Floor 20 amp branch circuit with no other 210-11c3
outlets
2nd Floor is more than 6 feet from an outlet 210-52a1
receptacle outlets 1st Floor shall be installed so no point along
floor line
light outlet 1st Floor switch light outlet required in hallway 210-70a2
light outlet Outside switch light outlet required outside 210-70a2
rear door
This notice of defect is issued by: WALTER SONNTAG on the 4th day of October, 2007.
A239
QUEENSBURY,TN+
TOWN OF QUEENSBURY
742 BAY ROAD
QUEENSBURY,N.Y. 12804
Paae 1 of 1
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