2000-630 Oft TOWN
QUEENSBURY
TO
742 Ba Road ueensbu NY 12804-5902 518 761-8201
v ,Q rv, ( )
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20000630 Date Issued: Monday, May 07, 2001
This is to certify that work requested to be done as shown by Permit Number P20000630
has been completed.
Tax Map Number: 523400-054-000-0001-023-000-0000
Location: 1114 RIDGE Rd
Owner: NORMAN & MARIE HIMES
Applicant: NORMAN & MARIE HIMES
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
4 ,gist
Director of Building& Code Enforcement
TOWN OF QUEENSBURY
WIM742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000630 Application Number: A20000630
Tax Map No: 523400-054-000-0001-023-000-0000
Permission is hereby granted to: NORMAN&MARIE HIMES
Owner of property located at: 1114 RIDGE Rd
in the Town of Queensbury, to construct or place a Residential Alteration
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.
Owner Address: NORMAN&MARIE HIMES
1114 RIDGE Rd
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Type of Construction: Residential Alteration Value : $ 7,400.00
Plans & Specifications
2000-630
317 SQ FT RESIDENTIAL ALTERATION (CONVERT 1-CAR GARAGE INTO LIVING ROOM) AS
PER APPLICATION
$14.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,August 28, 2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town reiTu sbu Monday,August 28, 2000
SIGNED BY / - for the Town of Queensbury.
Director of Building& is e '4 orcement
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-8256/
-4 BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance r 'y��,;
r 1 of this permit: PERMIT FILE NO. c=,G(/CJ�n�
A permit must be obtained before
beginning construction. No inspections a)
Zonin8 Board Action PERMIT FEE PAID$/67.
will be made until applicant has received �
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$
applicants' spaces on this application
MUST be completed and the signature 0 Planning Board Action REVIEWED BY: J 11
of the applicant must appeal onthe SPR / Subdivision /Other Building Inspector
eplication form. flank,.,,.. J Recreation Fee Payment '' J
Applicant: A/ A.Pvilv ,C' IT MI EIS Owner: rS' J &
' Address: (IN L l �l L J�/ t�L`�YVSLj vat' Address: '1 L-
Phone # ( S) i( ) .7c1,21. - / I aPhone # ( ) 5- _-_ .,,-' •
)Property Location:EAST'-lot=/i ibt,i ieAil 2R° 5 rRoc,7ve2e
s0" 'If 1 aF or'r t 0/+ Ic vfenil S Tax Map Numbe -i -1 ( l 13
Subdivision Name: Section Block Tot
NATURE OF PROPOSED WORK: ESTI'+i' a1 MARKET VALUE OF THE
New Building: CONST CTION: $ 7� Y ac,•,
residence / commercial
Addition to Building:
residence / commercial OCC CY INFO .
•x Alteration to Building: Primary Building -
[residence-7/ commercial Single Family Dwelling
Residence / -Commercial Two Family Dwelling ail iL' 2 r 2000
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
X Other :P1? e-7,./rL j- 1.5 l CAS �GL%i 7,0
GROSS AREA OF PROPOSED STRUCTURE: i� CoNv&-R To L1vM44- pal 1
°� If ADDITION, what will use
1st Floor v / sq. ft. of new addition be? :
2nd .F1'ogr. . ., ' sq. ft.
Other Flouts sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: 3 Ir] SQ. FT. Attached Garage 1, 2 car
Private_Storage Building
—
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
iq, a-b FEET X a-��S.-- FEET
Foundation Type: C"vertu TZ-`d-Co4i0. ak Will any second-hand or ungraded
' Number of Stories: • I lumber be used? ` If so, for what?
(habitable space or�,1y) ,�'U
Height (grade to r..dge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all ch applies)
to be installed:. JvoArC i Electric / it / Gas / Wood
Forced H r / Baseboard / Other
/ D T' t,..
Person responsible for superyvision of work as regards to building
codes is : KA- V i' If NE-5
Name Addresss _ Phone .-
Builder: i-<✓5f /( /'t,�4. i r wil,Te (7,-t�v�t EstArrs) ri_ t=,pt,.4,,i 7`%5- -i�2 c.7
Plumber:
Mason:
Electrician:
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 Occupancy'or 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: G ' / it,Li,,...
(owner, owner's agent, architect, contractor)
.tea ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBRY, WARREN COUNTY r f ;:
�� U 9000 HEATING DEGREE DAYS �'`
Comol i ar_ce Methods : PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
•
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings ( 3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION:
11oc Or ) G'
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 3 I / square feet
2 . Type of Heat - Electric ✓ Oi 1 Gas Other
3 . Is building mechanidallv cooled? Yes ✓ No
4 . Percentage of area of windows and doors Over 17% 1Se Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
S- OWN ON PLANS SUBMITTED:
a . Roof R
b . Exterior walls R Q
c . Glazed areas R
d . Exterior doors R
e . Floors over unheated spaces R
_ . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R
i . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heati c device/
Conforms to minimum efficiency per code 1 Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
?o ( gnat .=e Date Phone Number
_NS?EC=CR' S REMARKS :
°v
i
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: (
Building&Code Enforcement �
Dept.of Community Development Arrive am/pm Depart! '/ai
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury, 'New York 12804 /� }
NAME (�(&6-- PERMIT# f `+' °'"
LOCATION l . -'- Kr , DATE / 16 1 er 1
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Dir-. - t Location
Fresh Air Intake \
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36'
Exterior Handrails,balconies,lan.' . 18'I.or more
Interior Handrails stairs both sides 3 .r mor risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18" bove grade
Gas Furnace shu-off within 30 feet o . thin line of site
Oil Furnace shut-o i : .1 •. • . i : • area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs C--Y2 -T�.s�p -- )�
Basement stairs, c'" 71
6 ft.4 in. i�1 .
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrap•• 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 1: in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing / f/6US S -i,
Garage penetrations sealed
Furnace in separate room protected(in garage)
jilt ventilation per r
ety glazing 18"or fr floor
Mal Electrical (0 0 / C�� 1
Site PlanNariance u
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)_ /
Okay to issue permanent CIO(Certif.of Occupancy)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC0
Main Office 176 Doe Run Road-Manheim,PA 17545 `�
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 3
Panel Board^No �n�, Cert.. N2 70885 Cut-in Card No O
Owner /V /0(4111hlit- /'`.�41i �-
Location.//1 / /% sD-9 e— /"� • ,,. , G%u-" Lx
Installation Consisting of ..SW/ 7 ' ;..to f2t' -.t 7
Installed By le• LI Lf 4 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 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 makin pections at any time, and if its
rules are violated,the Company shall have the right to e ke i �cate
Date Y �l ( INSPECTOR
Member N.F.P.A.,I.A E.I.
Z 600 P.M s
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement • 05
Dept.of Community Development Arrive am/pm Depart' pi
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804 �
NAME Z �t M ) PERMIT# /OOC)-1q)
LOCATION
TYPE OF STRUCTURE (2_ .6 o Pt VC)
DATE
—A-—
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location .
Fresh Air Intake 4 /
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 6" >�
/t/
Exterior Handrails,balconies,1.:ding 18 in.or more
Interior Handrails stairs both si. 3 or more ri s
Grade 2%away from foundation
8"clearance to sill plate /1
Gas Valve shut-off exposed/regal tor 18"a ve grade
Gas Furnace shut-off within 30 f or wi • line of site
Oil Furnace shut-off at entrance to i: • f'
Furnace/Hot Water Heater operatin•
Relief Valve(s)installed ti'
Headroom,6 ft.6 in.o `�% 7,4) 1/1-t,L 2_6
Basement stairs,6 ft.4 in. ✓
Handrail exterior stairs both sides more . 3 risers
Interior privacy/trim/doors/main entrance ;6" ✓ /
Floor Finish Bathroom/Kitchen
✓
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. more ///
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected /�
Bathroom fans //
Plumbing fixtures �/
Foundation insulation
3/4 hour fire door/door closer 'I/
Garage fireproofmg ✓
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room 1/
Safety glazing 18"or less from floor /— J
Final Electrical 1/ /16 (� C'I i✓At_ L'L e-C- ` `/V 6 P< C
Site Plan/Variance required
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)_
Okay to issue permanent C/O(Certif.of Occupancy)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart\ltS an/pm
Inspector's Initials e• (/
NAME: ` PERMIT#
LOCATION: f DATE :
TYPE OF STRUCTURE: - ; 2-7
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
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 s. e
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval r
Plumbing Under Slab_
Plumbing Vent/Vents in Pl ce '�e
Rough Plumbing
Heating Rbngh-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors I R-
Walls R
Ceiling R-
Duct work or piping in
unheated spaces
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour 1._,CS C� � � ` O U vt
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping E V--\LC 0 b U L� You
V— tN4L ito‹;/06-cTo ,
GENERAL INSPECTION REPORT C?
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart am// m
Inspector's Initials�-rLL,
NAME: NOY Ci- -.a rt f Q PERMIT.:�� ‘DCD
LOCATION: `\ i\C�_�c� c G DATE : / 2,
TYPE OF STRUCTURE: fr`. ---
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 I
Monolithic Pour Form
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 t
Foundation/Wallpour
Reinforcement in Place f'
Foundation/Dampproofing ,
Backfill Approval ,
Plumbing Under Slab
Plumbing Vent/Vents in Place f f.
Rough PI Bing E�}
Heatin ough-In
I anon
Foundation Walls Inte ' r R- 1.
N.
Foundation Walls E rior R-
Flpors R-
Walls R- .
'Ceiling A i` R-
Duct work or pi ng in °
unheated s R-
Proper Vent,Atti Vent
Framing -
Jack Studs/H dens
BracingBrid •' g_
Joist Hangers
Jack Posts/Main Beam
Air infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
Devi°
GENERAL INSPECTION REPORT 3_ '
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: ' 6
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive WIam/pm Depart �pm
Inspector's Initials -/
NAME: 44!r&C PERMIT# !e Cf 3e)
,
LOCATION: eq ce DA 700 .
TYPE OF STRUCTURE: e-LNI47(
RECHECK 3 l 7 S e' .%4L ( C4 Z
N/A YES NO COMMENTS'
Footings/Piers I
Monolithic Pour Form
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
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab -'
Plumbing Vent/Vents in Place
Rough Plumbing
H Rough-In t/
ulatio NO I-- e
tion Walls Interior R /
Foundation Walls Exterior R- /
Floors R-
Walls R-
Ceiling R-/
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging,
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
I7j
1
GENERAL INSPECTION REPORT ,.-�` 'fib
( 518) 761-8256 1 _,A
Town of Queensbury --- Q,
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 't am/pm Depart j pm
Inspector's Initials'
NAME: 1\iM PERMIT#
LOCATION: l k, RRr RO • DATE: —J
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers r 1 I
Monolithic Pour Form
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
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
l' r Insulation
\_ .....Foundation Walls Interior R- 1
Foundation Wall5 Exterior R-
Floors o K T/i R- (Q
Walls A R. C - R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Ve t
Framing OK '?(7 cJAC
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam ,
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Pene 'on Sealed
F' all 2 3,4 hour
irestopping _
0 ni\ I/1)5 i):--
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road ''J
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initials
NAME(T(4 y(Y\CN.' ��`1 fYl' PERMIT# ,OOo —(0 30
LOCATION: \\\ V\ic)C' ( n DATE : 7 OO tc
TYPE OF STRUCTURE: ` r -r
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
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
Foundation/Dampproofing /
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place f`'
Ro Plumbing r'
i °'
Patine Rou n f
gh
nsulati N\k ;
Foundation Walls Interior R- /
bundation Walls Exterior R-//
• "Floors R- 't,C\ V
Walls 11,/
Ceiling e 3k- A.
Duct work or piping
unheated spaced R-
Pr..-r, Vent, Attic,Vent /
Jack`Studs/Headers ✓
Bracing/Bridging
Joist Dangers
Jack Posts/Main Beam
Aii`Infiltration Barrier
Fire Separation 1,2,3, hour
Penetration Sealed
ire Wall 2,3,4 hour 710
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TOWN OF QUEENSBURY — — —
BUILDING & Cp ES PT. garage remode11n „..,„,,_;,-!,
REVIEWED BY 1 v , ' rs ,,,ill
r_ g s � ,
DATE ? I . . r, i� 11i!
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