94-364 •
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date /' /7 19 _L
This is to certify that work requested to be done as shown by Permit No. 9 4—3 6 4
has been completed.
This structure may be occupied as a single family dwelling
Ridge Road
Location
Lisa Graves
Owner
10 9—3—21 .10 By Order Town Board
TOWN OF QUEENSBURY
( 2r
Director of Bldg. do Code Enforcement
BUILDING PERMIT
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TOWN OF QUEENSBURY No. 94-364
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to LISA GRAVES
OWNER of property located at Ridge Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Single Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
12 Katherine St
Glens Falls NY 12801
0
2. CONTRACTOR or BUILDER'S Name
Rollin Graves Excavating
3. CONTRACTOR or BUILDER'S Address
P0 Box 454 w
Iv
Fort Ann NY 12827
4. ARCHITECT'S Name
5. ARCHITECT'S Address
H-
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6. TYPE of Construction—(Please indicate by X)
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( Wood Frame ( 1 Masonry ( 1 Steel ( )
7. PLANS and Specifications
28 ' x 32 ' Two Story, Single Family Dwelling as per plot
No
' plan, specifications and application.
8. Proposed Use En
Single Family Dwelling
fD
$ 158 .00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 18 19 95
(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.)
C7
Dated at the Town of Queensbury this Day of 19 9 4
SIGNED BY for the Town of Queensbury
Building and Zoning ctor
A
TOWN OF QUEENSBURY REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT 44112 1
BUILDING & CODE ENFORCEMENT FEE PAID: 4)74/ -
531 BAY ROAD ,/
QUEENSBURY, NEW YORK 12804 PERMIT NO. 6'4 3(%'T
(518) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. / NO IN ECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PLAIT.
All applicants ' spaces on this application MUST be con1pletedjlnf the
signature of the applicant MUST appear on the application .•
Tented
,Q:vtr or
OWNER OF PROPERTY: ,Li SA (-et_ (*'S 81e ef1sbury
Mailing Address : / L /- er,,2 e- S i'/exc /(s
Dept
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Telephone Number(s) : Work /93- 33S Home c a, =- =`Z9zfs
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PROPERTY LOCATION: - 2 .�not`` _
�Uct 3' 21.1U �°d(���� �f
Tax Map Number: Section / /09 Block _ Lot 21 ./d
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ ( 000
atENE DING:
SIDENCE /COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL ;/ Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR 896 SQ. FT. /Deb
.5° IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR L/SP SQ. FT. '
OTHER FLOORS r SQ. FT. l �_
(not unfinished cellar or basement) ACCESSORY BUILDINGS: „
Detached Garage - One/Two Car
TOTAL FLOOR AREA: 13n , SQ. F . Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
243 FEET X 37, FEET
/ d c' f'.rzier�
Foundation Type: 41,u�E0 CONCIre Will any second-hand or ungraded
Number of Stories: v02 lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : A4' feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which plies) '
to be installed: 0 Elects-Ix—I Oil / Ga / Wood
(forced Hot Air)/ aseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NAME OF BUILDER/ADDRESS/PHONE: Rohm/ LAwES cIwmni ?0.(ex + ,5Si FT,14JN b35-91//6
NAME OF PLUMBER/ADDRESS/PHONE:
NAME OF MASON/ADDRESS/PHONE: y //
NAME OF ELECTRICAN/ADDRESS/PHONE: , h
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of ppgjcct os .
Signature
(Owner, owner' s agent, architect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
ENERGY CODE COMPLIANCE APPLICATION
Cjj TOWN OF QUEENSBURY, WARREN COUNTY /� 94-1.. ! {
I 9000 HEATING DEGREE DAYS ?0e/vOOr
- �c�F�airv.of
J J
Compliance 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:
�.,i511 &RAJE S
qo R6/1,4 ( 4. 5 I`_:XC'WATin)6 .333 (,06( ;ST. QUU( FN;Xur9)
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - J376, square feet
2 . Type of Heat - Electric Oil / Gas Other
3 . Is building mechanically cooled? Yes t/ No
4 . Percentage of area of windows and doors Over 17% ✓Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 38
b. Exterior walls R /9
c . Glazed areas R
d. Exterior doors Q R -
e. Floors over unheated spaces R
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R //
h. Basement/cellar walls (below grade) R /I
i . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code r/ Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Ap is nt's gnature Date Phone Number
C (1f 6 ;23-9y 139- yya�
INSPECTOR' S REMARKS:
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: CV.`5 DEPART: -\ •2..Fj INSP ' a '
FINAL INSPECTION REPORT - RESIDE AL
DATE INSPECTION r'„'"t REQUEST
RECEIVED: 4 1C)'/7/qc/
NAME L 4 L� a ra
LOCATION I% Q C ,e led
_LOP?c 1/? ( PERMIT # 9cz 14
TYPE OF STRUCTURE
OOTINGS FOUNDATION _ BACKFILL FRAMING
'OUCH{ PLUMBING SEPTIC INSULATION
' INAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CH NEY HEIGHT/B VENT/HEIGHT V
PLUMING VENT I"
• ROOFI
ki/EXTERIO FINISH V
DECK/PORCI STEPS/RAILINGS
4 RELIEF VALV:
FURNACE/HOT W ER OPERATINN
INTERIOR TRIM/P' VACY DO''S v//
FINISH FLOORS: /�
BATH/KITCHEN WATE•' ''•HT
OTHER FLOORS SWEEP-`B►
OTHER FLOORS CARD TED
STAIR CLEARANCE/• ILINGS ✓/
SMOKE DETECTORS ✓l
BATHROOM FANS ✓
PLUMBING FIXT RES ,/
FOUNDATION •SULATION
GARAGE FIR' PROOFING
DOOR CLO RS
FINAL E CTRICAL
SITE P AN/VARIANCE REQ.
FINA SURVEY PLOT PLAN
OK '• ISSUE C/O OR C/C
1
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 1,—.t6Q (4003N.E5
LOCATION F.cDP,0
DATE g i b►: PERMIT # 6 Lk DIA
TYPE OF STRUCT 'E ��p
RECHECK \ utir, APPROVED
1 N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FOR
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPc SIBLE
FOR PROVIDING PROTECTIO' FROM
FREEZING FOR 48 HOURS FOL OWI G
THE PLACEMENT OF THE CONC'
MATERIALS FOR THIS PURPOSE so SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH—IN
►INSULATION:
FOUNDATION WALLS IN ERIOR R—
FOUNDATION WALLS E ERIOR R—
FLOORS R—
WALLS R— C _
CEILING R_ k
DUCT WORK OR PIPI G IN UNHEA
SPACES
REMARKS: I
OVii T c_= T
ARRIVE 17, • g
DEPART 3 4)15
INSPECT R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
EQUEST FOR INSPECCTION RECEIVED q _j 3 1314
AME P 5
OCATION A i l�(uL t4
ATE q)igjgy PERMIT # Ciy -30/
YPE OF STRUCTURE _D{d
ECHECK , 'PROVED
N/. YES NO
OOTI S/PIERS •
ONOLI IC POUR FORM
EINFORt MENT IN PLACE
HE CI CTOR IS RESPONSIBLE
OR PROVI► NG PROTECTION FROM
REEZING Fr 48 HOURS FOLLOWING
HE PLACEME ' OF THE CONCRETE.
ATERIALS FOR THIS PURPOSE ON S TE
OUNDATION/WALL POUR
EINFORCEMENT I PLACE
OUNDATION/DAMPRO6 ING
ACKFILL APPROVAL
OUGH PLUMBING
LUMBING VENT/VENTS I PLA E
LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEA,
NSU H-IN
FOUNDATION WALLS NTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR 'IPING IN UNHEATED
SPACES
EMARKS:
;RIVE \ \ "
PART \ _ \►5
INSPECT
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
:QUEST FOR INSPECTION RECEIVED // /S (
IME ( e tr-CJ r S
(CATION , c1b `,J
LIE 6l11 15 PERMMIT
'PE OF ST CTURE
:CHECK tk w APPROVED
N/A YES NO
IOTINGS/PIERS 0 --
INOLITHIC POUR FO'
:INFORCEMENT IN P AC
IE CONTRACTOR IS 'ESPONSIBLE
IR PROVIDING PROT:CTION FROM
tEEZING FOR 48 HI RS FOLLOW 6
IE PLACEMENT OF T E CONCRE
ITERIALS FOR THIS 'URPOSE IN SITE
IUNDATION/WALL PO '
:INFORCEMENT IN PLACE
IUNDATION/DAMPROOF NG
XKFILL APPROVAL
)UGH PLUMBING
.UMBING VENT/VENTS N PLACE
.UMBING UNDER SLAB
LAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN :EAM
1TING ROUGH-IN
ISULATION:
FOUNDATION WA S INTERIOR '-
FOUNDATION ' LS EXTERIOR R
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
:MARKS:
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PART \Q .3 /` •
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
EQUEST FOR INSPECTION RECEIVED 5) - /a- 9 y
AME ecA R VeS /r ,g
OCAT I ON �, d 9 e, /�d•ATE 9/3/9 r PERMIT 1 !q
Y` .3 6
YPE OF STRUCTURE ci/14J/e )cm, /y 64,e,I/r, (/
ECHECK APPROVED
N/A YES NO
DOTINGS/PIERS
DNOLITHIC POUR FOR
EINFORCEMENT IN PLATE
HE CONTRACTOR IS RE 'ONSIBLE
DR PROVIDING PROTECT ON FROM
REEZING FOR 48 HOURS OLLOWING
HE PLACEMENT OF THE C'NCRETE.
4TERIALS FOR THIS PUR'OSE ON SI
DUNDATION/WALL POUR
EINFORCEMENT IN PLACE
DUNDATION/DAMPROOFING
4CKFILL APPROVAL
DUGH PLUMBING
LUMBING VENT/VENTS IN P ,'CE
LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN B'AM
EATING ROUGH-IN
NSULATION:
'FOUNDATION WAL S INTERIOR R-
FOUNDATION WA LS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS:
13 k READ' '-AfDJLE
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tRIVE '(}' 1 U
_PART \0
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OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
:QUEST FOR INSPECTION RECEIVED 9I/Q/qy
IME ;L) YA.0./..444.)
)CATION 3 3/ '/a k*d
ITE 9f/ .J 9 y PERMIT S Q y 36
PE OF STRU TURE /i..e./ • ;•
:CHECK / APPROVED
N/A YES NO
)OTINGS/PIER'
1NOLITHIC PO • FORM
:INFORCEMENT IN PLACE
IE CONTRACTOR IS RESPONSIBLE
)R PROVIDING .ROTECTION FRI
tEEZING FOR HOURS FOLLO ING
IE PLACEMENT 0 THE CONCR. E.
ITERIALS FOR T S PURPOS ON SITE
)UNDATION/WALL OUR
:INFORCEMENT IN 'LACE
)UNDATION/DAMPRO FING
ICKFILL APPROVAL
)UGH PLUMBING -)fF- OuCF
.UMBING VENT/VENTS I PLACE 1 r.
.UMBING UNDER SLAB
LAMING: //
JACK STUDS/HEADE'S
BRACING/BRIDGIN
JOIST HANGERS
JACK POSTS/MAT, BEAM
EATING ROUGH-I
ISULATION: A
FOUNDATION W'LLS LNT 0$�Jk.t.RZ.
FOUNDATION .LLS EXT ''III R-
FLOORS R
WALLS '
CEILING / / , ,1Y\
DUCT WORK iR I N EP
SPACES •
:MARKS:
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
:QUEST FOR INSPECTION RECEIVED q 7 9 K
VIE am S G 6revz q
(CATION 3 3/ 1. i f'c /
' 4° ii -3‘0,
ITE „fig PERMIT #
'PE OF S 'UCTURE _ram I
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:CHECK APPROVED
N/A YES
RITINGS/PIERS Qc,QsAki
INOLITHIC POUR IRM
:INFORCEMENT IN ' ACE
IE CONTRACTOR IS • SPONSIBLE
IR PROVIDING PROTEC ION FROM
tEEZING FOR 48 HOURS FOLLOWING
IE PLACEMENT OF THE 'NCRETE.
1TERIALS FOR THIS PUR''SE ON SITE
IUNDATION/WALL POUR
:INFORCEMENT IN PLACE
IUNDATION/DAMPROOFING
iCKFILL APPROVAL
)UGH PLUMBING
.UMBING VENT/VENTS IN PLAC
.UMBING UNDER SLAB
tAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
EATING ROUGH-IN
ISULATION:
FOUNDATION WALLS INTERIO' R-
FOUNDATION WALLS EXTERII ' R-
FLOORS R-
WALLS R- _
CEILING R-
DUCT WORK OR PIPING I UNHEATED
SPACES
:MARKS:
(RIVE VY--2j0 /
:PART \0. L
INSPEC
TOWN OF a,UEENSBURY 6;1_
BUILDING AND CODES DEPARTMENT 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED .S/<t/Ci t(
NAME `�l` �'?�t rf--J
LOCATION L._edfre( (,. 1
DATE j � �� PERMIT qV- , ,
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
MONOITHCIPOU
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/WALL POUR -
REINFORCEMENT IN PLACE 1111111111
,FOUNDATION/DAMPROo ING `I//
>'BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE _ I
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS T
BRACING/BRIDGING
JOIST HANGERS /
JACK POSTS/MAIN BEAM I h
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTER' ( R-_
FOUNDATION WALLS EXTER R-
FLOORS `,R- R
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE Z. C
DEPART Z t�
NSPECTOR
TOWN OF QUEENSBURY ,Q
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BUILDING AND CODES DEPARTMENT �✓
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
EQUEST FOR INSPECTION RECEIVED 7/ ..SA/
AME / �J411---/
OCATION /'9 .
ATE 04W;V PERMIT #
YPE OF STRUCTURE (15 .0
ECHECK APPROVED
N/A YES NO
OOTINGS/PIERS
ONOLITHIC POUR FORM
EINFORCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE
OR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE.
ATERIALS FOR THIS PURPOSE ON SITE
OUNDATION/WALL POUR
EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING
ACKFILL APPROVAL
OUGH PLUMBING
LUMBING VENT/VENTS IN PLACE
LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
EATING ROUGH-IN
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS:
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