97-719 CERTIFICATE OF OCCUPANCY
TOWN OF ,QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 6 19 99
ci (
This is to certify that work requested to be done as shown by Permit No. 97719
has been completed.
RESIDENTIAL, ADDITION (KITCHEN EXTENSIO' )
• This structure may be occupied as a
340 GLEN LAKE RD.
Location
Owner BRENNEISEN, FRANK, SR. &
TAX MAP NO. 3 8 . -4-19 By Order Town Board
TOWN OF,QUEENSBURY
r G . +.
Director of Bldg. & Code Enforcement
BUILDING 'PERMIT
TOWN OF QUEENSBURY
VALUE $ 5000 No. '7719
TAX HAP NO. 38.—4-19 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to BRJIIBYRTSEW !RANK. SR. &
OWNER of property located at GLEN LAKE RD_ Street.Road or Ave.
in the Town of Oueensbury,To Construct or place a ss�sa t.s�so esara � ENS/ON
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
ADRIANA R.D. #1
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDERS Name
INGLEE JEFF
3. CONTRACTOR or BUILDERS Address
BOX 104 TUTHILL RD
QUEENSBURY,> NY 12804
4. ARCHITECT'S Name
COMMONWEALTH. ELECTRICAL AGENCY
5. ARCHITECTS Address
PO BOX 706
HAGUE"- NY-A . 1283E
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL .ADDITION .x
( )Wood Frame I I Masonry ( I Steel I I
7. PLANS and Specifications
35`44i yr---RESIDENTIAL,_ADDITION (KITCHEN EXTENSIONI.
8. Proposed Use
8
$ f PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
' a9'er -: ...,.mow+mie,-•.�+-.x k xsmw..^,_�.. 'n<ana,aas� '
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building a Zoning Inspector
Waterfront Residential 1 A & 3A zones
This worksheet must accompany all Building Permit
applications in WR-1A and WR-3A zones, except docks.
Revised regulations for these zones were finalized October 8, 1996 .
Section 179-16 of the Town of Queensbury Zoning Ordinance now
contains a provision which relates building size to lot size.
It is called a Floor Area Ratio. More information can be found in
the Zoning Ordinance. This worksheet will help you and the
Community Development staff determine whether your project complies
with the Floor Area Ratio provisions. Your figures may be compared
to those in the Assessment office.
LOT SIZE - , 0 ' 'c Acres x 43 ,560 (sf/acre) = `:f"4 :' sf lot size
X . 22 = sf allowed
forbldgs.
HOUSE
Main floor = f "gL' r\iG SQUARE FOOTAGE, TOTAL (Added
2nd floor = i 6- J, ' s.f. 10-7-1996 by L.L.No. 6-1996]
Lower level*= s.f. _
(1) The combined floor area of:
Porches covered, enclosed f� s. f. (a) All floors of the primary structure and covered
(not open decks) s.f. porches, including the basement when at least
s.f. three (3) feet in height of one (1) wall is exposed
and the space meets the requirements for living
space as described in Section 711 and 712 of the
Garage = ? > s.f.
Guest house or New York State Building Code.
apartment = s.f. (b) Detached storage buildings g_eater than one
s.f. hundred (100) square feet, and detached
garages.
.., Detached sheds = s .f.
(One shed s.f. (2) Excluded from "building square footage" are open
< 100s f s.'f decks, docks and that portion of covered docks which
is exempt) extend into the water and one (1) shed of one
Q hundred (100) square feet or less. Any additional
TOTAL Building sf `Q 2' e) 'J 1 sheds will be included.
Allowed Square footage (FAR) - (a)
minus Total Building SF 2 its b (b)
Equals Additional
Square Footage allowed 2 (c) 11
Proposed addition or new
structure square footage (d)
If (d) is greater than (c) , your plans need revision or you may
seek a variance from the Zoning Board of Appeals.
Office Us my
F.A.R. Oka
Not Okay
Reviewed By:
J
_/ h _ ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
1 9000 HEATING DEGREE DAYS
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:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 3 5 square feet
2 . Type of Heat - Electric )C Oil Gas Other
3 . Is building mechanically cooled? Yes X No
4 . Percentage of area of windows and doors Over 17% XC Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R
b. Exterior walls R
c . Glazed areas R
d. Exterior doors R
e . Floors over unheated spaces R /7
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R Q.k
h. Basement/cellar walls (below grade) R
i . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Applic nt' s Signature Date Phone Number
3/$-
I SP CTOR' S REMARKS :
• .uuttai g I'ern'tlt Application
.�OI'p11 of QIIC'CIiSblll' - Dept. a Cuuurrunit
__,4 y I f y Development, 742 Bay Road, Qneen.rbary, NI' 12804 /761-8256J
BUILDING & CODE ENFORCEMENT
NOTICE Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO.C\.-- 711
beginning construction. No inspections
will be made until applicant has received [1 Zoning Board Action PERMIT FEE PAID$ �--7
n VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE PAID$
M UST be completed mid.the signature
of the applicant must appear on the 1
n Planning Board Action REVIEWED BY:
`pplication form. ra,,.t,,„,• SP)i / Subdivision /Oilier Building Imprint.
J Recreation Fee Payment J
Applicant: 97<-cf al 4.-_, wner: /-4
' Address: /ex /o e/ .-cla-// ,ifaC Address: AO '/-, lr., a,o —
Phone # (�/`�) 7 a - o -- (/ Phone 775, 1 hone # ( `75,1 2
,7,3_ . / -i
Properly Location: /t,, 4,/*^ �.241- "��"v
NuliiIIvinlun NiillI l Inn Mnp Niiniht�r . _.J
Htaullun Mink I1►I
•NATURE or PROPOSED WORK:
New Building: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ ��. °
residence / commercial
Addition to Building:
esidence / commercial OCCUPANCY INFORMATION:
Altera - bn to Building: Primary Building
residence / commercial Single Family .Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dre.J410997
Other Work (describe below) Office
���` Mercantiie. .
yN /' en Are .c,w4// 1;,7•4.,, Manufacturing '
Other
GROSS AREA OF PROPOSED STRUCTURE: •
1st Floor 35 sq. ft . If ADDITION, what will use
2nd .Floor ^-- s ft. of new addition be? :
Other Floors — sq. ft. k' eLirh Pxs4ti4.
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
R Detached Garage 1, 2 car
TOTAL FLOOR AREA: " 4. . SQ. FT. - Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: T-- Commercial Storage Building
5�Y ` Other
FEET X "// : FEET
•
Foundation Type: �,-{q/-4 i/0cit5 Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?J/
( habitable space only) /Y o
Height (grade to ridge) : 02 feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or wood stove (circle all ' ch appli s)
to be installed: Q Electric / Oil / Gas /Mood
Forced Hot Air / Baseboard / Other
Person responssiib�l(e for supervision o^ff work as regards to building
codes is : N' f4 , by/f-C /t[0,14 e,,Ks`7,,i,.,� ,`Vfc-, C/.e rw4^^�s-��, zee/Xi/Zit;cPcd,,,r. 7...?e,7,
_ Name ddrl/sss vPhone
Blimder. lt f/r . / ?clo��I ti V snow ( p -�'-
•
Mason: b
Electrician: 1 f, ' f�y,,1
DECLARATION: Please sign below after you have careftdly 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 I/we 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: ��
ner o ner's gent, architect, contractor)
COMMONWEALTH ELECTRICAL INSPECTION SERVICEjIC�, 47
Main Office 176 Doe Run Road-Manheim,PA 17545 (1_//�
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
'anel Board No Cert. N° 6�4,,8l6 9 Cut-in Card No.
)caner r_ , /3 _41� / SCA
,ocation G Gear&ear L if k- AO - ace',
istall ion Consisting of 5. t/ re / of /2" 5 o1 ! TL;"�
D1GU j Filv&J.
Zstalled By 7....,vr iv6.C 4` Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
sncelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
Itroduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of mak'.• spections at any time, and if its
des are violated,the Company shall have the right t oke •.. lea
`" .( /�j
late...7U INSPECTOR... dr
Member N.F.P.A.,I.A E.I.
RESIDENTIAL.FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received: a U6 11 /1\00
Building& Code Enforcement
Dept of Community Development Arrive epart
Town of Queensbury spector's Initials
742 Bay Road
Queensbury,New York 12804
NAME � ) PERMIT#
LOCATION DATE
TYPE OF STRUCTURE .yvs Irr\
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof _ ✓/Roof Complete Y
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Han* .ils,balconies, . an: 8 in. or more
Interior Han* :ifs stairs both .ides 3 or ore risers
Grade 2%awa from fount tion
8"clearance to ''11 plate
Gas Valve shut-o ex t t i t regulator :"above grade
Gas Furnace shut-o • 30 feet o.within line of site
Oil Furnace shut-off. en* .1 =: . •ce area
Furnace/Hot Water .ter operating
Relief Valve(s)ins , led
Headroom,6 ft. 6 . on stairs
Basement stairs, r, ft.4 in.
Handrail exterio stairs both sides more than 3 risers
Interior privacy doors/main entrance 36"
Floor Finish ✓/
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 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
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
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)
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRP'2( DEPART INT / 7
REQUEST FO INSPECTION RECEIVED: l!
NAME �S/h1��1 Y\� C'NA.
LOCATION 3 L , G 1 e/\ LovK.e. 1
1
DATE 1 J r �lr; PERMIT A 7-7/
jp
TYPE OF STRUCTURE: Ea�S t ��1 GYM
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLIT C OUR FIRM _
REINFOR EM N 'LAC.
THE CONTRACTOR IS • --PON ISLE FOR
PROVIDING PROTE T • ' FRO FREEZING
FOR 48 HOURS FOLLO ING HE PLACE-
MENT OF THE CONC' .' .
MATERIALS FOR T S PURPOSE ON SITE
FOUNDATION WA POUR __
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
UGH 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-
ç '\\Jy\ (518)761-8256
kiry\
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT All
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR\625-DEPART)EgabIA,
REQUEST 0R INSPECTION RECEIVED: / / rI
NAME (,
LOCATION 79 0
DATE _- "ci PERMIT A 97-'7 l
TYPE OF STRUCTURE: ) V(fY
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO _
REINFORCEMENT IN PL CE
THE CONTRACTOR IS RE NSIBLE FOR r
PROVIDING PROTE TION ROM FREEZIt1O
FOR 48 HOURS FOLLOWI d THE PLACES
MEET OF THE CONCRETE.
MATERIALS FOR THIS URPOSE SITE,_
FOUNDATION/WALL R
REINFORCEMENT IN PLACE _.
FOUNDATION/DAMPPROOFING / Ci
BACKFILL APPROVAL
VO4/
PLUMBING VENT/VENTS IN PLACE -�
ROUGH PLUMBING �Z
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS _
BRACING/BRIDGING
JOIST HANGERS _
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER _
HE ING ROUGH-IN
NS LA O :
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-41
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
W -
1
I',�' (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT r�J
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRl6. DEPART
Y -7
REQUEST OR INSPECTION RECEIVED: 4 4,
NAME AL
S. !, ,tiv
LOCATION - V%42 ---
DATE aq-/7 PERMIT I f - � /
TYPE OF STRUCTURE: 6 (:1(n,:,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT 'I1 PLACE
THE CONTRACTOR IS RESPO SiBLE FOR
PROVIDING PROTE TION FR M 1fREEZING
FOR 48 HOURS FOLLOWING HEPLACE-
MENT OF THE CONCRETE. i t
MATERIALS FOR THIS PU•P.SEION SITEINF
_FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
SACKFUL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
ING _
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-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 11"�
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR T)DEPART 4) I %' -
REQUEST FOR INSPECTION RECEIVED:
,
NAME 9)EPE.1.�IF1
LOCATION `*F-t•: t Vrr_ P,O
DATE 1-7_'"-219'C1-7 PERMIT t ! -7' f
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TI N FROM FR
FOR 48 HOURS FOLLO G THE LACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PU 0 ON SITE
FOUNDATION/WALLPOU _
REINFORCEMENT I PLACE
FOUNDATION/DAMPPROOFING
iACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: C3 _
JACK STUD /HEADERS Y
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-
Rod, :0PW
(518) 761-8256
TOWN OF QUEENSBURY0110
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 •�
INSPECTOR'S REPORT: ARR). DEPART ' IN
1P-c
REQUEST FIT INSPECTION" RECEIVED:
.,�o NAME ',/V/4P/S7-;4//
LOCATION £i&t tlez ' `�
DATE TRU 2— PERMIT I 7/1 7'//7
TYPE OF CTURE:
RECHECK APPROVE
�� ,/ N/A YE NO
' FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS - *S+ON 'BLE FOR
PROVIDING PROTE TIO 'ROM REEZING
FOR 48 HOURS FOLLONI THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PUR•'SE 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-
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