95-685 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 15 9 96
This is to certify that work requested to be done as shown by Permit No. 95685
1
has been completed.
RESIDENTIAL ADDITION (DINING & BEDROOM
This structure may be occupied as a
REARDON RD.
Location
Owner ELLENWOOD, PATRICIA K. P.
TAX t1At' NO . 5 , 3-13 By Order Town Board
TOWN OF QUEENSBURY
1emo
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 18500 TOWN OF QUEENSBURY No 95685
TAX MAP NO. 45. -3-13
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
ELLENWOOD. PATRICIA K. P.
REARDON RD.
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a RESIDENTIAL ADDITION (DINING & BEDROOM)
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
REARDON ROAD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
HILLTOP CONSTRUCTION
3. CONTRACTOR or BUILDER'S Address
234 QUEENSBURY AVENUE
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
NYB
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ADDITION
( )Wood Frame ( 1 Masonry ( 1 Steel ( )
7. PLANS and Specifications
288 Stp-FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATION
8. Proposed Use
RESIDENTIAL ADDITION (DINING & BEDROOM)
$ 24 PERMIT FEE PAID —THIS PERMIT EXPIRES December 27 19 97
(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.)
Dated at the Town of Queensbury this 27 Day of December 19 95
SIGNED BY for the Town of Queensbury
Building and ►.ing Inspector
TOWN OF QUEENSBURY ,, MO REVIEWED BY: \KSC"--
COMMUNITY DEVELOPMENT DEPARTMENT
;$11 *
BUILDING & CODE ENFORCEMENT FEE PAID: C9 Li , Q- 2-
531 BAY ROAD 95 -lD
QUEENSBURY, NEW YORK 12804 PERMIT NO.
(518) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form.
OWNER OF PROPERTY: Mrs . Pat Ellenwood
Mailing Address : 121 Consaual Road Albany, NY 12205
Telephone Number(s ) : Work 234-1104 Home 869-0134 Other 793_1361
PROPERTY LOCATION: Reardon 6)4 ) �
Tax Map Number: Section "1S Block 3 Lot
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ 18 , 500
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
x ADDITION TO BUILDING: PRIMARY BUILDING -
/RETIDENC /COMMERCIAL x 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 SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR 288 SQ. FT. dining and bedroom
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One/Two Car
TOTAL FLOOR AREA: 288 SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other '•eve
12 FEET X 24 FEET
Foundation Type: concrete - full Will any second-hand or ungraded
Number of Stories : 1 lumber be used? If so, for what?
(habitable space only) no _
Height (grade to ridge) : 16 feet Type of Heating System: -or -
Number of fireplaces and/or woodstove (circle all which applies) (u`'mi erL
to be installed: 0 Electric / Oil / Gas / Wood Rothe
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
Tom Albrecht
NAME OF BUILDER/ADDRESS/PHONE: Hilltop 509 Queensbiiry Ave_ 798-0338
NAME OF PLUMBER/ADDRESS/PHONE:
NAME OF MASON/ADDRESS/PHONE:
NAME OF ELECTRICAN/ADDRESS/PHONE:
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 oject o pjrnemisest
Signature (,.(Ailf�
(Owner, owner's a nt, architect, 'contractor)
FCR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
C75C &><:1)-
ENERGY CODE COMPLIANCE APPLICATION
NOW TOWN OF QUEENSBURY, WARREN COUNTY
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:
Hilltop Construction Ellenwood - Glen Lake
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 288 square feet
2 . Type of Heat - Electric Oil Gas fi Other c14exnr,R_
3 . Is building mechanically cooled? Yes x No
4 . Percentage of area of windows and doors Over 17% X Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R--VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 30
b. Exterior walls R. /9
c. Glazed areas R d. Exterior doors R
e. Floors over unheated spaces R /q
f. Edge of slab on grade (heated building) R .ate
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 heating device
Conforms to minimum efficiency per code Yes No
e$+ fl&-
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
App ca-nt ' s i na ure Date Phone Number
(--YikayM, AV- - c1,3— /-745T"-o, 3 P.
INSPECTOR' S REMARKS :
�� TOWN OF QUEENSBURY
41"!� BUILDING & CODE ENFORCEMENT
Largo
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: (")-CU DEPART: a INSP
FINAL INSPECTION REPORT - RESIDE I
DATE INSPECTION REQUEST RECE VED:, (//7
�
NAME 6511 C -1,(-
LOCATION
DATE 7 E IT M j r'
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OP TI G
INTERIOR TRIM/PR fACY DOO'S
FINISH FLOG' .
BATH'(ITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING r
DOOR CLOSERS
FINAL ELECTRICAL 44/
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
Nki
OK TO ISSUE C/O OR C/C
ELECTRICAL INSPECTIONS j�'
DUPUCATE MUNICIPAL RECORD / J,
Permit No. ® �
Owner (�C�f//7sfiL!x/ r ie,ybi,(✓- I
Lc
Occupant S a
Location ON Ceect_(JZ1w v�
street
Town or City State
Installation as itemized on reverse side S been visually inspeectteefd nt to applicable codes.
Installed by ' 2 a4 �6���/�irZGfie lr 4
it_r_A____
NoDate M —76 Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.111 EL.
ROUGH WIRING OUTLET H.P.AIR CONDITIONER
/l7 GLLitLTS—S WIRING &CONTROLS FOR BURNER
tiffRECEPTACLES / I PP-PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W.n�WWAC DRYER
K.W. RANGE /'-Z� AMP. W���.A.[�w_RECEPTACLE
/ JWr L WATER HEATER 9' FRAC.777J H.P.VENT FANS
I— 7.6-0 aattrf r' / /. s� w a- /ILe-r'
3 JOoa W/ fee
ROTORS H.P. 1/20 1/12 1/10% % 14 Ih Ih % 1 1/ 2 3 5 7/ 10 15 20 25 30 40 50 75 IC
4ARK NUMBER
,F EACH SIZE
\PPARATUS /— 26) -4-ut
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/QP fO NOF QUEENSBURY
.0t1,4 l BUILDING & CODE ENFORCEMENT
• 742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: V}A DEPART: AL.)135INSP.
FINAL INSPECTION REPORT - RESIDE ILL G�
DATF4NSPECTION 77EST R
JECEIVED
:
/ /6,
NAME `�l`1 '!1//i34)CJC l - 7
LOCATI / ff++''
DATE a 43 PERMIT ) 9�62,Y.
TYPE OF STR CTU ` i^01•-,,.. g en.)/h 410
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTI INSULA ION
FINAL ELECTRICAL WO DSTOVE OR F 'EPLACE
/ YES NO
CHIMNEY HEIGHT/B VENT/IEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH /
DECK/PORCH/STEPS/RAILI S v/
RELIEF VALVES
FURNACE/HOT WATER OPERA INe
INTERIOR TRIM/PRIVACY DSO,'
FINISH FLOORS: chi,. \ Y
BATH/KITCHEN WATERTI'-+ "
OTHER FLOORS SWEEP. :LE
OTHER FLOORS CARP: ED
STAIR CLEARANCE/RA LINGS �
SMOKE DETECTORS
BATHROOM FANS `* ►
PLUMBING F 1 ,VLE /I
FOUNDATION I SULATION , / �//
GARAGE FIR PROOFING �/
DOOR CLOSE'S
FIN
AL ELECTRICAL �l
SITE PLAN/VARIANCE REQ. \)(//:(
FINAL SURVEY PLOT PLAN
OK TO ISSUE C 0 R 2
1-211
TOWN OF QUEENSBURY 413'
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 ';,'.r
' LA
INSPECTOR'S REPORT: ARR/G DEPAR ��I T�+
REQUEST OR NSPECTION��jj ECEIVE :
NAME if -- T e1t.--)7.:.sb -
LOCATION r'
DATE �� /2 PERMIT A (,e,
TYPE OF STRUCTU E: C g1-.
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TI• FROM FREEZING
FOR 48 HOURS FOLLO NG THE PLACE-
MENT OF THE CONCRET .
MATERIALS FOR THIS 'URPOSy ON SITE
FOUNDATION WALLPOUR-
REINFORCEMENT IN PLW'
FOUNDATION/DAMPPRO.4ING _
BACKFILL APPROVAI
PLUMBING VENT ` IN PLACE
ROUGH PLUM:
PLUMBINe UNDER SLA.
G:
JACK STUD•LHEADERS
BRACING B'IDGING
JOIST HA ERS
JACK POS S/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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krt\► S VAA)5
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
r l�
INSPECTOR'S REPORT: ARR� t)DEPART' IN C
REQUEST F R INSPECTION CEIVED:,
NAME """
LOCATION (')N
DATE 1 PERMIT #
TYPE OF S RUCT RE: V.. ^
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR IS PURPOSE ON SITE,
FOUNDATION WALL'OUR
REINFORCEMENT IN\PLACE
S
FOUNDATION DAMPP•tsOFI' G
BACKFILL APPROVAL
PLUMBING VENT VEN ! IN PLACE '
ROUGH PLUMBING
PLUMBING UNDE' SLAB
FRAMING:
JA' STUDS H: DERS
B' 'CING/BRID {NG
JOIST HANGERS,
JACK POSTS MAk BEAM
AI' INFILTRATION BARRIER
HEATING ROUGH—IN
j,1,SULATION:
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS R_
CEILING R— _•
DUCT WORK OR PIPING IN
UNHEATED SPACES R—
e GAGA1 lit) hiK6
- -
MF
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRIA IDEPAR ill '. %.-
REQUEST FOR INSPECTION RECEIVED:
NAME -
LOCATION A 01�j 'Ot D
DATE , I,QI +(U PERMIT # W
TYPE OF STRUCTURE: PlE) • NOW%00
RECHECK APPROVED _
N/A YES ,_NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM i'REEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SIT
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
4'OUNDATION/DAMPPROOFING
OACKFILL APPROVAL _
PLUMBING VENT/VENTS IN P 'CE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM w
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- 1
FLOORS R- 1
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
L .
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 d
INSPECTOR'S REPORT: ARR%;2 4: DEPART 723 INT
'
REQUEST FOR I SP ION RECEIVE : /
NAME
LOCATION .DATE PERMIT N `77)
TYPE OF S UCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBI4 FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. J/
r
MATERIALS FOR THIS PUFPOSE ON SITE
i FOUNDATION/WALLPOUR''
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDSLHEADERS
BRACING/BRIDGING �-
JOI3T 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-
i
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD. , QUEENSBURY NY 12804 � ' +•
L/
INSPECTOR'S REPORT: ARR Y'i` DEPART 'W INT,TY✓
REQUEST FOR INSPECTION RECEIVE
NAME _ //j4Lq,ICi•
LOCATION el9 (� Q
DATE /'0 P �r` PERMIT # 2J 6
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POU FORM
REINFORCEMENT N PLACE
THE CONTRACTOR S RESPO SIBLE FOR
PROVIDING PROTECtTION F OM FREEZING
FOR 48 HOURS FOIII,OWIN THE PLACE-
MENT OF THE CONC ETE.
MATERIALS FOR THIS P RPOSE ON SITE
FOUNDATION/WALLPOt
REINFORCEMENT INACE
FOUNDATION/DAMP7ROgFING
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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12,fr,
9'a) /9-h
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR43 JCS DEPART ''C' NT./ I"
REQUEST FOR INSPECTION/ RECEIVED: // 7J
NAMEl levf.�,� UUC3, Ci Cf -
LOCATION /.,ih
DATE / P RMIT # a�
TYPE OF STRU'TUR : 5,4 -''
.
RECHECK APPROVED
N/A YES NO
//
,� OTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IStRESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZI /
FOR 48 HOURS FOLLOWING THE PLA -
MENT OF THE CONCREIF.
MATERIALS FOR THIS 1iURPOS5/ON SITE
FOUNDATION/WALLPOUR /
REINFORCEMENT IN PLA9i
FOUNDATION/DAMPPRpOFING
BACKFILL APPROVAL
PLUMBING VE ,Ie VENTS IN PLACE
ROUGH PLU ING
PLUMB G 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-
4
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12/27/1995 11 : 10 FROM HILLTOP CONSTRUCTION CO TO 7454437 P.02
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SHFFT NO. OF
Queensbury,NY 12804 CAL(ajuATEO DY DATE
49 Queensbury Ave.
(518)798-0338 FAX(518) 798-3197 CHgcKFO BY, ... DATE
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