99-333 '` TOWN OF QUEENSBURY
woo742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: 99333 Date Issued: Friday, June 08, 2001
This is to certify that work requested to be done as shown by Permit Number 99333
has been completed.
Tax Map Number: 523400-006-000-0001-003-000-0000
Location: 95 ASSEMBLY PT. Rd
Owner: ROBERT & JOAN ANDERSON
Applicant: ANDERSON, ROBERT & JOAN
This structure may be occupied as a:
By Order of Town Board
Unknown TOWN OF QUEENSBURY
Director of Building&Code Enforcement
1
BUILDING PERMIT
VALUE $ 10000 TOWN OF QUEENSBURY No. 99333
TAX MAP NO. 6. -1-3 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to ANDERSON, ROBERT & JOAN
OWNER of property located at 95 ASSEMBLY PT. RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a RESIDENTIAL ALTERATION
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
TUMOLO, JEAN 29B PATTERSON DR.
GLENMONT, NY 12077 2945
2. CONTRACTOR or BUILDER'S Name
LOGAN, BRUCE
3. CONTRACTOR or BUILDER'S Address
117 ASSEMBLEY PT RD
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX 706
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ALTERATIONS
( )Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
440 ISQ FT RESIDENTIAL ALTERATION AS PER APPLICATION
8. Proposed Use
RESIDENTIAL ALTERATION
16 June 15 2001
$ 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 Queensbury before the expiration date.)
15 June 1999
Dated at the Town of Queensbury t ay of 19
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
Building Permit Application
ofTownuse Q nsbuly - Dept. c f Community Development, 742 flay Road, Qneensbtuy, NY 12804 /761-8256/
BUILDING tt . CODE ENFORCEMENT
NOTICE
r-- Requirements prior to issuance
A permit must be obtained before , of this permit: PERMIT FILE NO. -_
beginning construction. No inspections v
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ )(0.
a VALID DUILDINO PERMIT. All Arca /Use
applicants' spaces on this application RECREATION FEE PAID$
MUST be completed and.the signature rI
R
of the applicant must n Planning Board Action I3VIGWEU DY: ' (J`l
1 pea[otrt Uto
epplieation forth, rh.,r p, SPR / Subdivision /Other
J Building bum-a -
-1 -
Recreation I'ec Payment
Applicant: e 4 t)C is L 06� Owner: 0u r/
cJD,aiJ �D�i",.s N
. ' Address: ' ,�
�7 > SS _m3 L Y' /(J� . p Address: �- * %9-S Al- ' ��; D
Phone # (.a f ) - 7 N .3
l� _ hIIUIIC # ( ) -
Property Location: 9D .fi55 '�AG t_y- Pi, p . G r
Subdivision Name: Tax Map Number � / ) /,3
.. Section Illnck I it
NATURE OF PROPOSED WORK:
New Building: ESTIMATED MARKET VALUE OF THE
residence CONSTRUCTION: $ ' 1 010- 00
/ commercial j
Addition to Building:
/ residence / commercial OCCUPANCY INFORMATION:
✓ Alteration to Building: Primary Building -
residence / commercial ✓ Single Family Dwelling
Residence / Commercial - Two Family Dwelling
no change to exterior size Family Dwelling
Other Work (describe below) office
Mercantile `_ ,
Manufacturing
GROSS AREA OF PROPOSED STRUCTURE: •
Other JUN i 0 1999
lst Floorq. If ADDITION, wild P-A14P `IOLV t�Eupv
of new addition bed 2nd .Floor sq. ft.
Other Floors sq. ft.
-
(not unfinished collar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: y y,0 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
FEET X D FEET Other
Foundation Type: //) Will any second-hand or ungraded
' Number of Stories : 1.4/1. lumber be used? If so, for. what?
(habitable space only)
Height (grade to ridge) : Al/, - feet TYPE or HEATING SYSTEM:
Number of fireplaces and/or oodsLove ( e all which ?lies)
to be installed: /10 ectr c / Oil / a / Wood
F reed Hot Air / Baseboard / Other
Person responsible for superv' sion of work as regards to building
codes is : 1 ic,,V( 0, Lf7:44/ //7 :6-SS.i✓3 L4, Pi, £lJ /'ce'- ':,? ..
Naino Addresss Phone
Builder: S4,01, .
Plumber: Spin,
Mason:
Electrician: S,0'iy:_ .
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, arc 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:
(owner, owner's agent, archi t, contractor)
•
(2q.Lf3
ENERGY CODE COMPLIANCE APPLICATION ry
3i-= TOWN OF QUEENSBURY, WARREN COUNTY JUN
9000 HEATING DEGREE DAYS 7999
_
OWN
SUQ31 UF?V'
•_d_,$�
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
aeva., *Rewires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION:
•
1-06- po /9-,55-c:/),6,Ly pT, _
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - ItO scuare feet
2 . Type of Heat - -"Electric v Oil Gas � Other
3 . Is building mechanidally cooled? Yes V-No
4 . Percentage of area of windows and doors VOver 17% Under 17%
5 . R-V LUE S FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R �O
b . Exterior walls R -�
c . Glazed areas R
d. Exterior doors R ,,,`
e . Floors over unheated spaces R
f . Edge of slab on grade (heated building) R 1,1;q
c. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R
i . Heating/cooling-ducts-piping in unheated space R �..p/-
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
•
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Acol_c`_t ' Si nature Da`e Phone Number
6/0-<
INSPECTOR' S REMARKS:
COMMONWEALTH ELECTRICAL INSPECTION SE;RVILA, N3
Main Office 176 Doe Run Road-Manheim,PA 17545 3
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
'ermit No. Cert. No 71A 0 Cut-in Card No.
)wner 2 d 4 `7 " (l,Oe At d Ai
,ocation...`T 5 /9S5G714'€ t-'Y' PT;
nstallation Consisting of...1f..�. �- 755 s Pd7 ex/
fa
nstalled By Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
ancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
rtroduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making pections at any time, and if its
ules are violated,the Company shall have the right tt revF1ke t
)ate —�--a 1 INSPECTOR....1..J.�
Member N.F.P.A.,I.A.E.I.
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement Lpulty
Dept.of Community Development Arrive am/pm Depart Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury,New York 12804
NAME On/ '\ PERMIT _ 3
-2)
LOCATION DATE __ ,1
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof J
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"move ade
Gas Furnace shut-off within 30 feet or within line f site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 ri
Interior privacy/trim/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 fireproofmg
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per r
Safety glazing 18"gr le Ir nhfloor
Final Electrical ]
Site Plan/Variance req i
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)
fill11)
f
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road /
Queensbury,NY 12804 Arrive//1 am/pm Depart am/pm
Inspector's Initials
NAME: u�f ^Sly
PERMIT# _Ur
LOCATION: S \1 � DATE :
TYPE OF STRUC : l vlA
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi. - or
providing protection fr. I freez'1 g
for 48 hours following le place i i ent
of the concrete.
Mate '. . for this purpo on site
Foundati. u allpour
Reinforce' tin Place
Foundation/D. . .. .• .1 g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heati g Rough-In
1 elation
Foundation Walls I tenor R-
Foundation Walls xterior R-
Floors R-
Walls R-
Ceiling R- / 7
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
GENERAL INSPECTION REPORT
Town of Queensbury l-
Dept.of Community Development Date inspection request received: h2
Building& Code Enforcement /v
742 Bay Road Y-/
Queensbury,NY 12804 Arrive 1)' am/pm Depart am/pm /
Inspector's Initials
NAME:
PERMIT#
LOCATION: S L DATE : - -9
TYPE OF STRUCTURE: � �(�----
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from free/ g
for 48 hours following the pl ment
of the concrete.
Materials for this p se on si
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior kit-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper , Attic Vent
ng
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
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