91-286 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 12 199'
This is to certify that work requested to be done as shown by Permit No. 91 2 R
has been completed.
This structure may be occupied as a INTERIOR ALTERATIONS
CLEVERDALE RD.
Location
Owner MCLAUGHLIN. BARRARA & MFLLTSSA
TAX MAP NO,, 14 , ._2 _I g
By Order Town Board
TOWN OF QUEENSBURY
l
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY x
No. 91-286
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to Barbara & Melissa McLaughlin
146
OWNER of property located at PO Box 149 Cl everdal a Street,Road or Ave.
co
in the Town of Queensbury,To Construct or place a Interior Alterations
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
Same P.
2. CONTRACTOR or BUILDER'S Name
7
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name CD
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) .r
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( )Wood Frame ( ) Masonry ( )Steel ( ) 6--1
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7. PLANS and Specifications
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No. Interior alterations as per plot plan specifications and
application
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8. Proposed Use fD
One Room Apartment
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7
VI
$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 14, 19 92
(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 14th Day o May 19 91
SIGNED BY ` _ for the Town of Queensbury
Building and Zon' Inspector
TOWN OP QUEENSBURY
0111111144110011111
� REVIEWED BY
..� 1�� FEE PAID $ i --
gat, PERMIT NO. ' r
BUILDING PERMIT APPLICATION 7091,4,
1f �
J
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPEC ON SAY 9 199
HILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. �LpG' COOS
DE
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
* * * • a • a a a ♦ a * t * • a • • t a t t a • * a a a a * * * • t • t * * • * *
The owner of this property is: f C,c 0F'V,P=':�, e `
P.O. Address Po. Gn x \`_Ct :\e\l f C�� '.0. Cl _._.s \ C. Tel. S(-, AS(-;0
Property Location O \ev?r C Tax Map No. / /
Has there been any split of this property since October 1, 1988? / X
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO. ,`
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
�)L- (// 4 Cie. 7gai, q0 ,
•
VATURE OF PROPOSED WORK: ESC:MATED MARKET VALUE OF
•
Construction of a new building aCONSTRUCTION: $ /01f;D
Addition to a building ' COMPLETE INFORMATION REQUIRED BELOW:
., �, e• Size of property ft x ft.
Alteration to a building , / •
(no change to exterior dimensions) Existing Buildings(3) Size ft. x ft.
* Proposed building - distance from property line:
ther work (• -cribe) l(Eit/j//:;- i-,; , e * Front yard ft. Rear yard ft.
i � l.� r� I L, U l * Side yards ft. and ft.
•
3ROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft.
1st Floor sq. ft. * OCCUPANCY INFORMATION
•
2nd Floor sq. ft. * - Primary Building -
Other Floors sq. ft. * One Family Dwelling
(not cellar or basement) ? Two Family Dwelling
COTAL FLOOR AREA sq. ft. • Multiple Dwelling/Number of units
lize of new stricture ft x `.)O ft. • Business
?oundatio ie�/slab/crawU • Industrial
partial/full
circle one) • Other
io. of stories (habitable space) *
leight (grade to ridge) ft. • If addition, what will use be? (TM t t c'c l"/
f residential, no. of families___ * /9,iii e
kb . of rooms(excluding baths) / +
Access_ Building
kle. of bedrooms • 7-- ,
Detached Garage ONI,I/TWO Car
4o. of bathrooms 1 + `//
?rimary heating system rl t • _Attached Garage ONE/TWO Car
type of fuel + __Private storage building
go. of fireplaces to be installed ; { ,yi; '
r
• ____Other
Will a wood stove be installed N
Central Air conditioning i'l 4:
OV* ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc.
Will any second-hand or upgraded lumber be used? If so. for what?
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar?_ Heated or unheated? fiy r Floor sq. footage sq ft.
Will there be a basement? ^d d Will any portion be used as living space? (/r7�
(If so, what portion? g `-/ sq ft. Type of use? / /'rotv Il �, , /
Type of roof - sloped/flat/shed/other Material of roof
Size, wood studs "x " spacing " o.c. length ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish f<n h.et-,� .~ IS ; j iY Of -_of what material? � �j (
Interior wall finish ry,y>: ‘„u i
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to he an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well
' SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER s-co.(' L14 re t‘ce ADDRESS tl 6, 6/4,..5 TEL. NO. 77. D S 9y
NAME OF PLUMBER Pi-,;;(77---' (k.e, 1 1y«",ADDRESS (- / t?/' (Qt..) GIt'v� TEL. NO. 77 i. 9D,_5',:&.
NAME OF MASON ADDRESS — TEL. NO.
NAME OF ELECTRICIAN i«- Cec..rc&L . ADDRESS t'6J f!j / f Lro/.EL. NO. CE'PA.3,f
DECLARATION
To the best of my knowledge and belief 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 not, and that
such work is authorized by the owner.
Signature �',-/ ,,':' e/t� ,2JG-'
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods: T Otif J Gp QuE
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) RE E vE SeURY
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwelli► . Y 9 /991
Multi-Family Dw llings
(3 Stories or L9WO. coE
DE
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - Sq. t.
2. Type of Heat - Elec. Base Board Other , o f� oiZ
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% // Under 17
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R
B. Exterior Walls R \
C. Glazed Area R
D. Exterior Doors 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 . Heating/Cooling - Ducts - Piping in Unheated Space R
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
/ /), J* q/)/-; / -� � - \ �?S ci
APPLICANT S SIGNATURE t 5 DA1E� ELEPHONE1k NUMBER
INSPECTOR'S REMARKS : %4J
REVIEWED BY
v.e4-st 4
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD. , QUEENSBURY NY 12804 4
INSPECTOR'S REPORT: ARR/aL DEPART NT
REQUEST FOR INSPECT ON RECEIVED:
NAME t k ,/�
LOCATION &I Q.( (21
A
DATE l , / 9�PERMIT # ar14
TYPE OF ST UCTURE::J
RECHECK �1 tZ 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.
t _I
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACt
FOUNDATION/DAMPPROOFIFG
BACKFILL APPROVAL
PLUMBING VENT/VENTS IL PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEAD
BRACING/BRIDGIN
JOIST HANGERS `
JACK POSTS/MA' BEAM.
AIR INFILTRATION BA' •IER
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- •
z; �>
TOWN OF QUEENSBURY
..f�1AiA BUILDING & CODE ENFORCEMENT
3 742 BAY ROAD
. QUEENSBURY NY 12804
(518)745-4447
IV :: / e DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQU/ST RECEIVED:
NAME /% %,(
LOCATION ► i e-. ,60
DATE _ - . PERMIT I
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACK ILL FRAMING
ROUGH PLUMBING SEPTIC _ I SULATION
FINAL ELECTRI AL WOODSTOVE R FIREPLACE
— f —
r
N/A YES NO
CHIMNEY HEIGHT/ VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH /
DECK PORCH STEPS RAI I S
RELIEF VALVES
FURNACE/HOT WATER OP 4TING
INTERIOR TRIM/PRIVAC. De$RS
FINISH FLOORS:
BATH/KITCHEN WATD'TIGHT 1
OTHER FLOORS SWE PABLE
OTHER FLOORS CAR'ETED
STAIR CLEARANCE/R$ILINGS i
aMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
GA;/ sm' ap44-.
�F QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR ""INSPECTION RECEIVED NAME 1( fLfl�Ec //0.(�f)2/'1 C /7/
LOCATIO((N Oh p� //////
DATE 6214,, /47 PERMIT I 9F .0 (O
TYPE OF STRUCTURE all-LA
RECHECK APPROVED
N/A YES NO
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 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
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WA LLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
O 41/04
S:if4s17 Ste d
ARRIVE
DEPART ice�".�
_%%I►
1i L PEC "I R
TOWN OF QUEENSBURY
1J �► BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: 3-/) DEPART: 3.1 INSP:Z
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INS CTION REQUEST RECEIVE �7 D: �- '�5
NAME YY rnC U `
LOCATION C r1A.C)C
DATE �� PERMIT I C"t'r',17O_ 0
TYPE OF STRUCTURE - N. �`fiyr
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR IREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAIL, GS
RELIEF VALVES
FURNACE/HOT WATER OPERAT G
INTERIOR TRIM/PRIVACY DOO'
FINISH FLOORS:
BATH/KITCHEN WATERTIGH
OTHER FLOORS SWEEPABL
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINeS
IOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES _
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
e4;jf Sirek
e
4-2 Gie/4 at"
So Pe C4�- IS: C,v4 f�4
F deci f
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 4
INSPECTOR'S REPORT: ARRCI 2I DEPART 11 INT'4
c-
REQUEST FOR INSPECTION RECEIVED: 1 -- i 9 �t
(�
NAME \ �' \ '' 01'''
LOCATION " , ''I (i(r
DATE 9 _a0 " PE IT fl " v Sib
TYPE OF STRUCTURE: •--Y t� . ,Q'y -t---
RECHECK _ APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR ORM
REINFORCEMENT IN 'LACE
THE CONTRACTOR IS 'ESPONSIBLE OR
PROVIDING PROTE TIO FROM FRE:ZING
FOR 48 HOURS FOLLOW G THE P 'CE-
MENT OF THE CONCRETE
MATERIALS FOR THIS PU' 'OSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN P 'CE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS[H'ADERS
BRACING/BRI, ING
JOIST HANG •S
JACK POST /MAIN BEAM '-
AIR INFILTRATION :ARRIER
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-
/77a4e _5 WilSZ ail 4-
/V/p ///S/k / 1;,/e ke /
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD. , QUEENSBUyRY NY 12804 ' 41.
Lao l laINSPECTOR'S REPORT: ARRge DEPART O INT4-
GAME
R FOR NSPECTION RECEIVED:cc\\'' 1� v'\i'3, � JCr.Z�i
LOCAT I k.< jEgo
DATE PERMIT #
TYPE OF STRUC URE: ✓ )^[Cil/I 1k
RECHECK \ONYY P \ APPROVED
N A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS •ESPONSIBLE FOR
PROVIDING PROTE TI,N FROM FREEZI e
FOR 48 HOURS FOLLO NG THE PLACE
MENT OF THE CONCRETa.
MATERIALS FOR THIS PU•POSE ON S TE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
•
PLUMBING VENT/VENTS IN PLACL
ROUGH PLUMBING ,
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING - ---
JOIST HANGERS
JACK POSTS/MAIN BE
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION: /
FOUNDATION WALLS INTERIOR R-/t) !/
FOUNDATION WALLS EXTERIOR -
FLOORS - -
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
Ar,o:4/ i-
/115 (t1;‘,Z i
6/ iC� / �L
5oCun, QtteenJZary BUILDING & CODES DEPT.
THE PLANS SUBMITTED HAVE BEEN REVIEWED AND
HAVE BEEN FOUND TO LACK SUFFICIENT DETAIL
FOR PROPER PLAN REVIEW.
WE HAVE ISSUED THIS PERMIT WITH THE
FOLLOWING STIPULATIONS :
1 . THE WORK WILL BE INSPECTED AND MUST CONFORM
TO ALL PROVISIONS OF PREVAILING CODES .
2 . IF DEFICIENCIES ARE FOUND THEY MUST BE COR—
RECTED BEFORE WORK CONTINUES .
3 . FAILURE TO COMPLY WILL RESULT IN REVOCATION
OF THE BUILDING PERMIT
Code Enfor ment Officer
. /3/ /
Dat
9/ : aEr6
Building Permit #
COMMENTS:
M /cAe/7 ih 4 / Wrz.
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with our comments shall FILE COPY
not be construed as indicating the
plans and specifications are in full
compliance with the code.
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