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2002-171 ..411ft TOWN OF QUEENSBURY 742 Ba Road ueensb NY 12804-5902 518 761-8201 T Y >Q �3> � ) Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020171 Date Issued: Thursday, March 24, 2005 This is to certify that work requested to be done as shown by Permit Number P20020171 has been completed. Tax Map Number: 523400-226-012-0001-066-000-0000 Location: 358 CLEVERDALE Rd Owner: GREGG & JENNIFER SHERRY Applicant: GREGG & JENNIFER SHERRY This structure may be occupied as a: By Order of Town Board Residential Alteration TOWN OF QUEENSBURY (DJ 111 Director of Building&Code Enforcement TOWN OF QUEENSBURY i742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020171 Application Number: A20020171 Tax Map No: 523400-226-012-0001-066-000-0000 Permission is hereby granted to: GREGG& JENNIFER SHERRY For property located at: 358 CLEVERDALE Rd in the Town of Queensbury, to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: GREGG& JENNIFER SHERRY Residential Alteration 10,000.00 PO BOX 409 Total Value 10,000.00 LAKE GEORGE,NY 12845-0000 Contractor or Builder's Name/ Address Electrical Inspection Agency BALLWEBER CONSTRUCTION PO BOX 132 FT ANN Plans & Specifications 2002-171 70 SQ FT RESIDENTIAL ALTERATION (CONVERSION OF CLOSET TO BATHROOM) AS PER APPLILCATION $40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, March 21,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tr n Quee bu ; rsday, March 21,2002 SIGNED BY for the Town of Queensbury. Director of Building& Co:' Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. G00)---1/2( No inspection will be made until applicant has received a Fee Paid $ t valid building permit. All applicants' spaces on this Rec. Fee Paid $' ' application must be completed and must appear on the Reviewed fri application form. 002 Applicant: 446 .. /e-Al"iF ;-,14,GC/Owner: L7g'eh4Gi► 4.JFiNAliP'Ee., 4X.) Address: A' 0• 3 ox 441 Address: 3i44•0•Ic oWN OF QUEENBBURY Phone#(Oa) 441 - 90 /$ Phone#( ) - -5011,4X WAS' Property Location: Lot Number: / House Number 358/ C1 -✓E, c.E iD' Subdivision Name: nl//f Tax Map Number: 2Z ..12- /•bG ❑ New Building: residence /commercial Estimated Market Value of Construction: $ »o A"' . ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? ' Alteration: residencg/ commercial to No change to exterior size: residence/corn'l o Other work(describe ) Check Occupancylnformation 1st Floor 2' Floor Other floor Total Below sq.f� sq.ft. sq.ft. Square Feet it ,Goo , dA Two familydwelling '-- Townhouse Townhouse ( i ❑ ►I ultifamily dwelling �� � �� �� to; #of units 1�� Office ���Cn_ /� ❑ Mercantile ? 7 if, a11.2 u g / , 1 car detached garage 4 4 ;, AI 2 car detached garage , �� l O 3 Er detac❑ 1 attaco 2 attached garage , Sy— ❑ 3 car attached garage +4 0V ❑ Storage building- �,�� (r commercial W2 je- 1 ❑ Storage building-Y1i3 ( 1✓ residential 6 IgX-IviOther What is the proposed height of the structure 1//4 feet inches hat? A/ocond-hand or ungraded lumber be used? If so,for w Type of Heating System: electric/410 gas/wood /forced hot air/ baseboard/other: Number of Fireplaces to be installed # Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder o i4,4, Z 4••w6.41Ci ,,, 6„35 ` Stv Plumber Sc.-* c_,,,-,e_itoi'.se -7 q 3-,`{i Mason 4'/Iq Electrician 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,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,as requested by the Zoning Administrator or Director of Build' and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new nstructi Signature• owner,owner's agent,architect,contractor I ENERGY CODE COMPL ANCE APPLICATION • TOWN OF QUEENSBURY, WARREN COUNTY -" 9000 HEATING DEGREE DAYS R A uh Compliance Methods: PART 5 - Acceptable Practice MethodMBR 1 ti w4='= 1&2 Family Dwellings ( nl =�-• PART 6* - Thermal Rating - ComponQ ti mOt eia.. 1&2 Family Dwellings; Mamtily, 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: �ile44? 7-1-6_n/A//c �rie'iQR./ JS8 C!_E veR4.34'J4 'D. PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - /6 '/ square feet 2 . Type of Heat - Electric ✓ Oil Gas Other 3 . Is building mechanically cooled? Yes ✓ 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 3� 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 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 TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED A can Signature pt,, Phone Numbe INS CTOR' S EMARKS: COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No. Cert. 8 4-19" Cut-in Card No Owner t-E' 5" ✓2,Y, Location ,) S 04 l/61' a IV L c— 4/ , C.rt�-r-e-ef Installation Consisting of.... � 5- L by �'S / .�i'.S Elf 7-Z 141 JViii-s17,72 ail 714 Installed By Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of ma g inspections at any time, and if its rules are violated,the Company shall have the right to oke t s certificate Date �—� S INSPECTOR Member N.KP.A.,1.A.E.I. lil Residential Final Inspection Office No. (518) 761-8256 Date Inspection requ re ived: J �� Queensbury Building&Code Enforcement Arrive: : \\-DC>am/pm 742 Bay Rd., ueensb ry,NY 12804 Inspector's Ini 1 •-- NAME: re /�t z�•` ! P IT#: CD - I LOCATION: 35 6-te vy,�e-Ct {2‘i- ATE: J 414 TYPE OF STRUCTURE: t�" S` Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake . 3 inch Plumb Vent through roof ✓� Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site • Oil Furnace shut-off at entrance to furnace area • Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches (� 3/4 hour fire door/door closer Garage fireproofing ‘‘) Rettb Duct work Sealed proper Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq. ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/0(Cert.Of Occupancy) Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc ited January 28,2003 Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury A `-q Ready at ti ---1,- a 3 Dept. of Community Development. Request received: Meet: Building& Code Enforcement / At time: 742 Bay Road or Queensbury, NY 12804 ARRIVE am/pm: DEPART ` dam/pm Notes: (518) 761-8256 Inspector's Initials R-L- NAME: PERMIT# 0 / -7 j _____z_s__ _ n ---1 LOCATION: INSPECT ON(date): L.,,,,...., TYPE OF STRUCTURE: ` jrc4CSC"'\ RECHECK N/A YES NO COMMENTS Footings/Piers _ Monolithic Pour Form c' 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/Wallpour__ j Reinforcement in Place : -' Foundation/Dampproofing / Backfill Approval uniting Under Slab 1utbing Vent/Vent lace "Rough Plumbing H g Rough-In ation Foundation Walls Interior R- Foundation Walls Exterior R- s R- Wall Walls _R- — 'Cl /:- Ceiling \Rz- , Duct work or pipinginunheated spaces - Proper Vent,Attic Vent 7 Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire,Separation 1,2, 3,hour__ P etration Sealed ire Wall 2,3,4 hour Firestopping J._ L:\SueHemingway\Building.Codes.Inspection.FORMS'\GENERAL INSPECTION REPORT.doc 3 � Office Use GENERAL INSPECTION REPORT Inspector: Ready at tim 4"I L 19 i,) Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIV . �i% D:'A: 'di NreP// Notes: lie (518) 761-8256 Inspector's Initia • A001' NAME: `�`S\`l f',Y C'`< PERMIT# / LOCATION: 3 S /1 ��viz INSPECT ON(date): 1-1- - 003 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is resp insib - for providing protection 'om fre= ing for 48 hours followin:the plac•ment of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/D ampproofing Backfill Approval Plumbing Under Slab P4mbing Vent/Vents in Plac -_r-t*43 (Z_'C ough Plumbing 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- P,rop Vent,Attic Vent F "`ning 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_ L:\SueHemingway\Bui]ding.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc 35'8 C c/ AC— a. TOWN OF QUEENSBURY JBURY d s .e. 7 4///z p 5/r BUILDING & , `= P REVIEWED BYd4X),) DATE 62 " `;1 4, TOWN r,F QUEENSSURY ciUILDiNG DEPARTMENT ���� used on our limited examination, compliance with our comments shall not be construed as indicating the To �� plans and specifications are in hall owN o r c � ,k. compliance with the FII E COPY °" ._,. 1,,,,u-iiio - ..„..... T, L.F-4 f(?'510 1____T 1„__ NOTICE 0-- P v' e t o ; ; AM INSUL E3E R1F ? TETHERMUSTMALgpRR1ECOVERI �. I3� A 15 MINU ATION . - - . n 7 , , I ' n l' -,'14P-1?'r'd?"1 / --- i NOTICE a1. K AFT PAPER INSULATION MUST BE _� G- i3OV RED BY NON-COMBUSTIBLEBARRIcR w W I -4-.) k lE '') C. i I -- r Q,„, , i r - , ;. ------- ,, i i i L .. jEA/Nt 7( 6';e(-6 c:=.Tevd" <<)/ k ity a 0 3 1 J � 11 3