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2004-141 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Pen-nit Number. P20040141 Date Issued: Friday, November 14, 2008 This is to certify that work requested to be done as shown by Permit Number P20040141 has been completed. - Location: 13 MALLORY Ave Tax Map Number. 523400-309-006-0001-045-002-0000 Owner. JAMES HILL JR Applicant: JAMES HILL JR This structure may be occupied as a: Residential Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040141 Application Number: A20040141 Tax Map No: 523400-309-006-0001-045-002-0000 Permission is hereby granted to: TAMES HILL JR For property located at: 13 MALLORY Ave :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: TAMES HILL JR 13 MALLORY Ave Residential Alteration $12,000.00 QUEENSBURY, NY 12804 Total Value $12,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications BP 2004-141 Dave Hatin did not collect a fee as he stated the $85 fee was paid in the year 2003. 850 sq. ft. interior residential alterations (portion of the basement converted to living space). $0.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, April 08, 2008 (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 Town of Q ens h rsd it 08, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code 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 liaAa4- l l No inspection will be made until applicant has received a Fee Paid' $ y valid building permit. All applicants' spaces on this Rec.Fee Paid $ application must be completed and must appear on the Reviewed By: application form. I Applicant: �4 Owner: G Address: Address o r vi- l VP Al Phone#( ) - 0677 Phone#Vjx) kir - ; Property Location: Lot Number: / House Number / Subdivision Name: Tax Map Number: 3 ❑ New Building: residence /commercial Estimated Market Value of Construction:$ I.. 0 o 0 o Addition: re ' e/ commercial If an Addition,what will use of new addition be? Alteration: 4:!e!sdenc/ commercial CINo change to ext residence/com'1 O Other work(describe ) Check OccupancyInformation 1' Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling o Two family dwelling o Townhouse _ ❑ Multifamily dwelling #of units o Office o Mercantile o Manufacturing 0 1 car detached ❑ 2 car detached j..: 0 3 car detached ❑ 1 car attached:Yam, 0 2 car attached.1 =�z'`e' u 3 car attached ; , ❑ Storage building commercial tiA o Storage building- residential ❑ Other What is the proposed height of the structure feet — I inches Will any second-hand or ungraded lumber be used? If so,for what? ' Type of Heating System: electric/ oil gaffs/wood /forced hot air/ baseboard/other: Number of Fireplaces to be installed 2,g o Number of Moodstoves to be installed P6,n y List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Plumber Mason 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 pecified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Admin�istrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual w loot on of all new construction. a AA Signature: owner,owner's agent,architect,contractor mac, ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBUR_ , WARREN COUNTY 9000 HEATING DEGREE DAYS ' Coma?fiance 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: 7Z� LA%L-L ?2 tAlak__U�6 Po3E_ PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - square feet 2 . Tvve of Heat - Electric Oil Gas ----Other 3 . Is` building mechanically cooled? Yes 1. No 4 . Percentage of area of windows and doors Over 17% Under 17% S . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES- AS SHOWN ON PLANS SUBMITTED : a . Roof R � 11 -. — .b_=--- -Exterior walls R tq c . Glazed areas R d. Exterior doors � Qp��a R 1 C- - 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 SETTIITG 1400 WILL NOT BE EXCEEDED App " cant' s 'gn ure D,to Phone GR mbe IN CTOR S REMARKS: t Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/ De art: am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: LOCATION: a- DATE: TYPE OF STRUCTURE: Yes No NIA 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location 1 Fresh Air Intake ,l 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors ` Handrail 4 or more risers �e Cl Guards at stairs deckspatios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency ress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/z"G sum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer r Duct work Sealed properly Gas Los in Sealed or Glass&ncloebre Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C 10 Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 M a "MI `r rr r im au At �: i ' — �,`; —i i I r ._� _•` i I_—� _ 1 _r r -c w r • : a. : is o THUMP 1 i CY ::TOd Slafe Rt:-314, pysaiY. i2920 �.-� ,�® - ,� � .. - Y-' - •- - 1-500-45`1d7535.thacV -inap�ctod°,com. - .. - . .. _ . 3,lobs: �pplicatto�t'tw.�nftle;01314 0 1 THIS-CER S; AT.- Jamis:gill N . Only the 0lee�trtrical-egni�ntenf as-d eri�ect beiot* id 11�troduceci by'thc applicant named on ittte above Vpiicatioa nuu*er M.the aeg of- �, BMnaent 13 Mallory Avenue To ili.of Queembury z n .' Infl�efallrnlocafion; 13a� X. !"lrloop :2"r1?loar - 3tdFloor 4'kfloar` 8e�ina. Block Loi a eariiine4 or 3/25/03 .'and to be in liaiiee i�ith tte rMe. rits of ft.datitnal Electric.( ade. OWI RZU:. ji"Oil :(Jab' D Ovauls `T7ieh.�Jasliere 1`s�lraus4�ing I -.Sriio[cedfiati't rn. ®, F7iioicant:: Apt -.w_. _ hV. Amd xw:.a Amt x.w.. Arot: x W. :1?efec�ors' NISs .. cn �. tas Fpinaiae Metacs' Dumries ,.: 8ean .- - I3n' fete f Sind QiufJei ::. 13lecttih l7ii�e�a 'Amt r{:vi.' -.Off * . .. apt ces A s ng =tso -Ain -K* x.w. AM. '.xtiv::. art. .' Panels MoLa¢s Track L,l - I)' ' - e Amt KVA AN: PS Paliel -.Amt. \V. Aaitt.. o.6�`plmiaits A,mt Amt AN, - - ;. e t�feter 1.Yhase I Rua �•3 Fflesa 3 P1mse N6.of CC. . Ah/d: `' No,dd t' Ate,Of No:BS �iwO of G�mbd t7G,cpnd. N otik�]S FII- T9I- HI) SURVBYIN$PSCfTON 7Id V[SII3T.B'V1O .T7t3NS• F Mulager r� This c�eri*ate nwi not be altered in arty ittc trier;°peiurn to A office.of ME lN,S'PE OR;if incorrect.Inv"PS,6,hdMtWy am be ver'ifded J .1 - _—� au •_ec i' ! �. _ice _`" _ '_�% 7 r-777 _ - - 1�. .- .. - .. - .. - .. - .. - ... •_ - .. is � : .- .. - - . . 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CITY OR VILLAGE IP CODE TO1VeR.SHi1�"- q¢—�m� COUNTY �-�4�..N.>.'' —•'rr;.`� , - .ry"`':���:r_p�'y I.4:.i9 t%t�_v:irlf� •'�r"-`.'"if'7'r� �%•, STREET#AND OR IOAa`` - .4' ��` z m �4 Pole number Additional helpful d`ections , Section Blocky Lot OCCUP�AtJTS,NAME � y _ 'BUIL�DING�OCCUPANCY OWNERS NAME & ADDRESS , ` HQME TE�LEPI$TEf CURRENT SUPPLIED BY y FROM THEIR tO FICE f "" WORKgEL`EPHO E � L. f •� f r� I. ? I . BUILDING IS INEW OLD, f WORK IS NEW ADDITIQYyAL 1 `. , DFiFECTS REMOVED Inspection or Electrical Premises Survey: We have attended at a premises named herein to inspect the el ctnca�Ihstallafio�a1i��e jiel tt�atl�tie cannot ., issue a certificateof compliance for the reason(s)listed hereunder, Concealed woti�ij�t expel,sufficie�fDforynspeon. ditioa�raLic oBs@�ed with no epPl�catiotlto inspection being filed. _Installation not completed sufficiently for inspection. _In tallation tin compliahce with the NEC%r�reasons lis hereu de g Key:Code number printed under column A listed below combiped with code num;'W printed under column B liste�below indicates condition. y .w@. :::i\:';''::tti:}:•i::tii::iii::$\'}:......:......... M1\k;`. : ....i;jiii>? 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"4•w::::.v:.v::w::::::.,, r.4•}}:•:ki:Gi:J 'v:tiL}:h::::n:v:CC•}:8}}:::4.'vv}}::::;ti•}}}}}}}}\�:•}:8'i:•}:•}:•4?}}?.:•nw::::h.....E::.}:t::•.v::.::::::::::nv.w:•}}}::::::::n:.v...... �:• .n.v... Size of service APPLICANT ATTESTS THAT THERE IS NO OTHER APPLICATION PENDING Feeders WITH A QUALIFIED ELECTRICAL INSPECTION AUTHORITY,FOR Work is exposed INSTALLATION LISTED HEREIN.THIS APPLICATION IS VALID FOR A Work is concealed PERIOD NOT EXCEEDING ONE YEAR FROM THE DATE RECEIVED. Service enters the structure overhead MUST ENTER APPLICANTS IDENTIFICATION NUMBER Service enters the structure underground Date inspection requested :.....:..::... :.... ..:}:::.:::::::::::}}}:.}}:.}t•.;;.}}}:.}}}:.;tti.} s::i:}:::i:::i::i::ii:«;:i::ii:::<•;::>i:•z:<::<::i: 'i::�C.':�F::' CrFJ'.tiC:i:::'.+::i?i::i::i'{iti:::•`.'\�:is i::i::::ik4i+:i•?'•:i•i:i:?}ti•}:::}}{{}:::4'ti+2\4`:ikS'vii::i? .. . .tit... t. :: ••{►��'��t1.d�N<>..:::;:St�gGtr�u".::IVtEl;yt:`:.:..�."•.:f'i'L#.��t:#:I�:A,P. ,.i(Gl��.�A..............1'1J11 ...:::::.:::::::.t.:::::.t.::.t�..:::.::::::::t.:::}:::::::::::::::..:..,.:}:..::n.:.�..�::: � ��.�. �•.��{M�.,., .� �?�aI[�:1..,1YFxZ«..,,,,F�14....................... .�:!•.....:v:t vv:4.......:::.v.....:.., v:.n......:v.,.v..::::::}::::.v::::.v:.v::::}::n•.v::::?::n.......................... .................... :..............v....... t..ty..::}:::.vw::::}:.v?:n:vv::.v::::k•vw:::::::::v:4-}:^:nw;..t..t\...v.....t......\.........E4...v....... PRINT NAME AND ADDRESS NAME OF APPLICANT DATE OF APPLICATION SIGNATURE OF APPLICA�1Tf STREET ADDRESS TELEPHONE# �J.J �. /yew /�'^j�'w✓,� r CITY OR POST OFFICE , ' LICENSE NUMBER ......:::..::;:... :::...::... :.. ::..:. .:.... ::. ....::..... ::: ..:...:........ .....:..::. ..:. . qW.", k l _ 2 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive:am/pnr Depart: am/pm Date Inspection request received: Inspector's Initials: ( 7 �) NAME: P i I� 1 PERMIT#: `'y LOCATION: DATE: _ TYPE OF STRUCTU E: �- - �� Commen : Yes No NBA 4° Building Number Address visible from road Chimney Height I"B°Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more Vian 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Com liant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing _ Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: _ Outside every bedroom area: _ Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches hei ht in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft..150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency ress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Tra /Water Tem 110 Enclosed Stairs Sheetrock Underside minimum'W'G sum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical /(✓LZ �� Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if re uired Okay to issue C I C or C 10 Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08 r 1 ?i 6 I. 00 VIA . P OWN OF QULENSSURY BUILDING D�a R BENT i ased on our limited exami j aQon ✓comppliance with our comment a( 1 J not be construed as indicati plans and speccifiications are'i °compliapce th the Building of Towr� a )Lj v. db N(- BUOMING Ef IT.- REVIEWED BY �— DATE Ll iiiA�oW G �, J'i� OW .� �i