98-184 iv
Certificate of Occupancy
Town of Queensbury
Warren County, New York
Date_Mar2...(201)
This is to certify that work requested to be done as shown by Permit No. 98184
has been completed.
This structure may be occupied as a RESIDEISMIAL__ADDITION (DINING ROOM)
Location 16 BURNT RIDGE RD.
Owner
RAPAPORT, -MYRON, MARK &
TAX MAT' NO. 5 . -1-18 By Order Town Board
TOWN OF QUEENSBURY
biiebtor of Building& Code Enforcement
BUILDING PERMIT
VALUE $ 7000TOWN OF QUEENSBURY No. 98184
TAX MAP NO. 5. -1-18 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to RAPAPORT, MYRON: MARX &
OWNER of property located at 16 BURNT RIDGE RD_ Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a RESIDENTIAL DDDTTTnm (DTRiTwin Anr)M)
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 Oueensbury Building and Zoning Ordinance.
1. OWNERS Address is
MASON & GOLDBLATT, M. 16 BURNT RIDGE RD.
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDERS Name
RAPAPORT, MYRON
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
6. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ADDITION
1 1 Wood Frame ( )Masonry I )Steel ( 1
7. PLANS and Specifications
69N§Q FT RESIDENTIAL ADDITION (DINING ROOM) AS PER PLOT PLAN
SPECIFICATIONS
8. Proposed Use
RESIDENTIAL ADDITION (DINING ROOM)
8 April 30 2000
$ 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.)
30 April 19
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
L.“.lV1,wlvI Ii6 .L G t/ MI t CIJJJJIIC Ul iUf
Townof Queensbury - Dept. of Conuuunity Develo inenl, 742 BayRoad,
PQueensbury, NY 12804 /761-8256]
BUILDING & . CODE ENFORCEMENT
NOTICE . Requirements prior to issuance r 1
1 of this permit: PERMIT FILE NO. 9 g-1 3
A permit must be obtained before
beginning construction. No inspections 0 0
will be made until applicant has received (i Zoning Board Action PERMIT FEE PAID$ 4 ,
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE PAID$
MUST be completed and•the signature n Plmu:tng Board Action REVIEWED BY: i �—\ /` C_
of the applicant must appear on the
SPR / Subdivision /Other Building Inspector
q_ipplicalion form. rs...t.r.. Recreation Fee Payment
Applicant: /LIYierN G6P.Xo®. 'T Owner: /IY4"Y - ./W/T25A TT
• Address: /6 I '1Y7 ' /.n6'� G Address: /lr #i '�TA?I7 —t®
.L� . I — -- -4 a- /..liw.i
Phone # ( 7'') drdA.• fps py Phone # (,..c Z ) 6,.SZ,a ,-�-46,'
Properly ldlultlI0111 --
Subdivision Name: Tax Map Number � ./ I / r g
— Section Block 1nt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 704,v —
residence / commercial
A Addition to Building:
residence / cammoccial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial X Single Family ,Dwelling • ,
Residence / Commercial Two Family Dwelling - ,.. .
no change to exterior size . Family Dwelling
Office R 251998
Other Work (describe below) Mercantile ��
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor 6, 9 - sq. ft. If ADDITION, what will use
2nd .Floor of new addition be? :
eq. ft. PVNIIVG Ile DP/
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
3 Detached Garage 1, 2 car
TOTAL FLOOR AREA: 4:" 6 7 /- SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
7 / Other
FEET X 7 FEET
Foundation Type: P/N Ie i-L 1C.. Will any second-hand or ungraded
' Number of Stories : lumber be used? If so, for what?
(habitable space only) f•fo
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which appli a)
to be installed: t,`IectrI ) / Oil / Ga d
Forced Hot -Air / Baseboard Other
Person responsible or supervision of work as regards to building
codes is : M . /�4P, t -',e7 6'S 6, 74 7:>58 .
Name Addres s s Phone
Builder: •
Plumber:
Mason: ,
Electrician:
DECLARATION: Please sign below ether 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, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: ��
(ow r, owner's ag t, a litect, contractor)
Town of Queensbury
Dept. of Community Development Permit No.95.L.-
Building &Codes Office
742 Bay Road Fee Paid $
Qtv.,'nbury, NY 12804
�
Location of property for installation: /6 / 2/5✓T UC I 1��, .Pc7
Property Owner's Name: A1 Yid , 9p,4,74,e•i
_ Property Owner's Mailing Address: /6' /Ii1 A/7- ' C 5 1998
Installer's Name: •
Phone
Number of bedrooms (if residential): 4 Total daily flow:
(residential -compute @ 150 gal./bdrm.) •
Topography: fiat, rolling, XC steep slope % of slope
Soil Nature: sand, loam, clay, other. /depth:
Ground water: at what depth? feet / Bedrock or Iaper.:cus Material: at what depth? _ feet
Percolation test not required, rewired [rase min. per inch
Domestic water supply: municipal, well, cd.er 1-./4
If domestic water supply is a WELL, water supply from any sic absorpdcn is feet.
PROPOSED SYSTEM TEE £/ya Pbl, r,
Septic tan. gallon (minimum size: I,CCO _)
Tile field: each trench. feet / Total svrea' Qrh: feet
Seepage pit(s): number of / size wrh: ft. by f.
Size of stone to be used: # / depth or thic;--=-K.5 feet
HOLDWG TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
Alarm system and associated electrical work to be inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 of the Code of Town of Queensbury, any permit or
approval ,granted which is based upon or is granted in reliance upon any mates ai misrepresentation or failure to make a
material fact or circumstance known by or on behalf of art applicant, shall be you
I have read the regulations with respect to this applicairm and agree to abide by, use and all requirements of the Town of
Queensbury Sanitary Sewage Disposal Ordinance.ne. �� `/
Siznature of responsible person: /�< it a - - Date: 40119Y
/� TOWN OF QUEENSBURY
.�1�i1 BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
11 (! (518) 761-8256
ARRIVE: %1t6 DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION}�U REQUEST RECEIVED:[ EI
�1`
NAME "j � iLl_1-J1. F-,-_ -
LOCATION ,�j -P>U V- \ Ql -,-
DATE 2-® 2.)"[)0 PERMITM N��? �'
TYPE OF STRUCTURE n%�S1 NC7 P-bt\i`'1
FOOTINGS FOUNDATION _ BACKFILL _ FRAMING
ROUGH PLUMBING SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGH'
PLUMBING VENT
ROOFING
EXTERIOR F NISH
DECK/PORCH/S PS/RAILING
RELIEF VALVES
FURNACE/HOT WATER OPERA ING ,
INTERIOR TRIM/PRIVACY ORS
FINISH FLOORS:
BATH/KITCHEN WATERT HT
OTHER FLOORS SWEEPA LE
OTHER FLOORS CARPET D
STAIR CLEARANCE/RAILINGS
4OKE DETECTORS
BATHROOM FANS .
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
OR CLOSERS
I/
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN i
OK TO ISSUE C/O OR C/C
pi
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury '
Dept.of Community Development Date inspection request received: /(/—/ -Ct
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 ve 3'Ye am/pm Depart am/pm
/ , !,2
. Inspector's Initials
t Li,
NAME: � ,� #
- ; PERMIT �_- ��
LOCATION: e, DATE : -')
TYPE OF STRUCTURE: (elf\ ft 1,,,,, i^��,-,, -� �
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place_
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concr e.
Materials for is purpose on site
Foundation/ allpour
Reinforcement in Place
Fouhdatiop/Da mpproofi ng
Backfi . ppr. #al _
Plumbin: Under Slab
Plumbi Vent/Vents in Place-_
Rough `lumbing
Heatin ' Rough-In
'„.,Iiisulaton
' Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
(talls R-
eiling R- 3,)
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 I. 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
4 4-
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road rfr
Queensbury,NY 12804 Arrive am/pm Depart 14 .
Inspector's Initial I_
NAME: \ k.- °� A{ ' f PERMIT# 1�
LOCATION}\� ' .,a.,k." ' \C'(' - DATE : M . . (`
TYPE OF STRUCTURE: ~ t51,1 . ,
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f r
providing protection f am freer ng
for 48 hours following the placement
of the concrete.
Materials for t' s purposf on si
Foundation/Wal ►.ur
Reinforcement in Place _
Foundation/Dampproofi g _
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents Jr' Place _
Rough Plumbing
Heating Rough-In
\t_lasiklefon
Foundation Walls In rior R-
Foundation Walls Ex rior R-
Floors R-
Walls 1" a-oa R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
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
Fircstopping
fit-1
GENERAL INSPECTION REPORT Ci-a4' 4.—'2.----d
( 518 ) 761-8256
Town of Queensbury `- � ,%� �
Dept.of Community Development Date inspection request received: .1 `r
Building& Code Enforcement
742 Bay Road ���
Queensb ,NV 280(...-___ Arriva 4�}!� Depa m
Inspector's Ini ' s
NAME: a a' PERMIT#
LOCATION: / , / r .e;e ATE : dr /9
TYPE OF STRUCTURE: 4 3 4'� �h,`' ' -t-e
RECHECK
G
N/A YES O COMMENTS
otin Piers'
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible- or
providing protection from freeing
for 48 hours following the plagement
of the concrete. //
Materials for this purpose on siit'e
Foundation/Wallpou .�
Reinforcement in P , ,
Foundation/Damp. oof ing
Backfill Approval
Plumbing Under .lab___
Plumbing Vent/ ents in Place
Rough Plumbin
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- --
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
/ --
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TOWN OF QUEENSBURY 6UILDIN6 DEPARTMENT ����0 � D E pT�Based on our limited examination,
compliance with our comments shall
not be construed as indicating the REVIEWED BLA
plans and specifications are in full
compliance with the code. DATE
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