2004-389 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20040389 Date Issued: Tuesday, August 24, 2004
This is.to certify that work requested to be done as shown by Permit Number P20040389_
has been completed.
Tax Map Number: 523400-295-019-0003-019-000-0000
Location: 23 OWEN Ave
Owner: GEORGE & CONSTAN E LANGFORD JR
Applicant: GEORGE & CONSTAN E LANGFORD JR
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040389 Application Number: A20040389
Tax Map No: 523400-295-019-0003-019-000-0000
Permission is hereby granted to: CrFORCTF,& C ONSTAN F,T,ANCTFORn TR
For property located
p pe� at: 23 OWEN .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: GEORGE& CONSTAN E LANGFO Residential Addition $10,000.00
P.O. BOX,71 Total Value $10,000.00
CLEVERDALE, NY 12820
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-389
NEW BEDROOM DORMERS
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, June 16, 2005
(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 I f+Cub sbury, We es ay, June 16, 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 No. /J °I
No inspection will be made until applicant has received a Fee Paid
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
• Applicant: 4 Czo4tvnct L,rayie, Owner:
Address: 2� f .. �. 41--e Address: �!V Ot���&n
Phone#(S ) -_� Phone#(Q
Property Location: Lot Number: / House Number
Subdivision Name: Tax Map Number: 11-,f_ i ct— 3 e i
oI New Building: e /commercial 'Estimated Market Value of Construction. $ f�
Cf Addition: rosidenc commercial If an Addition,what will use of new addition be?
0 eration: nce/ commercial
O o change to exterior size: residence/com'1
Other work(describe
Check Occupancylnformation 1` Floor 2° Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
o Single fazily dwelling 2—
• Two kpgy dweMn
cl Townhouse
o Multifamily dwelling
#of units
a Office
a Mercantile
a Manufacturin
a 1 ear detached Prage
0 2 car detached gMe _
O 3 car detached prage �7! R `,u"
0 1 car attached garage
0 2 car attached gate a N n 1 12nnA
0 3 car attached garage
e Storage building- F `!""`=E1'G
4SBURY
commercial MIULDO!" ODE
o Storage building-
residential
D Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so;for what? 0 0
Type of Heating System: electric/ oil / ga /wood / orced hot air/ baseboard/other:
Number of Fireplaces to be installed Number of Woodstoyes to be installed
List below the persons)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder 1A c , r ,) Gn 1. PU &, _ (tiA ) 34 7
Plumber Cl► ' k W e•_.
Mason UZA
Electrician ,
gig: please sign below altar 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 Uwe shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,anAs Built Survev by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: owner,owner's agent,architect,contractor
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS _
Compliance Methods:Part 5 -Acceptable Practice Method—1&2 Family Dwellings(only)
Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling;
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:
(' Ce�yds� nce L-c.t/1
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area- 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 CORRESPONEt TO R VALUES AS ,
SHOWN ON PLANS SUBMITTED:
a: Roof R 7Z'b
b. Exterior walls R 'Z—I
C. Glazed areas R Q 3 3
d. Exterior doors R
C. Floors over unheated spaces R
f. Edge of slab on grade(heated building) R C N D
g. Basement/cellar walls(above grade) R
h. Basement/cellar walls(below grade) R
i. Heating/cooling-ducts-piping in unheated space R J!�N 020 04
6. Service(domestic)hot water heating device EU!�r�;,,;:: _ GOUE
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED
Applic -it's Sig Date Phone Number
INSPECTOR'S REMARKS:
i
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm ep rt: A"I'Aam/pm
Date Inspection request received: _ Inspector's Initials:
I
NAME: � n� � PERMIT#: 0 I -
LOCATION: _ DATE: --
TYPE OF STRUCTUR :
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent throw h roof minimum 6"
Roof Complete/Exterior Finish Complete
E 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
Enclosed Stairs Sheetrock Underside minimum %"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 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 Valves installed/Heat Trap/Water Tern 110
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;
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below rade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in,(ht.)In accessible area
Crawl Spaces 18"x 24" access, 1 s . ft.-150 s . ft.vents
Building No./Addfqq'�isibV fr m road
Final Electrical
Site Plan /Variance .e ui d
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C 10 Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res, Final Insp. form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. 0 8 1 1 2 5 Cut-in Card No..........................
Owner...........
/...........L�9tiG �2
Location...O.P.�...7,,,....�1ZlJ�� /........ 1..................................................... ............ ........
Installation Consisting of... /. ��
/9'0 lei �"ld� ....... ..........................�.a�...............,............................._
..............................................................................................................................................................a.....................
....................................................................................................................................................................................
InstalledBy..... v.................................................................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 privileg of maCg; i ctions at any time, and if its
rules are violated,the Company shall have the right r v ke the
Date..:. ..d. ............. INSPECTOR ......... ........ ........................................... ....................
Member N.RP.A..I.A.E.1.
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 0 a;, O
Queensbury Building&Code Enforcement Arrive: am/ De art: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: - /
NAME:'Vl&m -Aamjqlo�d PERMIT #: Ao04-Ag
LOCATION: 91 Aix" INSPECT ON: p 2-/0;00
TYPE OF STRUCTURE: `
Y N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping L oo Z's
Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
nsulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
uct work sealed properly/No duct tape
�
COMMENTS:
L:\SueHemingway\Building.Codes.inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date In�;F
v d:
Queensbury Building& Code Enforcement Arrive: 22 ;�a pm
742 Bay Road, Queensbury, NY 12804 Inspecto
NAME: R kl)CFh R D PERMIT#: Zt4
LOCATION: � — — INSPECT ON:
TYPE OF STRUCTURE: R
Framing Y N N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8-in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
lee and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
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