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94-359 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date J u 1 Y 19 _ 96 This is to certify that work requested to be done as shown by Permit No. 9 4359 has been completed. ADDITION TO DWELLING This structure may be occupied as a 185A HANNEFORD RD. Location Owner SHITH, HAROLD A TAX HA.i' NO, 19. -1--11 By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY 94-359 No. WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to HAROLD A. SMITH OWNER of property located at Hanneford Road Street, Road or Ave. i! in the Town of Queensbury,To Construct or place a Addition to dwelling 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 C HCO1 Box 185A Queensbury NY 12804 2. CONTRACTOR or BUILDER'S Name 3 II 0 Sai 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0 1.1 6. TYPE of Construction—(Please indicate by X) 0 O (x)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 22 ' 7" x 12 ' Addition to dwelling as per plot plan, No.specifications and application and in complaince with Area Variance # 27-1994 and Site Plan # 21-94 . 8. Proposed Use Qa 1�• Utility room and kitchen 0 $ 24 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 15 19 95 0 (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.) N l-' Dated at the Town of Queensbury this 15 Day of f July 19 94 SIGNED BY �► for the Town of Queensbury Building and Zoning ©Spector TOWN OF QUEENSBURY REVIEWED BY: COMMUNITY DEVELOPMENT DEPARTMENT ,, 1 BUILDING & CODE ENFORCEMENT C FEE PAID: i, 531 BAY ROAD �'''f'� QUEENSBURY, NEW YORK 12804 PERMIT NO. d "�, * iS I/ (518 ) 745-4447 - "" BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSP.„ WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING All applicants ' spaces on this application MUST be completed 4nd,, e .i signature of the applicant MUST appear on the application fo c OWNER OF PROPERTY: Lp ,c, `j rt t �[ Mailing Address : ����'i E 4 4 Telephone Number( s) Work Horns k,.5. S7 Other - PROPERTY LOCATION: Tax Map Number: Section t9 Block + Lot (/ Subdivision Name: J4/ Lot No. NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE CONSTRUCTION: $ I0, NEW BUILDING: RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION: AD TT_. N TO BUILDING: PRIMARY BUILDING - ESIDENCE/COMMERCIAL ✓Single Family Dwelling LTERATION TO BUILDING: _ Two Family Dwelling RESIDENCE/COMMERCIAL Family Dwelling (NO CHANGE TO EXTERIOR SIZE) Office OTHER WORK (DESCRIBE BELOW) Mercantile Warehouse Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: 1ST FLOOR 7:7 j SQ. FT. IF ADDITION, USE OF NEW ADDITION: 2ND FLOOR i SQ. FT. (7�-tt.t ' _..f t i LF- JAI OTHER FLOORS SQ. FT. (not unfinished cellar or basement) ACCESSORY BUILDINGS : Detached Garage - One/Two Car TOTAL FLOOR AREA: 2/I SQ. FT. Attached Garage - One/Two Car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building 1 0 Other Z . -7 FEET X LZ FEET Foundation Type: [5471C) Will any second-hand or ungraded Number of Stories : t lumbq be used? If so, for what? (habitable space only) ,. Height (grade to ridge) : 15-1 feet Type f Heating System: Number of fireplaces and/or woodstove (circle all which applies) to be installed: Hp( Electric / Oil / Gas / Wood Amok Forced Hot Air / Baseboard / dumpy PE SON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: PERSON A, _eMt NAME OF BUILDER/ADDRESS/PHONE : 0\Vj4g. NAME OF PLUMBER/ADDRESS/PHONE: NAME OF MASON/ADDRESS/PHONE: NAME OF ELECTRICAN/ADDRESS/PHONE : DECLARATION To the best of my knowledge the statements contained in this appli- cation, 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 ertific. e of Occupancy or Certificate of Compliance being iss ed, a AS ILT ' O PLAN drawn to scale, showing actual location of pro ' ct r m ses Signature (Owner, owner' s agent, architect, contractor) z'^" ANY SPECIAL PROVISIONS - SEE REVERSE SIDE: 11140141. ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS 1\1eGC fly ' c ,f Compliance Methods : PART 5 Acceptable Practice Method - 1&2 FamilyDwellings (only) `b�aty 9 ue' '�;e4� PART 6* - Thermal Rating - Component Tkade Os 1&2 Family Dwellings; Multi Fla ily 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: Uwe if-\f. � .� alle1-1 P f OAPE-b -1. PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - '2: 1 square feet 2 . Type of Heat - Electric Oil Gas other- ,t r 3 . Is building mechanically cooled? Yes 4 . Percentage of area of windows and doors Over 17% i,'/Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R b. Exterior walls R c. Glazed areas R - Z d. Exterior doors R 4A1- e. Floors over unheated spaces R d' 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 CONT MAXIM SETTING 140° - WILL NOT BE EXCEEDED Applica ' s S. u V_ t 2/7 Phone�� mber INSPECTOR' S REMARKS : ( ' OkTOWN OF QUEENSBURY ,. BUILDING & CODE ENFORCEMENT s � 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256) ARRIVE: 1/ -I 1 ' DEPART: / / ` INSP:j FINAL INSPECTION REPORT ((- RESIDENTIAL DATE INS ,ECTION REQUES RECEIVED: NAME ift/ 01 04' b LOCATION `6-f /2 6 AO , /7� DATE 7 A W PERMIT N / — SI TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC _ INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO (CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH i DECK/PORCH/STEPS/RAILINGS / RELIEF VALVES FURNACE/HOT WATER OPERAT NG INTERIOR TRIM/PRIVACY DO RS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILI,GS SMOKE DETECTORS BATHROOM FANS a PLUMBING FIXTUR - FOUNDATION IN :+LATION GARAGE FIRE PROOFING I DOOR CLOSERS FINAL ELECTRICAL SITE PLAN VARIANCE RE.. FINAL SURVEY • OT PLAN7/// OK TO ISSUE 0 OR C/C )/ 7301) �� TOWN OF QUEENSBURY /r7dre BUILDING & CODE ENFORCEMENT iJ'V� 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: ' ` 1;/<,/ DEPART: / ' INSP: �0 FINAL INSPECTION REPORT - RESIDEN IAL 4 DATE INSPE iON REQUEST RECEIVED: NAME /j n 1 LOCATION Aiiu�/"�f'e� V 4 . ��9 DATE PERMIT N ,-56` 5(7\1 TYPE OF STR CTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC _ INSULATION FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE N/A 7 NO CHIMNEY HEIGHT/B VENT/HEIGHT I PLUMBING VENT 11/,//: ROOFING - EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS i RELIEF VALVES ' Y FURNACE/HOT WATER OPERATI G INTERIOR TR'M/PRIVACY DOIRS rof FINISH FLOORS. / BATH/KITCHEN ,TERTIGH Y/ OTHER FLOORS SWE-•ABLD OTHER FLOORS CARPE D STAIR CLEARANCE/RAILIN' ' / SMOKE DETECTORS !// BATHROOM FANS v/ PLUMBING FIXTURES \//7. FOUNDATION INSULATION / GARAGE FIRE PROOFING DOOR ela4,,FINAL I AL /v U5 V/ SITE PLAN/VARIANCE REQ. I FINAL SURVE LOT PLAN OK TO ISS E C/ OR C/C Ql� 1-0 1550 - ' Z,a4)i43 6 -34k, Ott TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED l 0—4I--q1./ NAME 14(1)4.‘Lid / aaii Sitceb LOCATION 1-1-c14 J J 7/ DATE iD/Li/9Li PERMIT 351 ,5 p TYPE OF STRUCTURE add, -Jo 0681 0 RECHECK APPROVED N/ YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBL ` FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. / MATERIALS FOR THIS PURPOSE ON �'IT FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING !� PLUMBING VENT/VENTS IN PLA PLUMBING UNDE SLAB FRAMING: Wt,lA-S"L_T`t JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN -ISULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS s R- WALLS R- if CEILING R- oc DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: [jA-i - C.crcft.tJ f` =a rZ IS I' , s i k l -0 A ARRIVE DEPART / // ICTOR 6/711 �j TOWN OF QUEENSBURY fit BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT !L REQUEST FOR IN PECTION CEI ED `7 ' 7`3J T NAME � � LOCATION - ure,--(7Z(7 DATE / '45Y P IT TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRAC OR IS RESPONSIBLE FOR PROVIDIN: PROTECTION FRI FREEZING FOR HOURS FOLLO NG THE PLACEMENT ' THE CONCR E. MATERIALS FOR T S PURPOSE ON SITE FOUNDATION/WALL 'SUR REINFORCEMENT IN ' ACE ,FOUNDATION/DAMPROO NG JCBrACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS I 'LACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN :EAM 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 REMARKS: ARRIVE ) DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD /// A( QUEENSBURY, NEW YORK 12804 TELEPHONE (510) 745-4447 BUILDING INSPECTOR'S REPORT EQUEST FOR INSPECTION RECEIVED ME X(.l, 'i' A 4l4.L1-v1 .00ATION zi-x X ATE 1/2 J y PERMIT 94/ %5 q j 1(/ YPE OF STRUCTURE fl4i‘i da; ', Uyj ECHECK APPROVED - N/A 1,4(6 OOTINGS/PIERS • IONOLITHIC POUR FORM EINFORCEMENT IN PLACE 'HE CONTRACTOR IS RESPONSIBLE OR PROVIDING PROTECTION FROM REEZING FOR 48 HOURS FOLLOWING HE PLACEMENT OF THE CONCRETE. IATERIALS FOR THIS PURPOSE ON SITE OUNDATION/WALL POUR EINFORCEMENT IN PLACE OUNDATION/DAMPROOFING ACKFILL APPROVAL OUGH PLUMBING LUMBING VENT/VENTS IN PLACE. LUMBING UNDER SLAB RAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM 7 (EATING ROUGH-IN NSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES ;EMARKS: 4 iRRIVE , A,5 '' IEPART \ 1./ 1 a, INSPEC (d/L) ID° TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BELDING INSPECTOR'S REPORT ZEQUEST FOR . HSPECTION ,REC VED 2- 7 y _OCATION )ATE 5P4 TYPE OF STRUCTURE 3.ECHECK APPROVED . /A YES NO FOOTINGS/PIERS • 1ONOLITHIC POUR ORM REINFORCEMENT IN PLACE THE CONTRACTOR I' RESPONSIBLE FOR PROVIDING PRTECTION FROM FREEZING FOR 43 HI-AS FOLLOWIG THE PLP7FM7 OF T'E CONCRET'. MATERIALS FU. THIS 'URPOSE N SITE FOUNDAT:WWiLL POU' REINFORCEMENT IN PLAIT FOUNDATIOWDAMPROOFI . kraii0. 47VAL PLUMBING VENT/VENTS I. . ACE PLUMBING UNDER SLAB FRAMING: JACE '.17KADE, BRAOING/ORIDGING JOIST EANGERS JACK POSTS/MAT REAM HEATING ROUGH-IL INSULATION FOUNDATIO'N WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOC,E R- R- R- DUCT WORCOR PIPING IN UNHEATED SPLGEI REMARKS: ARRIVE - DEPART ;74) INSP OR TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 y INSPECTOR'S REPORT: ARR DEPART :)","v INT REQUEST FOR INSPE ION R CEIVED: NAME _ / 2 ; w Alr LOCATIONAllira p . a,,.1 DATE 9/ PERMIT # 9Y-115 TYPE OF STRUCTURE: RECHECK APPROVED_ N/A YES NO FOOTINGS/PIERS MONOLITHIC P• R FORM REINFORCEMENT PLACE THE CONTRACTOR I' RESPONSIBLE Flit PROVIDING PROTE T ON FROM FREEZtNG FOR 48 HOURS FOLL• ING THE PLAC8— MENT OF THE CONCRE . MATERIALS FOR THIS P.RPOSE ON ITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLA ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADPRS BRACING/BRIDGINr. JOIST HANGERS JACK POSTS MAIL BEAM ✓^ — AIR INFILTRATION BARR R 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— /7,./1/ 07471 .47:,442- l