98-070 .
Ceitificate of OCCU • ancy
,i. , .
Town of Queensbury .. •
Warren County, New York .. .
. . ,
Aver i 1 19
Date
. •
- !• -:::,,,;-! ,,,-,'.'
98070
This is to certify that work requested to be done as shown by Permit No.
has been completed.
RESIDENTIAL INTERIOR ALTERATIONS
This structure may be occupied as a
1220 HOLLY LANE
. Location . *
Owner ROBERTS,.._ P. liTILLIAM
• .
TAX MAP NO. G . -3-10
By Order Town Board
T OF QUEEN/BU Y
. .,
• Director of Building& Code Enforcement
BUILDING PERMIT
VALUE $ 25000TOWN OF QUEENSBURY No.. 98070
TAX MAP NO. 6.-3-10 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to ROBERTS, P. WILLIAM
OWNER of property located at 1220 HOLLY LANE Street.Road or Ave.
in the Town of Oueensbury,To Construct or place a RESIDENTIAL INTERIOR ALTERATIONS
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.
I. OWNER'S Address is
354 HOOK ROAD
ARGYLE, NY
2. CONTRACTOR or BUILDERS Name
COUNTRYSIDE CONSTRUCTION
3. CQ�IIFACJOR L►SX L 4 7 L Address
KKGKKREE0OIINWICH, NY 12834
4. ARCHITECT'S Name
ATLANTIC INLAND
5. A I 9F F BVAl rgia
GREENWICH,. NY 12834
6. TYPE of Construction—(Please indicate by X1 RESIDENTIAL' ALTERATIONS
1 I Wood Frame ( 1 Masonry ( 1 Steel ( 1
7. PLANS and Specifications
No.
8. Proposed Use
RESIDENTIAL INTERIOR ALTERATIONS
56 March 17 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.)
17 March 19
Dated at the Town of Queensbury this Day of 19
SIGNED BY �A��c ''
for the Town of Queensbury
Building and Zoning Inspector
,. • .
Building Permit Application
`r .
Io►vll of Queellsbuly - Dept. of C •
onuntin►ly Development, 742 Bay Road, Queensbuly, NI' 12804 1761-8256/
--'o BUILDING dt . CODE ENFORCEMENT
NOTICERequirements prior to issuance r
A permit must be obtained before of this permit: PERMIT FILE NO. 9 3`07�
beginning construction. No inspections
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$
a VALID BUILDING PERMIT. All Mra /Usc
applicants' spaces on this application RECREATION FEE PAID$
MUST be completed and.the signature n Planning Board Action REVIEWED BY: . r3rk
of the applicant must appear on the
�pplicalion form. rh„,k�,„,. SPR / Subdivision /Other
Boding inspector
J Recreation Fee Payment J
Applicant: QlleN rac_kl►'15on Owner: -: tl ccooe ds
Address: RRI 'Box %7L C Nu)ic.h J NY Address: ?x $cI►'1 1nctN�, QUpp,n47ut2(j, lglr
t2S-3y
Phone # ( 5i8 ) Gala - (akS Phone # ( ,i -) 6,3- - SAN(e
Properly !mention: Ic.iNDn c)- %uewnsbk_e
NIIIitIIYIHItIII N11111411 ` 'I•na Mnp Nnmbpr .-- --.1.- .1
. . . ._......... ... .. .. .. .. ... . Lion 011 MO Ild
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF TILE
New Building: CONSTRUCTION: .$ 60 00, 4—�
residence / commercial
•
Addition to Building: •
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Pr'mary Building -
residence / commercial V Single Family Dwelling
1/ Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (d cribe i .. ) Mercantile'
Q
\ "ri37 4� r�J�1/ Manufacturing
•
Other
GROSS AREA OF PROPOSED STRUCTURE: •
If ADDITION, what will use
1st Floor f -. ,; sq. ft. of new addition be? :
2nd .Floor sq. ft.
Other Floors sq. ft. .
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1: 2 car
TOTAL FLOOR AREA: " 4.. f 3 SQ. FT. Attached Garage a, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X FEET .
Foundation Type: Blo c.14. Will any second-hand. or ungraded
Number of Stories : e4q e, lumber be used? If so, for what?
(habitable space only) •
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which appli s)
to be installed: Electric / Oil / Gas // ood
Forced not Air / Baseboard / Other
. Person responsib e fo supervi on of work as regards to building
codes is :
Name Addresss Phone •
Builder: •
•
Plumber: e
. Mason: . C� .n+ �. S i t��-., �on 4g-t-i Gil inn
Electrician: y
f
DECLARATION: Please sign below after you have carefidly read the statement.
RESIDENTIAL FINAL INSPECTION REPORT
• Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive n5` ` am/pm Depart am/pm
Town of Queensbury Inspector's Initials '
742 Bay Road
Queensbury,New York 12804
NAME PERMTTW u
LOCATION - J 0 Pl j\ v _1�rv�Q. DATE ( ca —
TYPE OF STRUCTURE '7 J\\R S��
N/A YES NO COMMENTS
Chimney Heights"B"Ve l ireict Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete .
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies, anding 18 in. or more
Interior Handrails stairs boa- si t es 3 r more risers
Grade 2%away from foundatio
8"clearance to sill plate
Gas Valve shut-off exposed/reg ator 18"above grade
Gas Furnace shut-off within 30 f=:t or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operat. g
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides i ore than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
' every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical t/
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy) T/
Okay to issue permanent C/O(Certif. of Occupancy)
, MCIRESIDENTIAL FINAL INSPECTION REPORT
lQi--
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement / \ pr),)
Dept. of Community Development Arrive f'3cl am/pm Depart am/pm
Town of Queensbury Inspector's Initials '3
742 Bay Road
Queensbury,New York 12804
NAME W ; l\ PERMIT#
LOCATION / C DATE —/ ' .
TYPE OF STRUCTURE ` n
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake ,/ / •% i//
��n�ii IPlumb Vent through roof �
Roof Complete +�/ edit, d''C�i4 '"-
Exterior Finish Complete ✓ o/►i:. S/ �'
Interior/Exteri Railings 3 'to 3 " ^�
Exterior Handrai s, 'es,landing18 in. or more V /,/ j
Interior Handrails s both sides 3 or more risers r r/ - /�/ .r /4- 'ec Ic. /
Grade 2%away fro foundation ✓ �J
8"clearance to si plate �-5 gee`�j e/ �"'"
/
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site /
Oil Furnace shut-off at entrance to furnace area f
Furnace/Hot Water Heater operating • / /
V- / /
Relief Valve(s)installed ✓ —f?1/ gi L/(`�—
Headroom,6 ft. 6 in. on stairs .
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers ✓
Interior privacy/trim/doors/main entrance 36" V-
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells V - .
Smoke Detectors: r/
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures /
Foundation insulation ✓�
3/4 hour fire door/door closer
•
Garage fireproofing V
Garage penetrations sealed V
Furnace in separate room protected(in garage) /
Light ventilation per room +/
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required $-
Final Survey Plot Plan f
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
GENERAL INSPECTION REPORT 4--D41k-Q..._ .
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 1/Y`idlam/pm Depart am/pm
Inspector's Init g �
alcL
_� .
, :
NAME: \�� �"� i )(MINPERMIT#
LOCATION: ,--,--DATE : — ' ,
TYPE OF STRUC 7 4. rh "\
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
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 \ ,1
Foundation/Wallpour \
/
Reinforcement in Place \ f
Foundation/Dampproofing \�
Backfill Approval !
Plumbing Under Slab �> / Ait(
� l� / �S //l��Pl bing VenWents in Place // �, (/ ✓L / 4
ough Plumbing 'Y
Heating Rough-In
Insulation
Foundation Walls Interior R- .f
Foundation Walls Exterior R- /
Floors R- j
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 1
Air Infiltration Barrier \
Fire Separation 1, 2, 3, hour \
Penetration Sealed \`\
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT •
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive2'1am/pm Depart am/pm
Inspector's Initial -
NAME: W^\ i nNwn \C2R/Y)ZgPERMIT# 070
LOCATION: L 'DATE :
TYPE OF STRUCTURE: -)'� P\ / ,1_
RECHECK
N/A YES NO COMMENTS
Footings/Piers /
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ible f
providing protection from a in -
for 48 hours following the plac ment
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
H�ing Rough-In ,�. id
•��,lisulationi
Foundation Walls Interior R-
Foundation Walls Exterior R- (/ O�- �S ���'�''' �� y 2
Floors R- ✓/ `
Walls R- f 3 CA S ikk
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/FIeaders
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
Y36CPYT\
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road ,, ,,i
Quee l,sbury,NY 12804 Arrive 7( am/pm Depart am/pm
Inspector's Initials ' ems.
•
NAME: \QAV OfTh ( N 1 S PERMIT# U-07
LOCATION: )o.L.C) LL—
TYPE OF STRUCTURE: ,A,YtV�Y cry-
RECHECK
N/A YES NO COMMENTS
Footings/Piers I . '
Monolithic Pour Form /� ide)‘ Jzf _ ,/iYC ,Y,
Reinforcement in Place v' Q �`,
The contractor is responsible for 514,1f . Lyp
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundatio mpproofing
Backfill Appro
Plumbing Under Sla'
Plumbing Vent/Vents i 'lace
Rou i Plumbing
H ing Rough-In
ulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- 1 .Pll
Ceiling R- /S'
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
.-./g : old ,' . :;
I F,^ /� /-. - /J ,,ram_+. -_ q/Sj ..2Xai - -f �Dcr.w�/r ,per . — 'S gaerh
®cam c , '
_/yy�p ��+ n - Z Sys' ' /��' (�/(�/\ O///� /ey'. ._
1_ ..i.-.; . --- , ,,,
ft,r4
, 17__./1"7.- :,:;.-c.7,41._;,_.,,,,e,-, i e , - ,
NOTICEo-��
FOAM INSULATION MUST BE COVERE1 /0 X/z
i -- 0 - k 7 BY`IS�IINU i CIFIERMAL B
v' p
o
fza l lxry i IV _
- /
*-�
!1N --__ IN{OTICE
`�`( KRAAPER INSULATION MUST B:
� �� •
COVERED ,dN-�CO�MBUSTIBLE BARB ER~
ii
;0111I" c TOWN OF QUEENSBURY BUILDING DEPARTMEN
I Based on our limited examination,
�`/°n compliance with our comments shall `
_��`�r not be construed as indicating the
j--
lans and specifications are inu
compliance with the code. 1peCi •
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•
, .
ii
`�✓' O/,'N O F Q LEE E U ll S 7. . ',) 2 / A' / F .��C "'y _}, i
. BUII IDI 1G & COD ... 'if_ , -
REV i FACED DV'
f I I I I ► f I- l _ 0 I
D,z,TE _3 e tAF k/f /�P r' \Ale.,--.'Let d a/ '.