98-071 CERTIFICATE: OF 'OCCUPANCY,'
TOWN OF QUEENSBURY..
WARREN COUNTY, NEW YORK
June 2 2 9 9
Date 19 -.
This is to certify that work requested to be done as shown by Permit Noo-` '
has been ,completed. ;
2 .STORY RESIDENTIAL INT
ERIOR AL1,si'JS11'S1.1.a'.IS
• -This structure may be occupied as.a.
1220 HOLLY LANE
Location
ROBERTS, P. WILLIAN!
Owner
TAX ,FLAP NO. 6'. -3-10 By Order Town Board'
OWN OF QUEENSBURY ,
Director„of'Bidg do .Code Enforcement
BUILDING .. PERMIT
VALUE: :..$:: 15000 TOWN OF QUEENSBURY
No. - 98071
TAX MAP NO. 6. -3-10 WARREN COUNTY, NEW YORK
... WILLIAM
PERMISSION is hereby granted to - �ROBERTS,r
OWNER of property located at 1220 HOLLY LANE Street,Road or Ave.
in the Town of Queensbury,To Construct or place a 2 .STORY: RESIDENTIAL. INTERIOR AT,TERATION
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 V
354 HOOK ROAD
.,.ARGYLE;„NY
2. CONTRACTOR or BUILDER'S Name
COUNTRYSIDE CONSTRUCTION -
3. CONTRACTOR or BUILDERS Address
RR#01_, BOX 4711
GREENWICH, NY.:,: .12834 '
4. ARCHITECT'S Name '
ATLANTIC INLAND
AB 1T90Adg®s
GREENWICH, NY 12834
6. TYPE of Construction—(Please indicate by X)
:;. , RESIDENTIAL::.ALTERATIONS«..:.
( )Wood Frame ( 1 Masonry ( 1 Steel ( 1
7. PLANS and Specifications .. -
2.•.:STCY;',,720, SQ,:<FT'.=RESIDENTIAL;:INTERIOR{.::ALTERATIONS.:;AS. PER APPLICATION
8. Proposed Use -
:::2.• STORY ,RESIDENTIAL INTERIOR ALTERATIONS.;.:,
28.; March 20 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.) -
_ 20 March 1998.,:;
Dated at the Town of Queensbury this. V Day of :19
SIGNED BY 1 for the Town of Queensbury
Building and oning Inspector
Building Permit Application
7olv�t of Queeltshr�r -
y Dept. I f Community Development, 742 Bay Road, Queens-bury, NY 12804 /761-82561
BUILDING & . CODE ENFORCEMENT
IttICE Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO. E
beginning construction. No inspections 62 will be made until applicant has received f-1 Zoning Board Action PERMIT FEE PAID$ u
a VALID BUILDING PERMIT. All Area /Use /
applicants' spaces on this application RECREATION FEE PAID$
MUST be completed and.the signature . /^ s/
of the applicant must appear on the f l Planning Board Action REVIEWED 1J3: /9"
application form. r ,„„• SI'R / Subdivision /Other DuAding inspector
�.Recreati'fn Fee Payment
Applicant Cra� '��/2 elf� �' a� aa'�"1� e + �,r(3wuer: - -ic:
1..,1/4-_,-'i v \ rArv--.._- e . 0 ._.J5
if
' Address: dla / 16,,^,.v 4/7 z, Address: SS i.5 gJ
n
) ' . '
('hone # (, 2, ) (''2. 7(j none #
��S�Properly Location: cea�: ��°"1.� "PI ��tcz�.#,b_s'0'�.�.+,�'
�Jul�tllvinlun Nnulal " 'I•ntt mill) Nunihwr • ,l.�..,_
Ntlulloll Illnok I td
NATURE or PROPOSED WORK I ESTIMATED MARKET VALUE OF THE. •
New Building:
CONSTRUCTION: $ ,'K dQ.r
residence / commercial ,
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: . Primary Building -
residence / commercial Single Family Ow
1% Residence / Commercial Two Family Dwell . ' � /
no change to exterior size Family Dwelling
Office MAR 0 g 1998
Other Work (describe below) Mercantile
Manufacturing •TOWN 0'- .,UE .e4EiBL.,RY '
i/ Other I), BUILDING AN. CODE
GROSS AREA OF PROPOSED STRUCTURE: art
1st Floor ,..5 sq. ft. If ADDITION, what will use
2nd .Floor �,-p sq. ft. of new addition be7 :
Other Floors eq. ft.
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: - j 720 SQ. FT. i/_ Attached Garase 2 car
Private Storage Building •
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X FEET
Foundation Type: 1''10 Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only) • ��/�1
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 //Wood
Forced Hot Air / Baseboard / Other
Person respons b e for sups visi n of work as regards to building
codes is : ,O-l4 Y7 rr^ I�• ,44tz.
Name Addresss Phone •
Builder
Plumber:
r
Mason: , r /%
Electrician: (:::: G� 1! / �-/' ,{ / efC £
DECLARATION: Please siert below nt 4• van have rnrvfi.1/v r,'n,I deo rtnloneonl
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcemeu t
Dept. of Community Development Arrive .31t) am/pm Depart am/pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
t \ !
NAME \` G'v�cv. C�LJ�-1V � PERMIT#
LOCATION �� Ida _ s�f\ ! DATE c1
TYPE OF STRUCTURE "1"� \(1'
N/A YES NO COMMENTS
Chimney Height"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through foof
Roof Complete
Exterior Finish Com ete
Interior/Exterior Rail. Rs 30"to 36"
Exterior Handrails,balco es,landinu 18 in. or more
Interior Handrails stairs •-oth sides 3 • m Ire risers
Grade 2%away from foun.'tion
8"clearance to sill plate
Gas Valve shut-off exposed/re_ulatoi 18'' above grade
Gas Furnace shut-off within 30 f_z o thin line of site
Oil Furnace shut-off at entrance to . ace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides ore than 3 risers
Interior privacy/trim/doors/main • trance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Lano g 18 in. or more
Railing across window in stairwe l
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
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/C)(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256
Building & Code Enforcment Arrive: /%r Insp:
Dept. of Community Development
Town of Queensbury Date Inspection Request Received: rahs
742 Bay Road
Queensbury, NY 12804
NAME / �1)/i.;k �,e. PERMIT NO. ?/
LOCATION • , // DATE i�i�
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent Through Roof ✓
Roof Complete
Exterior Finish Complete t/"
Interior/Exterior Railings 3 to 36"
Exterior Han ails, Balco es, Landin in. or more
Interior Handrai s • es 3 or More Risers
Grade 2% Away From oundation
8" Clearance To Sill ate
Gas Valve Shut-Off xposed/Regulator 18" Above Grade
Gas Fu ce Shut-Off within 30 Feet or within Line of Site /
Oil Furna a Shut-Off at Entrance to Furnace Area
t
Furnace/H Water Heater Operating ✓ / !> / 3�
Relief Valve ) Installed ✓ ,indrh/. —_,eP v-r,_ ..g
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"
Floor Finish
Bathroom/Kitchen Watertight
Interior Handrails Balconies/Landing 18 in. or more _
Railing Across Window in Stairwells
Smoke Detectors: ✓,
every level w'r
every bedroom
outside every bedroom ifz'
inter connected 1/
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 • / ,rf
Final Electrical J 4,,,,ef„a/ /�/!Cerrar/ ,c?
Site Plan/Variance Required
Final Survey Plot Plan _
As Built Septic System Layout Req.
Okay to Issue'comp C/O 4
2 / air,",/ /4,1
GENERAL INSPECTION REPORT
Town of r3'Queensbu 1 �♦�f�410
`
Dept. of Community Development Date inspection request received: �'
Building& Code Enforcement
742 I ay Road g
Queensbury, NY 12884 Arrive am/pm Depart-3 YO am/pm
Inspector's Initials7
NAME: VO \ ��r ram.,
Q PERMIT#
LOCATION: \ C � c s�..r /�^-Q— DATE : -- -9 a
TYPE OF STRUCTURE: /-*
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f
providing protection from freezi
for 48 hours following the pla e t
of the concrete.
Materials for this purpose on si •
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval -
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
H ting Rough-Ir /
insulation V
Foundation Walls Interior R- 0
Foundation Walls Exterior R- /I O O 10C ATF/ - 06,-/u
Floors R- S
Walls R- I. �/
Ceiling R- '7C-)
Duct work or piping in /
unheated spaces R- C '
Proper Vent, Attic Vent / V J 7-019_ f�V uu \"
Framing V
Jack Studs/Headers i
Bracing/Bridging
Joist Hangers_
Jack Posts/Ma in Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3. hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
`e Z^ (0/ ) (518) 761-8256
rrY\
T WN OF QUEENSBURY
DING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 •' `:.:^;„�
INSPECTOR'S REPORT:, ARR//o DEPART INT CD,
REQUEST FOB,I�NSP9CTI( 1-,
L-3 9 cc
NAME
LOCATION ! (vh ! 14 1 Al x r.__.
DATE 3—J C73 PERMIT l a 0
TYPE OF STRUCTURE: J !a SY
RECHECK '' .D ) i(�p ED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM EE NG
FOR 48 HOURS FOLLOHING TH PLAC -
MENT OF THE CONCRETE.
MATERIALS FOR THIS P\URP SE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLAC
FOUNDATION/DAMPPROOF NG
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
•
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS _
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
•
ab
4.1
C./
- •--
.
. .
Countryside Construction
•
_\ PR#01, Box 471.
Greenwich NY 12834 •
. /
w;//ie,'91 XO g re.'"/.7 .
• he 02q3e•
/.4i..."e 1_4- t le 1 :V/e111
•
SMOKE DETECTORS ARE REQUIRED IN BEDROOMS,
ADJACENT TO BEDROOMS, AND ON EACH FLOOR LEVEL
INCLUDING CELLAR OR BASEMENT. NI OKE : -
DETECTORS SHALL BE INTERCONN4C-'kEij O.' ALL LEVELS.
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TOWN OF QUEENSBURY BUILDING DEPARTMENT ,
• Fll 11 I"V1 r' ,-. --'':.-: .,'
Based on our limited examination, : ,.;:) ,..._.41'a L'_,-..,..i... -, .,._. - - -
compliance with our comments shall
—
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not be construed as indicating the FIE co py
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plans and specifications are in full P...1.. .fl F•21, .', PI'
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'OAT Fr.
'compliance with the code.
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