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95-209 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date January 25 19a6 This is to certify that work requested to be done as shown by Permit No. 9,5209 has been completed. ADDITION TO REAR OF EXISTING RESIDENCE This structure may be occupied as a rCLEVERU ALE RE) . Location Owner 'I'ABNER , ;IOHW V. & LENA V. By Order Town Board NAP NO. 13 . -1--5 TAXTOWN OF QUEENSBURY Director of Bldg. & Code Enforcement ; BUILDING PERMIT VALUE $. .12000 TOWN,-O:F Q U E :H:S B_U RY..:.:. v.,... ___ 9 52091 TAX HAP NO 13.:-1—5_: No.` - WARREN COUNTY, NEW YOR.K TABNER,. JOHN_ W. & LENA V.. PERMISSION is hereby granted to`f- CLEVERDALE: RD. OWNER of property located at Street,Road or Ave. ADDITION;TO':REAR OF- EXISTING RESIDENCE in the Town of Queensbury,To Construct"or place a .= _ 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 38 BROOKWOOD DR. LATHAM,_ NY 12110 - 2. CONTRACTOR or BUILDER'S Name HORNING, LEE 3. CONTRACTOR or BUILDER'S Address_ RD81 BOX 27-A QUEENSBURY ;ti•NY ` '1280 4 := __M ,:: :ks:_ 4. ARCHITECT'S Name 5. ARCHITECT'S Address - • 6. TYPE of Construction—(Please indicate by X) RESIDENTIAL_ADDITION- -.` __ ( .)Wood Frame ( ) Masonry ( I Steel ( ) 7. PLANS and Specifications -• 140S. M. FT. ADDITION TO REAR OF EXISTING RESIDENCE. AREA VARIANCE AND:<SITE=>:PLAN, REVIEW_ REQUIRED;;:: 8. Proposed Use ADDITION TO REAR OF EXISTING RESIDENCE. .v�r;:r $ _-- `� PERMIT FEE--PAID=-THIS PERMIT'EXPIR 5- ` � " _`°„'�._ — - 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.) 6 June _ ' 95 .: Dated at the Town of Queensbury this, Way of • . - 19 = : e OP- SIGNED BY for the Town of Queensbury Buil ing and !oning Inspector '5ekattment of Community Development Reviewed By: Building & Code Enforcement ,, l�_11 /Bum ins t�s ectyr Town of Queensbury i• n� Permit No. o f V 742 Bay Road � 06 . Queensbury, New York 12804. Fee Paid $ (518) 745-4447 ' Building Permit Ap plicatio '� • . . A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. T'1VTtONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BU LDING PERMIXe All applicants ' spaces on this application MUST be coin letMAYa0819 signature of the applicant MUST appear on the application form. ' f • TOWN C�UEENSBURY Applicant: o 1J,.1 $ ��..i 2 Owner: ,�,�, BUILDINGOF AND CODE Address: 3 S Dratve Address: 4A7`I44M. Y 12 l Io' . Phone # (618 ) 2$ - $'Sa.6 Phone # ( ) - Property Location: ,&4 Sa..1 120 . CLEerl2 �Le. 131 f 1 LS Tax Map Number . Subdivision Name: Section Block Lot • NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ /2,6 OQ residence / commercial e'A Addition to Building: . residence / commcrcial - OCCUPANCY INFORMATION: Alteration to Building: Primary. Building - residence / :commercial . < /' Single Family Dwelling ' Residence / Commercial -Two Family Dwelling no change . to exterior size . , Family Dwelling Office • Other Work (describe below) Mercantile . , . Manufacturing . Other . GROSS AREA OF PROPOSED STRUCTURE: 1st Floor fd4 sq. ft. If ADDITION, what will use • of new addition be? : 2nd .Floor I.--• ' sq. ft. j�e,J,.44 41264 Other Floors sq. ft. - (not unfinished cellar .or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: 140 • SQ. FT. Attached Garage .1, 2 car .' Private Storage Building SIZE OF NEW STRUCTURE: • ' Commercial Storage Building Other ' 'a O FEET X 7 ' .FEET - • . Foundation Type: Q6I,4f t ,jc. Will any second-hand or ungraded Number of Stories : . , lumber be g be used? If so, for what? (habitable space only) . , I .i Height (grade to ridge).: .0Cb feet , TYPE .OF HEATING SYSTEM: Number of fireplaces and/or woodstove ' (circle all , •ich applies) to be installed: • Ele • Oi / Gas / Wood . 4 orced Hot Air A Baseboard / Other 'Person responsible for supervision of work as regards to building codes is : ' /ft. 4,5„ ,,„,_ . QcJr50,..csFuv, r 7c3 .0 2D, . Name Address Phone 'Build-err: �+G/2..r 1.4 L 1o...,s; , Q0 44,4s r'b ar+5- 5 3.O2o,,,, '- Plumber: i' - Mason: f, , . . • Electrician: , ', ' ' 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 s bmit prior to a . Certificate of • Occupancy or Certificate of Coin iance b ing issued, an AS BUILT PLOT PLAN drawn . to scale, showing actual _o_cat. o 0 oject on premises . ..__ • Signature: �"` ter---- � • (owner, o 's gent, architect; contractor) I0' op ;01 01! ram; ENERGY CODE COMPLIANCE APP CATIO �W. CEI V - yr• TOWN OF QUEENSBURY, WARREN COUNTY 't, '=•'• ...' 9000 HEATING DEGREE DAYS MAY'41-,1;'i» ©31995 TOWN OF QUEENSSURY Compliance Methods : PART 5 - Acceptable Practice Me omILDINGAND CODE - 1&2 Family Dwellings (only) PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; 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: Jo,j J104.4 1.041 777;A,,aea- 9 1-1nsw P-o40 , C‘asaFdecnt PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 146 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 CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R ik,' b. Exterior walls R1, * 22 c . Glazed areas R d. Exterior doors R e . Floors over unheated spaces R f . Edge of slab on grade (heated building) R l0 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 CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Appli ant' s re Date Phone Number INSPEC OR' S EMARKS : • 4-) TOWN OF QUEENSBURY aBUILDING & CODE ENFORCEMENT 531 BAY ROAD QUEENSBURY NY 12804 • (518)745-4447 ARRIVE': • y"7�� DEPART: -3 INSP ._,, FINAL INS ECTION REPORT - RESIDENT DATE IN N�REEnQUEST RECEIVED: .0 NAME a e11 n // LOCATION ✓�r!,/�„ C?6 .QX.!!/V DATE / �PE7RMIT H' �" TYPE OF TR TURE ��t���� FOOTINGS FOUNDATION BACKFILL F ING ROUGH PLUMBING \ SEPTIC INSULATION FINAL ELECTRICAL '1 WOODSTOVE OR FIREPLA E _ N/A YES / NO CHIMNEY HEIGHT/B V�NT/HEIGHT V PLUMBING VENT 5 ROOFING \ �[ a ' EXTERIOR FINISH ` // DECK/PORCH/STEPS/RAILING RELIEF VALVES �t �e V FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS 'J )/ FINISH FLOORS: BATH/KITCHEN WATERTIGHT 1kil OTHER FLOORS SWEEPABLE / j OTHER FLOORS CARPETED I . STAIR CLEARANCE/RAILINGS '✓ SMOKE DETECTORS V BATHROOM FANS PLUMBING FIXTURES / .V FO UNDATION INSULATION / GARAGE FIRE PROOFING \ /1 1\__ DOOR CLOSERS ! I ' / FINAL ELECTRICAL CET 69 SITE PLAN/VARIANCE REQI f) 1 - FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C k)ge- 5 • *To 5 a t NY,c $e COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 357 Elwyn Terrace — Manheim,PA 17545 q 5 -Q 9 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 45160 Panel Board No. Cert. Cut-in Card No. Owner .1 /t!�/L Occupant A Location .../7. O Aer /I . ..`%,I D' Installation Consisting of. Y' / 7C f� s7,1-Z�/> 6 L / re-5 ,'DD) roil Installed By.....4...t...4)0 2V AIG Lic.# 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 privilege of making inspect' ns t any time,and if its rules are violated,the Comp shall have the right to revoke t ttfic• . Date 7~ INSPECTOR... Me ber N.F.P.A.,I.A.E.1. • M\N, 40. TOWN OF QUEENSBURY ' BUILDING & CODE ENFORCEMENTS 531 BAY RD., QUEENSBURY NY 12804 ` INSPECTOR'S REPORT: ARR S� r DEPART ',5� NTH., REQUEST FOR INSPECTION RECEIVED: �� .,)'['^'"I J NAME Ck1 ‘ `CAA.1� LOCATION ik %r tR) C 6 Q-c clk . DATE — 7 PERMIT # TYPE OF STRUCT E: 9 RECHECK / APPROVED / N/A YES NO FOOTINGS/PIERS i MONOLITHIC POUR FORM REINFORCEMENT IN PLA E THE CONTRACTOR IS RES1ONS BLE FOR PROVIDING PROTE TION .ROM FREEZING FOR 48 HOURS FOLLOWING TH PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PULPO E ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFINt BACKFILL APPROVAL PLUMBING VENT/VENTS IN 'LACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/H:ADER.. BRACING/BRIDGING JOIST HANGER. JACK POSTS/ 'IN BE" AIR INFILTRATION BA'RIER HEATING ROUGH-IN _ _- INSULATION: ;4 jER 6 FOUNDATION WAL S NTERIOOR R-`Z ✓` FOUNDATION WA S EXTERIOR '- FLOORS R WALLS R}9.1 CEILING R- D DUCT WORK O' PIPING IN UNHEATED SP'CES R- • • 2/.v • •4pell2 /4 2 P, 9 riujSfi F04h. 0'U W42--5 • TOWN OF QUEENSBURY i?z: ?1 ,1'BUILDING & CODE ENFORCEMENT {�;+;� y 531 BAY RD., QUEENS BURYNY 12804j '44t ' '",,Y; INSPECTOR'S REPORT: ARR / ll'DEPART!" 5-IN J C-- REQUEST FOR INSPECTION RE EIVED: NAME �C/I LOCATION CIL 6—I Jena: DATE GiZz> �jP PERMIT # ' ? ' 2_01 TYPE OF STRUCTUR4: /1040 , TO RECHECK (� AP'ROVED NI, YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE -r THE CONTRACTOR IS RESPONSIBLE FO' PROVIDING PROTE TION F'OM FREEZ 'NG FOR 48 HOURS FOLLOWING THE PLA' - MENT OF THE CONCRETE. L MATERIALS FOR THIS PURP1SE 0 SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS I PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/ AD S BRACING/BRI GING JOIST HANGS S JACK POSTS/ IN BPAM AIR INFILTRATION B RIER HEATING ROUGH-IN I/INSULATION: FOUNDATION WALLS INTERIOR R-.' FOUNDATION WALLS EXTERIOR R- _ FLOORS R- WALLS R- 2� CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- �4"pude 8/016t• I&(Ne.,9 in)51-4-GLEO VIP u 10 ;,- '-'4.: TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT „.. 531 BAY RD., QUEENSBURY NY 12804 '''• , _ INSPECTOR'S REPORT: ARR3, Z7/ DEPART d`65 INT v � REQUEST FOR INSPECTION_ j� RECEIVED: &'/.20/49 NAME , GL-12/2PC,� ff� LOCATION �P...4Ve•tdah- pd, DATE lO/20`1.5 PERMIT 'p # % '02� TYPE OF STRUCTURE: CIA41-HOd?... RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC PO FORM REINFORCEMENT I THE CONTRACTOR I RESPONSIBLE OR PROVIDING PROTE T ON FROM FREE ING FOR 48 HOURS FOLLO' ING THE PL CE- MENT OF THE CONCRET�a, MATERIALS FOR THIS PURPOSE O SITE FOUNDATION WALLPOUR REINFORCEMENT IN PLACE -- - \ FOUNDATION/DAMPPROOFING BACKFILL APPROVAL • I _ PLUMBING VENT/VENTS IN P CE _ ROUGH PLUMBING _ , PLUMBING UNDER SLAB _ 4RAMING: _ /� JACK STUDS/HEA ERS BRACING/BRIDG G JOIST HANGERS .� JACK POSTS/ N BEAM AIR INFILTRATION BARRIER - — HEATING ROUGH-IN INSULATION• FOUNDATION WALLS INTERIOR RR- -- FOUNDATION WALLS EXTERIOR - FLOORS R- _ WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- OLAtig--- 4471 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 "�'z x b s„•' '/J�' 6�" INSPECTOR'S REPORT: ARIj/G', /� DEPART/Pr INT REQUEST FOR IN PECTION RE EIVED: U 1 2 -GO NAME y CJ\ ��, � \. —1 LOCATION �J�j—'p"�C,`,)- 9—'i_ DATE PERMIT �# < O TYPE OF STRUCTU Q 3 1 7-I((I��\\J-' t 6� RECHECK APPROVED A YES I NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE F• PROVIDING PROTE TION FROM FREEZ"G FOR 48 HOURS FOLLOWING THE PLA • MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITi. FOUNDATION/WALLPOUR _ REINFORCEMENT IN'PLACE `f _ FOUNDATION/DAMPPROOFING • tBACKFILL APPROVAL PLUMBING VENT/VENTS IN • ACE ROUGH PLUMBING .r PLUMBING UNDER SLAB FRAMING: JACK STUDS[HE DERS .■ BRACING/BRID NG JOIST HANGER'' JACK POSTS/M•IN BEAM AIR INFILTRATION BA ,RIER HEATING ROUGH—IN INSULATION: FOUNDATION WAL INTERIOR R— t® FOUNDATION WAL S EXTERIOR R— FLOORS R— WALLS R— CEILING R— DUCT WORK OR "IPING IN UNHEATED SPAC S R— • • Gt/✓/yt- 2 ,g-,6- 42 • TOWN OF QUEENSBURY +'+ BUILDING & CODE ENFORCEMENT ' '+, ' 's 531 BAY RD. , QUEENSBURY NY 12804 '''`',. ,y-' INSPECTOR'S REPORT: ARRi" ' DEPART (/•JJqq�INTv r ^ REQUEST FOR INSPECTION INSPPEECTION RECEIVED: /Z//7 (� NAME /'9&/Vd1 �o/ W ) LOCATION 61 -V6/ 6�L'6-/_ • DATE (0/3 /.77r G PERMIT � �q H � TYPE OF STRUCTURE: ,lO 77c/ RECHECK APPROVED N/A YES NO FOOTINGS/PIERS , MONOLITHIC POUR FORM ,_ REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBL'' FOR PROVIDING PROTE TION FROM FR E' ING FOR 48 HOURS FOLLOWING THE ,LAkE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOS: ON S IE _ FOUNDATION/WALLPOUR EINFORCEMENT IN PLACE IB 'OUNDATION/DAMPPROOFI ACKFILL APPROVAL Were__ PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SL B FRAMING: _ JACK STUiS/HEADERS • BRACING ::RIDGING T JOIST H NGERS JACK PO'•TS MAIN BEAM AIR INFILTRATII BARRIER • HEATING ROUGH- N INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATIO ' WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WOR OR PIPING IN UNHEATED SPACES R- • L muT t:u TOWN OF QUEENSBURY' BUILDING & CODE ENFORCEMENT % `- "t 531 BAY RD., QUEENSBURY NY 12804 '+„ `s ;,•. °' INSPECTOR'S REPORT: ARR1 IO DEPARTS ►Ii0 INa"l REQUEST FOR INSPECTIONn RECEIVED: lam -9 5- NAME �GL�1 \ Q( V^ LOCATION QA.Wk(txkl2 /0/(1 aSaa DATE (O g ( S PERMIT # 09 TYPE OF STRUCTURE: I rAV k ��,U e_ P--e-- - RECH CK G�Cc S S �� , APPRIV D SAYN VC.I N/A 'S NO FOOTINGS/PIERS ? MONOLITHIC POUR FORM REINFORCEMENT IN PLACE V THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FRE ',ING FOR 48 HOURS FOLLOWING THE PLAIE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS(HEADER' • BRACING/BRIDGING JOIST HANGERS JACK POSTS MAIN :EAM AIR INFILTRATION BARRI.R 1 , HEATING ROUGH-IN INSULATION: FOUNDATION.WALLS INTERIOR R- 1 FOUNDATION WALL' EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- • -f4- 6 b ctiTrf yaws ; ( icr►� � show NORTH arrow VAKI�kNCE N0. _ -- e : 1 1V - s� _ o _ _.� -- - m-- - r' S. g ---- Q �`--F W f _ r Z ��� ? a_ . �� �i t 4- 0 it G - - - 5 -- .._. 2 1 � _ y E. + a g J4ck c -77 7onin Admnis:c /Va S Ch/i. _S_� T' ►3.�L _ SE TOW;d�F QUFENSBt�fF;Y e D 1) 1 VARIANCE NEEDED _ s i M i-A,� a-c m a';; O N J:q 0 4,0 � SITE PLAN NEVIEW NEEDED - D ista l'? 3 �' W - - ooh � � Uh — - FOR-SHE PURPOSE --- __._ __.._.______ _ _ �' ,� ���� Q 2�OF AN APPLICATION TO THE: A Q V A�-t`�l- 7 - St � a ,� `- l 1 � !! U Q YcWn cf CIIA(�nch....._, �� a 3AOF w v �SlL s is mac, _ Z .1_. k FILE COPY }N _ r TOVAi OF QUEENSBURY BUILDING DEPARTMENT Based on our limited examination, { r - compliance with our comments shall _ {IS'•'�►A&* AMIftQJ not be construed as indicating the -- o►— plans and specifications are in full I compliance with the code. £XIS'fin .'AlF i _ a iOAM =U1 MUST BE COVEREd , . BY A 15 MINUTE THERMAL BARRIER . . _. !7� Ti- 00 . • IN TOWN OF QUEENSBURY BUILDING CODES DEPT. ( , r, REVIEWED BY j DATE El mom 011. i d 1 a � s .. t .. I _ I � - —i-.t— ...�,,..,_ .. .. ,—..�,..--,.+.. : ,..--.--...,-- _.—_._... .,,,.,._._.._•- —__._..,_....... .—.—_._ _...-.. __ _ __ _. - —._. , � to �-.. 1i: 3 , ya �rV47t*4 :., k t L A 6- !.AS I! IY.1 C:� _ , - t ' t f�.�./ a \/A7 44VA t Al y _ �• - r SN I Are din!(__ k r. 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