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2004-608 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: P20040608 Date Issued: 'Thursday, December 01, 2005 This is to certify that work requested to be done as shown by Permit Number P20040608 has been completed. Tax Map Number: 523400-309-009-0002-008-000-0000 Location: 105 LUZERNE Rd Owner: NHCHAEL &NHCHELLE BARBONE Applicant: NUCHAEL & NBCHELLE BARBONE This structure may be occupied as a: Residential Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, G Variance, or other issues and conditions as a result of approvals by the Director of Building&Code E orceinent Planning Board or Zoning Board of Appeals. r - TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040608 Application Number: A20040608 Tax Map No: 523400-309-009-0002-008-000-0000 Permission is hereby granted to: MICHAEL &MICHELLE BARBONE For property located at: 105 LUZERNE Rd 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: MICHAEL&MICHELLE BARBON 12 WASHBURN Ave Residential Alteration $10,000.00 ' GLENS FALLS, NY 12801-0000 Total Value $10,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-608 852 SQ FT RESIDENTIAL ALTERATION $85.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 10, 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 To 7,, / e., W , Se tember 10, 2004 SIGNED BY for the Town of uee Q nsbury. 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. "(00 O No inspection willbe made until applicant has received a Faa 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: M 1 .►-1 A Et* Rf)R( . F owner: M ic E Address: 1 rn, " L R 0 F__ Ri Address: Phone#(�$)2a- 1 Zq� Phone#( ) - er: House Number t? / L�fl//!r Property Location: Lot Numb SubdivisionName: Tax Map Number: o New Building: residence /commercial Estimated IvSarkot Value:of Constructron $ o Addition: residence/ commercial If an Addition,what will use of new addition be? Alteration: �ai� commercial . O No change to exterior size: residence/com'1 ® - Other work(describe ) Check OCC11PaYlCyluforffiation MIQW10_0z Floor` Other floor Total Below sq Ott+, sq ftY sq.it. Square Feet 0 Two family dwelling o Townhouse 0 Multifamily dwelling #of units o Office o Mercantile T 0 Maaufacturin B OF 0 1 ear detached garage 0 2 car detached garage C 0 3 car detached prage 0 1 oar attached garage 0 2 car attached garage 0 3 car attached garage 0 Storage building- cormmercial a Storage building residential o Other What is the proposed height of the structure feet inches Will any second-hand or ungraded l urber be used? If so,for what? �r/tr c�of k3feating 5ys�era� electric/ oil / gas/wooy' d (force of air/ baseboard/other: Number of Mroplaces to be installed IV Number of Woodstoyes to be installed List below the person(s)responsible for supervision of work as regards to building codes: Naaane Address Phone Number ► S i�� , Z 26 O tBumffkdt�ermL IC ,ason n- �qwlze__ Declaration: please sign below after 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 Pocup y or Certificate of Compliance being issued,as requested by the Zoning Admir<ia o oz Dire for of din d Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location o new co tru ' U. >,i;Signaturct: 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: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area c-5 -2- 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% ' S. R-VALUES FOR IMULATION GIVEN BELOW MUST CORRESPONDt TO R VALUES AS , SHOWN ON PLANS SUBMITTED: a. Roof R b. Exterior walls R C. Glazed areas R d. Exterior doors R i.9 e. Floors over unheated spaces R__j 3 £ Edge of slab on grade(heated building) R g. Basement/cellar walls(above grade) R h. Basement/cellar walls(below grade) R 1-3_13,43em 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 EXEEDED ppl' t' ig ure Date,,, Phone Number 131zwLL7Y&--12 ALL 61 - Zoe INSPECTOR'S REMARKS: t "0 ku I - ,c.- Queensbury Building & Code Enforcement - R,e ' ent'al Inspection ..�®®� Office No.(518)761-8256 Arrive: am/p art: �, a pm Date Inspection request received: _ Inspector's In tial NAME: LOCATION: p _r, Z �� �� �� ATE: �— TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Com lete 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 ''/z" 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 Temp 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 grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/1/4 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./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Ins ectio e Flood Plain Certification, if required Okay to issue C/C or C/O Tem orar Permanen L:\PamW\Building&Codes\Inspection Forms\Res. 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