97-745 •
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY-, NEW YORK
Date June 16 19 98
This is to certify that work requested to be done as shown by Permit No. 97745
has been completed.
RESIDENTIAL INTERIOR ALTERATION}
This structure may be occupied as a -
ROCKHURST I.D.
Location
Owner WOOD, ROBERT & LYNN '
TAX MAP NO. 15 . -1-31 By Order Town Board
TOWN OF QUEENSBURY
/)a/A,
Director of Bldg.'dt Code Enforcement
' 1
BUILDING :PERMIT
TOWN OF QUEENSBURY .
VALUE: •• $
TA%=MAP': NO 1.5._=1-31 WARREN COUNTY, NEW PORK
PERMISSION is hereby granted to WOOD. ROBERT & LYNN
. OWNER of property located at ROCKHURST RD Street,Road or Ave.
in the Town of Queensbury,To-Construct or place a RF:4_�T�n>r tJTTAL INTERIOR ALTERA'1`'IA's'''""'
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. OWNE Fit Address is -
R.F.D.#4, . LOUIS -DR.
KATHONAH •i,,NYt_:c 10536•
2. CONTRACTOR or BUILDERS Name •
yax 'HOWLAND DEAN. JR , -
3. CONTRACTOR or BUILDERS Address
-s via=28a iiHUNTEL LANE4„, •
.•QUEENSBURY,;;• NY-r 11e2804.-
4.ARCHITECT'S Name
`� ATLANTIC INLAND�,x. . ,
5. ARCHITECT'S Address
RD*2- BOX-.•.6.0. .,... a....
GREENWICH :NYC -_•12834...
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ALTERATIONSa:zi.� .
1 1 Wood Frame 11 Masonry ( 1 Steel 1 I
7. PLANS and Specifications
3057NdSQ•. FT---RESIDENTIAL INTERIOR ALTERATION:,W:ITH.:;2- E'IREELAGES rs x_3
r _ AS PERi,.PLOT..PLAN,_ SPECIFICATIONS
8.-Proposed Use -
r >=u-,RESIDENTIAL'_ INTERIOR ALTERATION
_ . _
r_.. ... .. - . W .�.:_. ...._ anuary
$ 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.) ,
12 . January
Dated at the Town of Queensbury this Day of .' • 19
SIGNED BY for the Town of Queensbury
Building and Zoning Impactor, .
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256J
BUILDING & . CODE ENFORCEMENT
NOTICE Requirements prior to issuance r
A permit must be obtained before of this permit: PERMIT FILE NO.
beginning construction. No inspections PERMIT FEE PAID$�p� $ �1 G
will be made until applicant has received ri Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use ‘
RECREATION FEE
applicants' spaces on this application t
MUST be completed and.the signature n Planning Board Action REVIEWED BY:
of the applicant must appear on the SPR / Subdivision /Other Oiling -�s dor
pplication form. x Recreation Fee Payment Q / _..1
Applicant: z€.) e 2 Owner:
2, 3 zwiz..4.G t. /'�,:y-/Ki f��/
. ' Address: 470 wd /-A)l I b 2 P Address: aid...9,r4.1 AV
Phone # ( ) 79 - 62',0 _ Phone # ( ) -
Property Location: �oGgiiiers/-2e/ Z� 3/
Subdivision Name: Tax Map Number —J-�—J
Section Block lot
•
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $
residence / commercial .
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
)( Alterati. . • Building: Primary Building -
residence / commercial . )( Single Family_ Dwellinq _
Residence / Commercial Two Family Dwe)ll n,gf fr ,' )
no change to exterior size FamilyDwellin --h
g 9 -
Office
Other Work (describe below) Mercantile DEC 221997
Manufacturing .,; .f
Other ,- .a.:__ '_
GROSS AREA OF PROPOSED STRUCTURE: :' 8►NI°M Y"�1. 'i '
"br___.
1st Floor �/ s ft.�Ats, If ADDITION, what will use
/ `7 q• of new addition be? :
2nd ,Floor sq. ft.
Other Floors / D sq. ft. v0597r$
(not unfinished cellar or basement)
-- ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: 3 n ,3 7 SQ. FT, Attached Garage 1, 2 car
Fw07/vi Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
�}'`f FEET X S'Z FEET
Foundation Type: Boot--6/ _) Will any second-hand or ungraded
' Number of Stories : 7 p,et,9-7;6 lumber be used? If so, for what?
(habitable space only) i .
Height (grade to ridge) : 2 '-P— feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which 'applies)
to be installed: a Electric / Oil / Gas / Wood
Forced Hot. Air / Baseboard / Other
Person respo siblje for supervision of work as regards to building
codes i s : wgio,l u3L4-,.a4 2s /1vafr.G. Pvz+ .ag/ y (l.a!3--aet7
Name Addresss ., Phone
Builder: 5;0n-,:, '
Plumber: 0r0-tee
Mason: . /p-
Electrician: 5,rr.�
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 Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed survey , wn to scale, showing actual location of project on premises.
Signature:
(owner, owner's agent, architec , contractor))
c"09 ,o,„ ' /-1 -, '''
1 I ref:" 1(47c)
TOWN OF QUEENSBURY .
742 Bay Rd., Queensbury, NY 12804
i
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS ,
Date 1-4,f- 5- ,19 '77 Permit No. 94Y - ... 1-15
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit.
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney. .
Applicant /j4,,) /. „a ,,„,. \if APPLIANCE (check appropriate boxes)
Address 20 ,/,,,,, ,,. 2 s;, ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas
0 FIREPLACE INSERT
%. E'.:: ram'"! Zip ✓ .' ,a` `FIREPLACE, FACTORY-BUILT: (-1°4,:
• 1 Wood ❑ Gas
Phone . -,;; r :°:% 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner i' , .,, ,),,,,, > 0 FURNACE: ❑ Wood ❑ Gas. ❑ Oil
Address ; _ 4/ IF NON-MASONRY APPLIANCE:..`
_ Manufacturer: 1.'.,.-;',
_,_.,. ,j1,' :rr✓y, Zip ;,,. �,o,,_,� ' .Model: ... ,6, - . _ . ... --- _ ---•
{ , el:,;A 4
Phone
CHIMNEY (check appropriate boxes)
1*EXACT ADDRESS of proposed construction
Pv-y- 0 MASONRY: 0 Block 0 Brick 0 Stone
A ul [,fitR FLUE: o Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST ❑ FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
` TOWN OF QUEENSBURY HANDOUTS ' 0 Double Wall 0 Triple Wall ,
REGARDING REQUIRED INSPECTIONS. ' ❑ Insulated '❑ Direct Venting _
0 Chimney Liner _
Cashier's Department Town'of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title �'` { .„
A 173 3389 (190) Public Safety . (..y if ,
A 233 2655, (230) Minor Sales , '
-----;-Fee_Co1lected From funded to: ' . (t,v- ni .t' :VN.r" ' �:
Address:—. — ,
Dated: in - ,3 . et �l Town Clerk or Deputy: ( (V,� ,, `
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink& Goldenrod: Cashier's Dept.
5dApv p€696,
RESIDENTIAL FINAL INSPECTION REPORT •
GG�
Office No.(518)761-8256 Date inspection request received: (r f(d .,,o/0)7
Building& Code Enforcement '1 3
Dept.of Community Development Arrive `e.7Opart
Town of Queensbury Inspector's Ini ' I° � yu•CC
742 Bay Road
Queensbury,New York 12804
NAME PERMIT# " /
LOCATION j Ar DATE
TYPE OF STRUCTURE (�� 4„Ct
N/A YES NO COMMENTS
Chimney Heightl"B"Vent/Direct Vent Location ' kA' (6h'i? (�
Fresh Air Intake
Plumb Vent through roof I
Roof Complete � �
Exterior Finish Complete
teriorrxterioitailings 30"to 36" vTfltQ_�
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 o more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18" v grade
Gas Furnace shut-off within 30 feet or wi a of site.
Oil Furnace shut-off at entrance to furnac ea
urnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
$asement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers Sic.
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
$athroom fans
Plumbing fixtures VI///
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 PlanNariance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
�kay to issue temp. C/O(Certif. of Occupancy)
kay to issue permanent C/O(Certif. of Occupancy)
\ l
, '.\c..)
RESIDENTIAL FINAL INSPECTION REPORT \\
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept.of Community Development Arrive m Depa
Town of Queensbury Inspector's Ini
742 Bay Road
Queensbury,Neww York 12804
CA
NAME \.0_,C) A o PERNIIT# ` -75LOCATION O( - \ P ) DATE 5_ a -c
.Aig-
TYPE OF STRUCTURE
N/A YES NO
NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location 1/
Fresh Air Intake �✓
Plumb Vent through roof
Roof Complete �j
Exterior Finish Complete .✓ I
Interior/Exterior Railings 30"to 36" Q 1 VA Q b 1� %%j\D E_
Exterior Handrails,balconies,landing 18 in. or more ,//'� DV--- {���, —
� �(^C��'���j Interior Handrails stairs both sides 3 or more risers ✓/' t DE
Grade 2%away from founda ' n V
8"clearance to sill plate �
Gas Valve shut-off expose regulato 18"above grade liGas Furnace sh -off wi • 30 feet within line of site
Oil Furnace shut-o en ce t ace area
Furnace/Hot Water Heat., acing U PirE� ..6A-k.� p
Relief Valve(s)installed / ✓ ,1 I T L -D p�OLSoo- ) TC
Headroom,6 ft.6 in. on "rs �/ -� Q "'-'�
Basement stairs,6 ft.4 ' V kt��1u i �t d t..6*—_
Handrail exterior stairs th sides more than 3 risers
Interior privacy/trim/doors/main entrance 36" ✓
Floor Finish
Bathroom/Kitchen watertight _ i,//
Interior Handrails Baleonies/Landing 18 in. or more / ✓
Railing across window in stairwells /
Smoke Detectors:
every level
every bedroom Y
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures ✓a O - (i i C� - b yTvg_E_
Foundation insulation �/�
3/4 hour fire door/door closer 4,
Garage fireproofing
Garage penetrations sealed V//
Furnace in separate room protected(in garage) tl
Light ventilation per room v //
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/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 72,0al .
NAME U��
LOCATION 0(� // ,/ "
DATE PERMIT # ii/2/ % 9K
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTI I
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
1)REPLACE-MASONRY /4/
(REPLACE - FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
2 ?
AC/- „ed. 4,
INSPSLIP.PUB INS"ECTOV
I hitiUtO airL‘L*ritri
>. j... TOWN OF QUEENSBURY
`43.1 FIRE MARSHAL •
�' QUEENSBURY, NY 12804
(518) 761-8205
• FIRE MARSHAL INSPECTION REPORT , �p
REQUEST FOR INSPECTION RECEIVED 3 — °"-'s ol 0
'NAME vK DOC) ! RAX2n7�
LOCATION �0C �,,A,O (ZJ
DATE PERMIT # l `� _ (0--I C)
• APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS '\
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY . _ -
WOODSTOVE
IREPLACE-MASONRY
11 FIREPLACE- FACT.'RY BUILT
7-4/ .)
REMARKS: ❑ O. TO THIS DATE
re)V4',70,
--"/4dj-,.14 -1--- '14 •
as 1 pit
/2#7 .
INSPSLIP.PUB ? NSP C R
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 • Arrivgj ai ,. Depa op,�• �t
Inspector's Initi+ • q
r � r
NAME: 6 1 PERMIT# ! 7 `I
LOCATION: . oc DATE : ��" (0-
TYPE OF STRUC .14 p._J\--ok .
RECHECK
N/A YES NO . COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is re .. ib •.for
providing protection .r ' eezi g
for 48 hours following th i place ent
of the concrete •
-
Materials for this purpose 1 n site
Foundation/Wallpour 0
Reinforcement in Pla -
Foundation/Dampp3..fing - - - -- = - - — - -- - -
Backfill Approval 0
Plumbing Under Slab
Plumbing VentNents in Place
Rough Plumbing_
Heating Rough-In /
•
ation-- f •
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- %/7 •
Walls Y_tNE T"R- Nctk •
Ceiling my.- R- sr-
Duct work or piping in •
unheated spaces. R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers .
Bracing/Bridging
Joist Hangers_ 0
Jack Posts/Main Beam
Air Infiltration Barrier ,
Fire Separation 1, 2, 3. hour .
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping • 0
GENERAL INSPECTION REPORT
Town of Queensbury • r/ ----
Dept. of Community Development Date inspection request received: qcd
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive yp;50 a m Depart °_� . "
or's Initial.
i
NAME: b0c06,6 6240l C
PERMIT# , 11111 —
'
LOCATION: ne /-qA P d'-- DATE :
TYPE OF STRUCTURE:
RECHECK y -7
N/A YES NO COMMENTS
Footings/Piers I I
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
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
?elaugh Plumbing J • `kvit b%w• 'UPTT ACi=ot-�
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- _
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
7411
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received: -
Building& Code Enforcement
, 742 Bay Road -��
Queensbury,NY 12804 Arrive\Z 1Oa Depart F• ,1,, 1�J:�
Inspector's Initial 400010r
NAME: / v`= lX PERMIT#
LOCATION: , DATE : 2 3-C 6
TYPE OF STRUCTURE: .. ,� `
RECHECK
N/A YES NO COMME S
Footings/Piers I I I
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
Foundation/Wallpour
Reinforcement in Place /
Foundation/Dampproofing
Backfill Approval I
Plumbing Under Slab F
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
insulation_
Foundal ion Walls Interior R- Y"‘
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling 61.vQeS7 � R- n2
Duct work or piping lh"� � ' � �!`� nv
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 S
GENERAL INSPECTION REPORT
,41711
Town of Queensbury .
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 113‘61r1,and s` Depart `•"`— r(DJ
Inspector's Initial
NAME: ix ) \( PERMIT# ' _75
LOCATION: Q1 DATE : — (o—9 _
TYPE OF STRUCTURE: ._L r Voy-c ay. (.c I a-P'rr'ct,\i\cfv-)s
RECHECK
a
-
WA. YES NO ` COMMENT -
Footings/Piers I .•
Monolithic Potir Fo
Reinforcement in Pla
The contractor is re e'nsible for
providing protection fri ( freezing
for 48 hours following th- placement
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
Heating Rough-In .
Insulation ;t
Foundation Walls Interior •' '
Foundation Walls Exterior '- fI
Floors '_ -
Walls R-
Ceiling " R-
Duct work or pip' g in .
unheated s s R-
oper Vent, A) lc Vent
7
. _ ,.
naming_ 5 ` %
Jack S ds/laders
Braciy glf3ridgirig A.,
Joist Hangers
Jack Posts/Main Beam -
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour .
Penetration Sealed •
Fire Wall 2, 3, 4 hour -
Firestopping
j
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRt`oZODEPART,V-)> T
REQUEST FOR INSPECTION RECEIVED:
NAME
LOCATION } -7' 1
DATE �1Z7j\�-1 PERMIT A
TYPE OF STRUCTURE: V1E5 9 1 ,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
IONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBL FiR
PROVIDING PROTE TION FROM FRE,Z
FOR 48 HOURS FOLLOWING THE PLA,,
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _.
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
-SACKFUL APPROVAL- -- - - -
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING A.,o _
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 In1Z t
DUCT WORK OR PIPING IN
UNHEATED SPACES R-