2001-214 TOWN OF QUEENSBURY
fltorN
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
_: = Permit Number::_ P20010214 Date Issued:. Friday, December 31, 2004
-_- _ = =__ _: .-This is to-certify that work requested to be-done as shown by Permit Number P20010214
has been completed.
Tax Map Number: 523400-290-000-0001-022-015-0000
Location: 164 CHESTNUT RIDGE Rd
- .- Owner: _. . . DANIEL J LOWELL SR
Applicant: DANIEL J LOWELL SR
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
Director of Building&Code Enforcement
1
��` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
VW
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010214 . Application Number:. A20010214
Tax Map No: 523400-290-000-0001-022-015-0000
Permission is hereby granted to' DANTET,TT,OWF,T,T, SR
For property located at: 164 CHESTNUT RIDGE 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 die NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: DANIEL J LOWELL SR
164 CHESTNUT RIDGE Rd Residential Alteration $5,000.00
Total Value $5,000.00
QUEENSBURY, NY 12804 -
i
Contractor or Builder's Name /Address . Electrical Inspection Agency
COMMONWEALTH ELECTRICAL A
` ' PO BOX 706
I. .
HAGIJE_NY
Plans&Specifications "
2001-214 .
1600 SQ FT RESIDENTIAL ALTERATION :.
AS PER APPLICATIONRsfc
QQ,LU
$160.00 PERMIT FEE PAID THIS PERMIT EXPIRES: onday, May 09, 2005
(If a longer period is required,an application for an extension must be made to the cod Enforcement Officer
of the Town of Queensbury before the expiration date.) ��
Dated at the Town of Queensbury; Wednesday,May 09,.2001
SIGNED BY3
f„/` ' -- for the Town of Queensbury.
Director of Building& 0i e E`'1.rcement
. --- BuildingPermit Application
. Town of Queensbuly - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 /761-8256/
-O • BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance
A permit must be obtained before
of this permit: PERMIT FILE N�(
beginning construction. No inspections CAD
PERMIT FEE PAID$ ,
will be made until applicant has received 0 Zoning Board Action
19
a VALID IIUILDINa PERMIT. All Area /Use
RECREATION FEE AI I—applicants' Qpaaea on this application
MUST be completed and.the signature n Planning Board Action REVIEWED BY. __
of the applicant must appear on the _SPR / Subdivision /Other tTrdl /ng ,rrlrrtynr _---
lication form. nmx you. Recreation Fee Payment / � �/
".
�� 4% 1 �-6-�-tom--
Applicant: An,/
Address: ��� � j � � Address: �� 7:44& Ake:,
Phone # ($18 _) 2,3 - _y/ 23 Phone # (S/8 ) 7%S - 9 r73
. Property Location: AY r �� �/
Subdivision Namc:• Tax Map Number J / / 7?7
Section Block Jul
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ Sono
` residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alterat,.i:-a-n—to uilding: Primary Building -
esidence / commercial Single Family fy , p1\Jj
Resi enc ommercial —Two Famiily .Dwelling
no change to exterior size . Family Dwetg 1 ZOO1
Office
Other Work (describe below) Mercantile TOV� OFC3iIEENS 11s't',:
Manufacturing BUILDING Al�t0 CODE
Other �---- --aw GROSS AREA OF PROPOSED STRUCTURE: '
If ADDITION, what will use
1st Floor ei(s sq. ft. of new additio be? :
2nd ,F1'ovr. . ., i,l0 sq. ft. .4/.4
Other Flouts eq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
•
A Detached Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other -
' FEET X 4' FEET �//
Foundation Type: CjC/5j/AJC. ^`1 Will any second-hand or ungraded
' Number of Stories : C, / lumber be used? If so, for what? &I
(habitable space onily)
Height (grade e) • -. • -'feet TYPE 00 HEATING SYSTEM:
Number o re a and/or woodstove ( circle all whic lies)
to be ' _ s_ .f2,vy Electric / Oil od
Forced Hot Air / Baseboar / Other
Person responsible for supervision of work as regards to building
codes is :
Name Addresss Phone
Builder: 'q�wn • `.e •
Plumber: 4
Mason:
Electrician: tb
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, arc 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 submit prior to a
• Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; dr wn to cale, showi actual location of pro' ct of premises.
/ i
Signature: . "" '/ 7 `�
(owner, owner` agent, architect, contractor)
as -� ly iv„r�Ar
-�� ENERGY CODE COMPLIANCAPPLICATION -1 200 f
��� _ TOWN OF QUEENSBURY, W_�,RREN COUNT
- ' _ 9000 HEATING DEGREE DAYS �Vli OFou ,.
D1 0 AND C l''
Comoliance Methods: PART 5 - Acceptable Practice Method - -
1&2 Family Dwellings (only)
- PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Fa. ily
Dwellings (3 stories or less) -
PART 4* Design by Component Performance
• Commercial Buildings-Ei Rise Residential
*Recuires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION:
,,,
4.,,,Aiii ,,Z„.07- - A'-/ zitki ,6 ,•• Zile/
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
I . Gross Floor Area - /6oc sc_La=e feet
•
2 . T- e of Heat - El=r--1 c O 1 1 t/ Gas Other
3 . _s building mec_ani daliv cooled? Yes tio . L.
A . P e= a centce of area of windows and doors Over 17"3/4un.aer 17-s
5 . R-7:--.•u E S FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-ALt E S AS
S=0'rTN ON. PL? S STJ M_T'T_D:
a . Roof R
b . Exterior Walls R
- Glazed areas R _
g Exterior doors R
e . Floors over unheated soaces d7/25 J ct:irie-A''-a•-.4'�- R /
- grr
. �dce of slab on_ g awe (heated bu_ldi ng) R
c . Basement/cellar walls (above grade) R
__ . 3as event/cellar wails (below cr ade) R
. _earl nc/coc__ g-duc_s-pi pi:c in unheated space R
6 . Service (domestic) hot water heat.i c device
Cc•n=o=ms to minimum e=_ ciency per code i Yes No
TEMPERATURE CON ROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
gip__ A' ; - / �_ Phcze Nuri:ce-
.4/
;:;-
=NS=_ ' S REMARKS:
Inspector's No.
Date
COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC.
(Consulting and Fire Inspection Services)
(Incorporated in the states of Maryland,New York,Pennsylvania,Delaware and West Virginia)
Desiring Certification of Approval, application is made for inspection of electrical installation in the premises
described below. On demand,applicant agrees to pay for inspection service in accord with schedule of charges.
PLEASE PRINT s
Owner Type Bldg. DWG ❑Other -,t A ",--1 t ia;f
Occupant Building Permit No., _-- --
Job Location City State
County Twp. M/C# Swimming Pool—New❑Old❑.
Directions to Job Site
Application For Rough Wiring❑ Fixtures❑ Service❑ or
Work—New ❑ Additional❑ Bldg: —New❑ Old❑ Ready for Inspection
APPLICANTS
SIGNATURE LICENSE M PERMIT 0
-
PLEASE PNONEN
PRINT NAME - - `
APPLICANT'S NAME OF
ADDRESS UTILITY
OFFICE TO
CITY STATE ZIP CODE BE NOTIFIED
ROUGH WIRING SPACE BELOW FOR USE OF INSPECTORS ONLY
AMP
OUTLETS EQUIPMENT SERVICE
PUMP
SWITCHES HEAT OVEN
PUMP
RECEPTACLES SURFACE GARBAGE
UNIT DISPOSAL UNIT
MEDIUM BASE RANGE
FIXTURES
MOGUL BASE WATER DRYER
FIXTURES HEATER
FLUORESCENT AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER FRAC.H.P.
QUARTZ FIXTURES _ VENT FANS
MOTORS aH.P. 1/20 1/12 1110 1/8 1/6 1/4 1/3 1/2 3/4 1 1-1/2 2 3 5 7.1/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE I
Inspector's Comments:
OFFICE USE ONLY WORK INSPECTED REPOR- ¢ o
NOTIFIED TED ¢ 9 FEE PAID
U
SERVICE DATE CON- TOTAL $
Date Received: TRACTOR
R.W.DATE OWNER CHECK NO.
FINAL DATE OCCUPANT CHARGE
Certificate No.:
CERTIFICATE NEEDED AGENT CASH
Date Sent: D YES 0 DUP ELEC.
LT.CO.
INSPECTOR
Progress ❑
THIS OPLICATION EXPIRES ONE YEAR FROM DATE MAKE ALL FEES PAYABLE TO C.E.I.S.INC.
WHITE/OFFICE PINK/INSPECTOR CANERY/OFFICER GOLD/CUSTOMER
/
Queensbury Building & Code Enforcement - Residential Final Inspection
-Office No.(518)761-8256 Arrive: am/pm eep�t: /. amipm
Date Inspection request received: - Inspector's Initials:
NAME: - ")LJ i . PERMIT#: . -010 I - al
it
LOCATION: ,L<,_. DATE: 40,,__-_-_-113 -Q
TYPE OF STRUCTU E: INN\ _�__
Comments
Yf N/A
Chimney Ht./"B"Vent/Direct Vent Location
//
Fresh Air Intake P rn
3 inch Plumb Vent through roof minimum 6" i
`_
Roof Complete/Exterior Finish Complete --- 3
Guard 30 in.or more Cad stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more /
Exterior Finish Complete 7
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 %"
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 Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in. 7
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 1/7/ /
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf t",/
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched /
Garage fireproofing/'/4 hour fire door/door closer ,/ 7
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 sq. ft.-150 sq. ft. vents
Building No./Add visi e fr m rf d
Final Electrical / 'fi D �(✓C Lf
Site Plan /Varian requi d
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
NIL
//,/,2
Rough Plumbing / Insulation Inspection Keport
Office No. (518) 761-8256 Date Inspection requ r:ceive�
Queensbury Building&Code Enforcement Arrive: a w /pm De,z
742 Bay Road, Queensbury,NY 12804 Inspector's
j
/ 1
NAME: p uP , PERMIT#: ` L 0"--) L(
LOCATION: Lo(� (_t` `1 l )'� INSPECT ON:
TYPE OF STRUCTURE: v
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates \b�
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping •
' Copper Commercial
Copper15VC,Pex One&Two Family
/Residential Check/Commercial Check
Vistrlion
roper Vent, Attic Vent 013j‘
Duct/Hot Water Piping Insulation \UL3 pnv
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS: \
•
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
7� Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPAR ;( cim/pm wigNotes• L.jAik W
(518) 761-8256 Inspector's Initials
l�
NAME: c\ o\iS� PERT # I
�� n
LOCATION: gS V\ 1� INSPECT ON(date): 1(r,1
TYPE OF STRUCTURE: ,.___ ____c)
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
Foundation/Wallpour
Reinforcement in Place
Foundation/D ampproofing
Backfill Approval
Plumbing Under Slab
Pluinb'ng ent/Vents in Place /
Rough Pl,umbing" //(/�/_ 4-A-0,-('
`'`Dearing Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Du t work or piping in
unheated spaces R-
Pr per Vent,-A c Vent
raYrun --- .
Jack Studs/Headers 41-r 57q-G� �J,Bracing/Bridging / J,Joist Hangers �-L Ale- �lG� tq�-
Jack Posts/Main Beam / �A - -41 5
r"> ltration a_riier /
Fire Separation 1,2,3,hour
Penetration Sealed 1/149-M-66- t-/2AA.i/06 i,R t rt00 &.ti0�
Fire Wall 2,3,4 hour
�-� 6dil� r�'akt
•�� rrestopl�ing� ��' ��D�J� O
/ L0c,"
L:\SueHemingway\Building.Codes.Inspection.FORMS\ ENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building do Code Enforcement At time:
742 Bay Road ;;''���� q#
Queensbury, NY 12804 ARRIVE am/pm: DEPAR1 ' G' n/pm Notess.L y-
(518) 761-8256 Inspector's Initials���L/
NAME: LL PERMIT# O f- 2-1
—
LOCATION: CI1 j nJ U 1- i 1 (a C INSPECT ON(date): _ I d v
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS .
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respo i• ble•or
providing protection fro freeing
for 48 hours following t,e plac: ent
of the concrete.
Materials for this purpose in site
Foundation/Wallpour
Reinforcement in Place
Foundation/D amppro offing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Ven ' 1 ce
Ih Plumbing
ng Rough-I /�
aion � —L ✓
oundation Walls Interio R-
Foundation Walls Exteridr R-
Floors I
Walls I -
Ceiling 1
Duct work or piping in
unheated spaces R-k
Proper Vent,Attic Vent
Framing f
Jack Studs/Headers 1
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire eparation 1,2,3,hour
P etration Sealed
ire 11 2,3 411 r�
Fireslepping ' , .,I< Cam(Ail& ii.__
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL,INSPECTION REPORT.doc
, . . ....) , .
8r ` Off ce Use
GENERAL INSPECTION REPORT Inspector:
r
rt
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE e 6 a . I 'T2 2,�j am/j Notes:
i
(518) 761-8256 Inspector's Initia .
NAME: Loc6Le PERMIT# 0 ( 2-I 4
LOCATION:164 4 Ck (/()U( P 1 t--- INSPECT ON(date): -5/g(a 2.--
TYPE OF STRUCTURE: 60k 11`,& ,k-tE L 4-Q p d R -6. (d D
•
RECHECK
j\ N/A 1 YES NO COMMENTS
Footings/Piers d N 1 �-
Monolithic Pour Form \ ��(; + (� U
Reinforcement in Place — �"-
The contractor is responsible for KEG CHC t)UDC 1 Ills / / ��
providing protection from freezing / a�
for 48 hours following the placeme't _
of the concrete. I �C 126— c5t= i 1 C..-C_ L
Materials for this purpose on site Q
Foundation/Wallpour 7‘)() D� �G�(C— /�-a-f7G v .
Reinforcement in Place
Foundation/Dampproofmg �/IQC
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
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
P netration Sealed
4ire Wall 2,3,4 hour
irestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc
- 1 .
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initials �1 (�
NAME: C (, PERMIT# Cl —�
LOCATION: Q—t�c--c(NUi 1 R. �6 DATE: cu
TYPE OF STRUCTURE:
RECHECK
N/A YES-NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in !la ;
The contractor i. re ••nsible for
providing protec ion •m freezing
for 48 hours foil•wing m e placement
of the concrete.
Materials for this pump•se •n site
Foundation/Wallpou
Reinforcement in Plam e
Foundation/Damppro• m g
Backfill Approval
Plumbing . •b
Plumbing Vent/Vents n Place /
Ro gh Plumbing
ting Rough
sulation ,(i A-
Foundation Walls I tenor R-
Foundation Walls xterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or pipin t+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
•
_i
GENERAL INSPECTION REPORT 'w
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart-- �gym_
Inspector's Initials , l'
NAME: (_c5 GJ Ci G6- PERMIT# 9
LOCATION: ��itJc`r E DATE: /.376 i
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respo isible for
providing protection fr a m ing
for 48 hours following e pl:cement
of the concrete.
Materials for this purpose.'n s te
Foundation/Wallpour
Reinforcement in Place
Foundation/D pproofin
Backfill Appro f
Plumbing Under Slab
P umbin Vent/Vents in P . e ✓✓
''oug .Plumbtngr 7(A.1 f 4'L C 441 t- it C
Heating Rough-In
Insulation
Foundation Walls Interior '-
Foundation Walls Exterior '-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
nheated spaces R-
per Vent, c Vent7
bra r �i� l \/�c L-- CC—t L(
'3 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 / /., o C 6 5
'�Firestopping ;
56/- `oFF-1 r