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2002-415 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 U RTIFICATE OF 0'"'COCUPAN.1.1Y Permit Number P20020415 Date Issued; Tuesday, September 18, 2007 This is to certify that work requested to be done as shown by Permit Number P20020415 has been completed. Location; 15 MEADOW Dr Tax Map Number. 523400-297-017-0001-024-000-0000 Gamer. LAWRENCE&TAWN WHITTEMORE Applicant: LAWRENCE&TAWN WHITTEMORE This structure may be occupied as a: Residential Addition 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, Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&,Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020415 Application Number: A20020415 Tax Map No: 523400-297-017-0001-024-000-0000 Permission is hereby granted to: LAWRENCE& TAV%TN Mff-UTTEMOR-F, For property located at: 15 MEADOW Dr 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: LAWRENCE& TAWN WMTTEM 15 MEADOW Dr Residential Addition $18,700.00 QUEENSBURY, NY 12804-0000 Total Value $18,700.00, Contractor or Builder's Name /Address Electrical Inspection Agency BEAN CONSTRIJCTION FRANK .TELLEY 227 KONCT Ter LAKE GEORGE. NY 12845-0000 Plans&Specifications 2002-415 15 Meadow Dr. 646 SQ FT RESIDENTIAL ADDITION(ENCLOSE PORCH/REC ROOM)AS PER PLOT PLI SPECIFICATIONS ml-A $77.52 PERMIT FEE PAID-THIS PERMIT EXPIRES: l Sunday, July 0, 200. (If a longer period is required,an application for an extension must be made to the code orcement Offifli cer of the Town of Queensbury before the expiration date.) Dated at the u f nesday, July 10,2002 SIGNED BY .......... . for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 FILE C -04PY Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020415 Application Number:' A20020415 Tax Map No: 523400-297-017-0001-024-000-0000 Permission is hereby granted:t6: T,AWRF,NCF& TAWN WHTTTF,MORF For property located at: /f MEADOW Dr 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: L: WRENCE&TAWN WHITTEM - ADOW Dr Residential Addition 18,700.00 Total Value 18,700.00 ENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency BEAN CONSTRUCTION 896-3690 NY 12804-0000 Plans&Specifications 2002-415 - 646 SQ FT RESIDENTIAL ADDITION(ENCLOSE'PORCH/REC ROOM)AS PER PLOT PLAN SPECIFICATIONS $77.52 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 10,2003 t (If a longer period is requited,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 Town of Queensbury; Wednesday,July 10,2002 SIGNED BY for the Town of Queensbury. Director of wilding&Coe ^cet 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.-->®0�'��5 No inspection will be made until applicant has received a Fee Paid $71. "W- application /7, 5valid buildingpermit. All applicants' spaces on this Rec.Fee Paid application must be completed and must appear on the Reviewed By form. f J ; Applicant:hi=j'W' M?,A-C- 14/ Owner: Address: Z-Z .mil 12 1" Address: b&sue ' L4`-dK Phone# �') ,- f S16` / �yL_-' Phone#(—) Property Location: Lot Nurn r: +c 7_/ I,H S Tumbe Subdivision Name: Tax Map Number: DC J# �i.v� a ❑ New Building: residence /comet ial y ' Estimated Market Value of Construction: $ tt g;-7 oc7 -p Addition: resiTenc-.� commercial If an Additio what will use 99f new addition be? ❑ Alteration: residence/ commercial EYl C I05;- d P- -cJ /�� oc n--) ❑ No change to exterior size: residence/com'1 ❑ Other work(describe ) Check OccupancyInformation 1"Floor 2'd Floor Other floor Total Below sq.ft. sq.ft. sq.ft. uar Feet ; 1 i,, Single family dwelling -- ❑ Two family dwell`mg ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage t'k� ❑ 3 car detached garage ❑ 1 car attached garage MAY ❑ 2'car attached garage ❑ 3 car attached garage 10 IVN OF QUE-Eht v ❑ Storage building- 1XI CI)D I commercial f ❑ Storage building- residential ❑ Other f What is the proposed height of the structure 'Z feet inches f Will any second-hand or ungraded lumber be used? If so,for what? � Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: Fn�c t�utl Po(C� Number of Fireplaces to be installed IVIA� Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder 1- y&-I—Ce" Eo Plumber` Mason c r^v �� d")a6 gy Electrician t-o%v jr G I 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 I/we shall , submit,prior tb a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all ne construction. gignatur '• �G�/' prr�' 'C�arwFfowner's agent,architect,contractor Queensbury Building & Code Enforcement - Residential Final Inspection Of&6�o. (518)761-8256 Arrive: V` i am/pm. Date Inspection request/received: Inspecto 'Initials: NAME: VV,6 re PERMIT#:. W,5— LOCATION: DATE: TYPE OF STRUCTURE: U— Com Mel Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches 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 Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, I sq.ft:150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet 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 Enclosed Stairs Sheetrock Underside minimum Y2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glas,s Enclosure Final Electrical 5 12710 "t, &/ Final Survey Plot Plan I I As Built Septic System/Sewer.Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/Permanent c4 07 L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form—revised—100405.doc Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 �, G 7 Arrive: "�am/pm Depart: am/prn „ Date Inspection request received: Inspector's Initials: cC � NAME: 0"4v�C-(— PERMIT#: �-" � �l LOCATION: DATE: � 7/1 TYPE OF STRUCTURE: Commenfs' Yes No NIA Buildin Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake ' 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard,at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails,@ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches 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 Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents Bathroom Fans,if no window PlumbinS fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet 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 Tern 110 Enclosed Stairs Sheetrock Underside minimum'lz"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Gl s nclo e Final Electrical r Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O(Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doe ��--+�+yy�� �+ g �s Office Use �...TLN.A.RAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Z d 2— Meet: Building& Code Enforcement At time: ! 30 742 Bay Road Queensbury, AT 12804 ARRIVE am/pm: DEPART dam/pm Notes: 01�kwsydffm"WOWVFI�l (518) 761-82M. Inspector's Initials NAME: }1 s �� 4 PERMIT ff Z()62— LOCATION:_ /S W6 d 1 ) INSPECT ON(date): Q�- TYPE OF STRUCTURE: tr"r 1, RECHECK rye bzl, ;.-� 41 y 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 Plumbing Vent/Vents in Place Rough Plumb' g- Heatin nh su t Foundation Walls Interior R-� Foundation Walls Exterior R- Floors R- Walls R Ici - 1 g R c, Duct work or piping in unheated spaces R- roper Vent,Attic Vent F �anulng / Jack Studs/Headers Bracing/Bridging Joist Hangers Jack PostsCMairtBeam lltratioYBarrierAEff _ e Separation 1,2,3,hour Penetration Sealed gee Wall 2,3 4-hour iresta „n�g L:1SueHemingwa3`Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: /"1662- Meet: Building& Code Enforcement At time: 742 Bay Road -b amlo Notes: Queensbuq, AT 12804 ARRIVE a 12:1;,VEPA (518) 761-8256 Inspector's 11niti Zj7jt-- NAME: 14146 o'erPERMIT# n 12 LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: 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/Dampproofmg_ Backfill Approval Plumbing Under Slab Plumbing VentfVents in Place Rough Plumbing__ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- —7L— Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent framing Jack Studs/Headers Bracing/Bridging-----Z-- Joist Hangers V--s Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour >I- k,-S� Firestopping_ L:\SueI-lemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe Office Use GENERAL INSPECTION REPORT Inspector: To-wn of Queensbury Ready at time: Dept. of Community Development Request received: 1 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART_t am Notes: (518) 761-8256 Inspector's Initials NAME: LI%7_A4W�JL 1 PERMIT# 4�- LOCATION: r�" `, _ 2_.� kn . INSPECT ON(date): al�'' fe' TYPE OF STRUCTURE: 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 mirpose on site Eaundatic nkl7all�r Reinforcement in Place oundation/Dampproofing Back p�"pro;al —Plumbmg Under Slab 2ugh ing Vent/Vents in Place Plumbing ough-In Insulation C_ Foundation Walls Interior R- d 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,hoar Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:1SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT-doe Office Use GENERAL INSPECTION REPORT Inspector: 11W D Ready at time: AA A Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE—am/pm: DEPART Wpm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: r-4-e-,ZNyL0 Df?-;Ve— INSPECT ON(date): jA,, TYPE OF STRUCTURE: RECHECK N/A YE 0 COMMENTS ,?'Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing 0 for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofm Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing__ Heating Rough-ln�_ Insulation Z Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces 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 Firestoppig— L-.\SueHemingway\Btiilding.Codes.InWction.FORrvfS\GENFRAL INSPECTION REPORT-doc - 15 (D . 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IN l.c7T 2,4, Que.ENSBUFZY PaTENT ISTRs1 7 In The Town of Queensbury, Warren County, Nl� " NO1TE= No pcor-t'Ion of sewyo�q.system 5`lc+ll l'Je closer thart mcYde for -T25' from a c�raincrc3e d0rch. T�� ��. '�. i��, „par:°,tlsvo ,J sys.P y f ^'ato e°a+t r�«kr>r•ia•frn�r, { 4: Notcz: 750 cjcai septic #car IM for John 5. Vcm Dusen, licensed L,:3nel Surveyor c {� lcyke George, hl.Y) S¢pt 4,1956 1 C houses ws-�h 4 be6room5 or 1c.ss t.^ "N iri cc+?--; j by 501f° 00' ` Wu kr 5ccx�e '. I" = 1 L7cytum `S-eca 1•^evel if Czar \Y1d�rs ,dre trt .',xll¢ font our Inter vql- 5 feet �eFi1'tc •��,Ae+��`,. "l-o be Precc:>sfi scan_ cr¢te by Narwll{ Vc vlt C o. 30,31, -63, Nc>TE- Ma'tn minimum or 2fc� 4Q, 4.4 52.,5Z),155-4. From bottom of t't1e field tr--n0 , to