2001-272 TOWN OF QUEENSBURY
Road, Queensbury,NY 12804-5902 (518) 761-8201
�� Bay
742
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: A20010272 Date Issued: Thursday, December 20, 2001
This is to certify that work requested to be done as shown by Permit Number A20010272
has been completed.
Tax Map Number: 523400-239-017-0001-006-000-0000
Location: 19 ANTIGUA Rd
Owner: DAVID & CLAUDIA MONTANA ET AL
Applicant: DAVID & CLAUDIA MONTANA ET AL
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
(awarifit Tor-
T
Director of Building& ode Enforcement
TOWN OF QUEENSBURY
wris 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: A20010272 Application Number: A20010272
Tax Map No: 523400-001-000-0001-006-000-0000
Permission is hereby granted to: DAVID &CLAUDIA MONTANA ET AL
For property located at: 19 ANTIGUA 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: DAVID &CLAUDIA MONTANA ET Residential Addition 75,000.00
1017 CHEROKEE Rd
SCOTIA,NY 12302 Total Value 75,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
BP 2001-272
Residential Addition: sunroom,mudroom and porch
Area Variance No. 13-2001 Approved on Feb. 21, 2001
and Site Plan Review No. 8-2001 Approved on March 27, 2001
$84.48 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,May 16,2003
(If a longer period is required, an application for an extension must be made to the code Enforcement
Officer
Dated at the Town Que bu ed. . j May 16, 2001
r
SIGNED BY = \ for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of QueensburP-Dept of Community Development, 742 Bay Road, Queensbury,NY
• (518)761-8256
•
A permit must be obtained before beginning construction: Permit File No.-r}c)
No inspection will be made until applicant>licant has received a
P I 1 Fee Paid $--75.°d '4-0�
valid building permit. All applicants' spaces on this Rec. Fee Paid $
application must be completed and must appear on the Reviewed By: „,.\ ' SPe
application form.
GE�AP..t: HATHAwAli SP12 pII.,s
Applicant:THE N1cV__Ek.Na1J &R-Out° Owner: .b .t- C MON1'A)UF
Address: 17(v RI Dec-7 Address: JOIN (°i 11= C g.b
GLENS F1LAS 1 N L] 122 0 i SCOTi 11 , Iv U 12 O L
Phone#(5&) 793 -; Phone# (.,18)3 t9- 1 7ql�
Property Location: Lot Number: / House Number jq / HA'
Subdivision Name: Tax Map Number: --f /-/ �o
g3g . 17-/-17
❑ New Building: residence /commercial Estimated Market Value of Construction: $ 75, On 0
/ 1 Addition: / commercial
If an Addition, what will use of new addition be?
(jtN ❑ Alteration: residence/ commercial s(PN kUU n (►'lcr b(ZooM, f�ecI
0 No change to exterior size: residence/com'I
E. Other work(describe )
MAY O 82001
TOWN OF OUEENSBURY
Check Occupancylnformation 1 Floor 2"a Floor Other Moor - jatit CODE
Below sq. It sq. fl. sq.IL Square Feet
❑ Single.family dwelling
o Two family dwelling
o Townhouse
o Multifamily dwelling
#of units
❑ Office
o Mercantile
•
o Manufacturing
o 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
o I car attached garage
❑ 2 car attached garage
❑ 3 car attached garage •
❑ Storage building-
commercial
o Storage building-
residential
Other
YR. :itin
Wil ny�seCond hats r raddd`him r *u ed?'-I asiltfor what? /V0 3 40 see
bektkea47°Q
Type of I-Ieating System: electric/ oil gas/wood /forced hot air/ baseboard/other: o�
Number of Fireplaces to be installed (� Number of Woodstoves to be installed Q 1°,
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder "}1E M E iVo1\1 Coup 176 RIOG-6 6TPET q93—a-as-
Plumber Noel-fee .t.„\ tvt 6---atom ien t_ Q Satt2 y ir;CH PAe-K
Mason
Electrician
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 he complied
with, whether specified or noted,and that such work is authorized by the.owncr. Further, it is understood that i/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an its Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all v coast• c I n.
•
Signatur • owner,owner's age:4t,architect,contractor
ENERGY CODE APPLICATIONS AOH?jlicZ
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) i;,+;�'<.;
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:
-THE_ JL 4 CI:c,2iv o,J Gfao u P 19 PJ N T I G Log R b 1 L SE �E�Rc C
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - �3 f14 square feet 1.4 o f I(2
2 . Type of Heat - Electric Oill (0R Gas Other
3 . Is building mechanically cooled? i/ Yes No
4 . Percentage of area of windows and doors ti// Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R 20
b. Exterior walls R 1q
c . Glazed areas R 3.1
d. Exterior doors R B,o ( 1D,NG)
4.3 (ri u N6)
e . Floors over unheated spaces rhU,Z7Z,4;x9/1v R 10
f . Edge of slab on grade (heated building) R ip
g. Basement/cellar walls (above grade) R .p,I.f•A- If
h . Basement/cellar walls (below grade) R li
i . Heating/cooling-ducts-piping in unheated space R N/fk
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code V/ Yes No •
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
lic t s • na re Date Phone Number
OVA /44./40-.2 /everts°
INSPECTOR' S REMARKS :
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. /
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL ��
Permit No. Cert. No 7 3 5 7 4 Cut-in Card No
Owner j) C5-dv, )
•
Location /I Pi / � n- , , 02 --
i
Installation Consisting of..? 514,4 M14.i.s 124"C P i-I '
Installed By.By.44 egl Wei 7 Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued i
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon MI
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin inspections at any time, and if it
rules are violated,the Company shall have the right toe a thi ifica .
Date../Z-Ze '-‘)/ INSPECTOR
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: 6
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart' m
Town of Queensbury Inspector's Initials kit
p
742 Bay Road
Queensbury,,NNew York 12804 i
NAME \,� \-Pl_`�(�1� PERMIT# �Co I"O�-7�
i C'
LOCATION `� .(�,\1-'1 I,� DATE , -�(�— 7
TYPE OF STRUCTURE R . � , UV`t►oi21-01)- _
N/A YES NO COMMENTS
Chimney Height"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof /
Roof Complete 111 /
Exterior Finish Complete
Interior/Exterior Railings 3p"to 36"
Exterior Handrails,balconi s,landing 18 in.or more /'
Interior Handrails stairs boh sides 3 r more risers
Grade 2%away from four tion
8"clearance to sill plate
Gas Valve shut-off expos regulator 18"above grade
Gas Furnace shut-off within 0 fe t or within line of site
Oil Furnace shut-off at entr c o furnace area
Furnace/Hot Water Heater o ating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in. .
Handrail exterior stairs both si s more than 3 risers
Interior privacy/trim/doors/mainentrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Lan g 18 in.or more
Railing across window in stairwell
Smoke Detectors:
every level •
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/a hour fire door/door closer
Garage fireproofmg
Garage penetrations sealed
Furnace in separate room protected(in garage) /
Light ventilation per room
Safety glazing 18"or 1 lrs$o floor
Final Electrical (I1- 1 C� e, c e «S
�,Site Plan/Variance reqed GO /0 X/ f�
Final Survey Plot Plan As Built Septic System layout required J Q e L. L(-Lie?Si o i e
Okay to issue C/C(Certif.of Compliance) f
Okay to issue temp.C/O(Certif.of Occupancy). ( 7-12 0 f I
Okay to issue permanent C/O(Certif.of Occupancy) ) .
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road -410
Queensbury,NY 12804 Arrive =D m Depa { , torsi
spector's Initials ~�
NAME: ) ` 'Cyt PERMIT ..i � /
LOCATION: \ C DATE: 0
TYPE OF STRUCTURE:
RECHECK
N/A YES-NO COMMENTS
Footings/Piers
Monolithic Pour Fo i
Reinforcement in Plac
The contractor is res ' ible for
providing protection o ,freezing
for 48 hours fotlowin_the .lacement
of the concrete.
Materials for this purpose .n to
Foundation/Wall ur
Reinforcement in P ce
Foundation/Dampproo i •
Back ill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
He g Rough-In
ation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- 1 9
Ceiling R- z>
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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road Z.:, i 5
Queensbury,NY 12804 Arrive am/pm Depart �� am�/ m
Inspector's Initials(,)
NAME: \ PERMIT#
LOCATION: \Ch DATE :
TYPE OF STRUCTURE: -d L 4-12A,
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ible for
providing protection fr.m freez'u g
for 48 hours following •e p1. -ment
of the concrete.
Materials for this pu g e 1,n site
Foundation/Wa. sot
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P ;cc
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inte or R-
Foundation Walls Exte 'or R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Prope Vent,Attic Vent
Jack Studs/Headers
Bracing/Bridging ✓�
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Bather
Fire Separation 1,2,3,hour
Penetration Sealed 2 /
F' Wa112, 3,4 hour /
i�'std�pping�. LL/// ...
!/c P, GJ'&-1<J
GENERAL INSPECTION REPORT I I
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road J
Queensbury,NY 12804 Arrive am/pm Depart ( ` 1
Inspector's Initials_�
NAME: �G PERMIT# 0/' c 7 a.
LOCATION: �1�� DATE: 00
TYPE OF STRUC'1' RE: (�-?-`\ci
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is re •r,nsible for
providing protection F om freezing
for 48 hours followin;:the placemelt
of the concrete.
Materials for this purpo.e on site
Foundatid allpour
Reinforcem t in Place
Foun tion/Dam op
kfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls In nor R-
Foundation Walls E erior 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
C32 pm
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\-0),-)• rpm Depart
Inspector's Initi
NAME: I"I011-'A G1 PERMIT#
LOCATION: t ik 1"^Yr` 144 Q Pi DATE:
TYPE OF STRUCTURE: 1 �'• 4 lam
RECHECK V 13-de) ,7�ll� ! �
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 placeme
of the concrete. �cc..
Materials for this purpose on site
Fo datioi a pour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Wall nor 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
q ,,c;06.___93,),,,,,,b,
GENERAL INSPECTION REPORT \'
( 518 ) 761-8256
I.
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 7'( J
Queensbury,NY 12804 Arrive am/pm Depart m/
Inspector's Initials 12
NAME: C\-->WA\
\ ' c PERMIT it 2)-0 ' ,3---7
LOCATIO : \C1 �.\1 -L-\i r'..• A A n., DATE: _ :._-_ _fie i
TYPE OF STRUCTURE: 4 • _2W 7
RECHECK `�
' N/A YESES COMMENTS
ootings/Piers l� I
Monolithic Pour Form
Reinforcement in Place 7 -4g
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose o si -
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents Pl.ce
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
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping