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2002-465 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development Building&Codes (518)761-8256 CERUTIFICATE OF OCCUPANCY , Permit Number: P20020465 Date Issued: Wednesday, September 04,2002 This is to certify that work requested to be done as shown by Permit Number P20020465 has been completed. Tax Map Number: 523400-309-006.0001-008-000-0000 1 1 Location: 32 VETERANS Rd y Owner: LARRY CLUTE 1 Applicant: CLUTE ENTERPRISES INC. This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Director of Building&Code Enforcement M TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020465 Application Number: A20020465 Tax Map No: 523400-309-006-0001-008-000-0000 Permission is hereby granted to: CTJJTF,ENTFRPRTSES INC. For property located at: ALTA Ave 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. Tne of Construction Value Owner Address: UPPER HUDSON DEVELOPMENT-. Single Family Dwelling 65,000.00 300 ERIE BOULEVARD WEST Total Value 65,000.00 SYRACUE,NY 13202 Contractor or Builder's Name Address Electrical Inspection Agency CLUTF ENTERPRISES INC. COMMONWFALTHELECTRICAT, A 13 DAWN Rd OIJFFNSBIJRY.NY 12804 PO BOX 706 HACIT JF.NY Plans&Specifications 2002-465 LARRY CLUTE: 40 Veterans Road 832 SQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS $99.84 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,June 12,2003 (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 Tow 7l*Q; )ueensb W nesday,June 12,2002 SIGNED BY for the Town of Queensbury. Director of Building& ode forcelment r Building Permit Application Town of Queensbury—Dept of Community IDevelopznent,142 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Rec.Fee Pai $ application must be completed and must appear on the Reviewed application form. �- Applicant: A.—( Uc-V-- A Owner: -- - Address: Address: Phone# Phone Property Location: Lot Number: / House Number Subdivision Name: Tax be S , 'New Building: residence commercial Estimated Market Value of Constrct- $ _ ��C),5 ❑ Addition: residence/ comm oercial '- �aB If an Additi 4tc�ll ��.a edition be? ❑ Alteration: residence/ commercial t111 Q11�1C �'W, ❑ No change to exterior size: residence I com'l - i ❑ Other work(describe. ) ! Check OccupancyInformation V Floor 2.d Floor lather floor Total Below sq.ft. sq.ft. sq_ft. Square Feet ❑ Single family dwelling ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturingf ❑ 1 car detached garage 1 ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage ❑ 2 car attached garage ❑ ,3 car attached garage ❑ Storage building- 1 commercial ❑ Storage building- ! residential 1 ❑ Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so, for what? � Type of Heating System: electric/ o' gas/ od orced hot at aseboard/other: Number of Fireplaces to be installed 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 { Plumber 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,area Wacid co lete statement of all proposed work to be done on the described premises and that all provisions o e-Building Cod ,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,wh er specified or not a{�d that such work is authorized by the owner. Further,it is understood that I/we shall sub • ;prior to a Certificate OcE o of Compliance being issued,as requested by the Zoning A 'strator or Director o u11 Codes,an rve by a licensed surveyor;drawn to scale,showing actual 1 anon of all new co c o Sig a owner,owner's agent,architect,contractor Application for Vermit—Septic-Disposal System Z91vii of Queensbwy T42 Bay Road'Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: .............................................. .......... ........... .............. Office Use Location of installation: yZ' File Portnit Tax Map 0_0�1-01-/_ Fee Paid Owner's Name: �_Ct� ............................................................................................................................... Address: s�' x 2. 'INSTALLEWS NAME PHONE NO. —7-2),-7 3. RESIDENCE INFORMATION- -(circle year of dwelling, indicate It bedroont(s) and multiply It of bedrooms with applicable gallons per bedroom to equal total da! Year ofikuse:, No of Bedrooms x CQ111putatioll TQ Flo tal Daily 1980 or*older x 150 gnVbd"ii 1980- 1991 x 130 gaUbdrin 1991 --present x 110 gal/bdrin Garbage Grinder Installed yes 110 Spa or Whirlp6ol Installed yes 4 Rio 4. PARCEL INFORMATION: (circle applicable inflorniation, & indicate measurements) Domestic V Irr-rtit w/ocri"fe/p/h (f weil; 1'ityly feet feet well' Steep slope clay C %s 10 anyseptie'-systent PC other slope depth: absorption is ELil. other Percolation Test: (To be completed by 11censedprofessional engineer or,architect) Rate: mintile per Inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage,disposal systems inusi be designed by h been scd professional engineer or irchi(ect(unlessinstnilcd in a Planning 130:11-dal-4iroved subdivision). Add 250 gallolls to tile Size or the septic lank,and leaeli field for each Garbage Grinder, Spa or Whit 1px)ol Septic Tank: t_QQ � gallon (ndri. size 1,0009(d.) Tile Field: each trench ft. rotas system Length: Seepage Pit(s): number of—A— size rjfP each: ft. by Q. ft Size or stane to be used: # or Bed System Size: x Alternative S*0m: length and/or size 6. HOLDING TANK SYSTEM: -(if required) Number of tanks:, I Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON (please read) For your protection, please tl<A0 that pursiintit to Section 136-29 orilia code oruicrown orquectisbtiry, n6y permit or nprit-oval granted wilicil'is based tipoit or is granted in upon any I rolian1co 11.1torial ,,is rep rescilt.1tiol, or failure to irinkon material fact or it by orbp beliall'ora" .11ilitic.int, shall be void. I have rea to restilriti011 With 270SIlect to this application ittid agree to-nbido by those and all require - . -try Sewage -nice. U gnature tire 3 Mitts of the Tova Sanitary S Disposal Ordinance. ofyesponsible person Date r v ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - =;• . 192 Family Dwellings (only): 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 7 .btrr APPLICANT'S'iNAME: PROPERTY LOCATION: ` t PART 5 METHOD OF CO'7MPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area 3 square feet 2 . Type of`jHeat - Electric Oil Gas Other 3. Is building mechanically cooled? Yes No 4. Percentage of area of windows and doors Over 17% Under 17$ 5 . R-VALUES FOR .INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SIiOWN ON PLANS SUBMITTED: a. Roof R b. Exterior walls R C. Glazed areas R _ d. Exterior doors. R _ e.' Floors over unheated spaces R - f Edge of slab on grade (heated building) R g: Basement/cellar walls (above grade) R iIch h. Basement/cellar walls (below grade) R it i. Heating/cooling-ducts--piping in unheated space R q 6 . ' Service (domestic) hot water heating device Conforms to. minimum efficiency per" code -- Yes No MPE TURF CO OL MAXIM SETTING 1400 -- WILL NOT BE EXCEEDED plica S' n u e D to Phone Number INSPECTOR rREMARKS: i TOWN O F Q U E E N S SU RY B U M L.D I N G & CODE E N F O RC E M E N T 742 SI1Y ROAD Q U E E N S S U RY N Y 12804 (518) 761-8256 ARRIVE : DEPIl�RT z JE FxNAI. =NSF'EC WXC1M REPOIMW 4t?MI3ERCxi►L. ———— P4ux wxP'Z.E "' , T-X"Ca (hcAa1, amoc�tI. a c im PI0X) DATE ZN,SPE 'Z' N REQCJEST nMC--EIVEDt rl1%.M E D A'I' C3 P I T • TYPE O�- SxRUc•rUR� C30TINC;S sACKF' a�-R.€srtaN Ellr_u ING INSL.7L73TZON CHIMNEY " B VENT FiE I GIiT P LUMB Z N O V E T FIXTURE S ROO F I N G EXl'ERI(DR FINISH H E AT S N G HOT WA TE R RELIEF VALVE S FLC)C)RS FOUNDATIC?N INSULATION I N T E R S O R S TA S R S RA I L I S S T O C K ROOM E N C LO S U R E F-IRE/DEMISE WALLS P E N E T I O N FIRE DAMPER S CEILING FIRE S TO P P I N G FIRE DOORS CLOSER S EX I'I' DC}C)R iiARDWARE EXIT STAIRS E2AZLS PLATFOFZ.NI ELEVATO " HANDICAPPED A C S S ii.ANDICAl�'PED S THS HANDICAP�'�D PARKINCs .FINALLEC'I`RICAL SITE PLAN VARIANCE RE y. ~°`,. FINAL SURVEY PLOT PLAN . IF RE ' OK TO ISSUE CJ'C) OR C/C E S83°rB'44OE 129.31 STONE DRIVE 4 ' b AREA —sa.9• m 2 9,445 sq. ft. HousE 0•22 acres ae.1• N83°rB'4411w 129, 4B I WEST GLENS FALLS VOLUNTEER FIRE DEPT. N ti a� 0 o c C"a co I N i r- a� D �.y L/`If`/'V_- Steve Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lie. No. 50135 ,DRAwFID1aaD "Le"` L. VJW#rvM WE& 1 A WM IGN CF A U" r LWD 91RVl" , OF la A MMlldl OF gL'IION 710�, SUB-aIM&W 7. OF lfi NEW 1CWf STAX MCA" LAW 'ONLY OW" nM OF *NOW Of 1IRa "WY AN OfM OF hE VIO 91AIYE1DRa VARIED WALL SFA RVIC BE OONSIM- >o BE YAUD ,iUE DOPIaS' "CERaPICA UM M PMMD NDRAII so*" Qa 1NA1 M 7M C W PAEPAPEO M ACCW &MtC wn+ A EIOaaNO oaDE a PRAC7CE Pon LPo slAatlulls ADOFIED LID aURVEYOti Wo CERTML1t110La SHALL" O cIf BmM7HE NEW a1AM AI°a`BD� POA`, TO 1HE PERaDN f'OR WHOV 1HE 9URVhl' ai PRDARFD, At0 ON M REHAB " 1,1[ 1111E L'OVPW OD14k4MUL AMCY Alit UNM10 M "PfUMCH UM HOLM. MD m 1HE AsmwE S OF in wow imiu lOA- Map of a Survey made for C l u t e Enterprises Town of Queensbury, Warren County, New York IJatel mulu�1„ ti, euue Scale 1'=20' (� S .,,...1 �,,JJ OF, cLUTE DWG. No. 02145A N0. DATE DESCRIPTION U-73U RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 9 .30 (J 7- Building&Code Enforcement Dept.of Community Development Arrive am/pm DeparA- n/� Town of Queensbury Inspector's InilFsl 742 Bay Road Queensbury,New York•12804 .J NAME �Zz PERMIT# �°Z LOCATION w '' VV DATE / TYPE OF STRUCTURE N/A YES NO CON5MNTS Chimney Height/'T"Vent/Direct Vent Location Fresh Air Intake l Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior handrails,balconies,landing 18 in,or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above 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 Relief Valve(s)installed / Headroom,6 ft.6 in.on stairs / Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/ttim/doors/mam 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 / Bathroom fans Plumbing fixtures / Foundation insulation / 3/4hour fire door/door closer 1 ' O u 6 Garage fireproofing / �� - Garage penetrations sealed / Furnace in separate room prof ed(in garage) Light ventilation per room Safety glazing 18" ss floor Final Electrical Site P1an/Variance ui 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 QUEEKSBURY BUIUDING &--CODE ENFORCEMENY 742 Reil_y R"c-14d Quiece_q,s;b�ur_ JL2a04 SEPTIC DISPOSAU SysyEm INSPECTION Name Loca-tion Date _ 71 ltq P-e_ r-rn 1 -t SO311- _FYIE: Sand- Loam-Cl ay_ ResUl -ts of Pai-cola-tion Test- ( 1 -F applicable- ) Rate-Minute/ Inch TYPE OF SYSTEM= ABSORP-rIOM FXEILD : d al Length Length of each -tr-e c Dapt--h of trenches a Size of stone SEEPAGE PI-rS : N umb e t- Size - j -Ft x -f-t- Ston-- size PIPXNG : i ze Type BlJ4dg _ to Tank. • Tank- -t o -o Di Tank- . r t� y No Openings Seal ed ,, �j n,8�/s P a r--t i-a—I t-OCA-FIC"W/SARA-�Y Foundation -to Tank feet Founda -tic>n to Absorp -tion -F e e-t Separation of:, Pi -ts feet Conforms as per PI 0-t Plan Yeas No LOCA-UXOM OF sys-rEt4 ON PROPERTY: ( cil-cle one ) Front - Rear- _ ic. , Right Side Middle- Fv-c�n COMMEWTS z SYSTEM USE APPROVED= YES Ar-r--f ut-_ Dd--Pa r t!`e ►- aw- #ems__ r o setNi ed, r s feces etc , o a {io se ec es nt tt 0 ply` s ion thi a Sri - t `nc se #or dir ca ers t pW i Q tank �� L3A -- e3� K3 -- Office Use GENERAL INSPECTION REPORT Inspector: _V_00 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 2�a ' n , P ayz7pgD,-, tes: (518) 761-8256 Inspector's Ini NAME: PERMIT# -,:?;6apj —t_100tO LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: F 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/Dampproofing_ *ackfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing F 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/Bridgmig— Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping, L-\Suel4emingway\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: Meet: Building& Code Enforcement At time: 742 Bay Road � Queensbury, NY 12804 ARRIVE am/pm: DEPARI L, te am pm (518) 761-8256 Inspector's Initials NAME: C L—Lri-6— PERMIT#_ �7 LOCATION: UCrr,-;-X�J5 elo a INSPECT ON(date): TYPE OF STRUCTURE: RECHECK NIA 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/Dampproofing_ Backfill Approval Plumbing Under N IM M* 9' ASwlab P Mb4 v /Vents i'n Place 4ZBU2 . e=g Rough- u a V7 -01- 47 nte Ma 0'ir��Talls I' rior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pjoer Vent,Attic Vent vor vtranting, MOSack IS-Mud777—Readers Bracing/Bridging — Joist Hangers ack Posts/Main Beam Inf%ltratlon . A i,2, 3 F ir-76epar on hour Penetration Sealed A10FZi Wall2 LY � tour _ %--I- -10 L:\SueHemingway\Building.COdes.Inspection.FORMS\GENERAT.INSPECTION REPORT.doc 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 %mlpm Notes: Queensbury, AT 12804 ARRIVE am/pm: DEPART (518) 761-8256 Inspector's Initials N��ffi: Nuk PERMIT b's 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 Re info Fzo cement in Place Io 0 dati=tmpproofmg-- a ae 11] ckfill 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 Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ J L:\SueHemino.way�Building.Codes.Inspecdon.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: sln�U� Town of Queensbury Ready at time: Dp Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE i 2Z7 am1p EP 7, am/pm Notes, (518) 761-8256 .Inspector's Initia NAME: �-. f�� C�1 � [C= PERMIT# LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: �� RECHECK N/A YES oN0 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 Vent/Vents in Place Rough Plumbing Hearing 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc