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2001-375
TOWN OF QUEENSBURY 742 Ba Road ueensbu NY 12804-5902 518 761-8201 Y ,Q rT', � ) Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010375 Date Issued: Thursday, November 01, 2001 This is to certify that work requested to be done as shown by Permit Number P20010375 has been completed. Tax Map Number: 523400-302-017-0001-015-000-0000 Location: 12 LUPINE Ln Owner: CARL &EILEEN BARBER Applicant: CARL &EILEEN BARBER This structure may be occupied as a: By Order of Town Board Residential Addition TOWN OF QUEENSBURY (DavP 4 Director of Building& Code Enforcement 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 Notg•OO No inspection will be made until applicant has received a Fee Paid 'S `p valid building permit. All applicants' spaces on this Rec. Fcc Paid $ application must be completed and must appear on the Reviewed B : application form. Applicant: n? L ��_-- __- - Owner: C. OLL (.--L L �} " 4 Address: `01_ G., r �p cf ,� Address: %� ` �-; r(t, -e_ 6 G-7 S �Z 6 y 0 CI_ Phone# MP) 7 Q3 -_ � Phone#(r/gyp) 71'3- Property Location: Lot Number: / House Number /a / G-cf�t h I' ,� e Subdivision Name: 0/ r��y e pQ t.f Tax Map Number: S 31160 u New Building: residence /commercial Estimated Market Value of Construction: $ /(), 000 Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: i.ence/ commercial /3 `t. ( e D ❑ No change to exterior size: residence/com'l F� ❑ Other work(describe ) JUN 0 5 2001 • TOWN OF QUEENSBURY BUILDING AND CODE Check Occupancylnformation 1`' Floor 2' Floor Other floor Total Below sq. ft. sq. ft. sq.ft. Square Feet t1 Single family dwelling 1 Q 3 , I /�C 3 :S- o Two family dwelling o Townhouse ❑ Multifamily dwelling #of units o Office o Mercantile o Manufacturing I o 1 car detached garage • o 2 car detached garage • ❑ 3 car detached garage ❑ 1 car attached garage ❑ 2 car attached garage o 3 car attached garage • o Storage building- commercial o Storage building- residential • ❑ Other Will any second-hand or ungraded lumber be used? If so, for what? , 4 Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard other: Number of Fireplaces to be installed Number of IVoodsloves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Cq> L L Lp.tL,r L — `79 3 _/. -9P Plumber i f r/ i Mason Electrician Col r. L �? /S o,.,6 et- / GtoD '7 c't 3 — / Declaration: please sign below alter 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 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 owner. 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 As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. • • Signature: , —� owner,owner's agent,architect,contractor c).2at ni- 373 t ''� 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) • PART 6* - Thermal Rating - Component Trade Offs 1&2 Fancily 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: • g i- L /�., / o 4 -e �- r t 11 k Y LI �C k1 PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - /q3, S scruare feet 2 . T-_rpe of Heat - Electric Oil A Gas Other 3 . Is building mechanidally cooled? Yes 4 No 4 . Percentage of area of windows and doors Over 17% )( Under 17% 5 . R-V LUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLAN§ SUBMITTED: a . Roof/Cej` ,(4 R 30 b Exterior wail i-s R ( 7 c . Glazed areas R d . Exterior doors R e . Floors over unheated soaces R 3 0 . Edge of slab on grade (heated building) R c. Basement/cellar walls (above grade) R h . Basement/cellar walls (below grade) R // Heating/cooling-ducts-piping in unheated space R 6,. Service (domestic) hot water heatinc device Conforms to minimum efficiency per code X Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Date Phone Number Ap(7 /!s �icn�� - C9 / 7y3 - / INSP CR' S REMARKS: iO/3O RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 40) Building&Code Enforcement Dept.of Community Development Arrive` ADepart LOP p yr Town of Queensbury Inspector's Initials r_ 742 Bay Road Queensbury,New York 12804 ' PLOoQ�375 NAME ,� r �Q/�� PE h T# LOCATION I L , • m , DATE ,/ie—6/ c, ) TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B'Vent/Direct Vent Location Fresh Air Intake f Plumb Vent through of Roof Complete Exterior Finish Comple • Interior/Exterior Railing• 30"to 6" Exterior Handrails,balco 'es,1.•ding 18 in.or more Interior Handrails stairs b• • si•-s 3 or more risers Grade 2%away from foun.. do 8"clearance to sill plate N/ Gas Valve shut-off expos: 4 -gulator 18"above grade Gas Furnace shut-off wi in 31 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater opera g Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides ore than 3 risers 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: V , every level I � (f every bedroom f (JN `t�� outside every bedroom4/( inter connected Bathroom fans Plumbing fixtures 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) Okay to issue temp.C/O(Certif.of Occupancy). Okay to issue permanent C/O(Certif.of Occupancy) COMMONWEALTH ELECTRICAL INSPECTION SERVICE,itvt:. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL (.1j Panel Board No Cert. NO 6 93 1 0 Cut-in Card No ,4V/A Owner C,4ft ►2 L. Location 1 a2, L...4.2.LXI.C. Installation Consisting of...A.12.Q.1.Z.I.O.tJ...L .L.LI?.. t..G— 7 $ 4 C-4,•! LT-3.i j 1=4a►-x...t.....1...J nzo/4c PO-- Installed By —s'#.Yh Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of'this Company shall have the privilege of making inspections at any time, and if its rules are violated,the Company shall have the right to revoke this � 0 c/errtificate. Date 1 o—1..i- Q..i INSPECTO �-G2/ . . .... Member N.F.P.A.,I.A E.I. I / GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury ., r.� 7//1 Dept. of Community Development Date inspection request received: / Building&Code Enforcement . 742 Bay Road rG Queensbury,NY 12804 Arrive> ! am/pm Depart pm / a", Inspector's InitiallsNAME: C r/ PERMIT# ! — ZS' LOCATION: �,,,�!,,:..- Le.... DATE : D 4TYPE OF STRUCTURE: A� RECHECK N/A YES NO COMMENTS Footings/Piers I I I Monolithic Pour Form Reinforcement in Place The contractor is respon•ible ir providing protection fro freez_ g for 48 hours following th- place ent of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab lumbing Vent/Vents in Place /tough 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 Pi 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 1' am/pm Depart apm Inspector's Initials 7� NAME: EM--A2.9/V PERMIT 3Z5 LOCATION: I d-\ DATE : / TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo "ble for providing protection ft m --zing for 48 hours following he pla•-ment of the concrete. Materials for this purpose on site -_ Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing - Backfill Approva Plumbing Under S Plumbing VentNents i Pl.c. f, ,� // ,� �•� - � 'I-nett Plumbing 1 „l'� Heating Rough-In Insulation Foundation Walls Interior '- Foundation Walls Exterior 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 tarn 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 Queensbury,NY 12804 Arrive if�(-` U" am/pm Depart �pm Inspector's Initial/!/ NAME: � � Y PERMIT# LOCATION: C• 0 i.n DATE: R ;BCD--c.2(2)C_ 1 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsi le for providing protection fro freezing for 48 hours following th placement of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcem in Place Foundation/Damp n Backfill Approval Pluming Under Slab Plu' sing Vent/Vents in P ce 'ough Plumbing Heating Rough-In Insulation Foundation Walls In rior R- Foundation Walls Exterior R • - Floors R- Walls R- Ceiling 1 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 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 /1/ll am/pm Depart am/pm / Inspector's Initials f' NAME: r 1 74, PERMIT# 3 7r LOCATION: I L DATE: S®G/ TYPE OF STRUCTURE: 1 RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is re I.nsib • for providing protection l•om fret•ing for 48 hours followin:the p1..-went of the concrete. Materials for this purposa on ' - Foundation/Wallpour Reinforcement in Place Foundation/Dampprtan Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pl:ce Rough Plumbing / �,,ej G,�rc,r piiii b/ t 17&' Heating Rough-In Insulation Foundation Walls Interi. R- Foundation Walls Exterior R • - Floors Walls - 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 Z \ \c�� GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road �tt Queensbury,NY 12804 ArriveLh , !m. Depart`-% •. •m • or's Ini '. • �`"� NAME: '( 1C--,'l__ PERMIT# 0‘ LOCATION: DATE: TYPE OF STRUCTURE: QS A - 10V-- RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo �sible for providing protection from freezing for 48 hours following the placem nt of the concrete. Materials for this purpos on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Ven . ents 'i lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Interi r R- Foundation Walls Exteri r R- Floors - G Walls R d { �/ Ceiling R- `;t'o t/ 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 ( ., e. --r-t,�r. �5rata 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\ZD • "piIn Depart par c 5 ial �✓/ NAME: CRP1l_ �AR��� PERMIT# �A.— I„S LOCATION: DATE: _1 TYPE OF STRUCTURE: _ AOi RECHECK N/A YES-NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is res. nsible for providing protection fr I m freezing for 48 hours following • e placement of the concret Materials for this p rpose o site Foundation/Wallpo Reinforcement in Pla,e Foundation/Dampproo I 'g 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- 'roper Vent,Attic Vent )/ / Framing Jack Studs/Headers Bracin!.':_.gm• F � VAX) PaA Joist Hangers ✓ p F- C Jack Posts/Main Beam - Air Tnfiltration Barrier if\O PL t)t, Fire Separation 1,2,3,hour AtV---A4 c p Penetration Sealed ‘ ©c)kA�j Fire Wall2,3,4 hour Firestopping 1'SR-Li— PLP1-1 o F y tit� tNLL. GENERAL INSPECTION REPORT 3 Pii)7 ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arriva:40 a pm rta •, ami ector's Ini ' NAME: PERMIT# 75 LOCATION: lt9—L_c 1 ) DATE: 410so I TYPE OF STRUCTURE: . RECHECK N/A YES O COMMENTS ootings/Piers Monolithic Pour Form • Reinforcement in Place M e L ( The contractor is re ' f•nsibl- for providing protectio from -+zing for 48 hours followi g the pl. -ment of the concrete. Materials fo this p se o ite Foundatio r •• Reinforcement in Place Foundation/Dampproo ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Interi IF R- Foundation Walls Exteric r R- Floors 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 1/46 - /r 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 = b a Depart h Inspector's Initi s NAME: r CC, �1 PERMIT# LOCATI 3-e 1 L --P DATE: TYPE OF STRUCTURE: ( 7 r RECHECK 3-cek3-1,1% 4 N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is re: • ', e for providing protecti•_ from fre: ing for 48 hours folio g the pla :• ent of the concrete. Materials for this pu •I se on site Foundation/Wallpour Reinforcement in Place Cr-F7)-t?idation/Dampproo•'JINN. Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P It ce Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior '- • 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