2000-008 iarK
I
4ertificiate
Ccupanc),17
Town of Queensbury
Y
Warren County, New'York
June 21 2000 #
2QQQQQ3
This is to certify tb{i work regested to be done as shown by Permit No,
has been completed..
This structure) ay be occtipi,ed as a RESIDENTIAL ADDITION
Tocatton 13 LAKEVIEW DR
Owner
TAX MAP NO, 4673`-r—�• By Order Tom Board
OF BE
1 ,
Director of Building&Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 14000 Building Permit No. 2000008
TAX MAP NO. 46 . -3-17
Permission is hereby granted to DOBERT, JOAN
Owner of property located at 13 LAKEVIEW DR.
in the Town of Queensbury,to construct or place a RESIDENTIAL ADDITION
at the above location in accordance to 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.
?rLr od VTEW DR.
QUEENSBURY, NY 12804
Contractor or Builder's Name:
IMPERIALE, PETER
Contractor or Builder's Address:
38 MORNINGSIDE CIRCLE
QUEENSBURY, NY 12804
Electrical Inspection Agency:
COMMONWEALTH ELECTRICAL AGENCY .
PO BOX 706
HAGUE, NY 12836
Type of Construction:
RESIDENTIAL ADDITION
Plans and Specifications:
576 sq ft RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
RESIDENTIAL ADDITION
48 January 12 200'2
$ PERNHT FEE PAID—THIS PERMIT EXPIRES
(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 Town of Queensbury this 12 Day of January 2000
SIGNED BY 4 for the Town of Queensbury
Code rnforcenteni Offtficer
Town Of QLit en.sbuiy - Dept. ofConuttunity Development, 742 Bay Road, Queensbury, NY 128W [761-82561
NOTICE BUILDING & . CODE ENFORCEMENT
Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NCC� �
beginning construction. No inspections e7c_>_
will be made until applicant has received Zvn6tg hoard Action PERMIT FEE PAID$
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREA77ON FEE PAID$
MUST be completed and.the signature [_] PhWtuing Board Action
of the applicant must appear on the REVIEWED BY.
SPR / Subdivision /Other But ling hUrlector
a plicalion farm. sh..f�,„, Recrea(ion.Fee
Payment
Applicant:Applicant: Owner:r: f 1 AeuI � c 6e12-: �—
Andress: Se M2 Z-)U 1 X.>%1 t o e C YRIA1 Address:
.7___ _...... (
1'rol�urly I.ttunllultl 1� �-r4-I�U t � C.J .('(L 1' ��l 1 _ 1 3 t
Subdivision Name: na Map Number !
Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VAL E OF THE
N Building: CONSTRUCTION: $ �"^"
residence / commercial ---
Addition to Building:
residence / commercial OCCUPANCY INFORMATIONt
Pritjary Building -
residence / commercial Lt - Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwe�1
Office
Other Worr (gescribe below) Mercantile
► R � 2 4 lei, Manufacturing JAN p 5 2000
Other
GROSS AREA OF PROPOSED STRUCTURE: Ts}7 )F Q4iEEj';r�.s.JtR,-
lot Floor. . . . _ sq. ft. If ADDITION, what wil'1 use=-'-
2nd .Floor. . . . . . .. .�� sq. ft, of new addition a? :
Other Floors . . . -=R sq. ft.
(not unfinished cellar or basement] ACCESSORY 61111.I3INGS1
Detached Garage 11 2 car
TOTAL FLOOR AREA: j'" �p SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
LUq FEET X c�-�' 7 FEET Other
Foundation Type: [ e•l_ Will any_. second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only rf
Height (grade to ridge) : feet TYPE OF HEATING SYSTEMS
Number of fireplaces and/or woo stove (circle all which�sebu
to be .installed: E3ectric / Oil /
rce a / / Other
Person resppp��ns ble fo,r,- supervlolpptl of work as regards to building
codes is: k�2P YL - _ t2_l ttLt c�
Builder: Naive a Aaddresss P o
DIZP
Plumber: (� �,s �l 's - ,�,F, 17901-
Mason:
Electrician:
DECLARA710N• Please sign be1mv gfter' you have carefully read die 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 to a
Certificate of Occupancy'•or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: �_ Q
' (owner, owners agent, architect, contractor)
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 Family Dwellings; Multi-Fa.
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:
A 7 Pfe- r�A0PR-66/E 1 LIIC�1 /e cep le,
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - � square feet
2 . Tie of Heat - Electric Oil �s Other
3 . is building mechanically cooled? �es No
4 . Percentage of area of windows and doors Over 17% Winder 17%
5 . R-V.LUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R
b . Exterior walls R !'
c . Glazed areas R
d. Exterior doors R
e . Floors over unheated spaces R
_ . Edge of slab on grade (heal-
a". ed building) R
Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R
_ . Heating/cooling-ducts-piping in unheated space R /O
6 . S e=vice (domestic) hot water heatinc device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
mO
a
cant ' Signat _e at Phone Nu e*-
� �,5ZT
1NS?=C'_'OR' S REMARKS:
TOWN OF QUEFNSBURY
BUILDING & ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Own-ar's Name sof
6 A
Address A �,l
4�L/,eru_rl Alls Telephone No. 3112
JJ
2. Property location 77 1441&, tz/ OageNjeaA Y
3. Name of person or firm responsible for installing system oc"5s iVS
Telephone No.
Address Oaa_P�Ldg&)� /V.Y,
4. Number of bedrooms (residential buildings only)
5. Daily flow crallons/day .
6. Septic tank ca achy gallons
7 . Topography. flat,* rolling, teep
slope-
8 . Nature of soil and depth _Aee�"J
9. If around water, bedrock or impervious material is apparent at what
depth does. it' begin?(5,4/1/") ft.
10. Percolation test: A is reguired
B is not required
C if required what is the rate . minutes/inch
11 . Water supply: municipal, well, other
12 . Type of system proposed; drywell, the field , other
Any contractor, corporation, individual, etc. engaged in the construction
of a sanitary sewage disposal system who 'covers the same before inspection,
does not have an approved permit, or varies from the approved appl-ication
will be subject to a penalty of $250 as provided for in Section 6.010 of the
Queensbury Sanitary Sewage Ordinance.
Date
signature of apelicant
On separate sheet of paper submit a diagram of of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself.
Form 3-82 fen
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement k
Dept of Community Development Arrive am/pin, Depart
L pin
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York,12804
NAME PERMIT#
LOCATION DATE
TYPE OF STRUCTURE I f
NIA )7/ NO COMMENTS
'Chimney Height!"B"VenbDirect Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
hiterior/Exterior Railings 30"t 36"
Exterior Handrails,balconies, an i g 19 in.or more
Interior Handrails stairs both -des 3 Xmore risers
Grade 2%away from founds on
8"clearance to sill plate
Gas Valve shut-off exposediregql4tor 18"above grade__
Gas Furnace shut-off within130,ie�et or within line of site.
Oil Furnace shut-off at en�p dice to furnace area
Furnace/Hat Water Heat&bperating
Relief Valve(s)�ed I
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in,
Handrail exterior stairs bath sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish I
Batbroom/Kitclien watertight
Interior Handrails Balconi6fi,- ndmg li in.or more
Railing across window in tairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom'
inter connected
Bathroom fans'
Plumbing fixtures.0
Foundation insulatio
3/4 hour fire door/door closer
Garage fireproofing
v16arage penetrations sealed V I
Furnace in separate room protected(in garage)
Light ventilation per room
afety glazing 18" less from floor
final Electrical 8
Site Plan/Variance 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) V
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Office 176 Doe Run Road - Manhelm, PA 17545 ;)066--000
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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The conditions followingovern d the issuance of this certificate, and an certi#icate reviously issued is
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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 i ctions at any time, and if its
rules are violatod, ,tho Company shall have the right to rev a thi rti t41
Dat
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COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. +
Main Office }
176 Doe Run Road if Manheim, PA 17545 ^
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAI
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The conditions following governed the issuance of this certilkate, and any certif rate 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 i ections at any time, and if its
roles are violated, the company shall have the right
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RESIDENTL4,L FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept.of Community Development Arrive am/pm Depact M
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
e PERMIT# J��
NAME
LOCATION Cc J DATE
TYPE OF STRUCTURE d�
C N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location01
� C �� d fJC't2tt��t
Fresh Air Intake
Plumb Vent through roof t
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30' to 36"
Exterior Handrails,balconies landing I in. or more
Interior Handrails stairs both ides 3 o more risers
Grade 2%away from founda on
8"clearance to sill plate
Gas Valve shut-off expos ed/r at 18"above grade
Gas Furnace shut-off wii feet or within line of site
Oil Furnace shut-off of entran to furnace area
Funaace/Hot Water Heater ope a:i
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stTsi� es
0
Basement stairs,6 ft.4 in.
Handrail exterior stairs boore than 3 risersInterior privacy/trim/doorsrance 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
3/4 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 Plan/Variance required Jab
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue CIC(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
GENERAL REPORT
(518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement q /
742 Bay Road h
Queensbury,NY 12804. Arrive am/pm Depart
Inspector's Initials
NAME: PERMIT# O O�LOCATION:- i DATE: r�C3 C�
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo for
providing protection fro fre g
for 48 hours following a placen ent
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Damppr'
Backfill Approval !!ng
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
\,Separation 1,2, 3,hour
i Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppin
�� S
s it Pi
GENERAL INSPECTION REPORTC)�--------
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building 6& Code Enforcement v -
742 Day Road A
�� � 1 lam. '�
Queensbury,NY 12804 Arriv DePa In
Inspector's In' ' s
NAME: ��� C� - PE�t # 7 mn-() -
LOCATION: t?,_�f3FC FJ�� D� . DATE :
TYPE OF STRUCTURE: of' F 6 1)DD
RECHECK 1
/ N/A YES NO COMMENTS
Footings/Piers Jt.
Monolithic Pour Form
Reinforcement' n Place
The contractor isresponsible for
providing protecrion from freezing
for 48 hours follow"ing the placement
of the concrete.
Materials for this purpose on'site
Foundation/Wallpour �'";�_
Reinforcement in Place
Foundation/1) roofing
74
Backfill Approval j
Plumbing Under Slab '
Plumbing vent/Vents in Place /
Rough Plumbing
Heating Rough-In
insulation
Foundation Walls Interior R- '.
Foundation Walls Exte. "or R-
Floors iD
Walls R-
Ceiling R-
Duct work or piping mi
unheated spaces R-
Proper Vent, Attic VentY
Framing `
Jack Studs/Headers y °#
Bracing/Bridging _
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
ire 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 am/pm Depart-- m/ m
Inspector's Initials
NAME: 6e 1-r PERMIT#
LOCATION: 13 LA&I)I ev- DATE
TYPE OF STRUCTURE.
RECHECK
NI/ YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is , sponsible
providing protection-rom reez ng
for 48 hours following the plac ment
of the concrete-
7 j
Materials for this purpose on sit
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval__
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-in
kAsulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
IslCeiling R- LOCOAJ IAJ
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 Scaled
Fire Wall 2, 3,4 hour
Fircstopping_
<7, 06
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Qucensbury, NY 12804 Arrive am/pmDcpar5 /Sarn/pm
Inspector's Initials
NAME: C�'fvt— PERMIT#
LOCATION: DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible
far 0'p providing protection from frccz."n4g
for 48 hours following the jpla :rnent
of the concrete.
11 si
Materials for this purpose on si c
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Ponbing Under Slab
Ilumbing Vent/Vents in Lace
RRoup.14pjJimbing—� A L-- S V 'L10
K11" Ro—i InAlnsu loan
bj<,01 i::04�-Clocj
NA
/F ndation Walls Interior R-
ou
oundation 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 I,2, 3, hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Firestopping
GENERAL JNS'PECTIQN 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 Depardo"O',
am/pm,
Inspector's Initials
NAME: PERMIT#
LOCATION: LAA46--tj CW i DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi c for
providing protection from rec/ing o,
for 48 hours following th placement
or the concrete_
Materialsfor this purpose n site
Foundation/Wallpour
Rcinfbrcenicnt'i�Place
Foundation/Dam o i g_ A-)
Backfill Approval_
Plumbing Under Slab
,4Pumbing Vent/ eats i i Place
'A'Ve'gm—",—"Dy o 0 1,
5.11 " %, 7 V
n g4li , R7,ng umb—i
MUM
Foundation Walls Interior R-
Foundation Wall Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or 'ping in
unheated spaces R-
..o r Vent,Attic Vent
ZJ k Studs/Headers
racing/Bridging
Joist Hangers
Jack Posts/Main Beam
AirInfiltration Barrier
Fire Separation 1, 2, 3. hour
Penetration Sealed
V,
L
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Quecnshury,NY 1 Arrive Depap,
804 am/pm am/pm
Inspector's Initials
NAME: PERMIT#
ac k_- 5 0 64
LOCATION: DATE :
TYPE OF STRUCTURE: In
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/Darnppro�fing
Backfill Approval----�
Plumbing Under Slab�_�
Yrumbing Vent/Vents it Place
Dug urn ink
In
Foundation Walls Interi r R- RW
Foundation Walls Exte or R-
Floors R-
Walls R-
Ceiling R-
Duct work or pipin in
unheated space R-
-VKO�Pner Vent, Attic ent
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Pe et ation Sealed
e Z11 2.3,4 hour
,pp.
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