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2002-586 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 128045902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: . P20020586 Date Issued: Thursday, September 26,2002 This is to certify that-work requested to be done as shown by Permit Number P20020586 has been completed. Tax Map Number: . 523400-308-006-0001-064-000-0000 Location: 56 WARREN Ln Owner: HENRY&PATRICIA SIEVES Applicant: HENRY&PATRICIA SIEVES This structure may be occupied as a: By Order of Town Board Residential Addition TOWN OF QUEENSBURY Duector of Building&Co nfo meat TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020586 Application Number: A20020586 Tax Map No: 523400-308-006-0001-064-000-0000 Permission is hereby granted to: For property located at: 56 WARREN Ln 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: HENRY&PATRICIA STEVES 56 WAIN Ln Residential Addition 1,000A0 Total Value 1,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2002-586 152 sq. ft. residential addition to be used as kitchen/dining room per plot plan and specifications. $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, July 18,2003 (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 Town o Guee bury; hur y,July 18,2002 SIGNED BY —for the Town of Queensbuty. Director of Building&Cod Enfor went 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. No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Rec. Fee Paid $ UL. 0 9 2002 application must be completed and must appear on the Reviewed By: application form. WN (),'-Quza) A rjr) Applicant:4-4!,A Owner: 75-AA-M, 7L Address: Address: Phone# Phone# Email Address: Email Address: Property Location: Lot Number: House Number Subdivision Name: Tax Map Number: L3 New Building: residence /commercial Estimated Market Value of Construction, $ 16M6v ddition: -,-la-bee commercial If an Addition,-hat will use of new addition be? Ea Alteration: 221.reePee. commercial 0 No change to exterior size: residence I com'l L3 Other work(describe Check OccupancyInformation V Floor 2" Floor Other floor Total Below e ow sq.ft. sq.ft. sq.ft. Square Feet r C3 Single family dwelling E3 Two family dwelling E3 Townhouse Ci Multifamily dwelling #of units U Office U Mercantile La Manufacturing U 1 car detached garage U 2 car detached garage U 3 car detached garage L3 I car attached garage U 2 car attached garage Lj 3 car attached garage L3 Storage building- commercial E3 Storage building- s'd iclential � -2 2n- jb Other P5— 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/ oil / gas/wood (forced hot air baseboard/othet: Number of k7rcolaces 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,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 Uwe 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: 2, .�,-,za owner,owner's agent,architect,contractor ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY" *:59�0 9000 HEATING DEGREE DAYS Compliance Methods:Part 5 - Acceptable Practice Method- 1&2 Family Dwellings (onlyt)--ECEIVED Part 6*- Thermal Rating-Component trade Offs 1&2 Family DwellingjUL 0 9 2002 Multi-Family Dwellings (3 Stories or less) Part 4*- Design by Component P66ormance, Commercial Buildidfillu or. Rise Residential,- _22�01-DIffiln U R *Requires submission of worksheets APPLICANT'S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: I Gross Floor Area- —square feet 2 Type of heat- Electric�Zoil—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 SHOWN ON PLANS SUBMITTED: a. Roof R ?Q b. Exterior walls R__Iq C. Glazed areas R d. Exterior doors R_ e. Floors over unheated spaces R f Edge of slab on grade (heated building) R 9. Basement/cellar walls (above grade) R__ h. Basement/cellar walls (below grade) R 'i. Heating/cooling-dUCts7PiPing in unheated space R 6. Service (domestic)hot water heating device Conforms to minimum efficiency per code—Yes—No TEMPERATURE CONTROL MAXIMUM SETTING 140-WILL NOT BE EXEEDED Applicant's Signature Date/ Phone Number 7 q,9- 7 7_z INSPEC OR"S REMARKS: RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depar/ �ai in Town of Queensbury Inspector's Initisls 742 Bay Road Queensbury,New York 12804 NAME PERMIT# LOCATION 2- DATE TYPE OF STRUCTURE �JV' d�C cs N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 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-of at entrance to furnace area- Furnace/Hot Water Heater opera' 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/trim/doors/main entrance 36" Floor Finish BathroomMtchen 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 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) g�L/ Office Use GENERAL INSPECTION REPORT Inspector: �,C 114 V 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-anilpm: DEPART�clpIn Notes: (518) 761-8256 Inspector's Ihitia,,Z,�,� NAME: PERMIT# LOCATION: Lvi� 0 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 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 V Y, 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 Firestoppi L:\SueHemingway\Building.Codes.Inspeeflon.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: R A^- 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: DEPART'� • M/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# -7 '- LOCATION: a-N,r INSPECT ON(date): /h TYPE OF STRUCTURE: RECHECK N/A NO COMMENTS oot s/Pier Monol CP04Form Reinforce 1llc avi e 'n 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 FoundationflATallpour Reinforcement in Place Foundation/Dainpproofing_ 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- 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\Btiilding.Codes.Inspection.FORMS\GENERAT.INSPECTION REPORT.doc