2001-634 TOWN OF QUEENSBURY
cv10742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010634 Date Issued: Monday, February 11, 2002
This is to certify that work requested to be done as shown by Permit Number P20010634
has been completed.
Tax Map Number: 523400-302-014-0001-012-000-0000
Location: 27 PERSHING Rd
Owner: CHARLES & DALE FARRAR
Applicant: CHARLES &DALE FARRAR
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
S
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010634 Application Number: A20010634
Tax Map No: 523400-302-014-0001-012-000-0000
Permission is hereby granted to: CHARLES &DALE FARRAR
For property located at: 27 PERSHING 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: CHARLES &DALE FARRAR Residential Addition 10,000.00
27 PERSHING Rd Total Value 10,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
RICHARD KOCSIS
NY 12804
Plans & Specifications
2001-634
94 SQ FT ADDITION TO GARAGE AS PER PLOT PLAN SPECIFICATION
$75.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, October 03,2002
(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 of Qu sb ry; , -' l nesday, October 03,2001
SIGNED BY r . for the Town of Queensbury.
Director of Building&Code Enforcement
Building .Permit Application • .
Town of Queensbuly - Dept. of Community Develo ,ne,u, 742 Bay Road,
, Quo c asGrlrl, NY 12804 /76l 8256/
- BUILDING & CODE ENFOi FTIV D
NOTICE Requirements prior to issuance
of this permit: AUG 2 2 effFmrr FILE NO. ,-4 1_
A purmt.m iuel be obtained before '�
beginning construction. No inspections
will ben de untii-applicantt-tins received [� Zoning Board ActiO�VUN OF QU=EN°,'' �I'PEE PA! '
a VALID,BUILDING PERMIT. An Area /Use BUILDING A VD CODE
' applicants' spaces on this application —RECREATION FEE P D
MUST be completed et)d tho signature (i Platuting Board Action REVIEWED BY: �l
of the-applicant must appear on the
SPR 1 Subdivision /Other Bu ,ing Insperrnr•
plication form. 7k.,k,o.. fit, Recreation Fee Payment /
Applicant: 'I��ILIY ,Zr t r Owner: ,�' la,
1
• 1
�✓ �� ,
Address: ✓/ 7 #07t,,-)t'1 4-1 Address: e ai6){.7r
Phone # ( _) �� - �57�` Phone # ( SL-) ./ -
�j.j'` a
Property Location: s /�"�C / /, '
Subdivision Name: 0 r� ��, ' �' Tax Map Number -- /1 / �' /c .3/
Section Block I cat
NATURE OF P \OPOS-E D WORK: -- ESTIMATED D MARKET VALUE OF _THE
New Building: CONSTRUCTION /r/1 ',(''.O - -- -
residence / commercial r
'`Addition to Building:
sidence ommercial OCCUPANCY INFORMATION:
A er o Building: Prim ry Building - .
residence / commercialingle Family Dwelling
Res). ence / Commercial ' Two Family Dwelling
no change to exterior size Family Dwelling
Office
t,Other Work (describe below) Mercantile
lApVtz tee - n GHQ 4 Manufacturing
•
Other
GROSS AREA OF PROPOSED STRUCTURE:
If ADDITION, what will use
1st Floor sq. ft . of new addition be? : l
2nd ,F1'ovr. . .,:': . . . sq. ft . u
Other Flouts sq. f t. � �Tt�� Tb C�Q► =
(not unfinished cellar or basement) ACCESSORY BUILDINGS• I( �� _r
Detached Garage 1 , 2 car °Aca
TOTAL FLOOR AREA: 0114 FT Attached Garage 1, 2 car -
Private"-Storage Building
SIZE OF NEW STRUCTURE: ¢/ � a Commercial Storage Building
Other
FEET X \"7_-•�; FEET
tc
Foundation Type: F9I - ki lki,L0, V --, Will any second-hand or ungraded
' Number of Stories : • 1 1 lumber bellused? If so, for what?
(habitable space oryly) b
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaCe>f; and/or woodstove (circle all which applies)
to be installed:_ Electric / Oil / Gas / Wood •
Forced Hot Air / Baseboard / Other
Person responsible -(4 for supervision of w�ork. as regards t building U
codes is : Ni elno , KOe5'5 Cfiil ,i Paw Iibt2WAla V--lS•Avtvt1IJLJ 7! g -f /0
Name Addresss Akin
Builder: c-c_l�t&c- Korn+-5 5-1A PPvt'I�oyi Wow rfr kin AlU 79S`'- IS/[
Plumber: ,V//1- ) t t
Mason: W('.hiicd I De5i5
Electrician: i jielli;•rc/ ro 0 s;5
•
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 1/we shall sub it prior to a
Certificate of Occupancy.or Certificate of Complianc9 -e g issue,I, an AS BUILT P T PLAN by
a licensed surveyor; drawn to scale, showing actual oca-• n of rojec t premise
t
Signature: A / " r i ,
(owner, owner's agent, archite t, tit ctorr),
•
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement V�/
Dept.of Community Development Arrive am/pm Depart[ / n/
Town of Queensbury Inspector's Initial;"I
742 Bay Road
Queensbury,New York 12804
NAME k—A02 ,Q bQ PERMIT# 0( —G3 "
LOCATION rz._`7 �G{�1,�f//1—)& PeO — DATE to —
TYPE OF STRUCTURE •
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 6"
Exterior Handrails,balconies,Ian ' g 18 Ii.or more
Interior Handrails stairs both side 3 or moie risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulat r 18"a ve grade
Gas Furnace shut-off within 30 feet o within line of site
Oil Furnace shut-off at entrance to ace a
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 e th 3 risers
Interior privacy/tdoors/main trance 3 '
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or ore
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/ hour fire door/door closer
age fireproofmg
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)
1 1
TOWN OF QUEENSBURY
' • BUILDING & CODE ENFORCEMENT
3Vfr
� 742 BAY ROAD
QUEENSBURY NY 12804
(! (518) 761-825
ARRIVE: DEPART: / V i INSP?�
�I)e
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME _ /- ek
LOCATION
• DATE /Zit° PERMIT # � 63Y/
TYPE OF STRUCTURE 72 _ /4-0 0
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAI IN S
RELIEF VALVES
FURNACE/HOT WATER OPERA NG
INTERIOR TRIM/PRIVACY DO RS
FINISH FLOORS: �/
BATH/KITCHEN WATERT'GHT
OTHER FLOORS SWEEPABLE \\.\\
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
JOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION •
GARAGE FIRE PROOFING V
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLA
OK TO ISSUE C/O R C/C VVV
•
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: / D- z
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart 3.. n/pmi•
Town of Queensbury Inspector's Initials,.) U '1199
742 Bay Road
Queensbury,New York 12804
NAME Lter-Cf4 t-C r7--C T PERMIT fi
LOCATION )-7 L - a
Li'. /?L— DATE /0)-6"01)-/
„11>-
TYPE OF STRUCTURE 4,�,:?, it i 7
)
N YES NO COMMENTS
Chimney Height"B"Vent/Direct Vent Location
FreshAir Intake
PlPlummb Vent through roof /1;
Roof Complete
Exterior Finish Complete i/
Interior/Exterior . ' gs 30"to 36"
Exterior Han s, conies,landing 18 in.or more_
Interior Handra s static both sides 3 or more risers
Grade 2%aura from fo dation
8"clearance to ill plate
Gas Valve shut- ff expos d/regulator 18"above grade
Gas Furnace shu off with n 30 feet or within line of site
Oil Furnace shut at en ance to furnace area
Furnace/Hot Water eat operating
Relief Valve(s)ins
Headroom,6 ft.6 in. stairs
Basement stairs,6 4
Handrail exteiio stairs bb th sides more than 3 risers
Interior privacy/trim/door main entrance 36"
'Floor Finish
Bathroom/Kitchen waterti
Interior Handrails Balconies anding 18 in.or more
Railing across window in s ' ells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans I
Plumbing fixtures I
Foundation insulation .
3/4 hour fire door/door closer '� -s /�
Garage fireproofing / rR P if t P& A C:ee--s� 1 U
Garage penetrations sealed —
Furnace in separate room protected(in garage) I---ct/Z_ /IL)I Zi O IZ 1./1)S y-
Light ventilation per room
Safety glazing 18"or ess om floor /
Final Electrical ti ( Cr...(‘') V
Site Plan/Variance r it
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) f
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. c 2
Main Office 176 Doe Run Road-Manheim,PA 17545 I
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
N0 73573
Permit No. //}} �j Cert.
�2 Cut-in Card No.
Owner C�Cn4r�, /,P�R�i. ' e ��/
Location rf 7 P '7 S 1 hJ6 v -- �j 4
Installation Consistin of..k "�'�3 5 a 7 £l 7�,,
'/4-2 6-
Installed By kOCS 1 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 di'
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin spections at any time, and if it
rules are violated,the Company shall have the right to '-v'1 e this ficat
Date /Z^ —0 INSPECTOR
GENERAL INSPECTION REPORT •`�ii` -i" -.'°--:$'
( 518 ) 761-8256
Town of Queensbury -e"
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart_ ' _i
Inspector's Initials U R,
NAME: .r ki � k PERMIT# °( —(,_``
LOCATION: Z7 P Z�i-f/R49 120- DATE : Ili,b t1
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers —I ( I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement f
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place , e
Foundation/Dampproofing a /
Backfill Approval \ 1 it
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-
D ct work or piping in
unheated spaces R-
open entAmcVene.
s
/
Fri g
ack Studs/Headers l��I ? '— �0'0 1l�,v Z�
Bja ing/Bridging
:Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3,hour
Pene ration Sealed
F. e WalL2 3. hou
1-----.ilaiililegewl-fx ,44,.--,,,:,,--,, rtZ/t1/41--- /eeo Y
oti
GENERAL INSPECTION REPORT I G'�
( 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 1_64Fizy
Inspector's Initials
NAME: �12'2 �- PERMIT# 6( — C.9
LOCATION: 2 7 eG-(2C 1-ik p-G, V`0 • DATE : /Z/[2 f 8 k
TYPE OF STRUCTURE: I
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f rc
providing protection from free ing
for 48 hours following the plaLemeht
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
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-
oper Vet,Attic Vent !�
;J46 /Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam_
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
'enetration Sealed
ire Wall 2 3,4 hour
;
1 Firesta p,g
p,t,30 '1(Lviyy
GENERAL INSPECTION REPORT
( 518 ) 761-8256 t
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road /'
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initials
NAME: s' ),(- 1 S {ter(- J
PERMIT# 0 ` o
LOCATION: DATE : ) t / -Joo I
TYPE OF STRUCTURE: to) t
RECHECK �.
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Plac:
The contractor is re .•nsibl:for
providing protection om fr.-zing
for 48 hours followin: the pl.cement
of the concrete.
Materials for this purpo•• on s. e
Foundation/Wallpour
RFeinfor mtPlace
Fou tion/en Damppro inPafi
ckfill Approval
Plumbing Under
Plumbing Vent/Vents in P .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
/14fJ
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: iQ _U
Building&Code Enforcement •
742 Bay Road )
Queensbury,NY 12804 Arrive am/pm Depar am/,pm
p
Ins ector's Initials
NAME: � J G��r� PERMIT# 2ovi—`t3T
LOCATION: �, • 7_ DATE : `� -1 -Q / ueoc
TYPE OF STRUCTURE: ,47-c�t
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor' responsible for
providing prot 'on from freezing
for 48 hours fo to , 'ng the placement
of the concrete.
`'Materials for this p se on site
Foundation/Waltpou
Reinforcement in Plac
Foundation/Dampproofi g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Ven m Pla e
Rough Plunibrn
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-
ent,Attic Vent
drag
Tac Studs/Headers 1/Bracing/Bridging / 1i
f 1
Joist Hangers ✓ t-1 � C�5 � �G
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
f)9
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°./j1 a pm art -O fps,
Ins or's Initia • / —
NAME: Y-GL / PERMIT# Dif _039
LOCATION: ) DATE : /At oD
TYPE OF STRUCT
RECHEC
_ N/A YES�NO COMMENTS
F tings/Piers �{ —1 fit//) I
Monolithic Pour Form
Reinforcement in Plac
The contractor is re nsible for
providing protection from freezing
for 48 hours followi the p acement
of the concrete.
Materials for this purposle on s to
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Ven nts i 1 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
•
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road %/LI
Queensbury,NY 12804 Arrive am/pm Depaq '
Inspector's Initials j rr ^,
NAME: G\�`( PERMIT#0 J Lc 3
LOCATION: DATE : _ 7
TYPE OF SiRUC ,A�r� ��] -�
RECHECK
N/A YES NO COMMENTS
otings/Piers T I
onolithic Pour Form ,f fc)O�
Reinforcement in Place y ,
The contractor is re nsi a for 11 ���f,r)U o v 5
providing protection m f zing
for 48 hours following a pl cement of the concrete. AZ4\1\b
IA�UC WOO7 ejC o CIO
Materials for this purpose o sit
Foundation/Wallpour ri(4 \ `1'0(>T i 4
Reinforcement in Place
Foundation/Dampproofing 64.)L424--IC-
Backfill Approval � ��vUL 26"8/F/2
Plumbing Under���""Slab
Plumbing VenaNent ' Place \ C'`4A-i 1-4 v PPO i /B A,d
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R
Foundation Walls Exterior R
Floors R-
Walls Walls R- A-L-C— Fog- RC--0.(6- K
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
I Mode by
O
I
i..jw or formerly repuied ly of
4 W . and Patricia, Ann Gates
i
pole
i tines
pipe
tads ';e�ecf ' byl-ye Coun+�
C�eorge P. Slade, Enq ineer - 1900
7� I 75
I
load s now or for
Pool H. and Poiricii
Deed Luber Cc I , p
I
I
1'7' E . 75. O
iron pi Pe-
-Found
0.
0�
N
acre of lornd
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z
N. 780'- 17' w.
F
( dec_k
. how sc
3s. b
75.0
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i ron pipe
found
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841
7GS.3 fet
«�md i� of cerrher
f
,i __. _ _� R,50CI wii
Ure.-miocre5, Lam" rc 115, N. 1.
Road
o-P a ` survey of a parcel o-P land +o be conveyed +x:)
E-0
array
Being +he premises desc,ri bed in a deed dated Wavember 1g83 -�rom hicho►rd
J. F66.9ere sand Ogle A. Fouc)ere. + Charles Fi. ?Wsey anci Chy re I Kelzey,
recorded in the. Warren Covnt Clerk's Office, in Luber ot- Deeds G57
cL+ Pocje 75 4.
y
15duote in +he Town o-F Queensbury , Coon+c4 of Warren, S+aie of New YorK