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2001-761 TOWN OF QUEENSBURY ET 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20010761 Date Issued: Tuesday, April-09, 2002 This is to certify that work requested to be done as shown by Permit Number P20010761 has been completed. Tax Map Number: 523400-302-014-0001-034-000-0000 Location: 118 DIXON Rd Owner: JOSEPH STANISLOWSKY Applicant: JOE STANISLOWSKY This structure may be occupied as a: By Order of Town Board Residential Alteration TOWN OF QUEENSBURY 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: P20010761 Application Number: A20010761 Tax Map No: 523400-302-014-0001-034-000-0000 Permission is hereby granted to: JOE STANISLOWSKY For property located at: 118 DIXON 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: LEWIS & SUSAN OVITT Residential Alteration 15,000.00 118 DIXON Rd Total Value 15,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency LARRY UNDERWOOD 9 NELSON St GLENS FALLS.NY Plans &Specifications 2001-761 1278 sq ft RESIDENTIAL ALTERATION AS PER APPLICATION $127.80 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, October 25,2002 (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 Town Q een Thursday, October 25,2001 SIGNE Y for the Town of Queensbury. Director of uilding&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 s A permit must be obtained before beginning construction. Permit File ,'„, No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Rec. Fee Paid $ Air application must be completed and must appear on the Reviewed B;: ,ffr, - application form. 1 Applicant: _Joe. 5--V,Ar-c\s 1 o- o s1(\.\ Owner: S iqion " Address: b �.re. ko,.\e el 4A rv,r- Dr, Address: Sac rn t 1—NA G(a..e) c... .. .` \2 vg 3 te 5 rn ' ') Phone#(Sj s ' - es:61N ) Phone#( ) - Property Location: Lot Number: / House Number I , / b 1 )c-O r.5 r >i;rk Subdivision Name: Tax Map Number: ❑ New Building: residence /commercial Estimated Market Value of Construction: $ / f10a o Addition: residence/ commercial If an Addition,what will use of new addition be? • Alteration: resir a commercial J , No change to exterior size: residence/com'l ❑ Other work(describe ) Check Occupancylnformation ls`Floor 2°d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet 5.5eS2 /0228 ei Single family dwelling 'N ❑ Two family dwelling o Townhouse ❑ Multifamily dwelling � e � , #of units f``"C I ` , ❑ Office ❑ Mercantile (JCT 0 9 2031 ❑ Manufacturing o 1 car detached garage i C OF QUEENSIUR' garage e g O. BUILDING AND CODE [�' 2 car detached ❑ 3 car detached garage ❑ 1 car attached garage o 2 car attached garage o 3 car attached garage o Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so, for what? }J p Type of Heating System: electric/ oil gas/ ood /forced hot air/ baseboard/other: Number of Fireplaces to be installed447 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 %— v LJ rkwood FA%o4 Jf 6/ens .//-S 27 .95 Mason Electrician Za/-ry //r/ertvoncl 9/f/'/inn Si an S/Ws' 7g-ZZ 9, • 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 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: :�4k u�,. L� --- owner,owner's agent,architect,contractor ENERGY CODE COMPLIANCE APPLICATION �; _;r' 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-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: Line ,..9 ✓ i.a0.G4/ 1/rf r;M D 11 r1 & en fAUL7 PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - square feet 2 . Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled? Yes No �/J 4 . Percentage of area of windows and doors Over 17% /y Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 30 b. Exterior walls R I) c. Glazed areas R it/ 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 h. Basement/cellar walls (below grade) R i. Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code zy Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Applicant' s S' gna ure Date Phone Number /oyo r/a 1 INSPECTOR' S REMARKS: 7 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: f Building&Code Enforcement Dept.of Community Development Arrive am/pm Depa ( i p Town of Queensbury Inspector's Ini is 742 Bay Road Queensbury,New York 12804 NAME i}I{-O) 1 An--)S 1L-\ PERMIT LOCATION VD N 0 . DATE /R 02- 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 Inte : xterior Railings 30" " E error Handrail balconies to,landi36ng 18 in.or more tenor Handrails s both sides 3 or more risers Grade 2%away fr oundation 8"clearance to sill la e Gas Valve shut-off xp sed/regulator 18"above grade Gas Furnace shut-off 'thin 30 feet or within line of site Oil Furnace shut-off a entrance to furnace area Furnace/Hot Water He tf r operating Relief Valve(s)installe Headroom,6 ft.6 in.o tairs Basement stairs,6 ft. i . Handrail exterior s b th sides more than 3 risers Interior privac m/doors/rain entrance 36" Floor Finish Bathroom/Kitchen watertigh Interior Handrails Balton I ding 18 in.or more Railing across window in s ells Smoke Detectors: every level • every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures p Foundation insulation ?RT l V f o 0 5 coo 3/a 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) _, . ..._, fn RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement c Dept.of Community Development Arrive am/pm Depart "✓ din/pp Town of Queensbury Inspector's Initials Y� 742 Bay Road Queensbury,New York\12804 n r,,1 NAME \ rn s l—c�� Y u- (9 lyQ' PERMIT# (—DOD F r7 t \ TYPE OF STRUCTLOCATI URE �,�C/� �� DATE � i 7—o� N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location ,r? Fresh Air Intake /, Plumb Vent through roof IJ . Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" / J , Exterior Handrails,balconies,Ianding : in.or more \/ S i�L� 1 L��f S Interior Handrails stairs both sides 3 +r m e risers Grade 2%away from foundation / 8"clearance to sill plate f V Gas Valve shut-off exposed/regulat ir 18"a+we grade J , Gas Furnace shut-off within 30 feet or with line of site Oil Furnace shut-off at entrance to ac• area Furnace/Hot Water Heater operating Relief Valve(s)installed I Headroom,6 ft.6 in.on stair- / Basement stairs,6 ft.4 in. �// Handrail exterior stairs both sides m II e than 3 risers Interior privacy/trim/doors/main entr, ce 36" Floor Finish Bathroom/Kitchen watertight / f Interior Handrails Balconies/Landing 8 in.or more \// ✓ Railing across window in stairwells Smoke Detectors: i/ every level • every bedroom outside every bedroom inter connected v/ Bathroom fans v/ V ti Plumbing fixtures Foundation insulation 3/a hour fire door/door closer Garage fireproofing ` Garage penetrations sealed ✓ I Furnace in separate room protected(in garage) i Light ventilation per om Safety glazing 18",o ess m oor Final Electrical/ 0 C.:"l Site Plan/Variance ire 1 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)_ L/` Okay to issue permanent C/O(Certif.of Occupancy) 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 am/p Inspector's Initials av NAME: t\ 5\-y;l �o —)S PERMIT# ) 7 LP I LOCATION: ION , i X O.--, ( DATE : TYPE OF STRUCTURE: \\ '( RECHECK N/A YES NO COMMENTS Footings/Piers �— l Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the p1 ment of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place FoundationlDampproofing Backfill Approval Plumbing Unde Slab Plumbing Ven sin PI, Rough P umbing Heat` Rou ulatinn� Foundation Walls_nterisr R- CO p6&-16- lj74Z 11,26 ✓ Foundation Walls Exte ;or R- Floors R- Walls R- Ceiling R- Duct work or piping i' 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 F e Wall 2,3;.4-hour �1 ,•.., .. .,i,„,,,, ,... 9.__70 c),...___.. GENERAL INSPECTION REPORT f 9 ( 518 ) 7 61-8 2 5 6 ., ,,1= ',' ' { Town of Queensbury Dept.of Community Development Date inspection request received: l Building&Code Enforcement 742 Bay Road �q Queensbury,NY 12804 Arrive am/pm Depart( ` p Inspector's Initials (Joe NAME: Voe �5714�,5 k cJ S V PERMIT# 01 /P I LOCATION: ' DATE I ,.(% TYPE OF STRUCTURE: ram'' �/ e c- RECHECK N/A YES NO COMMENTS Footings/Piers 1-7- Monolithic Pour Form Reinforcement in Place The contractor is re nsible for providing protectio ,pm freezing for 48 hours folio 'ngihe placement of the concrete. Materials for this pu se o site Foundation/Wallpo Reinforcement in PI ce Foundation/Damppr i ofing Backfill Approval Plumbing Under Sla. _ Plumbing Vent/Vent• i 'lace Rough Plumbing Heating Rongt1 n !_ 1 (`.s 1 It§Tra ieT ri a: a /Ill/�J[ ��- V 4'fo& 5 A. i&2 :4).:-- oundation Walls I terior R- C Foundation Walls E erior R- Floors CoetkpcC Floors R- Walls Walls R- \ \'(� v/,- Ceiling R- ?7o uct work or piping• unheated spaces R- / /�.s P�Jb i k' UC/J�- 4.5 /L) 3 E%� op. Vent,Attic Ven 7/ • a Fra ng;.ry x At acleStuds/Headers Bracing/Bridgink Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Pe etration Sealed re Wall 2,3,4 hour ' irestappzng� : � C' rre' , C+�.i A-e61-5 ossessowir 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 //7d am/pm Depart m/pm Inspector's Initials 41%74 N " >', , j, h.i, PERMIT# ,_ 9 LOCATI �°' tea,. ° A . TYPE OF S '�* - An `p RECHECK N/A YES NO COMMENTS Footings/Piers 1-- Monolithic Pour Foi \ Reinforcement in Plce\, The contractor is responsible for providing protection from freezing for 48 hours follos'ing a placement of the concrete. 11 Materials for this purpos on site Foundation/Wallpour Reinforcement in Pla4i Foundatio Darapproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation I Foundation Walls interior R- Foundation Walls/Exterior R- Floors j' R Walls ,/ R- Ceiling / R- Duct work or piping in unheated spaces R- Pro r Vent,Attic V V F awing c,h,04,. Jack Stu eaders Bracing/Bridging1/7 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/ 3.6)-ay) GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement `-) 742 Bay Road \ rj Queensbury,NY 12804 Arrive am/pm Depart u am/ m. Inspector's Initials NAME:�)-C,`.t—N\ 5 LOU--)S PERMIT# I LOCATIOI : DATE : TYPE OF STRUCTURE: r. RECHECK r\ N/A YES NO COMMENTS Footings/Pi rs \, Monolithic Pour Form\ Reinforcement in Place , The contrac or is responsible for providing protection froli freezing for 48 hours following the placement of the concret , I Materials for this\.purpose cn site Foundation/Wallppur Reinforcement in Iclace Foundation/Da pp'oofing Backfill Approv Plumbing Under Sla Plumbing Vent/Vent in Place Rough Plumbing ating Rough-In \ nsulation r �'. �D �✓ Foundation Walls Interior R- Foundation Walls E erior R- Floors R- Walls R- Ceiling R- Duct work or piping 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)41f\ • J GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: (.) Building&Code Enforcement 742 Bay Road 'f/D Queensbury,NY 12804 Arrive am/pm Depart m Inspector's Initials NAME: PERMIT# LOCATION: DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 ; r Monolithic Pour Form I I Reinforcement in Place / The contractor is responsible for providing protection from freezin for 48 hours following the placem of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing nder Slab Plum' g Vent/Vents in Place • ,�'gh luntbing . eating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls ^ Walls R- OMpotN(o Lde---1<CD Ceiling R- Duct work or piping in unheated spaces R- Pro -a t',AAttic Vent F*lac - la cc c 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 ,,,, 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) ' am/, m Inspector's Initials NAME: -PC 13 15 1-6 0S(1-( PERMIT# 6 I - 7_(0 l LOCATION: —piy.0,1 RO • DATE : L /'l 7/ TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers r r.7--- —� I Monolithic Pour Form I Reinforcement in Place F { The contractor is responsible fc3r providing protection from freeing for 48 hours following the raJement of the concrete. Materials for this purpose on si f Foundation/Wallpour tit Reinforcement in Place A, Foundation/Dampproofing / t Backfill Approval 1 Plumbing Under Slab "i Plumbing VentNents in Ihace a Roue Blambing ---,I 1 afuag1Rhugh n,� Insulation t Foundation Walls Interior RI Foundation Walls Exterior R- Floors R- Walls R- 11 Ceiling R- Duct work or piping in unheated spaces R- oper Vent, Attic Vent V' Jack Studs/Headers :✓ / Bracing/Bridging ✓ �evi—i-e7- - L( t b& I Ai(3 Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour _ Penetration Sealed Fre Wall 2, 3,4hour Loci<(,u6 ,s�iFirej ng, iit) ili" trZ - ---- CO3-,i)Le--r6- ri R& rppi, - I 1 ) ----Cf1121) 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 pm I ; (aS k Inspector's Initia NAME: C\' n w uo0 PERMIT#, a - Wo / LOCATION: DATE : Ja- 7 - )3 I TYPE OF STRUC LURE: a (h_ - ,U RECHECK N/A YES NO COMMENTS Footings/Piers 1 I Monolithic Pour Form Reinforceme 'n Place The contrac r s responsible for providing pro ction from freezing for 48 hours fo'owing the placement of the concrete. Materials for this pu .s• on site Foundation/Wallpour Reinforcement in Place Foundation/Damppro9. c g Backfill Approval / Plumbing Under Slab Plumbing Vent/Vents in Pl.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- 4PI s. r Vent, Attic Vent 1 ,! •sraming qr/ 174 Jack Studs/Headers Bracing/Bridging 1 Joist Hangers �i11 .e L o - _ ceir Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour , Firestopping ASZQY 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 jj m Inspector's Ink Is V NAME: \CN \ ,S ) SN. PERMIT# 0l —9 1 LOCATION: \\ Di xc��,� DATE : —�-pj DO t TYPE OF STRUCTURE: A, (a r SY. RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is re s i nsible i r providing protection im free 'ng for 48 hours following e place' ent of the concrete. Materials for this purpose i n site Foundation/Wallpour Rei rcement in P1 ce Fo ndation/Dampp oofing p'ackfill Approval / VPlumbing Under Slab _ tn ,�, ��// Plu ing Vent/Vents in ' a - �� V L. __ugh 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 Queensbury,NY 12804 Arrive 020' am/pm Depart am/pm Inspector's Initial r -7 NAME: �q PERMIT# � I -_ (. I LOCATION: c i DATE : \l— —c)v TYPE OF STRUCTURE:- „\C ( \ RECHECK N/A YES NO COMMENTS Footings/Piers 1-7 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the pla ent of the concrete. Materials for this purpose on sit Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbi VentNents in ce Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterio R- Floors Walls Ceiling - Duct work or piping in unheated spaces 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- N• 1 ] . . 1 ---- 1-------'-----..--1 _t__ ____ - --- 1- -1 i 1- F 1 1_ - 4i- - -1-- ' ___ ..__...-1;_ ___. 1 .- ----- . _ Di IL _ . --- ---1 F.1,...„7„..1...1_.. opy -r- 1 , III . - I i I I . 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