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2001-748 TOWN OF QUEENSBURY 431 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010748 Date Issued: Friday, January 16, 2004 - -This is to certify.thatwork requested to be done as shown by Permit Number - = P20010748 has been completed. Tax Map Number: 523400-296-013-0001-034-000-0000 Location: 12 WINCREST Dr Owner: H PETER&ROSEANN BENTLEY Applicant: H PETER& ROSEANN BENTLEY This structure may be occupied as a: By Order of Town Board Residential Addition 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: P20010748 Application Number: A20010748 Tax Map No: 523400-296-013-0001-034-000-0000 Permission is hereby granted to: H PETER&ROSEANN BENTLEY For property located at: 12 WINCREST Dr 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: H PETER&ROSEANN BENTLEY Residential Addition 5,000.00 12 WINCREST Dr Total Value 5,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency THOMAS RAMSAY BOLTON LANDING-644-3391 NY 12804 Plans &Specifications 2001-748 400 SQ FT GARAGE ADDITION AS PER PLOT PLAN SPECIFICATION AV 71-2001 Approved by ZBA on 9/26/2001 for side setback relief $75.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, October 16,2002 (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 ns ry; t sd. October 16,2001 SIGNED BY 4' for the Town of Queensbury. 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 Ncc900I`74 No inspection will be made until applicant has received a Fee Paid $ .'40 e °47) valid building permit. All applicants' spaces on this Rec. Fee Paid \$ application must be completed and must appear on the Reviewed By: application form. Applicant: I, 9 - , i ` 44,/ )%�e Owner: ir� "s1 e Address: st ;i f Address: Phone#(c/r)Pi.- GUI Phone# ( ) . Property Location: Lot Number: / House Number /4 / Subdivision Name: , ,y// /te 7 Tax Map Number: 2 fAl3-0- to New Building: residence /commercial Estimated Market Value of Construction: $ 6f �0 ��' Addition: residence/ •sexexcial� If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'1 .� , ,�'/-2'� ❑ Other work(describe ) - Check Occupancylnformation ls`Floor 2"d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ❑ Single family dwelling ❑ Two family dwelling ❑ Townhouse ����� ❑ Multifamily dwelling #of units ❑ Office OCT 0 2 2001 to Mercantile TOWN Or QUti=jySUU❑ Manufacturing Bunn RY ❑ 1 car detached garage ❑ 2 car detached garage — ❑ 3 car detached garage ❑ 1 car attached garage ❑ 2 car attached garage ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- • residential X Other(ti�9.- M /r ee l 49 What is the proposed height of the structure_� feet C inches Will any second-hand or ungraded lumber be used? If so,for what? fre Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: i44,ifie Number of Fireplaces to be installed 6 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 VeRA;..c ,gt .c,47 57) i 4 G f1i ! % -. Plumber ii-0i/1/,/ Mason i. /�% yf Y / / r // Electrician �/ �` ,�-��`�s i/ ,/ 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 cons c ' n. Signature: "/I /� owner,owner's agent,architect,contractor RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement `, , Dept.of Community Development Arrive J-•�k Depart . A $ Town of Queensbury spector's Initials L 4 742 Bay Road [ ' 1 Queensbury,New York 12804 NAME 62,,,k,..,..,- , PERMIT# 3 C� ` -71LOCATION L�,N)0'�, DATE \Z 1 0-072 TYPE OF STRUCTURE (1 \.,- ;— N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct.Vent Location Fresh Air Intake plumb Vent through roof .7/ oof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,Ianding 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-off at entrance to furnace area 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 more than 3 risers iInterior 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: • 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) 1 .ght ventilation per room h° ) afety glazing 18"or less from floor / IN L E.c ��L�✓ final Electrical / �4� Site Plan/Variance required �,/ • Final Survey Plot Plan As Built Septic System layout required Ikay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certi£of Occupancy)__ f Okay to issue permanent C/O(Certif.of Occupancy) V IOC GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road ' G Queensbury,NY 12804 Arrive am/pm Depart I 'a p./ Inspector's Initials V NAME: C/IJ/CC PERMIT# —7 LOCATION: l�/n1C 66 �2 DATE : 02 - TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers T Monolithic Pour Form Reinforcement in Place The contractor is re .nsibl- for providing protectio r from frt-zing for 48 hours folio ng the p1:cement of the concrete. Materials for this pu ..se on s to Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi a Backfill Appr. al Plumbing Under Slab Plumbing Vent/Vents in 'lace Rough Plumbing ting Rough-In nsulation Foundation Walls Inte 'or R- Foundation Walls Ext rior R- Floors R- Walls ' R- tiI Ceiling R- 1 Gl11(;7 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 7 r3 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'l/,-) am/pm Depart am/pm Inspector's Initials 7),•! NAME: !U-1 LC( PERMIT# O/ 72. LOCATION: J7. C/ 6 7 des DATE : /L 2(e O j TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I I l Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing n for 48 hours following the placement ' of the concrete. Materials for this purpose on site \. Foundation/Wallpour 'ti Reinforcement in Place j 1 Foundation/Dampproofing I Backfill Approval I Plumbing Under Slab ? Plumbing Vent/Vents in Place f Rough Plumbing Heating Rough-In / Insulation I / Foundation Walls InteriotR- ` Foundation Walls Exterior R.---- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- oper Vent, Attic Vent ; Framing Jack Studs/Headers / , Bracing/Bridging V.P. Joist Hangers v / Jack Posts/Main Beam V Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping . /OA --� 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(11•© pm. Inspector's Initials NAME: EA/''a II PERMIT# `--) v 7 LOCATION: I'/ ()�j�C.(2C�'j� 0R — DATE : TYPE OF STRUCTURE: RECHECK / N/A YE/TO COMMENTS • Footings/Piers I 'v' Monolith c Pour Form �, Reinforce ent'in Place The con actof'is responsible for providin protection from freezing for 48 ho s following the placement of the conc -te. Materials for t' 's pu se on site Foundation/Wa pour Reinforcement i Pl e Foundation/Dam if toofing Backfill Approya Plumbitlier S ab Plumbing Vent/Ve is in Place Rough Plumbing Heating Rough-In _ Insulation Foundation Walls Interior R- Foundation Walls, xterior R- Floors R- Walls R- _ Ceiling R- Duct work or pipin: 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 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 357 Elwyn Terrace — Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL N. Panel Board No. Cert. 5 2 9 9 2 Cut-in Card No. Owner p� rt.T..t� Occupant Location / ex- Installation Consisting of....G ei.t2.H.5.c. 14..0 a.17/.c.rt c.✓41../././..i?...G.:......... ... cr.sr .... ..47 .1 3 ' Installed By Lic. # 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 certificate. Date I--' L 6 "0 "[ INSPECTOR...CJ ember N.F.P.A.,I.A.E.I. x � 34 77�' � -__-_ - /� �� __ __-_ -- ___ ----- --� -- ---� ---- -- ----'_ ' « ~_d<__ 0' - �--�-- -'-`---�m� ---- --''-------''-- ---'+ '-' - ----''--- � « mL �" |