1999-003 k ;
• ;
CERTIFICATE OF OCCUPANCY
TOWN.OF QUEENSBURY
WARREN COUNTY, NEW YORK
May 14 99
•(1 a Date 19
This is to certify ,that work requested to be done•as shown by Permit No.
990ia3
has been completed.
RESIDENTIAL ADDITION : (CLOSET & FAMILY R.OM)
This structure may be occupied as a.
64 GLENWOOD. AVE.
Location _. •
' O'CONNOR, ROBERT & DORIS •
Owner
.TAX MAP NO', 61 . -1-2 2 .2 By Order Town Board
TOWN OF SBU
Director of Bldg. 6c Code Enforcement
- BUILDING PERMIT
VALUE $ 25000'-'TOWN OF QUEENSBURY No. 99003
TAX MAP NO. 61 .-1-22 .2 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to O'CONNOR, ROBERT & DORIS
OWNER of property located at 64 GLENWOOD AVE. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a RESIDENTIAL ADDITION (CLOSET & FAMILY R
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
64 GLENWOOD AVE
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name• . .
.-BLACKBURN, ' MICHAEL
3. CONTRACTOR or BUILDER'S Address
2120 RIDGE ROAD
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5 POCBOX 706 Tess
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate byX)
RESIDENTIAL ADDITION
( )Wood Frame I ) Masonry ( )Steel I ) -
7. PLANS and Specifications . . . •
176 SO. FT RESIDENTIAL ADDITION (CLOSET & FAMILY ROOM) AS PER
PLOT PLAN SPECIFICATIONS
8. Proposed Use
RESIDENTIAL ADDITION (CLOSET& FAMILY ROOM)
16 January 7 192001
$ • PERMIT FEE PAID —THIS PERMIT EXPIRES
(If a longer period is required an application for an extension'must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.) .
7 January 19 1999.
Dated at the Town of Queensbury this Day of
SIGNED BY for the Town of Queensbury
• Building a Z ning Inspector
99-0J .
-.".
ch,.....a,:„_.___
ENERGY CODE COMPLIANCE APPLICATION
j� : TOWN OF QUEENSBURY, WARREN COUNTY
=- - 9000 HEATING DEGREE DAYS
Comp lian_ce 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:
•
_ Mc c[Me( gulca0/210 6 `I GLE0,0006 00 .- c e y r
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - / 6 srniare feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanidally cooled? Yes Y. 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 ,fig
b . Exterior walls R
c . Glazed areas R
d. Exterior doors R
e . Floors over unheated spaces R
. Edge of slab on grade (heated building) R
c. 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 Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
p . c` _ttj,' � gn t re I �J Phon e� umbesr-�
INSPECTOR' S REMARKS :
•
/
TOWN OFQUEENSBURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
400
1
Date ,19 ? Permit No. 9 _
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
Applicant 1 L( RificvAivio APPLIANCE (check appropriate boxes)
Address nix) a1Gc o (PO ❑ STOVE: in Wood o Coal ❑ Pellet .oT as
0 FIREPLACE INSERT
Zip / , (9 ❑ FIREPLACE, FACTORY-BUILT:
0�� o Wood ,� Gas
Phone 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas .
Owner E 1 fCCIWOR 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address (fo G.A.€ G 6 Vt IF NON-MASONRY APPLIANCE:
e� Manufacturer: hE T_N' aco
.-;.)gt kit • Zip a 0 Model: IbtotatAlb
Phone P ` 1
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
`�'' 0 MASONRY: 0 Block 0 Brick 0 Stone
(� L Q r'i WOOS) )1/4`e FLUE: ❑ Tile A S eel
Size: inches
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: reaan r+.t1 Model:NPfriifFor
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS 19 Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated, 0 Direct Venting •
❑ Chimney Liner
•
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title 41
A 173 3389 (190) Public Safety = e
A 233 2.6_5_.5..._.-...-_.._(230) Minor Sales
11
j Fee Collected From,or Refunded to: 1A t � %' i \ t C .V 1
Dated: d -1 / 1 Lit-) Town Clerk or Deputy`1s\
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink& Goldenrod: Cashier's Dept.
JuyitiibiNve.,14/1,6 l G/ 'Mt la JJ1 tUUttUfl
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
° BUILDING & . CODE ENFORCEMENT
NOTICE Requirements prior to issuance
A permit must be obtained before
of this permit: PERMIT FILE NO. 19-q/D 3
beginning construction. No inspections /
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ Itp
a VALID BUILDING PERMIT. All Area /Use
applicants' RECREATION FEE PAID$
pp spaces.on this application
MUST be completed and.the signature Planning Board Action =
of the applicant must appear an the n g REVIEWED BY.
SPR / Subdivision /Other Building Inspector
pplication form. nmt,of, Recreation Fee Payment n
Applicant: 1�1Ic14 F� L �i�1=1 Cg('>v(e ILA Owner: Kc�Q�62T '' 0 5 OCr�/aLin
Address: 1kI (7P106g pi)- Qu ,t:,gdul?1/PYs /fit ° "Address: 6/646u' t.oeb Aut, `i'urau5(1/410,0?1 o
Phone # (3 _) EF) - 1 Sf Phone # (g/8 ) '793 - 8135(
Property Location: 6`1 GisEN+-oec 40E, cP$y-', I102.2..2
Subdivision Name: Tax Map Number:_ --/. /
Section Block 1.ot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALU OF THE
New Building: CONSTRUCTION: $ pf, O0t7t dui
residence / commercial
Addit-i nn t o Building:
residenc i/ commercial OCCUPANCY INFORMATION:
X Alter o Building: Pri ary Building -
residence / commercial '/Single Family Dwelling
Residence Commercial Two Family DwellinC E1VE
no change to exterior size Family Dwell
Office
Other Work (describe below) Mercantile JAN 4 1999
Manufacturing
Other TOWN OF QUEENSBURY
GROSS AREA OF PROPOSED STRUCTURE: BUILDING AND CODE
1st Floor 76 sq. ft . If ADDITION, what will use
2nd .Floor sq. ft. of new addition be? :
a
Other Floors sq. ft. p�-
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
/ Detached Garage 1, 2 car
TOTAL FLOOR AREA: 171U SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
8 FEET X n FEET Other
Foundation Type: 3.t...0 C-4 Will any second-hand or ungraded
' Number of Stories : J lumber be used? If so, for what?
(habitable space only) K;(')
Height (grade to ridge) : 13 feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: 0 Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : \e.E Q 02.1Wlu 400kil 6 . OpB(,), idea&/ VS?
Name Addresss Phone
Builder: 5Hntc •
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, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to sc le, showi a actual location of project on premises.
/ n /
Signature: /�i /_
`(owner, owner's agent, architect, contractor)
y RESIDENTIAL FINAL.INSPECTION REPORT ��
/ 0
Office No. (518)761-8256 Date inspection reque.t received: �\
Building& Code Enforcement v
Dept. of Community Development Arriv• o. ill dts 4 •partZ` l
Town of Queensbury ..ector's Initia \ V/
742 Bay Road
Queensbury,New York 12804 JO
1
el -OD3
NAMEIP Aimi} , `1 1110 PERMIT#
LOCATION I C� � ivl1CIw_ DATE
TYPE OF STRUCTURE Veri _ a
NiA YES NO COMMENTS
/ r
Chimney Height/"B"Vent/Direct ent Location /
Fresh Air Intake /
Plumb Vent through roof I
Roof Complete f /
Exterior Finish Complete / %
Interior/Exterior Railings 30"to 36" 1
Exterior Handrails,balconies,landing 18 ' . or more/
Interior Handrails stairs both sides 3 or moe risers
Grade 2%away from foundation \ /
8"clearance to sill plate /
Gas Valve shut-off exposed/regulator 18"a..ve grade
Gas Furnace shut-off within 30 feet or within 1 w d 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 3 riser.
Interior privacy/trim/doors/main entrance 3 "
Floor Finish
Bathroom/Kitchen watertight /
Interior Handrails Balconies/Landing 18 I . or more
Railing across window in stairwells
Smoke Detectors: j
every level '
every bedroom 1'
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures /
Foundation insulation �/
3/4 hour fire door/door closer •
Garage fireproofing
Garage penetrations sealed 1
Furnace in separate room protected(n garage)
Light ventilation per room
Safety glazing 18"or less from floor 1
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) 1
Okay to issue permanent C/O(Certif. of Occupancy)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545 Oa
MUNICIPAL CERTIFICATE - ELECTRICAL APPRO
Panel Board No Cert.N2 6 6 1 3 1 Cut-in Card No
Owner '7 (;) fee oe.J.Vc72-,
Location .6 q an)cd 00 PO P-iL
tQa-9-`13/
Installation Consisting of q90-1re4S/6/gere, clZd rzi7s
6 4414) ot-i-j../r&S t,yCr4friuS#070.16
Installed By e6karigaims,1 Lie.No.
The conditions following governed the issuance ofihis 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 i• se tions at any time, and if its
rules are violated,the Company shall have the right to r vo e this - tific
Date Sr'41--e? INSPECTOR
. . . .
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received: 3
Building& Code Enforcement
742 Bay Road , ;5'21
Queensbury,NY 12804 Arrive am/pm Depa m
Inspector's Initials
b
NAME: vino t' f� �.� /� PERMIT# '-D3 to ,
LOCATIO (v (1le�, n, 2 4s—C_ DATE : sink
TYPE OF STRU/TURE: ..
RECHECK L! 9 , � "'`
N/A YES NO COMMENTS
Footings/Piers 11
Monolithic Pour Form
Reinforcement in Place ' l(
The contractor is respo nib - or
providing protection fro u • zing
for 48 hours following the . aceme
of the concrete.
Materials for this purpose on ite
Foundation/Wallpour
Reinforcement in Place /
Foundation/Dampproofing
Backfill Approval /
Plumbing Under Slab
Plumbing Vent/Vents in Pace
Rough Plumbing
Heating Rough-In
ulation io10 � c,��(
( Foundation Walls Interidr 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
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received:
Buil' ng& Code Enforcement S
742 '•a ay Road
Queensbury,NY 12804 Arrive am/pm Depart -`. am/pm
Inspector's Initials., '
NAME: 0 Lim,/,iio4, PERMIT# iC! —00
LOCATION: Cceiocoef6O ,yoc e, DATE : 3/ V
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezir g
for 48 hours following the place ent
of the concrete.
Materials for this purpose on site .
Foundation/Wallpour\ )
Reinforcement in Place •..
Foundation/DampproofingN
Backfill Approval
Plumbing Under Slab
Pl bing Vent/Vents in Place
ugh Plumbing 1
1ingleat ct y5 3 Z
ough-In
sulation /4-,%74'C-4.-- p l{mac)�-4�2
2 L�
Foundation Walls Interior R- �cf j �iJ�� G'.c/Q �,
Foundation Walls Exterior R- C.v" nGK Floors R- r c eeie. `,,v S d i
Walls R-
Ceiling R- i4'-Ln-CU jf e-r 1 &
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
Town of Queensbury
Dept. of Community Development Date inspection request received: ,) a�„\— q 9
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart �i) am/pm
Inspector's Initials - -
NAME: La%"Or- PERMIT# l CJ ,
LOCATION: e.a , ���.,// BATE :
MCP t
TYPE OF STRUCTURE: 5. rit'<`-h'
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
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place I )
Foundation/Dampproofing I
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place [‘,(64:_ �v n ' GRough Plumbing r i r�� f Pt` � Cs` "
Heating Rough-In
ation I 0(6 n) R‘.A'0 CI
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors
Floors R- I t'1 t,/ l
Walls R- ( (1_ ✓ i Q
Ceiling R- ✓ Lc— t� . �U iN 5 . l�C c-j(
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
/ Joist Hangers
/AirJack Posts/Main Beam Infiltration Barrier 1j
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
i, .. r -P
GENERAL INSPECTION REPORT Lir 7L?)
Town of Queensbury �
Dept. of Community Development Date inspection request received: f� 7 7
Building& Code Enforcement
742 +ay RoadI ; 15"�
Queensbury,NY 12804 Arrive am/pm Depart ,akti/ m
Inspector's Initials 7�
q47.- 3
NAME: &?:co °j PE' I #
LOCATION: h
_ DAi
TYPE OF STRUCTURE: (2..44021,,
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/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-
./proper Vent, Attic Vent ///
raming
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_- 1126VECV-1 pi,);
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 2 pm Depa
Inspector's Ini •
IPNAME: 0 0.(71VS\..ra PERMIT# 0 93
LOCATION: (0 (,/Np- ,.�`r, �'']C�b DATE . �
TYPE OF STRUCT� 2E�' s r
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
Th- contractor is responsibl; for
pr,viding pro 'on from •.--zin
f.. 48 hours fo owing the .r acem-nt
• the concrete.
for this p .•se on .ite
•I :. tiO`
''. I• .i �o
Rea orcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pl. -
Rough Plumbing
Heating Rough-In
Insulation 2:``` FaRN\ ►/
Foundation Walls Interior R- I p //-
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
1011#
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received: )`5' /
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 1�+�r� rt -,� � ,•".'s,,7
'
pector's Initii� ��-
NAME: 64v►®r -60 3
PERMIT# .
LOCATION: -eh TE : /
TYPE.OF STRUCTURE: . Z-57-ASM61, h-;I a ,,.s
RECHECK CeJR )
, N/A YES O COMMENTS
eootmgs/Piers C
Monolithic Pour Form
Reinforcement in Pl..
The contractor is re .'nsible fo-
providing protection om . --.-ing
for 48 hours following a e pl•cement
of the concrete.
Materials for this purpose on ite
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-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
BracingBridging
Joist Hangers .
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
V
FIRE MARSHAL
z' TOWN OF QUEENSBURY
,-- j¢• QUEENSBURY, NY 12804
'f.-� (518) 761-8205
FIRE MARSHAL INSPECTION REPO T
REQUEST RECEIVED PERMIT# 99-L j
NAME tC' �` ��-
LOCATION VA L\ OC b
SCHEDULE INSPECTION ON
\7 AMC14.1tNYTIME
APPROVED
N/A YES, NO
EXITS
AISLE WIDTHS
EXIT SIGN
EMERGENC \\\GHT G
FIRE EXTINGUI ERS
FIRE ALARM STEM
S
FIRE SPRIN(LER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE C Y t.l
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: OK TO THIS DATE
1-\C-R1- 0 GL O
---\--6u3i,N)6 .01) -E
aE\--),
7
INSPSLIP.PUB INSPECT