1999-106 .ter---
CERTIFICATE OF .00CUPANCY ; J
TOWN OF QUEENSBURY '
WARREN COUNTY, NEW YORK
• June 17 99
Date ' 19 — •
30\ , •
This is to certify that work requested to. be done as shown by Permit'No., 99106
•
has been completed.
REST-DEN.TIAL ADDITION; (2 BEDROOMS)
' This structure may be occupied as'a
794 WEST. MT. RL�. '
Location
• Owner STEWART, S �.HEIL
TAX -I tAP No 90. By Order. Town Board
TOWN OF QUEENSBURY
•
Director of Bldg. &.Code,,Enforcement
BUILDING PERMIT
TOWN OF 'QUEENSBURY .
VALUE. $ 18000'." No. 99106
TAX -MAP NO. 90. —1-11 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to STEWART,. SHEILA
OWNER of property located at 794 WEST MT." RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a RF.STDFNTIAL ADDITION ( 2 BEDROOMS)
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
921 B UPPER SHERMAN AVE..
QUEENSBURY, . NY.. .12.804
2. CONTRACTOR or BUILDERS Name
HOWARD, RUSS
3. CONTRACTOR or BUILDERS Address,
794 WEST MT ROAD
QUEENSBURY,, NY 12804
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ADDITION
( 1 Wood Frame ( I Masonry- ( )"Steel - ( )
7. PLANS and Specifications.,
416 St FT RESIDENTIAL ADDITION (2-BEDROOMS) AS PER PLOT. PLAN
SPECIFICATIONS
8. Proposed Use
RESIDENTIAL.:ADDITION (2 BEDROOMS)
$ 32` PERMIT FEE PAID -THIS PERMIT. EXPIRES Apr i 1 2001. 8 19
(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.)
Dated at the Town of Queensbury this 8 Day of Apr i 1 19 1999
SIGNED BY for the Town of Queensbury
Building and Z ning Inspector
'Q-SA-jk)
/0111*:= ENERGY CODE COMPLIANCE APPLICATION REcc ,
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS APR 0 5 ^�,99
TOWN OF t,.1,JEEENSBURY
Compliance Methods: PART 5 - Acceptable Practice MethoilJfLDING AND CODE
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: 90 Mi
1,4455ed /ate •
e9vte4.
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 7.b.are feet
•
2 . Type of Heat - Electric Oil 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 30
b . Exterior walls R 1,9
c . Glazed areas R 3
d. Exterior doors R /0
e . Floors over unheated spaces R /9
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 /0
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Applic is Sign t re e Phone Number
INSPECTOR' S REMARKS : 74(�-5'SS �
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 /761-8256/
'Of BUILDING & CODE ENFORCEMENT .NOTICE Requirements prior to issuance
1 of this permit: PERMIT FILE NO.
A permit must be obtained before
beginning construction.- No inspections • 0
will be made until applicant has received n •Zonin g Board Action PERMIT FEE PAID$
•
a•VAI;ID BUILDING PERMIT. All Area /Use RECREATION FEE I' 1
applicants' spaces on this application
MUST be completed add•the signature ' n Planning Board Action REVIEWED BY. •
of the applicant must appear on the
SPR / Subdivision /Other Building Inspector
application form. n, J// Recreation Fee Payment -
Applicant: �LISS /�0-41ed Owner: 5/774C- �/ cg
. • - Address: 7 967 A)65/— /I4,771/- Address:
.
Phone # ( 57J ) 71L. - /Z,5 Phone # ( 57F- ) 71'r - sv37
Property Location: Ca•71 4 h)miLm `- /.. 7 f kof ` J J
Subdivision Name:• Tax Map Number• TO /. /
Section Block I Alt
•
•
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ /5/e -247,C
/ residence / commercial
Addition to Building: .
(gsidenc~J / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial ✓ Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family t+ *. '+' 1VD
Office ` t
Other Work (describe below) Mercantile
Manufacturing APR 0 5. 1999
Other
GROSS AREA OF PROPOSED STRUCTURE: OWN OF QUEENSB RY
BUILDING AND CODE
1st Floor If ADDITION, what will use
y�� sq. ft. of new addition be? :
2nd .Floor sq. ft .
0 Other Floors sq. ft. 2- �'ED/'ai2S
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
•
• • Detached Garage 1, 2 car
TOTAL FLOOR AREA: 06? SQ. FT. Attached Garage 1, 2 car
. Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
A FEET X 2-6 FEET
Other.
Foundation Type: trr ealLX (/AIS• ' Will any second-hand or ungraded
' Number of Stories : / - lumber be used? If- so, for what?
(habitable space only) /
Height (grade to ridge) : /7 feet TYPE OF HEATING SYSTEM: -
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: a E1P 1 / Gas / Wood
F rced IIot Ai / Baseboard / Other
Person resL ponsa. le for supervision of work as ,,r gards to building
codes i s : ss ' 75•Y W. 6'1221 , 1 7f2 /Lc-.-
Naine Address° Phone
Builder: ,�a.s-s' '°` •
Plumber: A/��
. Mason: T.Ls5 /74 /
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, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing/ actual location of project on premises.
Signature: Agra( /- a,4 . -
(owner, owner's agent, architect, contractor) .
•
RES1I,ENTIAL FINAL INSPECTION REPORT `-� 4" 3f/)()
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement i
IDept of Community Development Arrive am/pm Depart .' am/pm
Town of Queensbury Inspector's Initials 4t2
742 Bay Road
Queensbury,New York 12804 Q
NAME �.�,. ,CAt� Y() PERMIT# Il\ — ce
LOCATION 7 O-ac V, \.1 �l DATE —
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof �D2�U G 605 C ti°
Roof Complete
Exterior Finish Compl to
Interior/Exterior Railing 30"to 36"
Exterior Handrails,balco 'es,landing 18 i". or more
Interior Handrails stairs botNides 3 or more risers
Grade 2%away from foundatia
8"clearance to sill plate i
Gas Valve shut-off exposed/regula r 18"��"Wove grade
Gas Furnace shut-off within 30 feet o witli n line of site
Oil Furnace shut-off at entrance to furna e lea
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. rise /
Interior 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)
Light ventilation per room
Safety glazing 18"or le s floor��____
Final Electrical � it'j l 1 ,
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) `,/
1011116.
RESIDENTIAL FINAL INSPECTION REPORT t9Y\
• � l Office No. (518)761-8256 Date inspection request received: �.(
1691)/
Building& Code Enforcement �/
Dept. of Community Development Arrive pm Depart
Town of Queensbury spector'
742 Bay Road
Queensbury,New York 12804
NAME 64,‘,.,�. , N61-61(ILY PERMIT#
(1)(c)
LOCATION —7 ct (� c \C7L per DATE
TYPE OF STRUCTURE ,
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof f
Roof Complete \ /
Exterior Finish Complete r/
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both sides 3 or m ers
Grade 2%away from foundation J/
8"clearance to sill plate V
Gas Valve shut-off exposed/regulator 8"a e grade
Gas Furnace shut-o within 30 feet o ' "n line of site
Oil Furnace shut-off at ace 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 s des more than 3 risers
:Interior privacy/trim/doors/n¢/ain entrance 36"
*Floor Finish
t�'iroom/Ieh-v�t
tenor Handrails B comes/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans `�Y\
Plumbing fixtures `,
Foundation insulation �� j� PiQP�'� V �\
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)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. n
Main Office 176 Doe Run Road-Manheim,PA 17545 �
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Boar.IJ,o C 6 4 5 6 8 Cut-in Card No
/4470
Owner /',K� $ """)Location I - T�, ` �� J _,'
Installation Consisting of`Z (//MA/ `t/2e Z. e
4' __
/ rm
r Q
�.. 2 6 'ezec 14e-d- --
Installed By 54164:. 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 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 ions at any time, and if its
rules are violated,/the Company shall have the right to rev th. c y e.
Date 6.` 7(_ F t INSPECTOR 5--
GENERAL INSPECTION REPORT (c' J
Town of Queensbury
Dept. of Community Development Date inspection request received: )-( ciq
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart - •1 am/pm
// Inspector's Initials
NAME: ^ __ Cam-- PERMIT# W-/Ci
LOCATION: 9y4 /4./ DATE : @_1_00
,
TYPE OF STRUCTURE: 6. 4-4,6 krx
RECHECK a X jptlz.s
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freez.:g
for 48 hours following the pla,-went
of the concrete.
Materials for this se on ite
Foundation/Wallpo
Reinforcement in Place
u r/
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents n Place
Rough Plumbing
Heating Rough-In
?igulation
Foundation Walls Interior R-
Foundation Walls Exterior R- !
Floors R-
Walls R- (Pi. J
Ceiling R- ?fr3
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
pori
Town of Queensb ry
Dept. off Community Development Date inspection request received:
Building& Code Enforcement
742 r,ay Road
Queensbury,NY 12804 Arrive ADa ,j Depart
Inspector's i 'al •
I. \ (RU 55\
NAMEr CAS P,1 I y1 1 l YCJ PERMIT#
LOCATION: � DATE : L ---9.
61
TYPE OF STRUCTURE: . C t1?SY----
RECHECK
N/A YES NO COMMENTS
Footings/Piers -.
Monolithic Pour Fo
Reinforcement in ace'--.
The contractor i responsible for
providing protect pn from freezing
for 48 hours following the placement
of the concret \
Materials for this purpose on si
Foundation/Wallpour N. \
Reinforcement in Place
Foundation/Dampproofing \
Backfill Approval
Plumbing Under Slab \
Plumbing Vent/Vents in Place
Rough Plumbing l
Heating Rough-In
Insulation
Foundation Walls Interior R-\.
Foundation Walls Exterior R-
Floors R- 7 '
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent /
Ong `/f
Jack Studs/Headers t//
Bracing/Bridging V
Joist Hangers
Jack Posts/Main Beam Y!
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury 4 �l
Dept. off Community Development Date inspection request received: (9
Bull ia'r,g& Code Enforcement
742 :•ay Road
Queensbury,NY 12804 Arrive o' am/i' Depart
Inspector's Init.
r:01 NAME: S`��A-�R- �pPERNIITLOCATION: -T / Y F. KiX DATE : � 1 �
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form '\
Reinforcement in Pl..
The contractor is ;sponsibl for
providing protecti I from frqezing
for 4t4ours folio •'ng the placement
of the c ucrete.
Materials fo •s p ••se on • to
'oundation/Wa
_ ( Reinforcement in P1.cc
F. . con.fing
.% Backfill Approval 11,
Plumbing Under Sla.
Plumbing Vent/Ven in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls ,nterior 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 ..0� T /'��
Town of Queensbury ,a
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 3.ay Road
Queensbury,NY 12804 Arrive m Depart ;
l spector's Initial
NAME: a L,.,4 n
S `e-r n(�. PERMIT# O
LOCATION: '19 0�� DATE : ` 9 4
TYPE OF STRUCTURE: fol,'al-cY6'-\
RECHECK d hee-(1 �rfi ..5
N/A YES O COMMENTS
ottings/Piers
(Monolithic Pour Form
Reinforcement in Place ?_ 'h V
The contractor is re •nsible for
providing p tectio from freezi
for 48 hours olio ' g the pla went
of the concre .
Materials for this p ••se on site
Foundation/Wallpo
Reinforcement in Pl.ce
Foundation/Damppr fang
Backfill Approval
Plumbing Under S ab
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
I >—
W
TOWN OF QUEE SBUR�'PUll.i;MG DEPARTMENT w 0
....j FILE P�
Eased on our limited examination, U
I� ��RY compliance with our comments shall w o1 \.
TOWNOF -� not be construed as indicating the s c f
plans and specifications are in full a 0
BUILDING & C 0 • compliance with the code. 0 : 0 0
REVIEWED BY 19 VE'; Ff" — /i-/M6L6— LIC0 m
DATE • __azix- -0x.
— i2" Far
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NOTICE .
SMOKE DETECTORS ARE REQUIRED IN BEDROOMS. .
DJACENT TO BEDROOMS,AND ON EACH FLOOR LEVEL
INCLUDING CELLAR OR BASEMENT.ALL SMO , /4, "°'C
TECTORS SHALL BE INTERCONNECTED ON ALL E - . . ....... .... ._-,.-._._._-_ Ya_''s e t. fr-
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F' FOAM INSULATION MUST BE COVET DL Zx)o c,a r.2 c. a--J '9' .5AL
BY A 15 MINUTE THERMAL BARRIER ���'� I1( -flh .
ill! �'Mlle. Cr:tr .
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NOTICE ,,
NM KRAFT PAPER INSL LATION MUST BE — ''igtoa
COVERED BY NON-COIJIBUSTIBLE BARRIER _ •
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TOWN OF QUEENSBU ` .
BUILDING AND CO-_•_
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