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2000-301 .TOW OF QUEENSBURY 742 Bay Road,Queensbury,NY 128U4-5902 (518)761=8201 Community Develbpmnept-Building.&Codes (518)761-825d CE RTIFICATE OF OCCUPANCY ' . E C 0 Number: 0000301 C/0 Date: Thursdgi, August 10, 2000 f Application Number: .2000301 PermitNumber: 2000301 �y that work requested to be done as shown by Permit Number 2000301 This is to certify has been completed., This structure may be occupied as a Single Family Dwelling Tax,Map Number. 523400-074-000-0001-030-003=0000 Location: 1088 WEST MT. Rd Owner: DAVID LEHMANN By Order of Town Board T OF Q ENSBURY Director of Building&Code Enforcement 1, BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 95000 - Building Permit No. 2000301 TAX MAP -NO. 74 . -1-30 . 3 LEHMANN, DAVID Permission is hereby granted to WEST MT. RD. Owner of property located at in the Town of Queensbury,to construct or place a SINGLE FAMILY DWELLING at the above location in accordance to 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. Owner's Address: WEST MT. RD. . QUEENSBURY, NY 12804 Contractor or Builder's Name: CERRONE BUILDERS Contractor or Builder's Address: 66 SUNSET TRAIL QUEENSBURY, NEW YORK 12804 Electrical Inspection Agency: COMMONWEALTH ELECTRICAL AGENCY PO BOX 706 HAGUE, NY 12836 Type of Construction: SINGLE FAMILY DWELLING Plans and Specifications: 1272 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE ,AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING .167 May 17 2M, . $ PERMIT FEE PAID-THIS PEFJvJ1T EMPIRES (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.) 17 May 2000 Dated at the Town of Queensbury this Pay of SIGNED BY for the Town of Queensbury C r I -ement Officer odn oic Building Permit Application TOWn Of Queensbury - Dept- ofCottut;unity Development, 742 Bay Road, Queensbuty, NY 12804 [761-8256] NOTICE BUILDING & , CODE ENFORCEMENT Requirements.prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. beginning construction. No inspections O CO Zonis Board Action PERMIT FEE PAID$ will be made until applicant has received 0 S , a VALID BUILDING PERMIT. All. Area /Use RECREA77ON FEE applicants" spaces on this application MUST be completed arid�the signature 0 Planning Board Action REVIEWED BY: Of the applicant must appeal 011 the SPR /, Subdivision /Other Building Inspector plication•form. n�,m.. Recreation Fee Payment. , Applicant: 1./ G. Owner: . r--� ' Address: �� C= 2X%t .��'.ELe,l 6140 Address: Phone ## ( � ) - _4,/ _ Phone # Property Location: /�A_IAI �a - Subdivision Name: Tax Map Number Section Block Tot , NA TjS E OF PROPOSED WORK-: ESTIMATED MARKET VA�.�rT� OF THE New Building: CONSTRUCTION: $ c1,,/0V residence / commercial Addition to Building: residence. / commercial OCCUPANCY INFORMATION: Alteration to Building: Pri�ary Building - residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwe no change to exterior size Family D1M1V Office Other Work (describe below) Mercantile MAY1.2pQQ Manufacturi Other. NOWN OFOUI1 ENSBtiRy GROSS AREA OF PROPOSED STRUCTURE: BUOLD ODE lst Floor. . . . . . . . sq. f 3 If ADDITION, what will use S of new addition be? : 2nd .Floor.. . . . . . . sq. ft: / Other Floors . . . . . sq.' ft_ & , _ (not unfinished cellar or basement) ACCESSORY BUILDINGS: f • Detached Garage 1, 2 car . . TOTAL FLOOR AREA: Lam . SQ. FT. Attached Garage l,40car Private Storage Building S I Z`E OF NEW STRUCTURE: Commercial Storage Buildfng 5! FEET X �l� FEET Other ' Foundation Type:. Will any second-hand or ungraded ' Number of Stories: i lumber be used? if so, for what? (habitable space only)- Height . (grade to ridge)': feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle• all which plies) to be installed: . A14� r_i_r t�; 1 / Gas / Wood. Forced Hat Ai� / seboard, / Other Person respo bl for supervisaon�of work' as gards to buildin codes is : A/ .f?t�rlu �Ddrr�r�_II�If ► Name Addresss Phone Builder: /�i�,�',s2,�c.•- /�'ir/>/iG�rl Plumber: Mason: �` a 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 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 awn to scale, showing actual location of project on premises. Signature: caner, owner's agent, architect, contractor} bq, 1 Application for SEPTIC DISPOSAL; PERMIT Town of Queensbury m / Dept. of Community Development Permit No. [JCJ Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation.& ' Property Owner's Name: O Property Owner's Mailing Address: % J c (!` %r/7 f Installer's Name: 11� .//�iJ, s�✓ �� G- a Phone # -7?t, Number of bedrooms (if residential): Total daily flow: Art) (residential -compute @ 150 gal./bdrm.) Topography: flat, rolling, steep slope % of slope Soil Nature: sand, loam, clay, other /depth: Ground water: at what depth? feet l Bedrock or Impervious Material: at what depth? feet Percolation test: not required, required [rate min. per inch J Domestic water supply: Zmunicipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank; 'gallon (minimum size: 1,000 gal.) Tile field: each trench feet / Total system Iength: 7-0-0 feet Seepage pit(s): number of / .size each: . ft.by ft. Size of stone to be used: # / depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Quee bury, any permit or approval granted which is based upon,or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and an requirements of the Town of Que ensbu ry Sanitary Sewage Disposal Signature of responsible person: d "r`^`� Date: -ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Comoliance Methods: PART 5 - Acceptable Practice Method 1&2 Family Dwellings (only) PART 6* - Thermal Rating - Component Trade Offs 1&2 Fdmily Dwellings; Multi-Family Dwellings (3 stories or less) PART 4* - Design by Component Performance Commercial Buildin* gs-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area sauare feet 2 . r-rv-z>e of Heat - Electric Oil Gas Other 3 . Is building mechanidally cooled? Yes � No 4 . Percentage of area of windows and doors Over 17% under 17% 5 . R-VAILUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SI-i-OWN ON PLANS SUBMITTED: ­4 - Roof R b . Exterior wal is R Iq C . Glazed areas R d. Exterior doors R e . Floors over unheated spaces R Edge of slab on grade (heated building) R a. Basement/cellar walls (above grade) R %T_ h . Basement/cellar walls (below grade) R Heating/cooling-ducts-piping in unheated space R 6 . Se_,-vice (domestic) hot water heating device Con-orms to .minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED Ap_ a� Signature e Phone INS P S REMARKS: I 0 l z { z H z N H N W H W ON A HW 4H z0 N W HNC wW�Z 00 ! Q N NHO � > ut p x o w x 0 U D N u H O N �, o ' w w N p z z« W w Q a3 W H I Q H m W Z z U 0 H D A rt to W N a w H 9 u z W E D { H D ' N z H N U a N?W- 4 0 C7 a U ' u 0 0 W ,p czx H H Z a D G� > �! H W w s a N w U H 0 x 4 za a N 3WU wa0 az0 z z D D x a , H W N D 0 4 4 a 0 � p Hou H ,. ZNNU Nf U H N H U wZH x H H CO W W ' z 0 N H z a H x U D H 0 z z N w Ha x 0 0 H z M H N � � � U j �t H H W H > 9 0 U 0 0 U H W W + w W �► ` N D w M > + x a 0 + 0 H a a * w w is z a w U w D U � x aHwc wH 0H0wz u� z Naa 0 x , a W H w 0 a1 D , z 114xo •00 Wp xxUAOZH awaNH w H H 0 z W H z H 1 W U H x x W W 0 H W U H w ra w w H�4 W H w N H x x � W x M A 0 a a 0 w w z H H H H H H I z z 0 4 z H H z U, H t pD2 H D D H U a x 0 0 0 D l a D + O O H x a 0 w w D Z H E+ x ,� 0 D H H A z 9 0 waw `' U a W A w H N 0 N w 0 A W N 0 lie RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: ]Building&Code Enforcement Dept.of Community Development Arrive am/pm DepartLL: n/ rri Town of Queensbury Inspector's Initials 742 Bay Road Queensb New Yo k 12804 NAME � PERMIT 4cQX0-30 j LOCATION DATE, (� TYPE OF STRUCTURE YES NO COMIENTS Chimney Height/"B"Vent/Direct Vent Locatio Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,lauding 18 in.or nore AA Interior Handrails stairs both sides 3 or more ris rs Mv Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above ade Gas Furnace shut-off within 30 feet or within line f site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operator 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 Interior privacy/him/doors/main entrance 36" Floor Finish l Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells 1 Smoke Detectors. VIM I 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) f Light ventilation per room Safety glazing 18" r 1 sOn floorFinal Electrical'? Z Site Plan/Variance required �� p�d��r t✓ 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)_ f Okay to issue permanent C/O(Certif.of Occupancy)­ UUMMUN WEALM ELECTRICAL INVE ;'I"10 HURA, ll% Main Office 176 Doe Run Road - Manheim, PA 17545 „�v 0 0 MUNICIPAL CERTIFICATE M ELECTRICAL APPROVAL Panel Board 2 Cut-in yard No, . moffm II toot..ii.l6 Y.iilNiil I P 4 .� k '}neriiN.l!►.p.,li 1llf► „ siYiR.+*il,iii.i..i.fiiiiii..,�N,,,f1.,f,wYf,fRiY{IRIRRI••i..i.i,Y,,.f,...ifRRii.i.i l.,Y.i/.Yi.R.i MiH Y.",.. /'� 1 � tx r��+����o•+{RI{iMii. Rf.R.RiI,R Aj Installation Consisting of 111 i!1!.lIf111N1I/ili...R.„.. ., {I.R11►Ri.„u.l.,fi►,i„IfalRi{.. tell lalf{I.II{RR...iliiil 1{ lIII{{f/II1RiRN.iRN1 /// 90 -7 ii.iHf.i {IR.Rfi iiliilNll,I, p►„/Y�R{RI ii i ,iltili 1.13 iN.f/i1R.fRR • �.l. l.. .II Y..it ..It. 0 ,,0/{RiRliii.....S.P. . .U4,,91046#41 lilli.lHlif.,IfflNftiH1111.iMNlillf ...1/14.1i1 ,,,. 1i,1 ,i. I{{i.i Yiliiifii.f.►1Hi! H1►111i,►li..RfNH.ii!►I i.If.i.i,f.,, 1 Is I t . t.it..N11.1111 Lie, No.Installed By,,,,,,,MMMtootoot.l,{R,{i, �1.1 A1 1..l11fiill.Ii l.i R1.111►ll..if. IM 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 ctions at any time, and if its rules ire violated, the Company shall have the right,to r vo a this t' tel Kato a4 Ni,l{ilf.{f{i/Nl,...ffflfiN.Nfi.iff INSPECTOR ,,., ,iii,i,iY.111H fY,YRIifIRHi.,#.i,.i.i.i.,►i1►\..#i.f#Ni.i Y.�fi•+E•Iu•nwuiii� Member UPI,LA C,l. GENERAL INSPECTION REPORT (518)761--8256 Town of Queensbury Dept.of Community Development Date inspection request received: CR/a�)c Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive o am/pm Depart Xn/Pm Inspector's Initials NAME; "J = ' ERNIIT# Z XX) � =' p LOCATION: GYM DATE: G t7 TYPE OF STRUCTURE:_.,- i RECHECK l _ N/A YES NO` COMMENTS Footings/Piers /I Monolithic Pour Form Reinforcement in Place The contractor is responsible for �'' `jprYl}��t Jan "' Crn e providing protection from freezing for 48 hours following the placement -A (3° � v--S J of the concrete. -- Materials for this purpose on�tee Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfili Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing r' Heating Rough In elation Foundation Walls Interior R a Foundation Walls Exterior R N Floors rYl R- Walls R- Ceiling R- r✓° Duct work or piping in unheated spaces R- Proper Vent,,&A c Vent Framing Jack Studs/Headers A Bracing/Bridging 4,,1 Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier `. Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppin 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)in i Inspector's Initials NAME: �C-�}-1 �q• ���212�' PERMIT# 3 I � DATE : �� LOCATION: TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS FootingslPiers 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 _,qFoundation/Wallpour Reinforcement in Place Foundation/Dampproofing __+ Backfill Approval Plumbing Under Slab 1 �r c Jt/„ I& P mbing%VentWents�.n Place f Hcatmg Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior I- Floors R- Walls R- Ceiling R- Duct work or piping in unheated.spaces R- F'�pperVent,.Me ent ,ranung 71a—ck Studs/Headers acing/Bridging Joist Hangers Jack Posts/Main Beam 7RE ra�tiodBarrier Fire Separation 1,2,3,hour Penetration Sealed Fi Wall 2,:.3,,4 hour TOWN OUc-- QUELUSBURY BUILDING A CODE ENV FORC EMENY 742 Day R®acl Queen s.bury MY MOSO4 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location DateU Permi t # �� t SOIL TYPE: Sand o am-- C l a,y- ResuZ is of Per-col ati o Tost- ( i f ae-applicable ) Rt i n-t _te/Inch TYPE OF SYSTEM ARSORPTION FIELD: Tota Len`bjeh Length of each trench ,� t Depth of trenches Size cif stone Z- SEEPAOE PI—US: Number— Size - ft _ x ft _ Stone size P3CF'IKC : _ S1e ✓pe Bldg - to Tank V6> Tank to Dist _ Box it Dist .. Box to Fi el d/P %A Openings Sealed ? .es No Part-i al LOC:A-"IO` ZSEPARA-Ul OHS . Foundation to Tank �j`�� -Feet Faundati on to Absor-pti on feet Separation o-f Pits -Feet - Con-forrns as per P7 of Plan 'ems ,No 1L.00A-FION OF S`lfS-"EM Off PRO ERT { c i r c l e c� F( n - _ �- Le Ft Side - i ht Side Middle Fr-ant -- Middle Rear COMMEriTS SYSTEM! USE APPROVED= YES A�^r-i v►+e►d DiP_pr a r-1--" C1 �3uz 3 d i ng I nspector 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 12844. Arrive am/0 Depart o Inspector's Initials NAME: 1,"OA PERMIT#- LOCATION: DATE : n� e � TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers • \ Monolithic Pour Form Reinforcement in Place The contractor is respo ible for providing protection fro freezing for 48 hours following a placement of the concrete. Materials for'this purpose o i site Foundation7Wallpour Reinforceme it in Place Foundation/Dam n Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P ice Rough Plumbing Heating Rough In Insulation Foundation Was Inte or R Foundation Walls Exte 'or R- Floors R Walls R Ceiling R- Duct work or piping in unheated spaces R Proper Vent, Attic Vent Framing r Jack Studs/Readers Bracing/Bridging Joist Hangers t Posts/Main Beam Itratioa=Ba`rrierz Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL IMPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arriva,-�-(aRm Depa Inspector's Initi NAME: PERMIT zn. 'r M LOCATION: DATE : zA�/ 4ZV),,��&hf, TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsi c r providing protection fro free7 g for 48 hours following t e place ent of the concrete. Materials for this purpose n site Foundation/W411pour_ Reinforceme nt ThPl lace— Foundation/Darnpproo iiT � kfill Approval "j3j-)v-- C-,C-3t�i -Illucmbing Under Slab ' Plumbing Vent/Vents in Pace Rough Plumbing Heating Rough-In— Insulation Foundation Walls In,�rior,, R- Foundation Walls E ­rior R- Floors R- Walls R- Ceiling R- Duct work or pipin in unheated spaces R- Proper Vent, Attic Ve t Framing Jack Studs/Headjes Bracing/Bridgem Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3, hour Penetration Scaled Fire Wall 2. 3,4 hour Firestopping voi la -ae ro AA V ACI n GENERAL 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 = p Inspector's Initi s NAME: PERMIT# Z 1 LOCATION: ED DATE : TYPE OF STRUCTURE: ���Ca .� .�Z- CA e- RECHECK N/A YES O COMMENTS ootings/Piers analithic Pour Form ennforcement in Place The contractor is responsible fo providing protection from fr ng a for 48 hours following the pla ment of the concrete. Materials for this purpose on sit Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Ro -In Insulation Foundation Walls Interior R- Foundation Walls Exterio R- Floors - Walls - Ceiling - Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main B Air Infiltration Barn Fire Separation 1,2, ,hour Penetration Sealed Fire Wall 2,3,4 h Firestopping f r GENERAL MSPECTION REPORT (518)761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: S Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Depart / � �� Inspector's Initials NAME: - 1 � PERMIT# -3o/ LOCATION: Mfi DATE : "TYPE OF STRUCTURE: � RECHECK N/A YE NO COMMENTS t'J tingslPiers Monolithic Pour Form Reinforcement in Place'�- The contractor is responsible ar providing protection from zing for 48 hours following the pl ement of the concrete. Materials for this purpose on si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under S 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