2000-751 TOWN OF OUEENSBURY
742 Bay Road, Queensburv, NY 12804-5902 (518) 7b1-8201
Community Development - Building & Codes (518) 7614256
CERTIFICATE OF COMPLIANCE
Permit Number: P20000751 Date Issued: Friday, October 27, 2000
This is to certify that work requested to be done as shown by Permit Number P20000751
has been completed. 31 { j
Tax Map Number. 523400-140-000-0001-009-000=0000
Location. 31 ARBERGER Dr
Owner: JAMES & JANE VARNEY
This structure may be used as a:
Residential Alteration
By Order of Town Board
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 FER. IT
Permit Number: P20000751 Application Number: A20000751
Tax Nlap No: 523400- 140-000-0001 -009-000-0000
Permission is hereby granted to: .TAMES & JANE VARNEY
For property located at: 31 A.R13ERGER 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 Ya a eI
Owner Address: %�JAMES & JANE VARNEY Residential Alteration 7,000.00
5 CIRCLE Dr
S. GLENS FALLS, NY 12803 Total Value 7,000.l10
Contractor or Builder's Name / Address .Electrical Inspection Agency
R
VICTOR KYARSGAARD
7 RTE 9N
PO BOX 292
CORINTH. NY 12822
Plans & Specifications
2000-751
FOUNDATION REPAIR - SEASONAL RESIDENCE
$30.00 PERMIT FEE PAID - THIS PERMIT EXPIRES-, Saturday, September 28, 2002
(Ifa longer period is required, an application for an extension must be made to the code Enforcement officer
of the 'Town of Queensbutv before the xpiration date.)
Dated at the Tcowr4of Q r3nsb ;,/ fh ember 28, 2000
SIGNED BY for the Town of Queensl3urT-.
Director of Building & Code Enforcement
Building Permit Application
Town of QLiL'ensbLII'y - Deli. ,QfCuJ►tmuniq' De►yelulmlellr, 742 do Qav Road. Qi+eemburv, Nl' 12804 1761-825d/
NOTIC� i #fa#� BUILDINGCODE ENFORCEMENT
E Requirements prior to issuance
A Permit musk 6e obtained before
of this permit: PERMIT FILE No. 00 " 7 5 f
baginning construction. No inspections PERMIT FEE PAID $ jGt asF
will be made until applicant has received � ZwsJng Board Action
a VAUD 13UIL DIN4 3 PERMIT. All Area J uec RECREATION FEE P
applicants' spacen on this application
MUST be completed and the signature Q Phum ig Board Action REVIEWED RY.
of the applicant must appear an the 5PR J Subdivision J other 4l/ns chrnur
lication farm.. r� y+ Recreation Fee Payment
Applicant iti ss[ r_ S /a k Owner:
Address: go o sus S Address;
Phone # Phone #
Property Location: / A N bur rrZ p �1
• Tax Map Number ---�
Subdivision Name; r UI . �
NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE
New Building : CONSTRUCTION :
residence / commercial
Addition to Building :
residence / commercial OCCUPANCY INFORMATION :
Alteration to Building : primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below ) Mercantile
0k7 Manufacturing 1
Other
GROSS AREA OF PROPOSED STRUCTURES
1st Eloor . . • s ft . if ADDITION , what will use
_ 9 . of new addition be ?
2nd .Floor . . ...!0P . . . sq . ft .
Other Flc,o s . . . sq . ft .
( not unfinished cellar or basement ) ACCESSORY BtJILLlItYGs :
Detached Garage 1 , 2 car
TOTAL FLOOR AREA : S4 . FI' • Attached Garage 1 , 2 car
Private _ Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
FEET x FEET
Foundation Type : /; Will any second- hand or ungraded
Number of Stories : / _ ._ lumber be used74/6if so , for what ?
( habitable space or�ly )
Height ( grade to ridge ) : feet TYPE OF HHATING SYSTEM :
Number of fireplaCe�,o and/or woo stove ( circle all which applies )
to be installed :_ Nai Electric / Oil / Gas / 'wood
Forced Hot Air / Baseboard / Other
Person respon ibis for supervision of wc,�rk as regards to building
codes is . r� r` cL
Name 01Ad Phone
Builder : a 2 9
Plumber : T
Mason: -ter
Electrician :
DEM4RATION.• Please sign beJenv aster your have cazrefuUy read the statement
'Co 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 Taws 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 scale, showing actual location of project on premises.
Signature: `
(owner, owner's agent, archittpet, contractor)
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 13AY ROAD
QUE909BURY NY 12644
(518) 76111-}8256
ARRI VE : - - . . DEPART :
FINAL INSPECTIOM REPORT - RESIDENTXAL
DATE INSPEQTION REQUEST RECEIVED :
NAML UOA-iCluey � 0 ,.r
LOCATION AR1 '? 4i KK'c 7C_...__"c-- J'`�'j !�
DATE ^, o ?, /6 PERMIT 0 ^{
TYPE OF STRUCTURE A
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL — WOODS'1'OVE OR FIREPLACE
N/j YS& RO
rw117MNEy 1;EIGH'�Z8 VENT/HEIGHT
E,jj, ijNG VENT
ROOFING
ZNTLRIOR FINXS1�___
DECKfPORCHISTE RAI NGS
RELL P V V
EUZM&ggjngo,T� RATI
TNTSaXOR TRIMIP'RIVACY DOOR
FINISH ELO0R5
B TH/� KITCILEnN ERTIG T
OTHER VLQOR WE BLE
O'r'HER FLOORS CARk'E'I'E
STAIR CLBARANC�fRAIL S
9 OKt: DETEQ ORS
�PiTHRDDM F N - -
p UN G XT R
FOUNDATION INS LATION
GARAGE FIRE PRS?QI"INO _ -
DO CLOSER9 �..._...
F'IHAL E11LECTR�CAL
SITE PLARLVAFLIANCE RSO
FINAL SURVEY
0iG TO ISSU Cf0 ORD
GENERAL INSPECTION REPORT
( 518 ) 761 - 8256
Town of Qneensbnry Date inspection request received:
Dept. of Carnmunity Dcwelopment
Building & Code Enforcement ti
742 Bay Road Arrive amfptn Depar ' .)aml
Queensbury, NY 12804 Inspector's fuitrals 7
PER.
NAME: l n� V U^t �`e DATE :
#
I...00ATLON:
TYPE OF STRUCTURE:
URE:
RECHECK
NIA YES NO COMMENTS
FootingslPiers �
Monolithic Pour Form
Reinforcement in
The contracto is r nsible for
providing ion m freezing
for 48 hours fo I the placement
of the concrete.
Ma on site
oun
Reinforce ent in
fin
B
plumbing Lander S b -
Plumbing VentlV s in Place_,--,.___-
Rough Plumbin
Heaating Rough In
l nsulation
Foundation W Interior R-
Foundation Wall Exterior R-
Floors R'
Walls R-
Ge Lhng R-
Duct work or p' 'ng in
unheated R-
Proper Vent, Attic Vent
Framin
Jack Studs+lieaders
BracinglBri
joist Hangers
Jack PostwWWn F3earn
Air infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoppin
9:30
GENERAL INSPEC.'TJON REPORT
( 518 ) 761 - 8256
Town of Queensbury 3
Dept. of Community Developmeut Date iuspeCtson request received:
Building & Code li nforeement
742 Bay Road Depart
-
Queensbury, NY 12804 Arrive, p
mector's 3nitiais
PERMIT # - °7
Q,. .5
NAME: o. .� a DATE : r }�
LOCATI • � �1
TYPE OF STRUCTURE: _ f-� � .altri fe y L atlle"M4,4rar 2 nda-L +r tjUk7 "X
RECHECK
NIA YES NO COMMENTS
4�FootingsfYiers
Monolithic Pour Form _
Reinforcement in Place 3 ' ._�• �,�� 6 1C -�f'-- i. C)
The contractor is responsible ar
providing protection fnnm f ins
for 48 hours following the pi entb
of the concrete. -
Materials for this purpose on site
Foundation/Wallpaur _
Reinforcement in Place
FoundationlDampproo
Backe-11 at
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Pluxnbin
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- r`
Walls R-
Ceiling R-
Duct work or piping in J �+
unheated spaces R- r
Proper Vent, Attic Vent r'
Frami
Jack Studsltleaders -
Bracing/Bridging
Joist Hangs
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1. 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 'hour
Firestoppin
NCB
NERAL LNSPECTJON REPORT
( 518 ) 761 - 8256
Town of Queeusbury
Dept. of Community Development Date inspection request received:
Building & Cade Enforcement
742 Bay ILoad •---- ',,."~---
Arrive � an m Dep
Queensbury, NY 12804, ) Iuspector's Ini
NAME: PERMIT 4
LOCATION: .��, , dF i +.i E DATE : —
TYPE OF STRUCTURE:
RECHECK
N/A YES O CC*AME
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor Is respousible for
providing protection from fr=ing
for 48 hours foilowing the placement
of the concrete.
Materials for this purpose on site
Foundation/Waltpour
Reinforcement in Place
Foundation/Danxpproofi
Backfill Approval
Plumbing Under Slab
plumbing Vent/Vents in Place
Rough Plumbi
Beating 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 St=ad&fficadcrs
Bracing/Bridgin
joist Bangers
Jack Posts/1V a EWam
Air Infiltration Barrier
Fire Separation 1, 2, 31
Penetration Sealed
Fire Wall 2, 31 4 hour
Firestoppi
TOWN GF QUEEN URY
COPY � �-. � .. . . BUILDING S PT
mqi, clue all REVIEWED 8Y
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