2000-790 TOWN OF OUEENSBURY
742 Bay Road, Queensburv, NY 12804-5902 (519) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20000790 Date Issued; Thursday, November 09, 2000
This is to certify that work requested to be done as shown by Permit Number P20000790
has been completed.
fy L �
Tax Map Number. 523400-121-000-0001-053-004-0000
Location: 3 LAUREL Ln
Owner. ANNE & JOHN HECK
This structure may be occupied as a.
Residential Addition
By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 1 2 804-5902 (518) 761 -8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000790 Application Number; A20000790
Tax Map No: 523400-121-000-0001 -053-004-0000
Permission is hereby granted to: ANNE & JOHN HECK
For property located, at: 3 LAUREL Ln
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: ANNE & JOHN HECK Residential Addition 10,000.00
3 LAUREL Ln
QUEENSBURY, NY 12804 Total value 10,000*00
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans & Specifications
280 sq. ft. residential addition
3 Laurel Lane, Clendon Ridge
$24.00 PrRM.IT FEE PAID - THIS PERMIT EXPIRES: Wednesday, October 16, 2002
(If a longer period is rery'uired, an application Ciw an extension must he made to the code Enforcement (3flicer
ofthe 'Town orQueenshury before the expiration date.)
Dated at the Tow ensb Mond y, October 16, 2000
SIGNED BY _ _ for the Town of Queensbury.
Director of Building & ode Aforcement
BlyllodiengPerll
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GROSS AREA or PROPOSED S'TRUC'TURC : Other
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(owner, owller's lFgenl, archilecl, conlrlc 1pr)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Office 176 Doe Run Road - Manheim, PA 17,4k2'.[J
MUNICIPAL CERTIFICATE - ELECTRICAL AP VAL
Panel Board No..............................C'ert. NO 68980 Cut-in Card No. .............,,,..........
......._,.
Owner.,....................... �"�� �'�.u.. ..........................................._............................. ....,.r......
Locatiatx .... f ��..... ........................................................ ..............
Installation sistiryg of ......ri�..... +�`� . [°I! - _..Kap �
................................ ........,,,.
....................... ..................................... ..................,.,,,..........................................,,.,...,.......................
...
Installed By...... -,., ,s*J.. G?, Z'
................................................ Lie. No. .. ..................._„_ ......,,.......... ...
The conditions following governed the issuance of this certificate, and any certiticatc 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 ins ;[ions at any time, and if its
rules area violated, the Company shall have the right to r" . his c r
Date,...<,..l..... 1NSPFC'ToR ......,,
«. .......................:-..-....'....'sue.....,............
.... ... Member N-F P.A., 1_A E-t.
RESIDENTIAL FINAL INSPECTION REPORT h
Office No. (518) 7614U56 Date inspection request received:
Building & Code Enforcement I
Dept. of Community Development Arrive am/pm Depa t
Town of Queensbury Inspector's Ini is `
742 Bay Road
+Queensbury, New Yorkr 12804
NA144E a cC c. PERMIT # �ft Z)
LOCATION DATE
TYPE OF STRUCTURE 61 -
N/A S NO CONIIvlEfiIT5
Chimney HeightP'B" Vent.Mirect Vent Location
Fresh Air intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Iarterior/Exterior Railings 30" to 36"
Exterior Handrails, balconies, landing 18 in. Cr e
Interior Handrails stairs both sides 3 or more ri
Gracie 2% away from foundation
815 clearance to sill plate
Gas Valve shut-off exposed/regulator 18" abov grade
Gas Furnace shut-off within 30 feet or within li of site
Oil Furnace shut,offat entrance to fiernatce area
Furnacc/Hot Water Heater opera m
Relief Valve(s) installed
Headroaari, 6 A. 6 in. on stairs
Basement stairs, 6 ft. 4 in.
HanAt-art exterior stairs both S}{�.CS
Interior pY7 VaCy/tl]]Y1/[1W3"3/Illalll e11tYffia16aa
Floor Finish
Bathroo�m/Kitchen watertight
Interior handrails Balconies/L.anding 18 in. ar more
Railing across window in stairwells opor
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
'/.a hour fire door/door closer
Garage fircprvofin8
Garage penetrations sealed
Furnace in separate room protected (in e)
Light ventilation per room X
Safety glazing 18" or fl
Final Electrical
Site Flan/Variance riquAred
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 Occupaocy)
AM
GENERAL INSEE RE,POR,T =�-�-
( 518 ) 761 -8256
Town of Queensbury
Dept, of Community Development Date inspection request received: C� �U
Building & Code Enforcement
742 Say Road /
l
Queenshury, NY 12804 Arrive --_-- am/pm, Deparf`t
Inspector's Initials 'j_
ti PERMIT #
ANIE:
LOCATION: DATE : �'
•rYI>E of STRUCTURE:
RECHECK
N/A YES NO COMMENTS �- J
Food-ngs�`Piers /yq
Monolithic Pour Form
Reinforcement in Place
The contractor is respO bIc f
providing protection m freez ng
for 48 hours followin the p1 nt
of the concrete.
Materials for this pu on site
FoundationlWallpour
Reinforcement in Pl
FoundatiottlD�am fi
BacMl Approval
Plumbing Under Sl
Plumbing VentlVen in Place
Rough Plum n
H j Rou -In
ulation
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
Frarnin
Jack Stu a-
BracingfBridgin
Joist Bangers
Jack posts(Main Seam
Air infUtration Barrier
Fi Separation i, 2, 37 'hour
necrdt.on 'Sealed
ire Wall 2, 3, 4 hour,
Firestoppin,g_�_
4 - 1 �
GENERAL INSPECTION REPORT `-/
( 518 ) 761 - 8256 41
Town of Queensbury
Dept* of Community Development Date inspection request received:
Building; & Code Enforcement f �
742 Bay Road
Queensbury, NY 12804 Arrive am/pm Depart _ nl,}atn
Inspector's Initials [� �'
NAME: ..� '�- - PERMIT # �, / �' f ,-f7, �--- r
LOCATION:
TYPE OF STRLJ _ �1 r~5 r ��� .•
RECHECK
1 ��
N/A. NO COMMENTS
FootinJPiers �E�L � � �3i'Clr'k
MonoliCl Mc Form
Reinforce tin Plane
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
FoundationlWallpour
Reinforcement in Place
Foundation/Dampprooftn
Backfill Approval
Plumbing Linder Slab
Plumbing V'entlVents in Place
Rough Pluml�in
.Heating Rough-ln
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
W'alls R-
Ceiling R-
I]uct work or piping in
unheated spaces R-
c Vent
g
Jack StudsMeaders ZA
Bracing/Bridging
.foist Hangers
Jack Posts/Aftn Beam.
Aar Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 21 3, 4 hour
Firestoppin
GENERAL INSPECTION REPORT
( 518 ) 761 -8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Cade Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive a. am/pm Depart
Inspector's Ini
NAME: Oa4�- PERMIT #
LOCATION: "3 DATE
TYPE OF STRUCTURE:
RECHECK
N/A YES N COMMENTS
F Monolithicolithi t c lithi
P Pour Form
Reinforcement in Place
The contractor is responsible far / �p
providing protectinonsite
�� '�� � � �'�,��� �► � �1 �c��
for he hours follot
of the concrete.
Materials for this puFoundationlWallpc'u �� 1Gc--+CL:..-•--Lb +.�
Reinforcement in Place
Foundati an/Elab
Backfill Ap
Plumbing U
Plumbing, VentNRough Plumbing
Heaung Rough-I
Insulation
Foundation Walls Ini crior R-
Foundation Walls E erior R-
Floors R- --
Walls R-
Ceiling R-
Duct work or piping n
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgi
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping