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2000-821 TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development = Building & Codes (518) 761=8256 CERTIFICATE OF OCCUPANCY Perm%t Numbere, P20000821 Date Issued: Thursday, May 24, 2001 This is to certify that work requested to be done as shown by Permit Number P20000821 has been completed. Tax Map Number, 523400-09O-00O=OOO4-049-OOOwO000 Location. 20 HELEN Dr Owner. MICHAEL & KATHY DONAHUE Applicant. MICHAEL & KATHY DONAHUE This structure may be occupied as a: By Order of Town Board Residential Addition TOWN OF QUEENSBURY Director of Building & Code Enforcement TOWN OF Q►UEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 {518) 761-8201 (aw Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000821 Application Number; A20000821. Tax Map Trio: 523400-094-000-0004-049-000-0000 Permission is hereby granted to: MICHAEL &. KATHY DONAHUE x For property located at: 20 HELEN 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. Tone or onstructian Iue Owner Address: MICHAEL & KATHY DONAHUE Residential Addition 35,000.00 20 HELEN Dr Total Value 35,000.00 QUEENSBURY, NY 12804 Contractor or Builder's Name / Address Electrical Inspection Agency BALOUGH CONSTR COMMONWEALTH ELECTRICAL At PO BOX 706 HAGUE. NY Plans & Specifications 2000-821 600 SQ FT RESIDENTIAL ADDITION (OFFICE, LIBRARY, BATHROOM) AS PER PLOT PLAN SPECIFICATIONS $48.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, November 07, 2002 (Ifa 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.) Dated at the To of SIGNED BY Qu ue y nher 07, 2000 +, for the Town of Queensbury. Director of Building & Code Enforcement Building Permit Application Town Of Queensbu y - Dept, ofCorninunity Develuprnent, 742 Bay R<,kwl. Queerrslmr•y, NY 12804 1761-82561 BUILDING & CODE ENFORCEMENT Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE N17, =-- ._�..__ beginning constriction. No inripections PERMIT FEE PAID $ will be made until applicant has received El T-Ming Board Action a VALID BUILDING PERMIT. All Area r Use applicants" spas an this application REC'REA77ON FEE P D MUST be completed 46d the signature Q PAWning Dowd Action REVIEWED BY* r' of the applicant nsuet appear an the SPR I Subdivision / Other riling rnspecror licatianfbrm Recreation Fee Payment Applicant: 9'A L,t�S � , N0wner: 1 , /37`f f �f $F 1 ,(CdgAELI^� #5 d N A ,Fr-41yLJC Address: 2 C3 k- 0 fF lU Q3 /. I s ! Address; L�1 P_ &26F J L'/c2.. 1 �� QGV k17 p Phone # { 1 } 7 j - /� Phone # Property Location: _.2o © /e I Subdivision Name: 'rax Map Number -- section 1310ck Tnt MATURE OF PROPOSED WORK : ESTIMATEDMARKET VALUE OF THE New Building :residence / commercial CONSTRUCTION : $ 3 �, Ono �2<�m Addition uilding : residence / commercial OCCUPANCY INFORMATION : Alte o Building : Primary Building -- residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwell=Cow=.1VED Office Other Work ( describe below ) Mercantile 00T 2 3 20130 Manufacturing Other TC)WN OF CQUl ENSBURY GROSS AREA OF PROPOSED STRUCTURE ! Rt it1 nING ANIrJ t,.,n'EE Eloar . . . If ADDITION , what will use 1st 00 sq . ft . 2nd .Floor . . sq . fte ACE:of new addition be ? : Other Fluvts . . . . . sq . ft . 1 /�C'''L t3.t1 ��'c-.y ( not unfinished cellar or basement } ACCESSORY BUILDINGSO ,s Detached Garage 1 . 2 car TOTAL FLOOR AREA * t'_7 C - _ - SQQ . FT . Attached Garage 1 . 2 car Private - Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building FEET X FEET Other Foundation Type * CC7itaCa 7L Will any second- hand or ungraded Number of Stories : f lumber be used ? If so , for what ? ( habitable space oryly ) �, /tJ� Height ( grade to ridge ) * 1.5a feet TYPE OF HEATING SYSTEM : Number of fireplaGel; and/ orbstove ( circle all which. lies ) to be installed :_ .A-7C1�' Electric / Oil / Gas / Wood Forced Hot Air / seboard / Other Person responsible for supervision of work are ands to building i3icodes is : 5 /(-'_' �/. Name Addresss Phone Builder : EJ _I""" t1 o SDN'J1y 46Y 6 ? 91d"I Plumber : ,9r' rL[:5 30 07 Mason . r l4 Electrician : t LfC i —_At_ S 7 DECZARA77ON. Please sign below aj, er 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 Certific F Corn li being issued, an AS BUILT PLOT PLAN by a licensed surveyor; n to sc owi act location of project on premises. Signature: owner, owner' a t, c itect, cto ) 1 t, • ri to to ^� 44 to OnPHI O to ki t --E-' •rf W ; } Lnf 4J 97 o a r/I u O a [H in-0 ort+z 0sH r 44 IV ! � 1 . } , p a •. f 0 •• �, � m4 [L, za n+ o n� Of39 �r �UOto p U ~ •mo t~ � C ,I III Eq a to a 41 p+ 'T-t A U r-t ! r t {� t7 3 U W N Q m W rt 0 t: 0 In 04 •,l Q U t a U rn tj �, N ! w a wnorl0m 0M 0 a a] 1 N •rt 4} p t) N v t} +�, v ,, , , r; Ql N' p { 4! N � r! r, H ! t '� rt N 4a r, 'i{ H I ' H 0 �i d o � Qa Q � r! '[! 'tj t3 0 rt r� ,iLUj + A ' It o Mv ro It 'V •r[ 14 tR Lf 1 ' rr�tt • V7 Vt'r� •rl [) 4) .r1 ( V �'{ tp'.f )' .!.} (�ry} [H n r t"') •rt 5 H �' t1 1m1.! U] ID Ljti (tJ Ya p 0 z w t] N Q]uzw N 4] fn �a nn 0 1.4 ' x Uw w o DO } t t to � o � 0 t°f � a t1 0 * to It tJ •• to `.'i O Cn tR � "f+ `I i;• u �' t A rtt m 1n ut rU U tf 'Cf �1 Ch p t1f nx rU 1 �1 to t-1 u E{ f r 1 r 0 C+ , t } r sU N �.t v t G1 1U +t-t r-s E t N N, 33t av w �! ca �, a v W El 04 fi t 04 0 a rU rd r; r o , I 1a r1 it .1 ,• r r•a .. t 6 fit •_ t r 41) (n .- r ir! (J t . r . r . t .. { .. ` +• 1 .t I int.t t aar ra +a 3 'a to ti z U U) .. , p a ' '74 !-1 Et 1111 I], a 0 1-1 R! 1-1 0 0 -P ` [' t� [rr, 0 a o Z� Q 4} C' N t4 W r1 '0 •r-! to 0 4} 0 c] U da ' a It 4] It h ! ; r, •r•t .. ElW, 0) 0 4) 0) 4) p U} {U Lw Gt t ! r! () [T:1 O 0 .0 N 4)j 0 of W Ut1 tiJ dt [ i7t V7 0 { i tts;] . + to a '' t i � ' `�i r-) rY rt •[J tt) ,V ©1 t) It ri H] [] rt� t4 to FO 1 r0 [rl I t . pi [t v o , + 1 U �f { ! t to ti] 14 . � t E r RESIDENTIAL FINAL INSPECTION REPORT 0Mce No. (518) 76140.56 Date inspection request received: Building do Code Enforcenwnt 7r. Dept. of Community Development Anrive am/pm Dep G Town of Queensbury Inspector's Initiall� 742 Bay Road Queensbury, New 'York 12804 NAIVE iC. PERMIT # UCT f LOCATION DATE ffs � TYPE OF STRUCTURE . Chimney Hex� ...NIA , YES NO COlvlT+d1ENTS C tP'B" Ventt hrect Vent Location ..........— — Fresh Ak Intake Plumb Vent through roof Roof Completc Exterior Finish Complete Iramior/Exterior Railings 3U" " Exterior Handrails, balconres, 18 in. or more Interior Fla�ndrx�ils stairs both si 3 more risers Grade 2% away from foundati 8" clearance to sill plate Gas Valve shut-off exposedfre for 18" 8 above grade Gas Furnace shut-offwithin 3tl f withixx line of site Oil Furnace shut-offat entrance noce area FurnacellIat Water Relief Valve(s) installed Headroom, 6 ft. 6 irG on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides m tban 3 ricers Interior privacyluini/doorshnam en W1 Floor Finish , trMr Bathrooin/Kitchen watertight Interior Handrails Balcomiea .ending 1 in_ or more Railing across vAndow in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3.r4 hour fire door/door closer Garage fireproof Garage penctratians sealed Furnace in separate room protected (in garage) Light ventilation per room. Safety glazing 18" or 1pss float Final Electrical Site Plan/Variance irad 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) COMMONWEALTFI ELECTRICAL INSPECTION SERVICE, INC, � J Main Office 176 Doe Run Road - Manheim, PA 17545 - is © I MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No.,_...... .............__ ,C crC N2 70865 Cut-in Card No. .....................,,............. Owner.... .. 'lf:::�.i..... .�.L..�'..�Y.=..AJ� ,�......._--.............................,,..................,,................ t Location .... .....i;?.,,,_... i 1.... .1 :................................................. -' .,.....,,....... Installation Consisting ../J(a rl- C �............ ............. �.................................................... ...................................._..................... ..,. Installed B t ......... ..........,_.. Lie. 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 he promptly made for inspection. _ Company >; ri t) � � ns at any time. and if itti rules are violated, the Company shall have thc, right t re ok this ecrtific Inspectors.•o�th� Co� any., IN[SPk.CTC?R ,,. ,,e of ng ms cno 1 .... ...................._...... Date.,. !... . �� ...... Member N.F.P.A., 1..4 E-1. GENERAL. LNSSPECTLCIN REPOIRT ( 518 ) 761 - 8256 Town of Queensbrury Dept. of Community Development slate inspection request received: Building & Code Enforcement 742 Bay Road „ Queensbury, NY 12804 Arrive WMI& PM De21(n ` pm is NAME: fl ] P+ �-lt� PERMIT 0 -- { LOCATION: _—?��_� i1. �t �. DATE : TYPE OF STRUCTURE:- RECHECK I[iE: RECHECK to NIA YES NO COMMENTS Footings/PiersMonolithic Pa �ReinforcemenThe contracsIN for providing pm ing for 48 hourhe p ment of the concrMaterials for tn siteFoundation/WReinforcement Foundation/Damppr+oGnr Back#ill Approval Plumbing Under Slab Plumbing Veat/Vents in I' Rough Plumbing tng Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- loors R- /WaUs R- �; 'Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing lack Studs/Headers Bracing/Bridging, Joist Hangers Jack Posts(Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour. Penetration Sealed Fine Wall 2, 3, 4 hour Firestoppi GENERAL MSPECTION .REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road M Q�ueensbury, NY 12804 Arrive ��ran Deepart inspector's initl � NAME: PERMIT # LOCATION: ri DATE : _. TYPE OF STRUCTURE, RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form _ Reinfarcement in Place The contractor is respo ble r providing protection fro freez4in% g for 48 hours following plaoe ent of the concrete_ Materials for this purpose site Foundation/Wallpour Reinforcement in Place Foundatio4 Backfill Approval Plumbing Linder Slab Plumbing Vent/Vents in arse Rough Plumbing. I-leafin ugh-lu it, on ,fir` c3 F0-unc3ation Walls Interi R- Foundation Walls Ext 0 R- Floors R , �{ Walls R- �`" �—' � ' s' A. Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Tack 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 ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement �. 742 Bay Road Queensbury, NY 12804 Arrive Depart y� 1 kspector's IPERMIT # nitial NAME: T �{ /E LOCATION. DATE : �] TYPE OF S CTURE. REC.IM CK NIA YES NO COMMENTS Footings/Piers �- I Monolithic Your Fonn Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the cut of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/I7ampprpofin Backfili Approval Pesh Under Slab PIg V ents in tumbi Iieattng Rough-In Insulation Foundation Walls Irate r R- Foundation Wails Ex or R- �— - - Floors R- Walls R- Ceiling R- Duct work or piping i unheated spaces R- Proper Vent, Attic 'Vent Jack Studs/Headers ' Bracing/Bridgin Joist Hangers /Air Jaek Posta(Main Beam Infiltration Barrier Fire Separation 1, 21 3, hour Penetration Sealed Ire 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 w�� Depart �7 pector's Initi NAME: l PERMIT # LOCATION: DATE : TYPE OF STR RECHECK N 'YES NO COMMENTS FootingwTiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freer.ing for 48 hours fallowing the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place FoundationlDampproofin 13acicftll Approval Plumbing Under 'Slab Plumbing Vent(Vents in Place Rough Plumbing, Heating Rough-In insulation Foundation Walls Interior R- Foundation Walls Exterior R- F'loors R- Walls R- Ceiling R- ct work or piping in I nheated spaces R- £ Veqt,.jkttic Vent ami Jack. Studs/Headers BracingMridgin Joist Hangers Jack Postsi'Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour F"irestoppin vw GENERAL INSPECTION REPORT �w- ( 518 ) 761 - 8256 I _ Town of QueensburyL Dept, of Community Development Date inspection request received:t4's Building aft Code Enforcement Qu Bay Road / atrk _.� t^lyueensbury, NY 12804 Arrive iva �^ G pm -': .. -• p amtpal ..., sp #_tos's Initi 9 '. NAME: 1�IT # LOCATION: �� i^i ^< DA*, TYPE OF STRUCTURE. � RECHECK 3' NIA YES NO �' COMMENTS FootingslPiers l Monolithic Pour Form Reinforcement in Place The contractor is responsibletor providing protection from fing for 48 hours following, the placcilRent of the concrete, , r Materials for this purpose on site P Foundation/Wallpour Reinforcement in Place F � ^ �nntbing 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 'Went Framin Jack StudslHeuders Bracing/Dridgin joist 'Hangers Jack PostwIs"n I3ean� Air Infiltration Barrier Fire Separation 1, 2, 3, hour_ penetration Sealed - Fire Wall 2. 31 4 hour Firestoppin y GENERALr INSPECTI(7N REPQRT ( 518 ) 761 -82 Town of Quee ry Dept. of Co unity Developmen :� Date inspection request received: Building &6 Code Enforcement 742 Bair Road Q sbury, N 128t14 Arriv Depart �.e �pector's Initi - NAME: r PERMIT # VOCATION: DATE ,TYPE OF STRUCTURE: ARECHECK N/A NIA YE CON4 NIENTS Footings/Piers Mo c nr o in in The cbutractor is respo le for providir��-protection freezing for 48 hourkSollowing a placement of the concrete_ ' . Materials for this on site Foundation/Wallpour Reinforcement in PI � Foundationll]ampp 'hn Backfill Approval Plumbing Under S Plumbing VentlV is in Place Rough Plumbi Heating Rough-I Insulation Fouimuien ails Interior R- Foundation alas Exterior R- Floors R- Walls R- ceiling R- Duct work r piping in unhea spaces R- Proper Vent, tic 'Vent Frami Jack S s Bracing/$ridgin$ joist Ilarigers Jack Postin Beare Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin