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1999-351 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date geatiteArmhar SPA 19 _99 This is to certify that work requested to be done as shown by Permit No. 9 9 2 E 9 has been completed. • This structure may be occupied as a RESIDENTIAL ADDITION (FAMILY ROOM) Location 23 PERSHING RD. . Owner VTr1".C.F.EFAT.fl i::TTT.T.TAM & By Order Town Board TAX MAP NO. 114 . -2-29 TOWN OF QUEENSBURY ( /)aff, Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 15000 -:TOWN OF QUEENSBURY No. 99351 TAX MAP NO. 114 .-2-29 WARREN COUNTY, NEW YORK. PERMISSION is hereby granted to FITZGERALD, WILLIAM & OWNER of property located at 23 PERSHING RD. Street,Road or Ave. in the Town of Queensbury,To Construct or place a RESIDENTIAL ADDITION (FAMILY ROOM) 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 CYNTHIA; 23 PERSHING RD. QUEENSBURY, . NY . 12804. 2. CONTRACTOR or BUILDER'S Name RIST CONSTRUCTION 3. CONTRACTOR or BUILDER'S Address RR1 BOX 1469 . LAKE GEORGE., NY 12804 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY 5. ARCHITECT'S Address PO BOX 706 HAGUE, NY 12836. • 6. TYPE of Construction—(Please indicate by X) RESIDENTIAL ADDITION ( )Wood Frame ( I Masonry ( )Steel ( 1 7. PLANS and Specifications 32.2. SQNtFT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use RESIDENTIAL ADDITION (FAMILY ROOM) 15 June 21 2001 $ PERMIT FEE PAID —THIS PERMIT EXPIRES. - 1 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) 21 - - June 19 1999 Dated at the Town of Queensbury this Day of SIGNED BY \ for the Town of Queensbury Building and Zoning I spector Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-82561 o. • BUILDING & . CODE ENFORCEMENT NOTICE Requirements prior to issuance c- ' 1 of this permit: PERMIT FILE NO. V•..•.�►.-.:. A permit must be obtained before ! OO beginning construction. No inspections '! Board Action PERMIT FEE PAID$ / . , will be made until applicant has received 1-7Zonutg a VALID BUILDING PERMIT. All Arca /Usc RECREATION FEE 1'!1D$ applicants' spaces on this application MUST be completed arid•the signature n Planning Board Action REVIEWED BY. of the applicant must appear on the SPR / Subdivision /Other Building Inspector application form. Man k you. i Recreation Fee Payment Applicant Rist Construction Co. , Inc. Owner: M/M William Fitzgerald Address: 1368 Bay Road 23 Pershing Road • Address: Lake George, NY 12845 Queensbury, NY 12'804 Phone # ( 518 ) 798-1-881 Phone # ( 518 ) 793-7874 Property Location: 23 Pershing Road , Oueensbury, NY ' • Subdivision Name: Broad Acres Tax Map Number 1�� 29 . Section Illoek I nt NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ 15,000 residence / commercial X Addition to Building: residence / X x OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial X Single Family Dwelling Residence / Commercial Two Family Dwell ' • . ,..,,._ no change to exterior size Family Dwe brot:. �� . Office Other Work (describe below) Mercantile JUN 1 5 1999 Manufacturing — Other • TOWN OF OUEENSURY — GROSS AREA OF PROPOSED STRUCTURE: BUILDING AND CODE c� If ADDITION, what will use 1st Floor -- - - 322 sq. ft. of new addition be? : 2nd .Floor sq. ft. FAMILY ROOM Other Floors sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS• ' Detached Garage 1, 2 car TOTAL FLOOR AREA: 322 SQ. FT. Attached Garage 1, 2 car . Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building 23 FEET X 14 FEET Other • Foundation Type: concrete block Will any second-hand or ungraded ' Number of Stories : 1 lumber be used? If so, for what? (habitable space only) NO Height (grade to ridge) : 18 feet TYPE Oda HEATING SYSTEM: FORCED AIR Number of fireplaces and/or woodstove (circle all which applies) to be installed: NONE Electric / 'Oil / Gas / Wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work as regards to building codes is : Byron B. Rist - 1368 Bay Rd . , Lk. Geo . 7q8-1R21 Nnine Addresss Phone Builder: lest Construction Co . , Inc. Plumber: " II " Mason: " " II Electrician: " " U • 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: , /, ✓' - /2_ ( w fry___ architect, contractor) COMMONWEALTH ELECTRICAL INSPECTION SE ICE„I c. �/ Main Office 176 Doe Run Road-Manheim,PA 17 5 MUNICIPAL CERTIFICATE - ELECTRICAL A OVAL Panel Board No Cert. N2 64853 Cut-in Card No. Owner / l !............fl.... .SQ fc-I Location 3 felzst4tie C 5 �'- V Q Installation Consisting of 0 SI41 ( re-1*r 7 1)J 3 u 7Ff y4-AJ - ADD/ 7-70 D Installed By & 4,L./?. c;ay 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 sections at any time, and if its rules are violated,the Co pany shall have the right to rev ke is, icat Date ,9 -L INSPECTOR f RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: /7/7', Building& Code Enforcement Dept. of Community Development Arrive gm�Depart D i Town of Queensbury Inspector's Ini• 742 Bay Road Queensbury,New York 12804 NAMES��G� .� G�t im. PERMIT# LOCATION d 3 ry 7 ..,DATE 9 ��D` /14vnchef TYPE OF STRUCTURE eo, f1c rz4 1 -^7/ Il N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landin: 8 or more Interior Handrails stairs both sides 3 or mo e risers Grade 2%away from foundation / 8"clearance to sill plate ,/ Gas Valve shut-off expos .. •r 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at en• • I - to furnace area Furnace/Hot Water Heater o ating Relief Valve(s)installed Headroom,6 ft. 6 in. on J'rs Basement stairs,6 fl.4 Handrail exterior stairs loth sides more than 3 risers Interior privacy/tsim/d•/rs/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 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) GENERAL I :'PECTION REPORT ( 518 ) 761-8256 Town of Quecnsbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road pp Queensbury,NY 12804 Arrivel -clam// Depa ' am/ Inspector's Initia s NAME: PERMIT# LOCATION: /rr', DATE : 1/FSW19 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I F Monolithic Pour Form �. Reinforcement in Place The contractor is responsible for ;y providing protection from freezing for 48 hours following a placernentl of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior,1 R- Foundation Walls Exterior R- Floors fi- Walls R- Ceiling R- /) Duct work or piping in III unheated spaces R • - � � Proper Vent, Attic Vent riming 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 :.a:.:_. :; sue_ 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 i Del •rt Inspector's In tia !` l► NAME �� PERMIT# LOCATION: \ R DATE : 41, y 13 TYPE OF STRUCTURE: 6 . RECHECK • N/A YES NO OMMENTS Footings/Piers I Monolithic Pour Fonn • 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 Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heatin Rough-En In ion Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- 11 Ceiling R- 1" Duct work or piping in unheated spaces R- roper Vent Attic Vent ~ Framurg Jack Studs/Headers Bracing/Bridging S Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, ur Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury (// /9 Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road ;, fin Queensbury, NY 12804 Arrive_ ✓ Depart ". m Inspector's Initi NAME: 441i PERMIT# / LOCATION: ;? 3 E : �, TYPE OF STRUCTURE: RECHECK # 4 D y N/A YES NO I OMMENTS Footings/Piers F I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezin for 48 hours following the placem �t of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- 9 Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent gaming_' Jack Studs/Headers Bracing/Bridging Joist Hangers kie Jack Posts/Main Beam V 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 ' e ; Depa I In pector's Initia NAME: 1_L F PERMIT# i i LOCATION: 7 1 I;l (� DATE : —99 TYPE OF STRUC RECHECK N/A YES NO CO I I NTS Footings/Piers � I I Monolithic Pour orm Reinforcement in ace The contractor is sponsible for providing protcctio rom freezing for 48 hours following c placement of the concrete. Materials for this purpose on s' c Foundation/Wallpour Reinforcement in Place Foundation/Dampprooli ng Backlit! Approval Plumbing Under Slab Plumbing Vent/Vents in Place 441 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 proper Vent, Attic Vent /Framing— CI0F ttv Jack Studs/Headers Bracing/Bridgin. Joist Hangers Jack Posts/ 'ain Beam Air Infiltration Barrier Fire Separation I, 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 ta3amepart Inspector's Initia NAME: ZA P PERMIT# _ l LOCATION: (�Y c� s a . DATE : �dy TYPE F STRUCTURE: �d \ J \ REC CK N/A YES,NO C••iI I NTS Doti Is/Piers Monoli sour 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 Foundation/Wallpour Reinforcement in Place Foundation/Dampproof ng • Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls Ceiling R- Duct work or pipin 'n unheated space: R- Proper Vent, Attic ent Framing Jack Stud eaders Bracin, :ridging Jois 'angers 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: 7 O`s' Building& Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive Depart Ate: ycltrA_(7Y pInspector'sNAME: �Jv ( PERMIT#WAIF / LOCATIO �j ' ATE : �2 J- i-O �i� - TYPE OF STRUCTURE: PA, ( -- RECHECK C N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection f e- eezing for 48 hours followi g the pl cement of the concrete. Materials for this pu . e on sit Foundation/Wallpour Reinforcement in Place Foundat..n/Dampproofi Backfill Appr. Plumbing Under Slab • Plumbing VenUVents in 'lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Int;rior R- Foundation Walls Ext rior R- Floors R kOt - Walls ' R- Ceiling R- Duct work or piping in unheated spaces R • - Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging , Joist Hangers 15&c, C 4. 0 7_ RTT_ Jack Posts/Main Beam Air Infiltration Barrier mil✓ `€-lam % Fire Separation 1, 2, 3, hour • Penetration Sealed Fire Wall 2, 3,4 hour Firestopping c:" Pt-1 . GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: 7— S-q9 Building& Code Enforcement 742 ..;ay Road Queensbury,NY 12804 Arrive am/pm Depar j ' t am/pm ,, 4-517 Inspector's Initials ' C__' NAME: 4-(0,e PERMIT# q WI LOCATION: 3 P 1---: DATE ' -2 -- /s 1 TYPE OF STRUCTURE: dA— RECHECK ""'( d N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for ;' providing protection from freezing for 48 hours following the p acement of the concrete. Materials for this purpose•on'site . Foundation/Wallpour \ Reinforcement in Place A 7/ Foundation/Dampproofingf ` t/ �I y$ackfill Approval Plumbing Under Slab Plumbing Vent/Vents in place Rough Plumbing \ Heating Rough-In J 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 GENERAL INSPECTION REPORT Town of Queensbury t Dept. of Community Development Date inspection request received: f e Z?/ Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart/ ' am/pm Inspector's Initials f' NAME: A 'I 1 CI) PERMIT# C-) J LOCATION: 23 re-e.Sk;"4 iz_,�. DATE : _. �`TYPE OF STRUCTURE: / RECHECK N/A NO COMMENTS *ootings/Piers Monolithic Pour Form Reinforcement in Place a.- .i it / I The contractor is responsible for providing protection from =- '•i for 48 hours following the ph - of the concrete Materials for this urpose on • - Foundation/Wall ur Reinforcement in P cce Foundation/Dampproo I , ' Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pl. - 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 RISTCONSTR. CO. INC. M/M William Fitzgera:_ 3 1368 Bay Road 23 Pershing Road Lake George, NY 12845 Queensbury, NY 12804 (518) 798-1881 a (Fax) 798-9941 Sec 114_Blk_2 Lot 29 _ June 11 , 1999 SCALE: 1" = 20 ' 110 ' • 99ICAIV 61 ' • JUN 15 1999 TOWN OF OUEE` SBURv BUILDING AND CODE 23 ' X 14 ' ADDITION 23 ' 150 ' 114 ' 58 ' ,/ 121-7/ / 40 ' .r 36 ' • 39 ' PERSHING ROAD