98-193 CER.TIFICA.TE OF OCCUPANCY'
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
September 29 98
Date 19 —
98193
'This is to certify that work requested to be done as shown by Permit No*
has been completed.
RESIDENTIAL ALTERATION ( ENCLOSING CARP T )
This structure may be occupied as a
158 WEST MT , RLD .
L..oc'stiori
BACON , RONALD & DEBRA
Owner
TAX MAP NO . 12 5 . - 2 3 . 1 By Order Town Board
TOWN OF QUEEMBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE S 1000 TOWN OF QUEENSBURY No. 9$193
TAX MAP NO . 125 . — 2 - 3 . 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to BACON RO
iLiD AL—
OWNER of property located at 1. 58 WEST MT Street, Road or Ave.
in the Town of Dueensbury.
To Construct or Place a RESIDF'T7_ JAL A7 TR'iZ +INTION ( -MCIrING CARPO
at the above location in accordance to application together with plot plans end other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t. OWNER4S Address is
80 EAGAN RD .
QUEENSHURYr NY 12804
2, CONTRACTOR er GUILDERS Name
DEeA'N3 , DONAL D JR
°C R ,uLR� dDE ISAND AVE .
QUEENSHURY , NY 12804
4. ^RC141TECT'S Name
NEW YORX HOARD
s. Af*NECJ10"Ve+bARD OF FIRE UNDERWRITERS
[7.
TYPE of Construction - #Pkow indicate by X) RESIDENTIAL ALTERATIONS
I } Wood Frame # 1 Masvnry # 1 Steel # I
PLANS end Specifications
57 SQ FT RESIDENTIAL ALTERATION ( ENCLOSING CARPORT ) AS PER
PLVPLAN SPECIFICATIONS
S. Proposed Use
RESIDENTIAL ALTERATION ( ENCLOSING CARPORT )
24 April 29 2000
PERMIT FEE PAID — THIS PIER MIT EXPIRES 1f1
S #If !fin a ft �u a bef am appsxplrat on r an date. xtension mum be male to this 8ulkfina and Zoning inspector ut the
29 April 19
Gated at the Town of aueensbury this Dav of ltfl
for the Town of Queenstwry
SIGNED BY guiWinyand Zoning I
.Building .Permit .Application
Town of QueensbUry - Dept. of Cmitonuidly Development, 742 Dory Road, Queensbury, NY 12804 1761-8256]
BUILDING & CODE ENFORCEMENT
D� Y Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NC7. _may
beg inning construction. No inspections PERMIT FEE PAID Dq , Oo
will be made until applicant has received 0 Zonhig Board ACdon ---
a VALID BUILDING PERMIT. All Area / Ilea
applicants" spaces on this application RECREA770N FEE P $
MUST be completed and. the signature Q pTarrtning Board .Callon REVIEWED BkOEPY.
of the applicant trust appear an the
5PR I Subdivision / Other �r� tnr aor
plication farm. nr.r y.. Recreation Fee Payment
Applicant: _ gnu U L !�5.f -✓ 00' Owner,
Address: _s 'ury -.� .4 4t>�5' L R tw.lcrSi ��
Address: �
Mimic #
Plione #wwwww Y.ww�y CRY I..fM � MIIMY��� .PIMI�Y.11�1 IIMI�M.wiw w.y
Property l.ocatlon:
Tax Mn Number .1 J- '� ,..1
titthdivleiun tJarnot p
" 14601611t Itli,ak lilt
NATURE Or PROPOSED WORK t ESTIMATED MARKET 'VALUE OF WHE
New Building t CONSTRUCTION :
residence / commercial
Addition to Building :
/' residence . / commercial OCCUPANCY INFORMATIONt
Y Alteration to Building : a
Pri ry Building -
�gidence / commercial _�/ �Single Family ,,PXeJ ling___
Residence / Commercial Two Fancily Dwetljmg -
no change to exterior size Family Dvfie11rTtg
Office
Other Work ( describe below ) Mercantile APR 28IM
Manufacturing .• :�� '
Other
GROSS AREA OF PROPO$F,l? STRUCTURE t .°
lot Flour . . . . . . . . sq . _ ft . If ADDITION , what + will use
2rtd .Flour . . . . . . . , sq . ft . of neat additio e7 .
other Floors . . . . . Sq . ft .
( not unfinished cellar or basement ) ACCESSORY BUILDINGSt
�r' Detached Garage 1r car
:
TOTAL FLOUR AREA s SA SQ . FT . Attached Garage I r /rZ, ,tor
Private Storage Bu ding
SIZE OF NEW S'IRUC tIRE0 Commercial Storage Building
FEET X FEET Other ,
Foundation Type : Will an second-hand or ungraded
Number of stories : lumber a used? if Sol for what?
( habitable space only )
Height ( grade to ridge ) : feet TYPE Or HEATINQ STSTEMt
Number o fireplaces and/or woo stove { circle all which applig8 )
to be installed ; Electric / Oil / Gas / /Wood
Forced Hot Air / Baseboard / Other
Person responsible for su ervision of work as regards to building
codes Is . � :I l L 2 2 Cy % 79
Name Address Phone
Builders
Plumber .
Mason :
Electrician :
DECL ARA710N.• Please sign below qfte)o 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 Vwe shall submit prior to a
Certificate of Occupancy''or Certificate of Compliance being, issued, an AS BUILT PLOT PLAN by
a licensed surveyyl drawn to scale, owing actual location of project on premises.
Signature:
(owner, owner's asentooffrrbitect, contractor)
RESEDENTIAL FINAL INSPECTION REPORT
office No. (518) 761-8256 Date inspection request received-
Building & Code Enforcement n- C
Dept_ of Community Development Arrive atnlpm Depart
Town of Que+ensbnry
Inspector's Initials
742 Bay Road
Queensbury, New York 12804
NAME tit..��-`+-�"►� PERMfC #
LOCATION CJ . DATE
TYPE OF STRUCTURE
NIA YES NO CONINL.ENTS
Chimney Heightf'B" Vent/Direct Vent Location
Fresh Airintake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30" to 36"
Exterior handrails, balconies, landing 18 in. or more
Interior handrails stairs both sides 3 or more risers
Ciradc 2% away from foundation
8" clearance to sill plate
Gas Valve shutoff cxposed/re,gulator 18" a de
CJas Furnace shutoff within 30 feet or wi line f site
Oil Furnace shut-off at entrance to furna area
Furnacefl-Iot Water Heater Opera"
Relief Valves) instal
Headroom, 6 it 6 in. on
Basement stairs, 6 fl. 4 in.
I landrail exterior stairs both more than 3 risers
lntenor privacy/turn/doors/ in entrance 36"
Floor Finish
BathroonVICitchen wat igbt
interior Handrails caniestLanding 18 in. or more
Railing across ow m stairwells
Smoke Detecto
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
14 oundation insulation
f4 hour fire door/door closer
Jarage fireproofing
Garage penetrations sealed
vurnace in separate room protected (.in garage)
Light ventilation per room
Safety glazing I8Wreq
Cry]ir floor
Final Electrical. &+
Site PlanlVariand
Final Survev Plot Plan
As Built Septic System layout required
Okay to issue C/C (Certif of Compliance)
Okav to issue temp. C/O (Certif. of (-)ccupancy)
Okav to issue permanent C/O (Certif. of (--ccupancy)
GENERAL LMIPECT11V RE RT ��
�f
Town of Queensbury
Dept+ of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Read
Queensbury, NY 12804 Arrive Z (lb am/pm Depart am/pm
Inspector's Ini i a
NAME: `► PERMIT # CJ f
LOCATION: DATE ;
TYPE OF STRUC.TUR.E:
RECHECK
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 followin the place
of the concrete.
Materials for this purpose o ite
FoundationlWallpour
Reinforcement in Place
Foundation/Dampproo
Backfiill Approaval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbin
Heating Rough-in
am
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
Fra
Jack Studs/Readers
Bracing/Bridgin
Joist Hangers,
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2. 3, 4 hour,
Firestopping
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
1TT WASHINGTON AVE., SUITE 704, ALBANY, NY 12210
1
bate i0[AY 1 ' . L998 43689093f98 h 44'-)'.5'..`
THIS CERTIFIES THAT A" � ' nn W
only the electrical equipment as described below and introduced by the 9 amed on the above application number ON in the premises of
D . BACON ., 158 k'IEST i-IT . RD . QI JEENSBURY , NY
in the following location ❑ Basement El1st Fl. ❑ 2nd rid. GAR Section Block Lot
was examined an Jui'Y 15 ' 1998
and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES caaKlrr DEGKs QVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCEN FLLNOUSCENT OTHER AMT. I K.W. i AMT, I K.W. AMT. I K.W. I AMT. K-W, AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS BELL UNIT HEATERS f MULTI-OUTLET DIMMERS
SYSTEMS AMT. K.w- Oil H.P. GAS H.P. AMT. NO- A. W. G. AMT. AMP. AMT. AMPS. TRANS. NO. OF FEET AMT. WATTS
SERVICE DISCONNECT E ETE R R M S E R V I C
ME
AMT. AMP. TYPE EQUIP. 1 91 2W 1 0 3W 3 1} 3W 3 Ir 4W NO' OF CC PER O ON D. OF CC. CONf). NO. OF HI-LEG OF HIdE6 NO. OP N{UTRA LS OF NEUTRAL
OTHER APPARATUS:
RONALD BACON
158 WEST HT . RT) . L L
QUE'ENSDURY , N`8' , 12804
GENERAL MANAGER
239
Per
This cerflficate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by Their credentials.
COPY FOR BUILDING DEPARTMENT. THIS CQPY QF CERTIFICATE MUST NQ7 E4E ALTERED IN ANY MANNER.
GENERAL INSPECTION REPORT ^V� C '
GENE
Town of Queensbury r/
Dept. of Community Development Date inspection request received: � Y
Building & Code Enforcement
742 Bay Road �jFtit,, �►�
am/pm
Queensbury, NY 12804 Arrive am/pm Depart /4 !
] nspector's Initials i .
NAME: Qn PERMIT # `7 - '
LOCATION: DATE
TYPE OF STRUCTURE:
RECHECK
N/ YES NO COMMENTS
Footings/Piers_
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl for
providing protevtion from ing
for 48 hours follow the pla ment
of the concrete. ,
Materials for this purpose on site (r
Foundation/Wallpour
Reinforcement in Place
Foundation/Damppmofingva - -
Backfill Approval ��»L
Plumbing Under Slats
Plumbing Vent/V znts in Place /
Rough Plumbing .3tZ l I/v�� lG G1�} �^ �•t /�
Heating Rough-Ir '!
insulation__
Foundation Walls Interior
Foundation Walls Exterior ! /P"
Floors R , / V CC1�[ r�4 -e drf
Walls - c/ J
Ceiling - /
Duct work or piping in
unheated spaces R-
Proper Vent. Attic Vent �'4r°
Framing
Jack Studs/Headers
Bracing/Bridging,
Joist Hangers_ /!
Jack Posts/Main Beam ,�
Air Infiltration Barrier { 4 / ,�5 L+/c kl
Fire Separation 1 , 2. 3. hour 1 I� l
Penetration Sealed a J
Fire Wall 2, 3. 4 hour
Firestopping J
49
�/'�f/' irrf / ) �+ " A y 518} 161-8256
TOWN OF CUEgNSgURY
I3UILDIN'G N
S C44E ENFORCFYE12804
742 13AY RD , OUEgNSBURYLNT
DEP ART
. ---
INSPECT'O'R' S REPORT :
FO NSPEC dN RECEIVED %
REQUEST
N AME C
LOCATION � `.
PERMIT
r
DATE
TYPE or STRUCTURE = pr, PR E
NIA ES N
RECkiECK
5
p C
FO'R
SPOHSIBLB 6
Tor COHSIZAC'TflR i8 RE pI„ACE
FROVIDT"O pROTE TIO1140 F
FOR 4S IAOURS TO
OR OF ,S,R CO R,I„TE .
SE dN
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ROOF NG
C FI R V -
IN VE14TIVEN
ROU H Pix GEL
U BING UNDE SLA9
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7ACK I°
TION ARRIE
AIR
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Ep IN R
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F UN 4 T dN INLS ]STER R
dORIN
DUCT WORK OR PIPING
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TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with our comments shag
N ,}F u
not be construed as indicating the
plans and specifications are is full
compliance with the code_
s
FILL py
DATE
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