98-245 WIN
CERTIFICATE OF C7CCUPA NCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
July 20 98
19
Date
32 j aq _. 1 L4 98245
TNI* is to certify that work requested to be done as shown by Permit No.
i
has been CAOmpketed.
288 SQ , FT , RESIDENTIAL ADDITION
This an•ucture may be occupied as a
283 DIXON RD .
Location
Cr?wmcr BURNS r MICHAEL
TAX MAP NO . 96 . - 1 - 7
By Order Town Board
TOWN OF +QUEENSBURY
f
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE 13800 TOWN OF QUEENSBURY No. 94 2 4.9
TAX MAP NO . 96 . — 1 - 7 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to _ BURNS MICHAE
OWNER of property located at 283 DIXON RD Street, Road or Ave.
in the Town of Oueenstwry. To Construct or place a 2 fl8 _'r' FT. SIDE X AT ArAINAmrWION
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. OWNERS Address is
167 DIXON ROAD
QUEENSBURYr NY 12804
2. CONTRACTOR or SUI L17EA V Narne
DAVIS i DENNIS
9, CONTRACTOR or SUILOERS Address
7 ALGONQUIN DRIVE
QUEENSBURYr NY 12804
4, ARCHITECTS Nama
MEN YORK BOARD
S. ARCHITECT'S Address
8. TYPE of Consvuceion — (Phase indicate by XI RESIDENTIAL ADDITION
1 Wood Frame { I Masonry 11 Steel { 1
7. PLANS and Specifications
288 FT . RESIDENTIAL ADDITION PER PLOT PLAN AND SPECIFICATION
8. Proposed Use
288 SO , FT . RESIDENTIAL ADDITION
24 May 14 i9 2000
$ PERMIT FEE PAID — THIS PERMIT EXPIRES It
411 a longer period Is required an application for an extansivn rmM be made to the Sulldlrg and Zoning Inspector of the
town of Oueansbury before the eapiration date.)
14 May 19
Dated at the Town of Queensbury this day of ig
for the Town of Queensbury
SIGNED BY _ Syilding end Zanine Inspector
Building pc�v Milt Applicati'
0 on
T01v" of Q1leensltJfl - De1u. of Co►+rrr+rrufly 17e1=efn nrrerrr,
B UILDING & 1 742 nary 12orrd, QrreerrsLreryr NY12804 1761.82561
gtg
c o v � E ry r Q rr c �• ,�r &�r 7• : ,
Requirements prior to_issuance _
A perout must be obtainer) befora of tlll8 permit:
I+cginning conslruclion. No inspectsans A F1LE No.
will be rnada unlit applicant lies received r—�
a VALID BUILDINp scant f ns All � _f zoning noi+rd Aclfolr FER"IrFE- PAID $
npPlicnnls' spaces on this applicalirm A"�° I rJaa
MUST ba completed and• Ella si RECREA770N FEE pAl $
of Ilre applicant must appear e� tura Q P1aF#F1lrrg ,1.. bard Ac1JoI!
n plicalion forin. nw,.t MIR I Subdivision t ottacr liLVIEWED LrY.
x�
Applicant:
Recreation Fee Payment arir�++�s ruprrror
r~
Owner*
Address;
Address* pc�, r--�'C-'\ r-A
l°lloilo # -�,
I'rcrlturiy l,tlesa lllrrtt _ + ' �`) I { a 4) ""- -^ ' ---.- ---
Subdivision Names 4 Tax Mal) Number 1 l
Section 131ryck lint
NATURE OF PROPOSED WORK :
New Building ; ESTIMATED 14ARKET VAI&UE OF THE
residence / commercial CONSTRUCT3ON0 $ U
AAddition to Building : r�
residence / commercial Alteration to Building : Lr OCCPAHCV X"F0RMATroH t
residence / commercial Building
Buildng
Residence / CommercialSingle Family Dwelling
no orange to exterior size TWO Family dwelling
Family Dwelling
Other Work ( describe below ) Office
Mercantile
ManufacCuring
GROSS AREA OF PROPOSED STRUCTURE : Other
let Floor . . . . . . . . ] sq . ft . If ADDITION , what will use
2nd .door . . . . . . . . ---- sq . ft . G' t new w�ac�lldi io be7 •. _
Other Floora . . . . . � oq . ft . �,
( not unfinished cellar or basement ) _
ACCESSORY BUILDiRCSr
TOTAL FLOOR UREAi •: t tI Detached Garage 1 , 2 cox
SQ . F'I' . Attached Garage It 2 car
SIZE OF NEW STRUCTURES Private Storage Building
/1
Commercial Storage Building
L,Q FEET X 2A FEET Other
Foundation Type s , Will any second- hand or ungraded
( habitable
of Stories .* ' lumber be us ? If sot for what ?
( 1rabS. tabla space only )
Ileiglrt ( grade to ridge ) * feet TY>°k: OF HEATING SYSTEMS
Number of fireplaces and/or woo stove ( crcle ' all ich appil s )
to be metalled : C
Fo red lint "A r Gas / ,Wood
/ Baseboard / Other
Person responsible for s rvisi n of work me regards to building
caches Ise — 'r�C +2�1
nine _ Ik reacts r n
Aulidar *
Plumber : ~
Macron
Electrician , JL
r•
DECLARATTUIV.• Please sdgie ueloty q/?ei• you have carefully read the slalernerit,
To the best or my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true and complete statement or all proposed work to be clone on
Elie described premises and that all provisions of lire Building Code, (lie Zoning, Ordinance and all
other laws pertaining to tine proposed work shall be complied with, whether specified or noted, and
that such work is aulhorized by the ownero i'urlher, it is understood that I/we shalt submit prior to a
Certificate of Occupancy''or Certificate of Compliance being issued, an AS BUILT PLCYr PLAN by
a licensed st drawer to scale, actual locan project oh
Ptio or ' premises.
Signature:
(owner, owner's agent, architect, contractor)
Onk
ENERGY CODE COMPLIANCE APPLICATION 1' ✓
TOWN OF QUEENSBURY , WARREN COUNTY
9000 HEATING DEGREE DAYS
MAY121998
Com liance Methods : PART 5
- Acceptable Practice' --Method -
1 & 2 Family Dwelling. ( only )
PART 6 * - Thermal. Rating - Component Trade Offs
1 & 2 Family Dwellings ; Multi -Family
Dwellings ( 3 stories or Less )
PART 4 * - Design by Component Performance
Commercial Buildings -Hi Rise Residential
* Re uires submission of worksheets
APPL I CANT - S .Y
` NAME : y PROPERTY LOCATION :
fZ
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE :
1 . Gross Floor Area n a u
1 ) _ram square feet
2 . Type of Heat - Electric Oil Gas
Other
3 . Is building mechanically cooled ? Yes
No
4 . Percentage of area of windows and doors Over 17 % ��,1
j X. Under 17 %
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED :
a . Roof
b . Exterior walls R
c . Glazed areas R
d , Exterior doors R - • '
e . Floors over unheated spaces R
R 4
f . Edge of slab on grade ( heated building ) R
g . Basement / cellar walls ( above grade ) R
h . Basement / cellar walls ( below grade ) R
i , Heating/coaling-ducts -piping in unheated space R
6 . Service ( domestic ) hot water heating devic
Conforms to minimum efficiency per code Yes
No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
plic nt ' s Si natur �Dat Ca Phone Nil e
INSPECTOR ' S REMARKS :
RESIDENTIAL FINAL INSPECTION REPORT
ection request received:
Date insp .-�(/
Office No. (51$) 761-8256 Building
& Code Enforcement 8Sillprit
Dept. of Community Development Arrive p mr,e �
Initials
of Queensbury
742 Bay hoed
Queensbury, New York 12804 �jvynI S .,L.���`
NAME ATE
LOCATIL7N
'ITYI'E OF STRUCTURE
NIA YES NO 'COUNTS
Chimney HeightP'W, Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
InteryorlExtenor Railings 3(Y" to 36"
Exterior IlandvwK balconies, landing 18 in, or more
Interior Handrails stairs both sides 3 or mor risers
Grade 210/9 away fmm foundation
W% clearance to sill plate
Gas Valve shut-off exposed/regulator 18 a e grade
Gas Furnace shut-off within 30 feet or within l e of site
oil Furnace shutoff at entrance to furnace area
Furnace/Hot Water Heater opera
Relief Valve(s) installed
Headroom, 6 ft. 6 in. on stairs
Basement stairs, 6 ft. 4 in-
llandrail exterior stairs both sides more than 3 risers
Interior privacy/UmWdoors/rnam entrance 36"
Floor Finish
Bathroom/Kitchen watertight 18 or more
lnte.rior Handrails BaiconieslLanding
hailing across window in stairwells
Smoke Detectors:
every level
every beds ocnn
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door)door closer
Garage fireproofing
Garage penetrations sealed
Furnace to separate room protected (in g e)
Light ventilation per room.
Safety glazing 18" or les r
Final Electrical f
Site plantvariance
Final Survey Plot Plan
As Built Septic System layout required
okav to issue CIC Wert& of Compliance)
Okay to issue temp. Cl CIO (Certi(Certif. of f of Occupancy)
Okay to issue permanent
4189492 THE NEW YQRK BOARD OF FIRE UNDERWRITERS PAGE: 1
BUREAU OF ELECTRICITY
Ill WASHINGTON AVE., SUI ALBANY, NY 12210
Dare .}"l1LY 14 , 19c)t3 fppjj �ft ,p� �y 703498 / 9�3 A13x175i �'
THIS CERTIFIES THAT i . Lic:)
only the electrical equipment ax described below and Introduced by the arced on the above application number is in the premises of
MIKE BURNS . DIXON RD . , QUEENSbURY , NY
in the following location; Q Basement ® 1st F4 Q 2nd FL
n
�fLIE,'f 1r2, , 199Ei Section Black Lot was examined o
and found to he in compliance with the National Electrical Cade.
FIXTURE RECErTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCE FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT, K.W. AMT. K.W. AMT. H.P.
73
1 1 , 5
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTY. TIME CLOCKS UNIT HEATERS MULTI-pLRLEi AMT. K.W. OIL H.P. GAS H.P. AMT. BELL NO. A. W, G. AMT. AMP. AMT. AMPS. TRANS. AM7. H.P. SYSTEMS DIMMERSNO. OF FEET AMT. WATT$
L FT
SERVICE DISCONNECT NO. OF S E
AMT. AMP, TYPE
R V I C E
TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 AW No. OF CC COND. A. W. G- A. W. G,
PER B OF CC. COND. NO, OF HI-LEG OF HI-LEG NO. OF NEUTRAL$ A. W. G
OF NEWRAL
OTHER APPARATUS:
11
32 & L SPOERL E
Dig / '�ytc L
Fl i.E;CTfiIC PLUS
556 A IjIG BAY RD .
QUEaE:NSDURY , NY , 1 .�tS{ c} GENERAL MANAGER
_i n
Per
This cerHflcate must not be uttered In any manner; return to the office of the Board H Incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
F 1
GENERAL INSPECTION REPOT
Town of Qhueensbury r_
Depc of Community Development Date inspection request received: �r
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive. ` am/pm Depart am/pm
Inspector's Initials
NAME: PERMIT #
LOCATION: r DATE :
- i
TYPE OF STRUCTURE:
RECHECK
NIA 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 placement
of the concrete.
Materials for this purpose on site
Foundation/Wailpour
Reinforcement in Place
Foundation/Damppr jg
Bacldll Approval
Plumbing Under Slab
Plumbing Vent/Vents i
\, ugh Plumbing
Pleating Rough-In
Ing ation
Foundation Walls Interior R-
Foundai ion Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in j
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/14eaders
Bracing/Bridging
.foist Hangers
Jack Posts/Mai n Beam
Air Infiltration Barrier
Fire Separation I . 2, 3, hour
Penetration Sealed
Fire Wall 2, 3. 4 hour
Firestopping
Town of Queensbur►° GENERAL INSPECTION REPORTI,•.�� �_,,�
Dept, of Community Development Date inspection request received: /] f/ r
Building & Code Enforcement f � �/{���
742 Bay Road
Queensbury, NV 12804 Arrive - 7)amfpm Depart m
Inspector°s IInitiids
NAME: �1 `�'` .� Q 1 , 2S f`( PERMIT 4 "`( -
LOCATION: C DATE. : - 5�
TYPE OF STRUCTURE:
RECHECK
NIA YES NOCQA+iMENTS
Faotings/Piers_ �
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezi
for 48 hours following the p ment
of the concrete.
Materials for this purpo --site
Foundation)Wal 1pour
Reinforcement in place
Foundation/Damft proofing
Bapkfill Approval
P mbing Undcr Slab
lumbing VentJVcnts in Place
Rough Plumbing
Heating Rough-Ir.
Insulation _
Foundation Walls interior R-
Foundation Walls Exterior R-
Floors R_
Walls R_ f
Ceiling R- - -
Duct work or piping in
heated spaces R-
Preming.
ent. Attic Vent
Jack Studs/Readers y'
Bracing/Bridging
JA
Joist Hangers_Jack Posts/Main Beam
ir Infiltration Barrier
Fire Separation 1 , 2, 3. hour
Penetration Sealed_
Fire Wall 2, 3. 4 hour
Fi restoppi ng
GENERAL 11YSPECT1QN REP1dRT
Tnwn of Queensbury
Dept. of Community Development D
Building & Code Enforcement ate ims,pection request received: /' �' �
742 Bay Road
Queensbury, NY 128" ArriveE"�D.L]`�aml �,+�,
Pm DepstnW= _r m
Inspector's Initials
LOCATION: PERMIT # L Q
TYPE OF STR DATE :
RECHECK
Footings/piers N/A YES NO COMMENTS
Monolithic Pour Form
Reinforcement in Place
The contractor Is nsibl r
Providing protc�tion rn
for 48 hours followin t tng
of the concrete. g lacement
Materials for this pu on site
Foundation/Wallpour
Reinforcement in'
PI ce
Found,n )am roofing
c#i11 Approval
Plumbing Under Slab
Plumbing 'Vent/Vmnts in PIace
Rough Plumbing
Heating Rough-Ir
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
BracingBridgin
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Harrier
Fire Separation i , 2, 3. hour
Penetration Sealed
Fire Wall 2. 3. 4 hour
Fi restopping
)�Y)
GENERA L INSPEG'Tf+I�N ItEI'URT
Town of Queensberry
Dept, of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road -�
Queensbury, NY 12804 Arrivec3•
ant/pm Depa
Inspector's Initials
NAME: �c
LOCATION: PERMIT #
TYPE OF STRUC URE: CC�7 DATE :
RECHECK
N. tirt,gs/Piers
NIA YE O COMMENTS
Monolithic Pour Form t
Reinforcement in Place ,
The contractor is responsible for
Providing protection from freezing
for 48 hours following the placem ni
of the concrete.
Materials for this pu se an site
F•ounda tion/Wall pour
Reinforcement in Place
Foundation/Dampproofing
Bacldill Approval
Plumbing Under Slab
Plumbing Vent/Vents in ace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundai ion Walls Exterior R-
Fioors R-
Walls R-
Cei ling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1 , 2. 3. hour
Penetration Sealed
Fire Wall 2, 3. 4 }tour
Firesloppin