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98-233 Q011 ,.� BUILDING PERMIT W N OF +QUEENSBURY VALU,ti * :itiOY'J"FI No. *.4tf :E :i ;i z'AX NAle 14V * 9b . — b - 4 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to l4KCJiVL"lY1sl :i{Csf::1i JfI 8e OWNER of property located at StYLltA'1'tJ�V 1.AN Street. Road or Ave. in the Town of Quleensbury, To Construct or place a L" lilt:L[3�CiLf Yt3kCC:ti fNf 1`i`ti AlJilt't 1tJN 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. t. OWNER"5 Address is ZLA1N&; / titlzKA'.t't N LAL7L': WUZ1! Nk:i!!Ui{Y r l,VY 12bus 3. CONTRACTOR or BUI LDER'"S Nun* Mu".LlVtai r Ll''.z 3. CONTRACTOR or SUILOER'S Address fUiSL'iPf'�3t3UK Y r PV Y 1 l f3IfJ 4 4. ARCHITECT'S Name L;t.?lAliR[JNMILiAL'1'tl L:L!".iUIr*t'L1. + At+ :ilC:Y S. ARCHIW'S *ss.1bb "Amuuz r HY 11t$ db 6. TYPE of Construction — ipleaso irdicateby ]tf Ki.,ti117>;11F'i'la r . 19lifyli`i'iC71V I l wood Frame ( 1 Masonry l 1 Steel I 7_ PLANS and Specifications 11 btu Y"'i` 1'CiK[ 1-f AN1J 1 ! l •„AJ J!'1' flL1L71'1'1 VLV ( trf Jt3/3 Y KVC)lMl ) AS Yi:K VLLI f:`LANi B. Proposed Use r;NL;1N1Ubk;Li YVKL:tI rlli'rtl AL1L7 L'11V1V 5y neatly I V ltDiDf6 S PERMIT FEE PAID — THIS PERMIT EXPIRES 19 (If a longer period is required on application few an aKt*neaon nwo be made to th* Swilling and Zoning inspector of the town of oue*nsbury beforo the *Kpiration d*ta.i 1 y aKafty IV Dated at the Town of Q sbu t'his of IN}� r SIGNED BY L^ r + �` for the Town of Queensbury Bwildirg and ulna rtrproltlr BuI11 . i ig Pe rrnit Application Town ofQueeIISrbwy - Dely. ofCwlrrrrimily Development, 742 Dory Road, iQueembury, NY 128U4 1761-8256] BUILDING & CODE ENFORCE41ENT NOTICE Requirements prior to issuance _ A permit must be obtained before of this permit: - ML�RMIT FILL NO* beginning constriction. No inspect ioais will be made until applicant has received Zoning hoard lalort PERAHT rRE PAID a VALID BUILDING PERMIT. All Arc* J Use � S R RCA FEE P4VD an � applicts' spaces on this application r�Y / ,q�. t ..F-' :... . . Ml1S'C be completed mid ilia signature [� Plalusing Board D{bs. .,, IEWE,D DY. k°V' of the applicant must appear on the T r . Spit I subdiviglop r MpI ?.A'� $rAdiflrtg 16"Ivaor pticalion form. MwA ,y Recreation Fee Pay"i6nT' . Applican . Ownen f- Address: wwwn.r�` wwiwrr rr r.. i'�l{�llt} w.w.rrwwr ww�ww wwwwrwa.w llrollurly LoaIIi111It1 n l Subdivision 1Vnit)c. Tax Mal) Nun)l)ar 1 Section block Lot NATURE or PROPOSED WORK : ESTIMATED MA>FtICiS'T V OF TH§�) New Building : CONSTRUCTIONO residence ,! commercial _ Addition to Building : residence / commercial OCCUPJWCY INFORMATIONs Alteration to Building : Pvluw6ry Building - residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work. ( describe below ) Mercantile Manufacturing Other GROSS AREA of PROPOSED STRUCTU let £ lour . . . . . . . . aq , f If ADDITION , what will ll use ft . � of new adds} oa b Other Floors . . . . . sq , ft . o �, ( not unfinished cellar or basement ) C ACCESSORY BUILDINGS t �.? C Detached Garage lr TOTAL FLOOR ARENi : ; SQ . FTa >C�? Attached Garage 1 , ca Private Storage Building SIZE //OF NEW STRUC'fu EJ:-y •�� Commercial Storage Building c Other FELT T }C FW ' �► �. Foundation 'Type : �� Will any second-hand or ungraded Number of Stories : Lumber be used? If sor for what ? ( habitable space only ) �-, height ( grade to ridge ) : Cg feet. TYPE OF HEATING SYSTEMS Number of fireplaces and/or woo stove ( circle ' all which appli�a ) to be installed . _ Electric / Oil / Gas / /4iood Forced [tot "Air / Baseboard / Other Person responsi le for u ervielon of work a4aL. regards to buildinct codes low Naive dr Phon Builder : Plumber : Mason : Electrician : _ DECI.r4F 770N.• Please slgrt below rfler you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications subinilled, 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, (lie Zoning Ordinance and all other laws pertaining to (lie proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that l/we sl►all submit prior to a Certificate of Occupancy'or Certificat of Compliance being issued, an AS BUILT PI-X)T PLAN by a licensed murveyorr• Yawn to st ing actual location of project on premises. Signature: net ser's a lit, archilect, contractor) r i 1 TOWN OF QUEENSBURY 742 Stay Rd. , Queensbury , NY 12804 APPLICATION FOR. SOLID FUEL BURNING APPLIANCES AND CHIMNEYS f Date —Q , 19 (?/ Permit No . APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with { all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form � if more than one appliance andlor chimney. Appiican# 01,10 t I�rir [a k 1 e t -2 eAeo�chC_'Y APPLIANCE (check appropriate boxyas Address � 7'" ZM s yag46 Yt .,Q'rl@ �` STOVE: o Woad o Coal a Pellet ❑ FIREPLACE INSERT 2&8A:kr t"�V Y / Zip - '� ``'� ❑ FIREPLACE, FACTORY-BUILT: { —"T' Cl Wood ❑ Gas Phone '� ► 0 7 6 / C3 FIREPLACE, MASONRY: O Wood ❑ Gas Owner ::50 w c ❑ FURNACE: (p Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: Manufacturer: V7' Cawsr,zt O* Id Zip t) Model : s Phone CHIMNEY (check appropriate boxes) =E:: DDRESS of proposed construction ❑ MASONRY:, ❑ Block © Brick ❑ Stone FLUE: ❑ Tile o Steel Size: inches CONSTRUCTION 1 INSTALLATION MUST 0 FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: VT. kSrk (.,Model : ��K � BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS o Double Wall o Triple Wall REGARDING REQUIRED INSPECTIONS. © insulated Direct Venting © Chimney Liner Cashier' s Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 (190 ) Public Safety A 233 2+655 (230) Minor Sales ee ColiecteA Fx n�funded to: s: Dated : ) Town Clerk or Deputy: White. Applicant Green.- Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. �~ 3,3 '.Main Office 176 Doe Run Road - Manheitn, PA 17S45 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No..............................Cert. N4 65297 Cut-in Card No. .,................................. Owner......... T .et. /4,' 47 o0v gsr /' 05 en� a �� .........................._.._....................................................._«........................................ de Location ..... ,.....s . f-X-CR A- 7-0AJ eTL4z6r to ................ ........._..,�. ........... _,,...,........................ .��rrRJ i Installation Consisting of TC.............. ............ ��72 ��fJ ...............................................................................,,................. ................,,.. InstalledBy...... . '..................................................r. Lic. No. ,............................... ......,..,,.. 'rhe conditions to lowing 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, inspections at any time, and if its rules are /violated, the Company shall have the right tto///r[`yJtkoke his tificare. Date...�...��..". �..... ..or.,.................... INSPECTOR ...Z�.' ........ ..... ................... Menu lie N.F P.A.. I.A E.1. RESIDENTIAL FINAL INSPECTION REPORT Office No. (51g) 761-8256 Late inspection request received: Building & Code Enforcement „ Dept. of CommunityDvwe€apmeat Arrive am/Pm Ilepartij - Town of Qaeensbury rM lnspector's Initials 742 Bay Road Qaeensbary, New York 12804 NAME 1[ PERMIT' # LOCATION BATE '2 TYPE OF STRLICTjjRE p(� YE NO COMMENTS Chimney HeightP13" Vent/Direct Vent Location Fresh Air Intake Plumb Vent thnxigh roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing I$ in. or ore Interior Handrails stairs both Rides 3 or more Grade 2% away from. foundation Gas Valve to s;� plate �r. Ile C"xa3 Valve SIIUt-[7 Expfl�d/P4'g,71]atOY 1$" a v+e Gas F„ nace shut-o 30 feet or wi of site Oil Furnace shut-off at en>t'eu1 FurnaceM'Dt Water Fester operatin Relief Valve(s) installed Headixx xn, 6 ff, 6 in. on stairs Basement stairs, 6 R 4 Handrail exterior stairs both sides more 3 risers Interior privaWtrim/doorsfmain en 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balcomes&anding 1 in. or more Railing across window in stairvvils Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation '/4 hour fire door/door closer Garage fireproofin Garage Penetrations sealed a Furnace in separate room protected (m garage) Light ventilation per roots Safety glazing 1$" or less from floor Final Electrical L -' AIRC r Site Plan/Variance required T�� 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) 00 30 FIRE MARSHAL TOWN OF QUEENS$URY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME �~ LOCATION SCHEDULE INSPECTION ON - IT # z A 1 APPROVED EXITS NIA YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING r FIRE EXTINGUISHERS--��_, FIRE ALARM SYSTEM -- --� FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION t INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINrvl ERS _ CLEARANCE TO HEATI ; UNITS REQUIRED SIGNAGE iMNEY OoD STOVE FIREPLACE 1j MASONRY Q FACTORY BLT, 0 UGH-IN FINAL REMARKS: OK TO THIS DATE rrNSPECTOR GENERAL IN.S"PECTI(lN RLPORT ( 51 $ ) 761 - 8256 Town of Queenshury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Bond �Q Quecnshury, NY 12804 Arrive am/prn De part �i' �rn Inspector's initial NAME: 1 `�� PERMIT LOCATION: t7ATE TYPE OF STRIJC URE: RECHECK NIA YES NO COMMENTS Foolings/Piers Monolithic Pour Fonn _ Reinforcement in Place The contractor is responsible for providing protection from freCA g for 48 hours following the pl• omcnl of the concrete. Materials for thi purpose on itc Foundalion/Wal ur _ Reinforcement in TM -- Foundation/Dampproolin Backfill Approval_ — - Plumbing Under Slab Plumbing Vent/Vents n Place-,-- Rough Plumbing_ Heating Rough-In f Insulation_.. Foundation Walls Interior R- Foundation Walls Exterior R- Fioors R_ Walls R_ Ceiling }Z_ Duct work or piping in unheated spaces R- Proper Vent. Attic Vent -- Jack Slflds/Header4 Bracing/Bridginl;�-- - Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier - - Fire 'Separation 1 , 2. 3, hour Penetration Scaled _ T Fire Wall 2. 3, 4 hour - Firestopping --_. - RESIDENTIAL. FINAL INSPECTION REPORT Gffice No. (518) 761-8256 Date inspection request received- Building & Code Enforcement Dept. of Community Development Arrive am/pm Depart- ''� Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, New York 12804 NAME /�L t�'+t�c I PERmrr # LOCATIC)N DATE c TYPE OF STRUC'l`t.JRE N/A YES NO COMWNTS Chimney HeightP B" Vent/Direct Vent Location Fresh Air Intake Plurnb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 3 " Exterior Handrails, balconies, ]an g 18 or more Interior Handrails stairs both sides or in risers (Trade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulato 18" at ve grade L , r I,V Gas Furnace shut-oft' within 30 feet o %vidunjime of site Oil Furnace shut-off at entrance to ce (QN&ee_3 JZ& A4 -V< Furnace/Hot Water Heater operating Relief Valve(s) installed /Ileadroom, 6 ft. 6 iu� 'rs //��T" Apt" Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers interior privacwltri.rn/doorsimain entrap t, Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/landing 18 in or more R"r ing across window in stairwells Smoke Detectors- every level every 1x^droom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3,''4 hour fire door/door Closet' Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Fired Electrical Site Plan/Variance required Final Survey ]'lot Plan As Built Septic System layout required Okay to issue C/C (Certif. of Compliance) Okay to issue temp, C/O (Ce-rtif of Occupancy) May to issue permanent C/o (Certif. of C)ccupancv) COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC. Main Office 176 Doe stun Road - Manheim, PA 1754E IF9w 2, w3 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No. ..................... NQ 66678 Cut-in Card No. ..... Owner........... .....'.......+4K � f [ ....l J G'^!�.'R.f�t ��'�/�� Lea ............ .. h ..........' / ........ ................................. [.ocation ,,.... `'�! i�`2s4f Yt^9 a�.J� ...... .............................................C=?C.r. (.. ... .... ... Installation Consisting of".,,.. ...,..�rw,C i`C f1G 2G� -7p �" .............................. ,I......__,,.....uu, a.!.. �..... .......... ..... ........_....... ........ ............................ .... . ... .. .. Installed By. .. .,`............. �4 . ! ..r..!� 4p ....4..... 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 tions at any time, and if its rules are violated,, the Company shall have the right to r this c ti te. Date.. ..l r ! 7 ......V..........«_......... INSPECTOR ...... ...... ......... a~�� "--�d'r Member N. .......................................... .. ....."I. F.P.A., IAE.i_ +GENERAL I1 MECTI JV EPC l Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury$ NY 12804 Arrive am/pm. Depaart� Inspector's Initial$ NAME: . C� ,�,, PERMIT # c LOCATION' DATE TYPE OF STRUCTURE: RECHECK. N/A YE NO COMMENTS Food ngslPiers Monolithic Pour Form Reinforcement in Pierce The contractor is 'ble for providing protection m freezing for 48 hours following a placement of the concrete. Materials for this p,*rmce site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin BackftH Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing. Heating Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior - Floors Walls Ceiling R- Duct work or piping unheated spaces R- ��r�Vent, Attic V t Jack Studs/H Bracing/Bri Joist Hangers / lack Posts/Main Bm ea _ Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 37 4 hour Firestoppin GENERAL MSPEClTION REPf7RT r Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement ' } 742 Bay Road -~ Queensbury, NY 12804 Arrive Depart r Inspector's NAME: LN, . r -.cam PERMIT # LOCATION: '� . r " , eA j------et. ti { — DATE TYPE OF STRUCTURE: RECHECK e'] t NIA YES NO COMMENTS (.•�` FootingslPiers I Monolithic Pour Form Reinforcement in Place The contractor is responsibtsite providing protection fromg for 48 hours following the e nt of the concrete. Materials for this purpose on Foundation/Wallpour Reinforcement in Place FoundationJDanspproofzn V�lk Plumbing Under Slab Plumbing VentlVents in Place Rough PI Heating Rough-In Insulation tl Foundation Walls Interior R- Foundation. Walls Exterior R- Floors R.- Walls R- Ceiling R- 4:::::: 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 Firestoppin GENERAL INSPECTION REPORT Town. of Queensbury Dept of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ,. Queensbury, NY 12MM Arrive ' t `J am/'pmn DepartI tun Inspectors Initials NAME: ' 7 PERMIT LOCATION: DATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers I Monolithic Pour Forms Reinforcement in Place The contractor is responsible for providing prot6ction ing for 4$ hou iollo the pl, ent Of the con Materials for purpose on site Foundatio allpour. Reinfo ent in Place Fo on/Dampproofing. Approval Plum ng Under Slab P g Vent/Vents in Place ugh Plumbin Ling Rou in Dian Cri oundstion Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic `Dent 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 Dept. of Community Development Date inspection request received: !✓' d Building & Code Enforcement 742 Bay Road jQueensbury, NY 12804 Arrive pm Depa �FmInspector's Iis NAME: jel blr1 PERMIT # LOCATION: A 177 ',1 TYPE OF STRUCTURE: �ry� RECI )ECK NIA YE NO COMMENTS �ootmgs/Piers)pu"se Monolithic Po vj Reinforcemenace - _. � 1 a�Ei �`� I1xe contracre risible f r providing pon fr ing for 48 hourfollowing t plocementr`-- of the concr ! Materials for trpose on toFoundation/WrReinforcementaceFoundation/Daoofi ngBackfill Appro Plumbing Under Slab Plumbing Vent/V 4nts in PI ce Rough Plumbing Heating Rough-]r Insulation Foundation Wails Inte 'or R- Foundation Walls Ext rior R- Floors R- Walls I R- Ceiling I R- Duct work or piping it� unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridg.in Joist Hangers_ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2. 3. 4 hour Fi restopping FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 cl 2.- v L FIRE MARSHAL INS ECTION REP T REQUESTRE9 IVED — PERMIT # �- J NAME dA ' LOCATION SCHEDULE I SPECTION ON _ AM PM ANYTIME APPROVED EXITS NIA YES NO AISLE WIDTHS _ EXIT SIGNS EMERGENCY LIGHTIN _ FIRE EXTINGUISHERS _ -- FIRE ALARM SYSTEM -- FIRE SPRINKLER SYSTEM _ FIRE SUPPRESSION SYSTEM HOOD INSTALLATION _ INTERIOR FINISHES STORAGE; CLEARANCE TO SPRI KLERS CLEARANCE TO H ING UNITS REQUIRED SIGNAGE "CHIMNEY ffiWOOD STOVE FIREPLACE - MASONRY FIREPLACE - FACTORY UILT REMARKS: OK TO THIS DATE WSPSUP.PUB INSPECTOR 0 - 0 va t� /114 I 4 1 51" Johns Elaine Kronenber er 5 �� x �— AtCHITECTU $t £ Sheraton Road, Queensbury, New York Eight MI6 sw"I Saee.oga, NY T2e66 S T 8.363.0027