97-066 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
June 18 97
Date 19 —
g\ \E
This is to certifythat wor 97066
th k requested to be done as shown by Permit No.
11 has been completed.
RESIDENTIAL ALTERATION
This structure-may be occupied as a
3053 ELLSINTORTII RD.
Location
Owner SPPLLBIIRG, EARL J.
TAX t"HAF 1TO. 2 8. -1-21 By Order Town Board
TOWN OF QUEENSBURY
f/f/;,--5;#e "w"
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 2000 TOWN OF QUEENSBURY No. 97OGG
TAX MAP NO. 28. -1-21 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SPFILT - N
OWNER of property located at 10)R 1 ELLSWORTH RD. Street, Road or Ave.
in the Town of Oueensbury,To Construct or place a RESIDENTIAL ALT$RAIION
at the above location in accordance to application together with plot plans and other in ormation hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
ELLSWORTH ROAD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
1ES(IpENTIAL ALTERATIONS
( )Wood Frame ( 1 Masonry ( )Steil
7. PLANS and Specifications
112 sr'ft RESIDENTIAL ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
RESIDENTIAL ALTERATION
$ 48 PERMIT FEE PAID —THIS PERMIT EXPIRES March 17 19 99
(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.) -
Dated at the Town of Queensbtr y this 17 Day of March 19 97
SIGNED BY A. for the Town of Queensbury
Building a oning Inspector
�� �11 ENERGY CODE COMPLIANCE Q17- O
PL2ANCE APPLICATION_
TOWN OF QUEENSBURy, WARREN COUNTY•
9000 'i 11TING DEGREE DAYS ' ' •
MAR 0 5 1997
Comal i ance Methods: PART 5 - Acceptable Practice Method -
1&2 Family Dwellings i ('o¢rily)'s�G<li ; OO �EY
PART 6* - Thermal Rating - Compenerjft--Yratie+ Offs
1&2 Family Dwellings; Multi-Family
• Dwellings (3 stories or less)
PART 4* - Design -by Component Performance -'
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
•
APPLICANT' S NAME: PROPERTY LOCATION:
_ 5�ce - s 4,� ELS 1.1 OTniVk Zp,.
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - ‘‘,9-2 scuare feet
2 . Type of Heat - Electric Gas Other
3 . Is building mechanically cooled? Yes io
4 . Percentage of area of windows and doors V Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a _ Roof ER .7-
b _ Exterior walls F R ! 9
c _ Glazed areas
d_ Exterior doors • R
e - Floors over' unheated spaces R
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/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device.
Conforms to•minimum efficiency per code • Yes. No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 _ WILL NOT BE EXCEEDED
APP s i ature z Phone Number
C -r,v U�� - vA,5-7 '�S r/�/l 6 - Z `-'//(5-`3
•
INSPEC R REMA
r, Building Permit Application
Town of Queensbury - Dept. of Community Development,'.742 Bay Road, Queensbu,y, NY 12804 [761-8256J
NOT_toBUILDING do . CODE ENFORCEMENT
ICE Requirements prior to issuance
A permit must be obtained before , of this permit: PERMIT FILE NO. ,_
beginning construction. No inspections PERMIT FEE PAID$ g, a V -
will be made until applicant has received 1-1 ZoningBoard Action
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FE • 1�, jI
MUST be completed and the signature (� Planning Board Action REVIEWED BY: i/ -
of the applicant must appear on the
application form. nMahyou. SPR / Subdivision /Other / :wilding ns'cror
Recreation Fee Payment
Applicant: ?i'I //d/,, ,,_ Owner: ''� 7 ( _0-. .
i
' Address: . •g5' E X,G Le>n v i S
� q - Address: 127to
•
Phone # (,Z &_) Phone�/�Zc5� I hone # ( ) ��i--tes__-
_
Property !mention: ,/,?,�(g) vVii i7c1GYrttoe(4Ott�„/.
Subdivision Name: Tax Map Number 2-1/ 1 / �
Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 7 000. D
residence / commercial i c
ddition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration_ to Building:V/A Priii ry Building
residenc-6 / commercial ✓✓Single Fatitil- ;�- we-1 -zn
Res i ence / Commercial Two Family Dweil.lr%g( '=r ;'.:,_.,
no change to exterior size . Family Dwelling
Office i TAR 051997
Other Work (describe below) Mercantile
ManufaCt '.ng tR 'li
GROSS AREA OF PROPOSED STRUCTURE: •
Other `t r s %'; ,,i -c
1st Floor F7 sq. ft. If ADDITION, what will use
2nd .Floor 57 (O sq. ft. of new addition be? :
Other Floors sq. ft.
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: q5 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
1 FEET X -37_ FEET Zjpv3 •
Foundation Type: 6Xt�j -, C;1W. ., Will any second-hand or ungraded
Number of Stories: lumber. be used? If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE OF HEAT�IN-G��SSYSTEM:
Number of fireplaces and/or woodstove (circle alb la-ich applies)
to be installed: Electric / Gas / ood
Forced Hot Air / Baseboard / Other
v s 1YV.1?
Person responsible for supervision of work as regards to building '
codes is :
Name A._, Addresss PhoneBuilder: -
Plumber: i
. Mason: •
Electrician: •
DECLARATION: Please sigh a low after you have carefully read the statement.
To the best of my knowled statements contained in this application, together with the plans
and specifications submitted, re a true and complete statement of all proposed work to be done on
the described premises and th t all provisions of the Building Code, the Zoning Ordinance and all
other laws pertaining to the p oposed work shall be complied with, whether specified or noted, and
that such work is authorized y the owner. Further, it is understood that Uwe shall submit prior to a
Certificate of Occupancyor Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed.surve ; -ra n to scale, showing actual location of project on premises.
Signature: , a� :4�-.
(o e ,. tat;-architect, contractor)
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
( (518) 761-8256
ARRIVE: t+', DEPART: l!, INS
FINAL INSPECTION REPORT - RESIDEN A •
DATE INSPECTION REQUEST RECEIVED:
NAME "-�\
LOCATION E� W c RT 1--\ c2 B
DATE tQ 1 / PERMIT 0
TYPE OF STRU CAIIURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A
YES ' NO
CHIMNEY HEIG T/B •ENT/HEI' T •✓l
PLUMBING VENT `A
ROOFING
EXTERIOR FINISH V
PECK/PORCH/STEPS/RADL'NGS N
RELIEF VALVES
FURNACE/HOT WATER OPERATING ✓/
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: */
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED //
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS N
pA'1'HROOM FANS
•
PLUMBING FIXTURES /
FOUNDATION INSULATION /I/
�/GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
)./OK TO ISSUE C/O OR C/C
(518)761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT ,4! `
742 BAY RD., QUEENSBURY NY 12804 ,,,
INSPECTOR' I REPORT: ARR IZC 5EPA• ;"
REQUEST F R INSPECTION RECEIVED:
NAME '' , PJ o PG `�
LOCATION �•�'`"��\0!, R t-�/,
DATE Zt 1C� 1 PERM!T i 9 1ryg-�V/� C�(�
TYPE OF STA CTURE: F�� U T, 1 Ptc)
/
RECHECK APPROVED :41
J' N/A YES NO
FOOTINGS/PIE- S
MONOLITHIC P UR FORM /
-
REINFORCEMENT, IN PLACE _
A
THE CONTRACTOR, IS RESPO,SIBLE FOR
PROVIDING PROTE TION F''.M FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. /
MATERIALS FOR THIS PU POSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PL''CE
\I
FOUNDATION/DAMPPROO' ING
BACKFILL APPROVAL i \\
PLUMBING VENT/VEN /S IN. PLACE
ROUGH PLUMBING I
PLUMBING UNDER S'AB
FRAMING: • 1
JACK ST,DS/HEADERS',
[A1L4c 1;E5 BRACING BRIDGING \
JOIST ANGERS 1
JACK P'STS/MAIN BEAM \
AIR INFILTRATIIN BARRIER
HEATING ROUGH IN _
INSULATION: •
FOUNDATION' WALLS INTERIOR R- _\
FOUNDATIO: WALLS EXTERIOR R-
FLOORS R- L
WALLS R-�S
CEILING L ��' _ ,_ R- )
DUCT WO•K OR PIPING IN mr
UNHEATE'I SPACES R- •
c r\ (518) 761-8256
•
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 467
742 BAY RD., QUEENSBURY NY 12804 - a
INSPECTOR'S REPORT: ARRVG4.3�EPARTV y6 �✓
REQUEST FOR INSPECTION RECEIVED: 4 Cr
NAME � 9 Q\ ( 1\C-
LOCATION J� ?0 G(�DATE 14 --q 7c7RMIT fi 9-2` l/l
6)
TYPE OF STRUCTURE: <CI>,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR ORM
REINFORCEMENT IN LACE
THE CONTRACTOR I ONSIBLE OR
PROVIDING PROTE TI N FROM FRE ZING
FOR 48 HOURS FOLLO NG THE P CE-
MENT OF THE CONCRETE
MATERIALS FOR THIS PUR E N SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
1/1'.- FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS _
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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- •
CALL_ cvNECZ
(518) 761-8256
.TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARF ()DEPART
REQUEST FOR INSPECTION RECEIVED:
NAME A%-1--LPDOQ-Ci —Arr
LOCATION r% 1 /
DATE Aj 9 .97 PERMIT/�A 9 7-�Cdo
TYPE OF S RU TURF: �71 /-./3I AL_- AD
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR '.RM
REINFORCEMENT IN •. A '
THE CONTRACTOR I %'SPONSIBLE FOR
PROVIDING PRO TIO, FROM FREEZING
FOR 48 HOUR- FOLLOW G THE PLACE-
MENT OF THE CONCRETE
MATERIALS FOR THIS P 'POSE ON SITE
FOUNDATION/WALLPOUR --
REINFORCEMENT IN PLACDI
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
',\\
FRAMING: ` L— o 6'f
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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 •
-
C 6 /7 E-CrityA) D -
Cc) -L,V�. t i�j c.__ I�Ti 64)
(518)761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
1; l
INSPECTOR'S REPORT: ARRI oDEPART ..10
REQUEST FOR INSPECTION RECEIVED:
NAME L
LOCATION ',7)c Eti---• C ' �/ /F.1)
DATE �— r 9 7 PERMIT , CI7-Olt
'C1tiC)
TYPE OF STRUCTURE: /
RECHECK APPROVED
N/A YES // NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
/ -
REINFORCEMENT IN PLACE /
THE CONTRACTOR IS RESPONSI E OR
PROVIDING PROTE TION FRO FREE NO
FOR 48 HOURS FOLLOWING E PLAC -
MENT OF THE CONCRETE. '' „
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR iii
Jr
REINFORCEMENT IN PLACE 9' _
FOUNDATION/DAMPPROOFING /
� _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING if
PLUMBING UNDER SLAB
FRAMING: / _
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM _ _
AIR INFILTRATIONdBARRIER
HEATING ROUGH-IN/
INSULATION:
FOUNDATION ALLS INTERIOR R-
FOUNDATION ALLS EXTERIOR R-
FLOORS R- '-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
P -EP 3E- c-F LL k Et3 4
\-\p ?ooF-- F 1t E
6 WDc— U Bulb t
Fcg-- \ F `et3 , 6
Dye cs? A ace,