97-180 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
• WARREN COUNTY, NEW YORK
•
Date Septeti.d)e r 18 19 97
c),T71 97180
This is to certify that work requested to be done as shown by Permit No.
has been completed.
2-CAR DETACHED GARAGE
This structure may be used as a
284 DR.t:AH LAKE RD,
Location
HARDIN, RAL}?H Ss DOROTHY
Owner
TAX HAP NO. 51 . -2--3 By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 1000TO vv N OF QUEENSBURY No 97180
TAX MAP NO. 51 . -2-3 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to BARDIN, RALPH & DOROTHY
OWNER of property located at 284 DREAM LAKE RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a 2—CAR DETACHED GARAGE
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
R. D . #1 DREAM LAKE RD.
LAKE GEORGE , NY 12845
2. CONTRACTOR or BUILDERS Name
PHILLIPS , GIBSON
3. CONTRACTOR or BUILDER'S Address
1 AMY LANE
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
5. ARCHITECT'S Address
•
6. TYPE of Construction—(Please indicate by X)
2—CAR GARAGE
)Wood Frame ( 1 Masonry ( I Steel ( 1
7. PLANS and Specifications
7134. 2—CAR DETACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
2—CAR DETACHED GARAGE
35 May 8 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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.)
8 May 97
Dated at the Town of Queensbury this Day of 19
SIGNED BY )Ne4 k)tA VI
'56 for the Town of Queensbury
Building and Zoning Inspector
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
TICEBUILDING c� . CODE ENFORCEMENT
NOi r Requirements prior to issuance
A permit must be obtained before of this permit: _ PERMIT FILE NO. e
beginning construction. No inspections O U
will be made until applicant has received 1-7 ZoningBoard Action PERMIT FEE PAID$ 35.,
a VALID BUILDING PERMIT. All • Area /Use
applicants' spaces on this application RECREATION FEErAID$
MUST be completed and•the signature 0 Planning Board Action REVIEWED BY: RC--------
of the applicant must appear on the �,
SPR I Subdivision /Other Building Inspector
application form. nix��. Recreation Fee Payment n
Applicant: /77 Owner: �,/.0 / 04 1e,`e, Y/.1_./4-7/��-La
' Address: /•.'0/QiYrt C,4./C.e td kid, 6c�QAddress:
PI
Phone # ( j/ ) 7 93- /99 Phone #
Property Location: J ;Q/7, �'^ctJu.cf o--i ej tage((a4rir ca-/c.�. .41
a �`-�° �`t'"e A Tax Map Number `-• 1
Subdivision Name: — Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 10,000
residence / commercial
Addition to Building:
residence. / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Fam ?:•_.12za 1 ing
Office R C PvE
Other Work (describe below) Mercantile -
Manufacttring
Other i APR 0 3 1997
GROSS AREA OF PROPOSED STRUCTURE: _ _
TOWN O EL")v3rs�YlY
If ADDITION, w���t01t !' DC17@
1st Floor 7�°/ sq. ft. of new addition bet :
2nd .Floor sq. ft.
Other Floors sq. ft. �1�
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1 2 car
TOTAL FLOOR AREA: i. 1 Y1 SQ. FT. Attached Garage . 1, r
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
ai FEET X t�.cc��i FEET
Foundation Type: I(1nOt10�\i 1l� Will any se nd-hand or ungraded
ll
Number of Stories : lumber be sed? If so f �l
(habitable space only)
? C
Height (grade to ridge) : I,o feet TYPE OF HEATING __
Number of fireplaces and/or woodstove (circle all which appli s
to be installed: Electric / Oil / Gas //Wood
Forced Hot Air / Baseboard / Other
Person responsible for s.ppervision of work as regards to building
codes is : ( \f'6r'c phlittps 1 '11.4 6i2, H-FO 71 f9.3:T
�� ame Addresss- Phone
Builder: t`i �1, S •
Plumber:
. Mason: srO Ph;\45 1(61 YYlii.M 5i- SGsi= 7443- 1160
Electrician:
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 Uwe 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: jOvu!—/ c h .4r214n-fi)
(ownefl, owner's agent, architect, contractor)
<77-0—Pr)
RESIDENTIAL FINAL .INSPECTION REPORT
Office No. (518) 761-8256
Building &Code Enforcment Arrive: 2t 1G Insp: c5 /f
Dept. of Community Development
Town of Queensbury Date Inspection Request Received:
Bay Road Queensbury,
�7, ) >C )
Queensbury, NY 12804 -` (\ l
NAME t)II • /(-4',{J), '( PERMIT NO..
LOCATION • r � DATE qice, I "‘- 7
TYPE OF STRUC' E
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, Landing 18 in. or more
Interior Handrails Stairs Both Sides 3 or More Risers
Grade 2% Away From Foundation
8" Clearance To Sill Plate
Gas Valve Shut-Off Exposed/Regulator 18" Above Grade
Gas Furnace Shut-Off within 30 Feet or within Line of Site
Oil Furnace Shut-Off at Entrance to Furnace Area
Furnace/Hot Water Heater Operating
Relief Valve(s) Installed
Headroom 6 ft. 6 in. On Stairs
Basement Stairs 6 ft. 4 in.
Handrail Exterior Stairs Both Sides More Than 3 Risers
Interior Privacy/Trim/Doors/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 Syste yout Req.
Okay to Issue �/q
(,ice,'
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ` '• r );x" ,• '
INSPECTOR'S REPORT: ARR DEPARTc/ T
REQUEST FOR INSPECTION RECEIVED: W-8 L 7
NAME /t1t 1(A)
LOCATION 7'41
DATE of7 PERMIT Q 6 7 ! ^
TYPE OF STRUCTURE:
RECHECK V APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR NIcill;
•
REINFORCEMENT IN PLA
THE CONTRACTOR IS REONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
7LUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING /4414_ tjUn&'s -
PLUMBING UNDER SLAB
•
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 •
-
\ V�
... �JTOWN OF QUEENSBURYPit-4
. flookw4 BUILDING & CODE ENFORCEMEN
�*q '` 742 BAY ROAD
QUEENSBURY NY 12804
=u?" ( (518) 761-8256
ARRIVE: 3<a DEPART: INSP:
FINAL NSPECTION REPORT - RESIDENTIAL 7
DATE INSPECTION REQUEST RECEIVED: 1 q
-�j Lb
NAME C 412Y-, fbLd 6 6\ C1+ '�JF
LOCATION y �� /
DATE � ( PERMIr7 ) gO
TYPE OF STRUCTURE -(2-A-
FOOTINGS FOUNDATION BACKFILL _ FRAMING
ROUGH PLUMBING SEPTIC INSULATION _
FINAL ELECTRICAL_ WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTI T
• OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILIN S
SMOKE DETECTORS
BATHROOM FANS ,
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
(/
re rneie,P
ec 44f
(518) 761-8256
k' ti
TOWN OF QUEENSBURY e
w
• BUILDING & CODE ENFORCEMENT
e•.
742 BAY RD., QUEENSBURY NY 12804 .,_ Y tqw
INSPECTOR'S REPORT: ARR.elf 4EPARI// O INT \/
REQUEST FOR NSPECTIyyON RECEIVED:
NAME alatge(!
LOCATION �jL2E�%h & A Q
DATE 1// 6��7 PERMIT $ �/�/C/®
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
ir
OTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE — _ .
THE CONTRACTOR IS RES ONSIBLE FOR
PROVIDING PROTE TION" ROM FREEZING
FOR 48 HOURS FOLLOWIN THE LACE—
MENT OF THE CONCRETE. I _
MATERIALS FORTH PU POSE ON SITE
FOUNDATION/WALLPOUR __ •
REINFORCEMENT IN PLACE /
1_
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _ _
PLUMBING UNDER SLAB _
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— •
•
. P\[)" P\ IW
pl'cati0n •
- -
- •
` MAY. - 8 1997
r.oning •dministrator
f►VdN OF QUEENSBURY
L
v 1;.i.: . P T . .E.)‹;SA.k"Elk j *
M
f APR 3 o 1997
•
TOWN op 0 JEEfV
®GILDING AND pC p
!r--....?
•
Igxs4-\t\ '
4cJse,