97-208 r ,
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
July. 17 97
Date 19
)JD1 t ti‘ g -
4)7208
This is to certify that work requested- to be done as shown by Permit No.
has been completed.
RESIDENTIAL ADDITION' (FAMILY ROOM')
This structure may be occupied as a
PILOT 'K'NOB RD.
Location
Owner MMACKEY, CHARLES & KAREN
TAX MAP, NO. 19 . -1--6 3. 7 By Order. Town Board -
TOWN OF QUEENSBURY
`1;!
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 30001 'OWN OF QUEENSBURY No. 97208
TAX MAP N0. 19 . -1-63. 7 WARREN COUNTY, NEW YORK
MACKEY, CHARLES & KAREN
PERMISSION is hereby granted to
PILOT KNOB RD. Street,Road or Ave.
OWNER of property located at
RESIDENTIAL ADDITION (FAMILY ROOM)
in the Town of Queensbury,To Construct or place a
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.
Own SEAS RD.
DELMAR, NY 12054
2. CONTRACTOR or BUILDER'S Name
TABOR CONSTRUCTION
3. COf yt�1C�-TO lekBUil f A'S Address
GREENWICH,* NY 12834
4. ARCHITECT'S Name
ATLANTIC INLAND
5. AR Tr g8cifre0
GREENWICH, NY 12834
6. TYPE of Construction—(Please indicate by X) RESIDENTIAL ADDITION
( 1 Wood Frame . ( ) Masonry ( )Steel ( 1
7. PLANS and Specifications
48910sq ft addition AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
RESIDENTIAL ADDITION (FAMILY ROOM)
40 May 15 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.)
15 May 97
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Buildi and Zoning Inspector
R.
EC 6 E
•
ENERGY CODE COMPLIANCE APPLI ATIY 06 1997
�r TOWN OF QUEENSBURY, WARREN C UNTT TOvvN OF E 5:3URY
9000 . HEATING DEGREE DAY•
"GANDCODE
Corrzaliance Methods : PART 5 - Acceptable Practice Method -
l&2 Family Dwellings (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
• *Requires submission of worksheets
•
APPLICANT'S NAME: ) q PROPERTY (�LOCATION:Q-S RktA ` •
1-P6:ONVIAitrg/e61- 51ACk.\(- WOO
PART E METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 140 scuare feed
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% x Under 17%
5 . R.-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 33
b . Exterior walls R „R /
c . Glazed areas R .33
d. Exterior doors ' R I
e . Floors over unheated spaces - R -�
f . Edge of slab on grade (heated building) - R
g. Basement/cellar walls ( above . grade) R nc •
h. Basement/cellar walls (below grade) R '4
1. Heating/cooling-ducts-piping in unheated space R R A-
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code. X.• Yes. No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
•
App an 's Si- - re \ Date Phone Number
INSPECTOR'S REMARKS:
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256J
I _o BUILDING & . CODE ENFORCEMENT
NOTICE Requirements prior to issuance r
i 1 of this permit: PERMIT FILE NO.
A permit must be obtained before ��
beginning construction. No inspections 0'0
will be made until applicant has received 0 Zonhig Board Action PERMIT FEE PAID$ ,
a VALID BUILDING PERMIT. All • Area /Use
applicants' spaces on this application RECREATION FEE $
MUST be completed and•the signature n Planning Board Action REVIEWED B : r/'
of the applicant must appear on the
SPR / Subdivision /Other Building Inspector
application form. mantra- Recreation Fee Payment I,(1
Applicant: l74)0P-- )/t (\/i1. -, Owner: eL S f' `t� _
' Address: oa 3 1�(sc )4 C C'1'f` w“-k Address: �� Pk lea J on. r J�f
Pltono # (6)8_)6-1. . 263s... --� ki'llono # (Slq ) �1S . 17(-�
Properly Location: �'��c.)6 QS -N(tlb_ 1-Y1�� le&-- CoSCn-i,Gl
0
�Pt _ Tax Map Number \C\ / 1 / l °I
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Buil ' • CONSTRUCTION: $ "aOGb29
residence / commercial
Addi ion o Building:
sence. co
mmercial OCCUPANCY INFORMATION:
Alter ilon o Building: Primary Building - •
•
residence / commercial < Single Family Dwelling
Residence / Commercial Two Family
no change to exterior size . . Family is !•e• (N
Office
Other Work (describe below) Mercantil _MAY 06 1997
Manufactu in
• Other ,f0�li�OI Cl►J� ivisaiJR°t
GROSS AREA OF PROPOSED STRUCTURE: •A •i, t��nl G aNDCODIE
1st Floor. . . . . �� s .ft. a If ADDITION, what will use
q' Z of new addition be? :
2nd .Floor. 4�-� /�) A? ' sq. ft\
Other Floors sq. ft � • � Q-�',d,
(not unfinished cellar or^^ baseme t) ACCESSORY BUILDINGS:
TOTAL FLOOR AREA: &" WO Detached Garage 1 2 car
SQ. FT. )( Attached Garage 2 car , . N
Private Storage Building V"�'"
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other •
FEET X FEET
if •
Foundation Type: 0) i10SCsnrki6--- Will any second-hand. or ungraded
• Number of Stories : 1 lumber be used? If so, for what?
(habitable space only) kb
Height (grade to ridge) : IS feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle: al .a..tch appli s)
to be installed: k 0- '�ckum Q — Electric / �J Gas d
Forced Hot Air aseboard Other
Person responsible for supervision of work as regards to building
codes is: 'T
r ,'� P�r. 3 Gt ,.,;c . 69D---)G3o .
--Nellie Addresss Phone
Builder: kPs ,A{1 •
•
Plumber: ` 1 err pv"n
. Mason: `
Electrician: � ,r,Y'71_
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• wn to cale, show' .• al location of project on premises.
Signature: _� .
(owner, owner's agent, architect, contractor)
TOWN OF Q UEEVSE URY
742 Bay Rd., Queensbury, NY 12804 •
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
`
' . 0
Date
,19
Permit No. 7� '��`
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 and/or chimney.
Applicant .--.9 0.0-iVj,rA cit(P APPLIANCE (check appropriate boxes)
Address 25)t' �� �.,�..... STOVE: aWood ❑ Coal ❑ Pellet ❑ Gas
sl- 1;FIREPLACE INSERT
(net-go" J,c, , ,, Zip 1 '651 E FIREPLACE, FACTORY-BUILT:
r gcWood ❑. Gas
Phone ,0— 0 FIREPLACE, MASONRY:';,:
, , ❑ Wood ❑ Gas
Owner ... ; a` ', c " J,.J, ❑ FURNACE: p Wood ❑ Gas ❑ Oil
Address 4_k Ift``�, ,c\ '') a �'; 1.
IF NON-MASONRY �PP,I IAN 'E: ,
.... . ,` Manufacturer: �-1 � �� '°<
1, o pA s :V-. Zip - -- -.- - Model:- -: -'''
Phone LI 1 )(J
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
-- 0 MASONRY: `❑,,,Block 0 Brick 0 Stone
O�° k R 1k "It -'. FLUE: ❑ Tile,_ ❑ Steel
Size. inches
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT: '
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE ' Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS 0 Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. \ 0 Insulated 0 Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title 0
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
r- ee Collected From,.or Refunded to: ( 0
,I i _ .'1 ..t-y� -s`..�
Ad" ress: r-----
Dated: (' 7--t-A '7 Town Clerk or Deputy: b( . .• ,f , ,_'222---4,.__
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
- Member N.F.P.A.&I.A.E.I. •
ATLANTIC - INLAND, INC. - NEW YORK Electrical Certificate 9 ? -3,2,
Electrical and Fire Inspection-Enforcing&Consulting Service
997 McLean Road,Cortland,NY 13045 @3/27/20410 C_. 172889
DATE: CERTIFICATE NO.:
Chris Mackey •
• OWNER: • AS APPROVED FOR:
Pi lot Knob Rd.
Residence(Addition)a
ADDRESS:°111"nsb r^y' NY
• 2 d 0Cl ap Ser../28—SW.s 39—i c' pt./2`—afd. -
. base fix./4,—fluor.fix. /I—pomp/I—dryer/
1—dit h aa./6--SFCI recept./4 -vent taut/
wiring&controls for furnace/5—sutoke
;-:,
del.XXXX
- 7 This certificate applies only to the electrical wiring and equipment listed above on the noted date.
ELECTRICIAN: Tabor Lt4nre f ,� warranty is expressed or implied on this visual inspection.This certificate shall be valid for a perioi
6, ,q; k one year from the above noted date.Should the electrical system be altered in any way including,but
RD . Box' 1,�.C3 t -, ,, „ -'L q`i to fl the introduction of additional electrical equipment this certificate shall become,void
r a .I . ,this certificate applies only to the occupancy use and ownership as indicated herein.ADDRESS: ->Ge ,.Qnwrlch, �� �L.J'3,�sl. ;• cha .e in the use, occupancy or ownership of the property indicated above the certificate s
t i ; ; i ... im e!lately become void.If for any reason this certificate becomes invalid due to the above mentio
-' a••:5 4 s4 con. ions,a re-inspection by New York Atlantic-Inland,Inc.is necessary to validate the installation.
•
Initial!ca itallatic3n O aiy tt`Fir-e.Pr teta:ikn Equipurient is-:., Cowered by this Certificate 4
AI-27 '
,,. TOWN OF QUEENSBURY
`;��.,: FIRE MARSHAL
..sr.; , ,
�•' QUEENSBURY, NY 12804
(518) 761-8205
FIRE MRSHAL INSPECTION REPORT
f,;
ti 1 .
REQUEST FOR INSPECTION RECEIVED
• NAME /l .44: 7
LOCATION A Ke/0'Q !• I
YiVe9
DATE PERMIT # 7 q 7�a1)6
ra
APPROVED
1 ,v/A YES NO
EXITS 1? <.
AISLE WIDTHS �4 I
EXIT SIGNS W 1
EMERGENCY LIGHTIN Iii\ F
4'
I
r
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING S(STESi
I
HOOD INSTALLATION
•
AUTO. SPRINKLER SYSTEM /
ALARM SYSTEM ,f
It
INTERIOR HES t
FINISHES
STORAGE:
CLEARANCE TO SPNKLES
CLEARANCE TO HEATING rITS
REQUIRED SIGNAGEI
CHIMNEY i
WOODSTOVE / R
FIREPLACE-MA 'ONRY k
FIREPLACE- FAQ TORY BUILT \tr
REMARKS: ,v, -� rOK TO THIS DATE
1J�n21 roc5 ~- i .
- ,,,,k
INSPSLIP.PUB INSPECTOR
1'( =
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
. , 4 c o - 742 -BAY ROAD
QUEENSBURY NY 12604
(518) 761-8256
ARRIVE: ll,c DEPART:. /1 •% 0 INSP: '`� /0
FINAI. INSPECTION REPORT —RESIDENTIAL,
J
DATE INSPECTION REQUEST RECEIVED:
NAME i'K.KG% I�i '1 �V
A"/LOCATION L a-ED41 �/ r'
DATE -7// 7/1-- ya:' PERMIT I G !r;1626
TYPE OF STRUCTURE ti
IL R
FOOTINGS i/ FOUNDATION _ BACKFILL ✓p.' FRAMING _
ROUGH PLUMBING
� SEPTIC T�i INSULAON •V/
FINAL ELECTRIG�AL ([(WOO STOVE OR FIREPLACE
lW NVA YE t NO
CHIMNEY HEIGHT/B VENIV/HEIGHT . 4 it t/
PLUMBING VENT
' /
ROOFING !
EXTERIOR FINISH /� VVV
DECK/PORCH/STEPS/RAILINGS I vf
RELIEF VALVES 4'
FURNACE/HOT WATER OPERATING
.i /:
INTERIOR TRIM/PRIVACY DOOR ,'
FINISH FLOORS: it •
BATH/KITCHEN WATERTIGHJ
OTHER FLOORS •SWEEPABL \
OTHER FLOORS CARPETED/ ;1 l
STAIR CLEARANCE/RAILINGS 4 /YY
SMOKE DETECTORS f v/J
BATHROOM FANS ‘
FIXTURES n
PLUMBING ‘
FOUNDATION INSULATION /r •t/'
GARAGE FIRE PROOFING ‘p N
POOR CLOSERS
FINAL ELECTRICAL / i . 1
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN V
OK TO ISSU
eR C/C I. V
C../
O T0 f�
� 1
17771 /1
"1:2TOWN OF QUEENSBURY
1 FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED g/Vq7
_ �
NAMES /J
r C�YL G d-►-1
LOCATION
r%rrz11)
DATE PERMIT # _ /7--WT
6,//9/47
�e_, APPROVED
/G N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS f
EMERGENCY LIGHTING •
!.
FIRE EXTINGUISHERS /
AUTO. EXTINGUISHING YSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FA PLACE-MASONRY
✓FIREPLACE- FACTORY BUILT
My -.///5J2
REMARKS: i3 OK TO THIS DATE
_/;,/,),"4
•
INSPSLIP.PUB SP"CT R
0t5 (518) 761-8256
TOWN OF QUEENSBURY // -�,v1111A,
BUILDING & CODE ENFORC. ENT
742 BAY RD., QUEENSBURYY NY 12804
INSPECTOR'S REPORT: ARRhi.(/�EPART/l�� N���"
7
REQUEST FOR INSPECTION
N RECEIVED:
NAME 1 '�1 //
•
LOCATION L.U/ kAid /�� / ' -
DATE 6j//2j/ 47 PERMIT A 77-zoe
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES , NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RESP S LE FOR
PROVIDING PROTE TION F OM 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
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
EATING ROUGH-IN-
INSULATION: I
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS
IN R
CEILG O(kW�- R- V
DUCT WORK OR PIPING IN
UNHEATED SPACES R- - ,
4
� 3O618256(518)
� I
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
/
INSPECTOR'S REPORT: ARR//e DEPA 1t ✓60INT
REQUEST FOR INSPECTI N RECEIVED: -) l/ l -7
NAME ,\ ` � V, l \0_oc)
LOCATION \ • • -0 <C�J
DATE Lo /I~ l 7 PERMIT A ! /~02c�
TYPE OF STRUCTURE: ).1 ' 1 -
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO
T\
REINFORCEMENT IN PLA ) _
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FRCM FREEZING
FOR 48 HOURS FOLLOWING HE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
ING: r
JACK STUDS/HEADERS W
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-
� t (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT i"E
742 BAY RD., QUEENSBURY NY 12804 ..n
ciINSPECTOR'S REPORT: ARR/ t 6) DEPART ,!'/ INfJ C
REQUEST FOR INSPECTION RECEIVE : c7 t f
NAME "7-2,[ Jr &i-. ( /( e LOCATION n -VI tepF ki l 1 `.4t-1 P p
DATE a-a- (9 / PERMIT A (17i7-- ) )467"7
TYPE OF STRUCTURE: / 24 '°- G(2L ,Un-,
RECHECK 71"�; l APPROVED
.
�/A YE NO
',410TINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE el ' {
THE CONTRACTOR IS RESPONSIIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. ��r
MATERIALS FOR THIS\PURPh/ON SITE
FOUNDATION/WALLPOUR \ p _
REINFORCEMENT IN PLAO
V
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
y 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-
) t l'_ &- ' /3 t—au iu 0 . art,o
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DEED REFERENCE: c3 " H°u e ;�? !� Z
STEVE jOCANALE O q SQ� �i OJ
CHARLES a KAREN MACKEY r P(b yuril CX �tcA
L.870, P,2I9 DTOIO/2I/92 ` ��N` ai! .
MAP REFERENCE: Qa 3e"-- I
"LAKEWOOD SUBDIVISION" . _ 1
DTD. 9/1/81 8 LAST REVISED 12/15/81 I I N-57./0- W /53.67'
BY VAN DUSEN 8 STEVES FILED 3/3I/82 ......--""--------T
1 hereby certify that thin map wan prepared from an notuirklicl,. . _ _
nnrvey. Thin r r•ntinn shall run only to the pernann forrire whom '. ®�
survey wan prepared and to the lending Inntitullon and tire.title ,
ED
company listed hereon. Certifrntions are not tranefernb a to
nrirlillorrnt institution.or anhnequent owners, AA,,)liCation
Certified To: I. Charles C.Markey III
2. Koren I..Mne.key
1. (MAC Mortgage Corporation of PA,its auerennora
and/or nnnle n an their infer-entry may appear Ie'r► I 4
1997
4. Chirnpn Title nau __._______________• 9 -7"
nce ponyI
Certified ity: .J�' ) ) '
i rn CoC
Wayne:It.Raymond,!Jeanne! a.4Aggg i
!Wed: ,1 )., lg94 — RECEIVED
I_�iis, .��
0' f NE/i•"• Zoning Administrator
'•I�� 0 R. vy TfOt,NN OF QUEENSBURY MAY 06 1997
et�Q 4k �0 ��: TOWN OF QUEEt�d 3URY
:vjs� .ram �O -
W
BUILDIIUG AND CODE
Map
of lands of
III
.�y�IANQ g�io�
-�...• Charles C. Mackey
• Karen L. Mackey
Town of Queensbury * Warren County * New York
Scale: 1" = 50' June 22, 1994
Survey and Map by
Wayne R. Raymond
Licensed Land Surveyor
Glens Falls & Wevertown, N.Y.
r- ^r, n/•'7