98-507 I
CERTIFICATE + DF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
February 19 Date914
att
IF
98507
This is to certify that work requested to be done as shown by Permit No.
i
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied as a
414 CORINTH RD .
Location
eBAIRDr MICHAEL
AX MAP NO * 12 6 . - 1 - 3 5 BY Order Town Board
TO'W74 OF QUEENSBURY
Director of Bldg. be Code Enforcement.
BUDDING PERMIT
VALUE $ 78000 TOWN OF QUEENSBURY No.
TAX MAP NO . 126 . - 1 - 35 WARREN COUNTY., NEW YORK
PERMISSION is hereby granted to SAI
Street, Road or Ave.
OWNER of Property Located at
414 GDR
In the Town of OueensburY, 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 Oueensbury Building and Zoning Ordinance.
t. OWN EI;s MOMS Is
414 CORINTH RDa
QUEENSBURY , MY 12804
2. CONTRACTOR or SUIt.t>ER7I Nano
TUCK��gqE��R�� r PLINEY
3'4(fNDIVISIONUiLaeftZ ROAD Addraa
QUEENSBURYr NY 12804
4. ARCHITECT'S NOW
COMMONWEALTH ELECTRICAL AGENCY
SP& X
HAGUEr NY 12836
S. TYPE of Construction — (Pkm* iadiosta by X) SINGLE FAMILY DWELLING
l ) Wood Framse [ ! kuwrwv I ! stool I l
7. PLANS and gpaokiartierw
1344 FT SINGLE FAMILY DWELLING WITH 1 -CAR DETACHED GARAGE
AS PEPLOT PLAN SPECIFICATIONS
fi. Proposed Use
SINGLE FAMILY DWELLING
156 August 21 1$ 2000
S PERMIT FEE PAID - THIS PERMIT EXPIRES
+'y
fif a kmew period is rauirrd err OPPlieMion for an aat10111 1 wme be rrwda to the ti+rRdkMl and Xonlr+p for of era
town of puoontbury bafora Ow aIxPlealian dated
21 August 1998
Dated at the Town of Oueansburlr this
Clay of 19
the Town of atraar b�utsb ry
SIGNED BY �, g�iW,ity `rrd zo�tina InNwaer
Building Permit Appli action
w r ZyOf QUe'enS+�3+Txry - Dept. of Community Development, 742 Bay Road, eerssbury, NY 128C?4 �76i 8256]
BUILDING & CODE ENFORCEMENT
WaTICE Requirements prior to issuance
of this permit: PERMIT FILE NO.
A permit must be obtained. before Cad
beginning construction. No inspections PERMIT FEE PAID $
will be made until applicant has received El ZmIng Board
Acdon
a 'V'AIeM BUILDING PERMIT. All Area f Use RECREATION FEE PAID $
applicants" spaceas on this application
MUST be completed x the signature F] I'tarav ing Beard Action REVIEWED BY.
of the applicant must appear c3tn the SPR I Subdivision I Other Butt ling I,sspecror
lioation form. zAxia r= J Recreation Fee Payment
Applicant: ,p 77... ter' /a .� ,� �= �7 Owner:
"3 /r
Address: Cam'+' A.+ 7'X 9f5L _ Address:
ty+ tE C, +tom 5 116 4e r V ,,h-r' '
Phone # Phone #
Property Location:o1, !/ rn -r r %fI !ls .d
J fax Map Number
Section
Subdivision Name: Block tot
NATU OF PROPOSED FIQRK : ESTIMATED MARKET VALUE OF THE
New Building : CONSTRUCTION :
residence / commercial
Addition to 'Building :
residence / commercial OCCUPANCY INFORMATION :
Alteration to Building : Prim y Building -
residence / commercial Single Family Dwelling
Residence / Commercial. Two Family Dwelling
no change to exterior size Family Dwelling yy�
Office ! G
Other Work ( describe below ) Mercantile
Manufacturing
other
GROSS AREA OF PROPOSED STRUCTURE * I
*J If ADDITION , what will use
1st Floor . . ' IIIIIII911 13 4Z sq . fct _ of new, addition be? :
2nd .Floor . . . . . . . . sq . ft , J4Z / <D0
Other Floors . . , sq • ft . "
( not unfinished cellar or basement ) ACCESSORY BUILDINGS :
�r Detached Garag ] 2 car
TOTAL FLOOR AREA / !/ � SQ . FTW Attached Garage , 2 car
Private Storage Building
SIZE of NEW STRUCTURE ; Commercial Storage Building
Other
_ FEET X FEET
Foundation . Type : 1A0 r +'- � t'� ' w.011 any second-hand or ungraded
Number of Stories : / lumber be used? If so , far what ?
( habitable space only ) feet TYPE QF IiEATI G SYSTEM :
Height ( grade to ridge } : circle all which lies )
Number of fireplaces and/or wovdstove Electric ^/O ' / a$ / Wood
to be installed : /✓ ForCec�lTat Air Baseboard / Other
Person responsible for supervision of work. as regards to building �
codes is : .a Phone
IN me Add esss
Builder *
Plumber :
Mason : 71 K I&=
Electrician "
DEC .ARATIC7N. Ptease sign helrnv after you have carefiaulty 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 C'fied ante and all
other laws pertaining to the proposed work shall be complied with, whether specified or Hated, and
that such work is authorised by the owner. Further, it is understood that Ilwe shall submit prior to a
a licensed Certificate
surv�eyor; drawn ccupancy rto scale, showing actual location of pro Certificate of Compliance being ject on pre an AS ml ses PLOT FLAN by
Signature:
(owne , owner's a nt, a chitect, contractor)
.,� . ENERGY CODE COMPLIANCE APPLICATION ` � r
TOWN OF QUEENSBURY , WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods : PART 5 Acceptable Practice Method -
1 & 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 : PROPERTY LOCATION :
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE :mom
I '
1 . Gross Floor Area - / M> 1/ S< square feet
momommom
2 . Type of Heat - Electric Oil (Gas'j Other
3m is building mechanically cooled? Yes No
4 . Percentage of area of windows and doors L�-Over 17 % Under 17 %
56 R.-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED :
a . Roof R w
b . Exterior walls R Aife2^
c . Glazed areas R
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 i
h . Basement / cellar walls ( below grade ) R
i . Heating/cowling-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 140Q - WILL ,NOT BE EXCEEDED
Ap pica nt ' s Signature Date Phone Number
�
INSPECTOR ' S REMARKS :
Application for SEPTIC DISPOSAL PERMIT
Town of Qury
Dept. of Community Development Permit No.
Building & Codes Office
742 Bay Read Fee Paid $
Queensbury, NY 12804
Location of property for installation: / C'ta 1r ,c , t i/I . �ei aJ k. y.�y ,
Property owner's Name: 177
Property Owner's Mailing Address: A.) r 7X e:a . j
Installer's Name: e x � .ee c k'%P Y'` Phone #
Number of bedrooms (if residential.): .; Total daily flow:
(residential - compute Q 150 gal,fbdrrn,)
Topography: flat rolling, steep slope % of slope
Soil Nature: loam, clay, other / depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? ��eet
Percolation test: not required, required rate min. per inch ]
Domestic water supply: ' municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tankf"940"a gallon (minimum site: 1,000 gal.)
Tile field. each trench �S o feet / Total system. length: -.c 0 ci feet
Seepage pit(s): number of I size each: ft* by ft.
Size of stone to be used: # I death or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
Alarm system and associated electrical work to be inspected by a cerdfied agency.
For your protection, please note that pure ant to Section 136-29 of the Cody, of the Town of Qoeensbury, any permit or
approval granted which is based upon or is granted in reliance upon any mntatisl =srepreeenbuion or faflure to n . a
material €act or circ:urmstaace known by or on behalf of an appliam3t, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all roquirements of the Town of
Queensbury Sanitary Sewage Disposal Ordvramce.
Signature of responsible person: < r C.� _._ ,�P',�c Date; c~
Nato
panel Br:ard art IFj Terra,Cv 1Vs�R
Owner ... roe . � NaO46e1r++, Pq 17 �. 1ArC,
OcCU
Pant ICAL
lion
GI
`Y ...,C cut-in Carol
Install alir 0
??r
19...L] S+ Consisting at' J ...!' ,�...- V •i!
Install +,..+ . s . . ..v
is �hee'� 4RY...-.. 'moo �. ...... ..,._...
sned` is ondditians ... .--.., - ... -• uq
Ph I
the lntf eertlfiele 1a ning /"V may'..
er
!!!'� fntefnspe 'ctioare tlah tnf°a d r Ana! the led the i.ssuatrcr ot. r..-.,•
are vi'°Ia.ted this C"a e4ulpt'her}ta1 egui this eerti G.. C. ,,qt
Dare ..� the Cornea ny shai! t Or uirerranV17t and ins ate' and arty
�.Qa' �• S, 3" shalltravVe the ns' aPplittltarion u crtitrtyac. -•
.. e the r'hi to r"Qke a�.ln +ten sh II a,rlxtt Pf�uS o, datr�•�rf,u.sly
6 ins
JNSPECgr) tiff Wons at a lime, rn�de upon
ny tlrrre• an r
d it its
rnher M�� _
MINIMUM
RESIDENTIAL F`p1iAL INSPECTION REPORT
Office No. (518) 761-,8256 Date inspection request received:
Building & Code Enforcement
Dept. of Community Development Arrivie > t
'Town of Queensberry tor's initial
742 Bay Road _
Queensbery, New York 12MM
NAME ✓ PERMIT #
LOCAUON DATE
TYPE OF STRUCTURE
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 3075 to 36"
Exterior Handrails, balconies, landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
Grade ?% away from,foundation
8" clearance to sill pi a east,
Gas Valve shut-off a sed/regulator I " above e
Gas Furnace shut-off wi in 30 feet thin line o site �—
Oil Furnace shut-off at en cc to ce area
FurnacefHot Water Heater per g
Relief Valve(s) installed
Headre*m, 6 ft. 6 in. on stair
Basement stairs, 6 ft. 4 in.
Handrail exterior stairs bo sides mare 3 risers
Interior privacy/ttimJdoo air entrance 36"
Floor Finish
13athroom/Kitchen wat t
Interior Iandrails Balcon &(Landing 18 in. or more
Railing across window in tairwells
Smoke Defectors
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/a hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation per room
Safety glazing 19" or less from floor
Final Electrical
Site P1
Final Survey Plot Plan
As Built Septic System layout required
okay to issue C/c (C:erlif of Compliance)
Okay to issue temp. C/O (Certif of (Xcupancy)_
Okay to issue permanent C/o (Certif. of Occupancy)
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GENERAL INSPECTl+UN lEFDRTN
Town of Queensbury
Dept,. of Community Development Date inspection request received;
Building & Code Enforcement
742 Bay .Road
Queensbury, NY 12804 Arrive am/pm Depart/b - .
Inspector's Iakiatla" y'
NAME: PERMIT #
LOCATION: DATE
TYPE OF STRU
RECHECK
N/A YES NO COMMENTS
Footings/Piers �
Monolithic Pour Form
Reinforcement in Plackfta=
The contractor is re
providing protectio
for 48 hours followthe
of the ncrete.
Materials fa s
Foundat ton/W
Reinforcement in
Foundation/Da
Backfi H
Plumbing Unde Slab
,Plumbing Ven ents V Rough P I
Heating Rough-In
ati
Foundation Walls Interior R-
Foundation Walls Exterior R.-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
�,,A5roper Vent, Affic Vent
Framing in 46plre .e-:7 f
Jack Studs/Headers
Brarcing/Bridgin
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 iNSPECTfl1V REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received, "
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12904 Arrive f rc) am pm Depart ptn
inspector's Initials
NAME: L PERNII71" #
LOCATION: d
ATE : 1
TYPE OF STRUCTURE: /
RECHECK
N/A YES NO COMMENTS
FaotingslPiers �
Monolithic Pow Form
Reinforcement in Place -- nr/c /� + f Aj
The contractor is responsible for �?
pravidmg protection from freezing
for 48 hours following the p en
of the concrete. r, /"
Materials for on site ^d4�
Foundatian/Walhpo
Reinforcement in P
FoundationlDam roofing
Backfill
Plumbing U r Slab
Plumbing VenlNents in Place
Rough Plumbing,
Heating. Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceilin,g R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
min
Jack. Studs/Headers
BracingtBridging.
Joist Hangers
Jack Posts/Main Beam Iry
,Air Infiltration Barrier
Fire Separation 1, 2, 3. hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping.
GENERAL �N�PECTJON REPORT
40
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Baud
Queensbury, NY 12MM ArriveAthp�-
Inspectoes Initi -�s • �-- �
LOCA : PERMIT # t 7 77
LC�CAT7(31 DATE
TYPE OF STRUCTURE:
RECHECK
Footi N/A YES NO C &04ENTS
ngsJF iers �
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
Providing protection from freez'
for 48 hours following the pl nt
of the concrete.
Materials for this purpose on si
Foundation/Wall
Reinforcement in
Foundation/Dampproo
Backfill Approval
Plumbing Under Slab
Pl Vent/Vents in — — 73
lo ugehylumbin
H g Rough-InNe4rnsulation
Foundation Walls Interior R-
Foundation Walls Exterior R- `� �.� -tom . t t.� t �
Floors R-
Walls R_
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framirt
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier _
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Waal 2. 3, 4 hour
Firestoppin
GE1YElR.9 L IN 'iPECTf(IIV�REPU�RT
Town of Queensbury
Dept,. of Community Development Date inspection request received;
Building & Code Enforcement
742 Bap Road
Queensbary, NY 12804 ArriveZ36, ay�
Inspectoor'r"ss
art als
NAME: ! PERMIT #E
LOCATION: DATE
TYPE OF STRUCTURE:
RECHECK
Footings/Piers
NIA YES No CO►N4NMNTS
I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for ,
Proving protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
FoundationfWallpour
Reinforcement in PI
Foundation/Dampproofin
Backiall Approval
Plumbing Under Slab
Plumbing Vent/Vents in lace
Rough Plumbing_ `
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-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging_
.foist Hangers
Jack Posts/Main Beam
r Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2., 3, 4 hour
Firestoppin
TOW" OF +Q11£EN[SBURY
BUILDING A COQE ENFORCEWNT
742 Bay Road �
QUeensbury NY I2804 r
(518) 761,82545
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location
Da to ZQCw ►�? �-�-J
SOIL TYpr Sa
oam-Clay- t
Results of Percolation Te
YP a�Plica e ,1 Rate-Min to Inc ��
TYPE OF SYSTT I
ABSORPTION6enhes*
th
Length of ffi
e - lam
Depth of tr
Size of sto
SEEPAGE PITSize -Stone sizef.t *PIPING:Bldg, to Tank � '-- -
Tank to DistVFjel
ik �40
Dist . Box to -- �I N
Openings SealFit tLOCATION/.SEPYesoa rt , a
Foundation toS :
Foundation to feet
Separation of tsption — �"rieeit
Conforms OF SPer VSTEMot Plan =few
LOCATION
( circle one) PRO
Front - Rear - Left Side
Middle Front _ Mid Right Side
COPMENTS:
SYS7"f USE APPROVED_
YES
A rrz yed: CA '
Depa r`i
xlding nS
GENERAL MEECT10W REPORT
Town of Queensbury
Dept, of Community Development Date inspection request received: ✓7
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive ZMDepart -`
pec#+or's Initials
NAME: qt FOP PERMIT # d
LOCATION: ri DATE ; eve�
TYPE OF STRUCTURE:
RECHECK r 66
N/A YES O COTVIIVl S
rings/P'iers
Monolithic Pour Form Of
Reinforcement in Place
The contractor is respo le for
providing protection freez'
for 48 hours following a ment
of the concrete.
Materials for this purpo on site
Foundation/Walipour
Reinforcement in Placcl
Foundation/Dampp
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Ventsin Place
Rough Plurnbin
Heating Rough4n
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, Attie Vent
Framin
Jack Studs/Heat6ers
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
Fire:stoppin