97-468 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October . 23 19 97
61 ,
t I O__.
This is to certify that wor requested to be done as shown by Permit No. '7468
has been completed.
527 SO FT RESIDENTIAL ALTERATION
This structure may be occupied as a
Location qs
of BR_IIE:W, JOHN & K\REN
Owner
T iz` NAP NO. 1 J 9"'4 2 By Order Town Board
TOWN OF QUEENSBURY
Director of,Bldg. dr Code Enforcement
-7�`' ENERGY CODE COMPLIANCE APPLICATIO l}TOWN OF QUEENSBURY, WARREN CO( 41i l 97199_
/
y�' 9000 HE?LTING DEGREE DAYS
`
Corr.aliance Methods : PART 5 — - 1 it
a�.cc_o pt��b_e 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:
00►11, ` pte_g n`)C3v\1 ‘. \ to OE-CAL \W-
PART 5 METHOD OF COMPLIANCE -E Y ACCEPTABLE PRACTICE.:
•
1 . Gross Floor Area - 1-ASS • scuare fees
2 . Type of Heat - Electric Oil v Ges` Other •
3 . Is building mechanically cooled? Yes '✓No
4 . Percentage of area of windows and doors Over 17% CTnder 17%
5 . R.—VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof • R
b . Exterior walls R o►
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 %
h . Basement/cellar walls (below grade) R V
Heating/cooling-ducts—piping in unheated space R
6 . Service (domestic) hot water heating device /
Conforms to minimum efficiency per code ,/ Yes. No
T PERATURE CONTROL MAXIMUM SETTING 140° = WILL NOT BE EXCEEDED
App i a .S• • , ure Dar Phone Number
III PE TOR' S R RKS:
BUILDING PERMIT
VALUE $ 5000 TOWN OF QUEENSBURY Na 97469
TAX MAP NO. 125 . -9-42 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to O 'BRIEN. JOHN & KAREN
OWNER of property located at 16 HERALD DR. Street, Road or Ave.
in the Town of Oueensbury,To Construct or place a 527 Q FT RESIDENTIAL ALTERATION
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
16 HERALD DR.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
O 'BRIEN, JOHN
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ALTERATIONS
( 1 Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
527 Sr. FT RESIDENTIAL ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
527 SO FT RESIDENTIAL ALTERATION
20 August 22 19 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
Dated at the Town of Queensbury this 22
Day of August 19 97
SIGNED BY 1\ for the Town of Queensbury
Buildingoning and Inspector
• isuuuarng Permit Application
Town Of Q teeiisbul.y - Dept. tf Community Development, 742 Bay Road, Quecnsbuty, NI' 12804 1761-8256]
NOT�O BUILDING & . CODE ENFORCEMENT
ICE Requirements prior to issuailce. . _
1 of this
A permit must be obtained before permit: PERMIT FILE NO.
beginning construction. No inspections O.'" .
q Y 67
will be made until applicant has received n Zoning Board Action u : - , PERMIT FEE P $
a VALID BUILDING PERMIT. All Arca /Use ' - /
applicants' spaces on this application • RECREATION F E PAID$
MUST be completed and•the signature �`- - ,7
Planning Board Action -� =REVIEWED BY:
of the applicant must appear on the
• �pplicalion form. n y„,,. SPR / Subdivision /Other Building Gxyxctor
Recreation Fee Payment J
Applicant: c1-01'ct \1 EtJ 6 iIEt6 Owner: A Ai-1
• Address: I CO .HERPt --O ON l3F Address:
Phone # (51(6 ) -19 -21514._ Phone # ( : ) -
Phone : .:
Properly Location: ._. J
'lnittlivlalltn Nam 6-1� �-lL.C) _6a, \It &_ Ins Mnit Nnnilwr - . ..-(r Mullin WAI tit4
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ EOM DO
residence / commercial .
Addition to Building:
esidence / commercial OCCU ANCY INFORMATION —.....__
✓ Alteration to Building: Pri ary Building+ -1
/ commercial Single Family Dwelling
esidence / Commercial Two Family Dwell ily cg i q
A no change to exterior size Family Dwelling 1997
Office
Other Work (describe below) Mercantile ,, : -' . :',,,
Manufacturing-- ••- L -
Other
GROSS AREA OF PROPOSED STRUCTURE:
1st Floorq. If ADDITION, what will use
2nd .Floor Sq. �: of new, addition be? :
Other Floors sq. ft. �C�t. � EtJ� To � �
(not unfinished cellar or basement) '
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: - i ' SQ. FT. Attached Garage 1, 2 car
t �{ Private Storage Building
SIZE// OF NEW STRUCTURE: � � Commercial Storage Building
G FEET X ` FEET eFL,c5R� Other
Foundation Type: C\,L,16-1-it (• G 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 HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which�apoli s)
to be installed: Electric / Oil /Cal '/flood
0 o Al / Baseboard / Other
Person responsible for su ervision of work as regards to buildin
codes is : �DH1� O7 t o no tAFv_AL-L Dh1\)E c6-a.K -1-
Name Addresss Phone
Builder: •
Plumber:
•
Mason:
Electrician:
DECLARATION: Please sign below afler 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 a owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupan r rtifi at of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor- dra seal , Mowing actual location of project on premises.
Signature: �.
( n r, owners nt, architect, contractor)
-4:,1".•)Z.A fi,9lJ•(J.IP.CJd JP,,Ca"."l)J_CJ_�),.0",1:..�.0 � J_�k;its.aECJ.9,I',4:)..".Cad.),...C•. _.9 �.CJd a?la�,��'1�0.1'!_,,.-l'Jy P-n)n..P(J__C,9,1: .0 ._l'�tiJ.•.C)",, A'J_._l'9,,..�'.2.17 e+1;.�.l":lS_�.1:1� Lat A,.C,tC
-!• rY
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i
eP,fS '."34 . BUREAU OF ELECTRICITY • `�
j 1 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 y-
-<' O TO BER 28,1997 4 '5 379 J !�) 6-I ti::1,5 ?''
Date ` w
Application No.on file
2' THIS CERTIFIES THAT I �ij`'i4`L' 2'NO3 J fJ,(1At
`j Pi.
1T.
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of :r
' r
' 7 1lh 7 p i LL v•� Ttt�yy pp rr LOT g Y2 t }1 i[ N.Y, 1}
!' J �3-iN LSE �'.PIREN O'B'R,i N, 16 _I'll't,''/L i DP, 4 , Q61�'.kf:A9`7i3�..iU.!'i�`�, N.Y, eT
e3.w;` it
�: in the following location';;{ Basement ❑ 1st Fl. ❑ 2nd R. Seetionf" Block Lot T
�' teas examined onER an99'1d found to be in compliance with the National Electrical Code. ,T
:, lY
jFIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS !:
; °ECEPTACLES SWITCHES a
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. �i:
)11
�' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS .a
1 •Y
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS.CM H.P. NO.OFE FEET AMT. WATTS ,Y
Ill 1 (4 6 i.v..!
ii`' SERVICE DISCONNECT NO. S E R V I C E - ,r
� AMT. - AMP. TYPE METER- �,YN/ 1,B'3W 3.Ef 3W 3,e'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG F W.G. NO.OF NEUTRALS A.W.G.
.� EOUIP. PER B OF CC.COND. Of HI-LEG OF NEUTRAL
' OTHER APPARATUS: IV
n- ,r.
f' :Y
G. ".r'.:I. -2
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•'; {tl1FL,k'13CL1r°'i`1. 3d 1.2 (3y l •'y� rs `„ L , GENERAL MANAGER '
►' . " .is '. .ate' ;
4.
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This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
'f'ieciii{:ii 'ief 4sip':ie(qi"ie i�'%iii.Y7aC-iii Yiiii\"hi 7iitYdit'idbfYiY YwrIakf,4Yie.'%YYi(Ysf•YwrYiY:9ifYef'iiii'ifYa\JfCyiciiiY.YiYYiY4,1:4,'Yi{iliYYe;ivYwcYiYYe.YsCswY:-.4YYiYY�`C..Yi?%iY3'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256
Building & Code Enforement Arrive: 1Yr- Insp:
Dept. of Community Development
Town of Queensbury Date Inspection Request Received:
742 Bay Road
Queensbury, NY 12804 �] (OR
NAME J Q�r Y`� ,(� PERMIT NO.
7— L/
LOCATION Ve a k� M.. r -1L - .._, DATE /0 -a
3 _97
TYPE OF STRU TURF (2,67 S, A-1-1--.
N/A YES NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent Through Roof
Roof Complete
Exterior Finish C plete
Interior/Exterior Railings 30" to 36" 1
Exterior Handrails, ) ;co ' s, Landing 18 in. or more
Interior Handrails Stair oth Sides 3 or More Risers
Grade 2% Away Fro foundation I
8" Clearance To SillPla
Gas Valve Shut-Of Expos egula'r 18" Above Grade
Gas Furnace S ut-O within F t or within Line of Site
rn Oil Fuace,Sfut-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 System Layout Req. -
Okay to Issue Temp C/O
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPEaTOR'S REPORT: ARRJO) DEPART INTc2
REQUES'. FOR INSPECTION RECEIVED(: (�
NAME cD A) 07
LOCATION 1(Q VE1
DATE CIrcl PERMIT A
TYPE OF S 'UCTURE:
RECHECK _ APPROVED
N/A YES NO
FOOTINGS/$IE`S
MONOLITHIC PO ' FORM
REINFORCEMENT PLACE
THE CONTRACTOR I. RESPONSIB FOR
PROVIDING PROTE •ION FROM F•EEZING
FOR 48 HOURS FOL 'WING THE 'LACE-
MENT OF THE CONC• 51E•
MATERIALS FOR THIS •URPOS' ON SITE
k'OUNDATION/WALLPOUR
REINFORCEMENT IN PLAC
T
FOUNDATION/DAMPPROOFIN?•
BACKFILL APPROVAL
PLUMBING VENT/VENTS N PL CE
ROUGH PLUMBING
PLUMBINGPL UNDER SLA: /'
/FRAMING: / - - //
JACK STUDS/HEADERS
BRACINGORIDGING
JOIST HANGERS
JACK PO TS/MAIN BEAM
AIR INFILTRATI N BARRIER
BBEATING ROUGH IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATL N WALLS EXTERIOR R-
FLOORS / R-
WALLS J R-
CEILINO R-
DUCT ORK OR PIPING IN
UNHEA ED SPACES R-
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