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98-782 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK March 23 99 Date 14 _ 98782 This is to urtify that work requested to be done as shown by Permit No. has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a 27 NATHAN STREET Location CLUTE r LARRY 0%vner TAX MAP NO * 117 . - 4 - 1 . 2 By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 50001OW' N OF QUEENSBUR`M' No. TAX MAP NO . 117 . - 4 - 1 . 2 WARREN COUNTY. NEW YORK PERMISSION is hereby granted to CLUTEP LARRY OWNER of property located at NATHAN STREET Street, Road or Ave. in the Town of Oueensbury. To Construct or place a at the above iocation 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. rCONTAACTOR W is . SBURYe NY 12804 w BUILOERIII Name ENTERPRISESr INC . OR or BUIL O =WS Address WN ROAD SBURYr NY 12804 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY s. AR CITMCTR 706 HAI NY 12836 6. TYPE of Construction — {Please indicate by x) SINGLE FAMILY DWELLING l l Wood Frame I } Masonry l i Steel I } r7PLANS 'or Specifications 864t4dsq Lt SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATION roposed Use SINGLE FAMILY DWELLING 108 December 2919 2000 $ PERMIT FEE PAID — THIS PERMIT EXPIRES of 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 data.$ 29 Dec+ember �9 1998 Crated at the Town of Queensbury this Day of SIGNED By � 7ndzofor the Town of Queensbury M�ng aning inspector Building Permit Application Town ofQJLLf'en,5'bury - Dew, ofConvnuuily Development, 742 LlayRoad, Queerubary, NY 12804 176I-82561 T rr BUILDING & CODE ENFORCEMENTo © riot Requirements prior to issuance QXV of this permit: PERMIT FILE N . A permit must be obtained before (Y begiuxning construction. No inspections ,PERMIT FEE PAID s will be made until applicant has received Q Zoning Board Action a VA W BUILDING PERMIT, All Area / Use RECREATION FEE PAID $ applicants` spaces on this application MUST be completed add- tho signature Planning Board Action REVIEWED BY*• of the applicant must appear en the SPR I subdivision ! other Br.tkting Iraveceor plication Form. noa jm� Recreation Fee Payment Applicant: CAS K_ Cow nen Address: L�s 'mom ^- Address: Phone # 1'ltonc # Property Location: �r �4 -� Tax Map Number Subdivision Name: } - Sectii>n 111otwk t .r,t NAE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : P ary Building - residence / commercia Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling I . Office other Work ( describe below ) Mercantile Manufacturing other GROSS AREA OF PROPOSED STRUCTURE : If ADDITION , what will use lst Floor . , . . . . . . La ``�' sq . ft . of new ddition be ? : 2nd .Floor . . . . . . 04 sq . ft . Other Floors . . a sq . ft . ( not unfinished cellar or basement ) ACCESSORY S LD S : Detache arage it 2 car 'TOTAL FLOOR AREA : ��� SQ . FT . Attach d G age 1t 2 car Priv a Sto age Building SIZE OF NEW STRUCTURE : Comm rcial Storage Building Othe FEET X '` FEET a any second- hand or ungraded Foundation Types : I"`1--� Y--c..� �C 1'' Number of Stories ; - N t lumber be used? If so , for what ? ( habitable space only ) Height ( grade to ridge ) : k%mc feet TYPE OF HEATING SYSTEM : Number of fireplaces nd/or woodstove ( circle all which ies ) to be installed : Ele ' crr Gas Wood orced Hot Ai aseboard / Other Person responsible for supervision of wor as regards to building codes i s : _ 'U a� t' 4 N6me ' Address Phone Builder : plumber: � � l Mason : + Electrician : DECLARA7T©N.• Please sigis below after' you have caref dly recut the stateittent. 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 compiled with, whether specified or noted, and that such work is audi ' the owner. F her, 's understood that l/we shall submit prior to a Certificate of Occ Icy' or fie ' flcate of om i c being issued, an AS BUILT' PLAT PLAN by a licensed s or; drawn to ale, s ing ual ocation of project on premises. Signa (owner, o ner's agent, architect, contractor} ENERGY CODE COMPLIANCE APPLICATION �- TOWN OF 4UEENSBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS Comr� llance Methods : PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( only) PART 6 * - Thermal Rating - Component Trade offs 1 & 2 Faimily Dwellings ; Multi-Fatally Dwellings ( 3 stories or less ) PART 4 * Design by Component Performance Commercial Buildings - Hi Rise Residential *Requires submission of worksheets APPIsIGAJNT ' S NAME : PROPERTY LOC/A�TION T PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE 000000l 1 . Gross Floor Area - "��Kcca �-{ scruare feet 2 . `Type of Heat - Electric Oil Gas Other 3w is building mechanidally cooled? Yes No g . Pe=c enrage of area of windows and doors Over 17 % Under 17 % .5 . R-V_Z,UES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS S1iOW-N ON PLANS SUBMITTED : a . Roof R b . Exterior walls R c . Glazed. areas R fir. f do Exterior doors R 24 45_ e . Floors over unheated spaces R Edge of slab on grade ( heated building ) R c . Basement/cellar walls ( above g.-ade ) R h . Basement /cellar walls ( below grade ) R i . Heating/cooling-ducts -piping in unheated space R c.f_ -s 6 * S e=vice ( domestic ) hot water hea.tnrr device Co .� = o to minimum efficiency per coded Yes No MPERA RE C R L MAXIMUM SETTING 140o - WILL NOT SE EXCEEDED Ap� I < c - a _Da - e Phone Number - ( �'--f { -Z INS ? ECT ' S REMARKS : 1 TOWN OF QUEENS8URY BUILDING & CODE ENFORCEMENT I 742 BAY ROAD 1 QUEENSSURY NY 12004 ( 510 ) 745- 4447 FINAL X"SPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED : NAME + LOCATION DATE TYPE OF STRUCTURE CLL.A�A� FOOTINGS FOUNDATION BACKFILL ROUGH PLUMBING SEPTIC FRAMING FINAL ELECTRICAL. W INSULATION OODSTOVE OR. F.IRLPLACE YES no CHIMNEY HEIGHT 19 VENT HE G T PLUMBING VENT ROOFING ERTERI R F SH DECK PORCH T P ELIEF VALVES FURNACE HOT W T ERA I G i NTERIOR T I RI ACY it O S NIS F OORS • i BAT I cm EN ATE TIC T OTHER FLdORSSWE P BLE OTHER FLOORS CARPETED STAIR CLEARANCE RA LIN S SMOKE DETEC O S BATIJROOM FAN5 PLUMB NG Fix OR S FOUNDATION INSULATION GARAGE FIRE PROOFING POOR Ct O_$ERS FINAL ELF,CTRICAL SITE PIvTlNZVARIANCE REO �" URVEX PLOT PLAN 4Q5 OK TCr ISSUE CJO OR C!C i-•+-r-mm i yr k TOMi OF QUEENSKWY BUILDING S CODE ENFORCEP"T 531 Say Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location {-� Date Permit # " E SOIL TYPE : Sand- Loam lay- s Results of Percalete-Mihute/ Inch ion Test- ( if applicable ) TYP F SYSTEM: ASSORP ON FIEL Total Length Length o ach reach Depth of tr Size of stone SEEPAGE PITS : Number- Size - fto x ft0 Stone size PIPING : Size Type Bldg . to Tank Tank to Dist . Box Dist . Box to Field/Pit Openings Sealed ? Yes No Partial LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption _ _ feet Separation & Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Front - Rear - Left Side - Right Side Middle Front -- Middle bear COMMENTS: ' ✓�'�. � 'ter'" `"'"'�-'"�-..� l, l SYSTEM USE APPROVED : YE NO Arrived : Departed : Building "Inspector 3aOOZffV ONIOn8 hanssoanlo do MMQI CIO wi v �0 io i i Oil I .s � RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received? Building & Code Enforcement Dept. of Community Development Arrive am/pm Depart - Town of Queenshury Inspector's Initials C 742 Bay Road Queensbury, New York 12804 } NAME PE1t1VDT # LOCATION ' DATE + TYPE OF STRUCTURE N/A YE NO COMM NTS Chimney HeightP'B" Vent/Direct Vent Location Fresh .Air Intake Plumb "Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" JAI Exterior Handrails, balconies, landing 18 in. or ore Interior I-laudrails stairs both sides 3 or more s +Grade 2% awav from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regW18" b,0adeGas Furnace shut-off within 30 ff sOil Furnace shut•-off at entrance FurnacelHot Water Heater opera Relief Valve(s) installed lleadre+orn, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sidAs more than 3 risers Interior privacy/trirn/doors/ma' entrance 36" Floor Finish Bathroom/Kitchen watertigh Interior Handrails Batconie cling 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 -71 Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 13" or less fi 9171 i1bor Final Electrical 's 1 Site Plan/Variance required �trial Survey I'lot Plan As Built Septic System layout required 1/l�Gr r> 4ds ' �# f�T r t C ` Okav to issue C/C: (Certif. of Compliance) Okav to issue temp. C/() (Certif. of (hx upancy) Okay to issue permanent CIO (Certif. of Occupancv} W s �h L• N h COMMONWEALTH EL'EC1'RICAL 11tiSPEt%elm, pA N 17,545 �... E, w 9 Main office 176 Doe Run Rm'd - IMF' hI R1CAL7APPROVAL MUNICIPAL CERTIFICATE Cut-in Card NG. .................................... 014 PanelBoard No. ....,,..._..................CeM, No .........,.... ..........,. y, ��1 «.. Location ...,..AJ_ .r.:•= .... .' ��-'" ...`.......................... f,7r� . ............... t�... .. Installation Consistin45go � . �. �.. .� ��j-jE1��'�..,..... ...�__....., y*..... . a .. .. Lic- No- .................................................. Installed BY.......... ........... . 1 , f�9 fi ..... ........ .f this certificate previously issued is The conditions follow,ng governed the issuance of this certificate, and any Upon the cancelled: - This certificate only cavern the electrical equipment and installation conditions as of d e' and if its rivifeg.e of rn inspections at an inxrodu is c certificate additional equipment or alterations, application shall he promptly made for inspecuon, Inspectors of this Company shall have e right gP v t ss ecr ific 3 rules are violated, the Company shall have the ri hx to r ................................... )at0....`. ...,J.l:.!�'r.. .............. INSPti CTOR .....-.......,... Member N.F.P.A., LA V-1_ 3Pd TOWN OF QUEEKSBWY BUILDING A CODE ENFORaCEHEN I 531 flay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION t Name Location 1 V Date - Permit #f �C SOIL TYP Sa 7LL ,o m- Cl ay- Results of Percolation T ( if applicable ) Rate- Mi to nch TYPE OF SYSTEM- ► ABSORPTION FIE L Tot Length Length of each ench Depth of trenches Size of stone SEEPAGE PITS : Num er- 5ize - ft x ft . Stone size PIPING : - Size Type Bldg . to Tank Tank to Dist . ox �� w Dist . Box to iel d/Pit i Openings Sea ed ? Partial . LOCATION/SE P R14TI ! Foundation to Tank 1 +C] - feet Foundation to Absorption _—feet Separation of Pits feet Conforms as per Plot Plan Yeses LOCATION OF SYSTEM ON PROPERTY : { circle one } Front - Rear - Left Side. t Side Middle Front - e e COMMENTS i SYSTEM USE APPROVE YES C- i I � Arrived : Depa ui 7 i p for /f C TOWN OF QUEENSBURY BUILDING 8 CODE ENFORCEMQIT 531 Day Road Queensb+ury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name s Location -- Date -��i�'l �] Permit # Cr, SOIL TYP�and yam-- C Results of Percola on Test- ( if applicable ) R e-Minute/ I ch. TYPE OF SYSWWr ABSORPTION F Total Leng h _ Length of eac nch Depth of tr ches Size of st e SEEPAGE P umber- Size - _ fto x ft . Stone s ' e PIPING: - Size Type Bldg . o Tank Tank t 'Dist . Box Dist . ox to Field/Pit Openi gs Sealed ? Yes No artia LOCATION/SEPARATIONS : Foundation to Tank _ID feet Foundation to Absorption feet Separation o'- Pits f Conforms as per Plot Plan Ye No LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Front - Rear - LefA.Side - Right Side Middle Front -- Middle Rea { COMMENTS : j , 1,r.�y► ..7 C SYSTEM USE APPROVED : YES RO Arri ►r Depa uil i spector GENERAL L�SPE+CTI N' REPORT Town of (Neensbury Dept. of Community Development Date inspection requeat received: Building & Cade Enforcement 742 Bay Raid Queensbury, NY 12904 Arrive � � Depart t ' Inspector's Initial t•.•�''NAME: & �T-" PERMIT # wow LOCATION: DATE : -- TYPE OF STRUCTURE: RECHECK NIA YES NO COUNTS F00tings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing pro an from freezing for 48 hours foils g the placement , of the concrete. Materials for this pu on site Foundation[Wallpour ' J Reinforcement in Place_ Foundadon/Damppr000fin f Backfill Approval r Plumbing Under Slab Plumbing VentfVcnts in Place Rough Plumbing. Heating Rough-In I%C7insulataon Foundation Walls late ' r R- Foundation Wails Extehor R- W Floors R- Walls i R Vike - Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framm ; Jack Studs/Headers BracingMridging. Joist Hangers Jack Posts/Main Beam Air Infiltration Harrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin GENERAL INSPE RT AM Town of Queenshury Dept. of Community Development .Date inspection request received: Building & Code Enforcement 742 Bay Road --_ Queensbury, NY 12904 Arrive im/pm !pep' a Inspector's Lnit }y �r NAME: 4 .C� PERlVEFT # LOCATION: DATE : � TYPE OF STRUCTURE: RECHECK NIA 'YES NO CC1 NTS Footings/Piers Monolithic Pour Form Reinfonx ent in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundaation/Wallpouu Reinforcement in Place Foundation/Dampproofin Backfill Appravai Plumbing Under Slab lumbing VentNents in Place ugh Plumbin 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- oper Vent, Attic gent Framin lr� Jack Studs/H,eaders Bracing/Bridgin Joist Hangers Jack Posts/Main Beam �►ir infiltration Barrier zo_....... 11 Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour. Firestoppin GENERAL RVSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road r.d Queensbury, NY 12804 Arrive am/Opm Depart Inspector°s Initials —_ NAME: PERX= # 21 3— LOCATJGIN: DATE : - TYPE OF STRUCTURE: RECHECK N/A YES NO CUN MENTS Footings/Piers I Monolithic Pour Farm Reinforcement in Place The contractor is responsiWfor provi tection fivezing 0000 for 48 hours of the concrete. Materials for this on site Foundation/Wall ur Reinforcement in Place Foundation/Dampproofin 11 Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin 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 Framin .lack Studs/Headers 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 Fi restoppm GENERAL IN�CC77 NN REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart Inn Inspector's InitialsNAIME: PERMIT # LOCATIO DATE : TYPE OF STRUC IME: c RECHECK N/A YE NO COMMENTS O jFp g5� /pim , • ! Monolithic Four Form Reinforcement in Place ti The contractor is re&Zee providing pro ar for 4$ hours foil of the concrete. Materials far this purpFoundation/WallpourReinforcement in Plac Foundatton/Dam Backfill Approval Plumbing Under Slab Plumbing Vent/'Vents in Place Rough Plumbs 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 Framin Jack Studs/Headcrs BracingBridgin Joist Hangers Jack PogWlVlain Beam Air infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin l "1 have seen or observed, or believe l saw evidence of, all objects such es wells, trees, fences, etc., shown on thi the distlan rapt fort tthatn phave the diagram" personall Sl RE DATE - V Ur► 1 . Y `{e 1 V µ r r 1 lY^'lY Y rw