97-634 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Date November, 1 F 19 _99
3b9 , 1v1 --D),
This is to certify that work requested to be done as shown by Permit No. 9 7 g o R
has been completed.
• This structure may be occupied as a BREEZEWAY
71 LUZERNE R.D.
Location
Owner FOOTE , DANTEL ?�.
By Order Town Board
TAX MAP NO. 129 . -1-4
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING . PERMIT
TOWN OF QUEENSBURY
VALUE $ 3.000 . 97634
TAY HAP NO. 129.-1-4 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to FOOTE, DANIEL A.
OWNER of property located at 71 •LUZERNE RD.. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a --BREXZEWAY
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. OWNERS Address is
• 71 LUZERNE RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
FOOtE DANIEL
3. CONTRACTOR or BUILDER'S Address-
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
)Wood Frame ( Masonry ( Stee DENTIAL ADDITION
7. PLANS and Specifications
144 FT RESIDENTIAL. ADDITION (BREEZEWAY) AS PER- PLOT PLAN
sPretP_TrATTIINS
8: Proposed Use
BREEZEWAY,:.,.:
8
,.---PERMIT FEE PAID —THIS PERMIT EXPIRES October. 27.
(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.) •
Dated at the Town of Queensbury this October
•
SIGNED BY LA/1,-1 for the Town of Queensbury
• Building and Zoning Inspector
•
Department of Community Development 4=�;;e '�:', Reviewed By:
Building & Code Enforcement �13uilding Ilnspcctor..
f r , l!�
Town o f Queensbury ' 4-i , . , a. ' Permit No. 1' / — ,j g
742 Bay Road `"
Queensbury, New York 12804 '` ,!,;.,�A,,;, Fee Paid $ i.
F
(.518) 745-4447 •
�'4f'4 '.
Permit� ��dinPermit Application
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form.
Applicant: bav i £L FOO7.1= Owner: DAN i g Z F ��
Address: 71 L VZ �P,NF �� � y� Address: �� Lv t'r'� /eP r 'N
Phone # ( ct r ) 79,E - 359' Phone # (5r/er ) 792 - 3$ 9V
Property Location: / v��,eNP Ro Q$�y r �t/ 4 e,/ / v
Subdivision Name: / lax Map Number
Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 1600
residence / commercial
Addition to Building:
residence / commercia]. OCCUPANCY INFORMATION:
Alteration to. Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling •
no change to exterior size Family Dwe la-n ,
Office
Other Work (describe below) Mercanti}}e
Manufacturing 2 4 ���
Other OC � N
GROSS AREA OF PROPOSED STRUCTURE: ,;.. = ' r',-��,
•
1st Floor /y)/ sq. ft . If ADDITION, ` /II.g v'''' cia t"O.se
of new addition b,e --
Oth2nd .Floor sq. ft . /hvb Rc�or,4 9'c?r e' t, No✓S€ # FuTuree C.,.4RAL•'L
Other Floors sq. ft .
(not unfinished cellar or basement) ACCESSORY BUILDINGS •
Detached Garage 1 , 2 car •
TOTAL FLOOR AREA: /1141/ SQ. FT. Attached Garage 1 , 2 car •
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
%/ Other plv.O -{�oow/RUeezew Ar
/pZ FEET X I -- FEET //
Foundation Type : CPnv2^173 c(c -� SLAB Will any second-hand or ungraded
Number of Stories : / lumber be used? If so, for what?
(habitable space only) A/O
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove ( circle all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : by EL. Fc;07.: ` / tva?te,e% gn QSjY,/v,Y 75'2 -3S?y
. Name Addresss Phone
Builder:
Plumber:
Mason:
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 I/we 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: ✓ • ,
(owner, owner's agent, architect, contractor)
r J J V V VJ V J�V VV V V VJ'O'� K�J'I/`v JA�V�RC� .Deptr Copy MIDDLE DEPARTMENT INSPECTIONAGENCY,INC.
DateNov. 15, 1999 CCertifies that the electrical wiring to the electrical equipment listed below has beenexamined and isapproved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rulescn effect on the date noted above and is issued subject to thefollowing conditions.
ner. Dan Foote Occupancy: Dwelling i
Same
71 Luzerne Rd. This certificate applies only to the electrical wiring to the electrical equipment listed below and the Installation inspected as the above noted date based on a visual inspection. No warranty is Occupant: Queensbury, N.Y. expressed or implied as to the mechanical safety,efficiency or fitness of the equipment for any
particular purpose.This certdicate shall be valid for a period of one year fromthe above noted date.
1st Flr. Should the electrical system to which this certificate applies be altered in any way,including but
•LOCatIOn: not limited to,the introduction of additional electrical equipment and/or the replacement of any ofthe components installed as of the above noted dale,this certificate shall be immediately null and
3-Switches, 7-Receptacles, 2Fixtures void,Thiscertificateappliesonlytotheuse,occupancyandownershipasindicatedherein.Upon
a change in the use,occupancy or ownership of the property indicated above,this certiicate shall C
be immediately null and void. In the event that this certificate becomes invalid based upon the
above conditions,this certificate may be revalidated upon reinspection by Middle Department In-
c
Daniel Foote spection Agency,Inc. An application for inspection must be submitted to Middle Department `
Inspection Agency,Inc.to initiate the inspection and revalidation process. A fee will be charged
Applicant: 71 Luzerne Rd. for this service. C
i .
LQueensbury, NY 12804 No. 14-80992 C1
Cef�.�s n�1 /1 n r1 l�r1. ✓`� •� /icy ,. .c �1�,l�/n�,�`J `.,
Form No.704 7-94 �
i
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement _, 111. A
�
Dept. of Community Development Arrive °7J) .•1p ID°part i . r!`�
Town of Queensbury .ector's Tin _�����
742 Bay Road
Queensbury, New York 12804
NAME !\ to c��
PERMIT# 1�— o 3(('
LOCATION DATE
TYPE OF STR> �✓)\P a�2a:
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location ' T
Fresh Air Intake
Plumb Vent through roof /
Roof Complete
Exterior Finish Complete V
Interior/Exterior Railings 30"to 36" 1
Exterior Handrails,balconies landing 18\in. or more
Interior Handrails stairs both tides 3 or ore risers
Grade 2%away fro founds n
8"clearance to sill plate--.._
Gas Valve shut-off exposed/r gulator 18"above grade
Gas Furnace shut-off within 3 feet or within line of site
Oil Furnace shut-off at entran to furnace area
Furnace/Hot Water Heater o ating
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both s des more than 3 risers
Interior privacy/trim/doors/ma entrance 36"
Floor Finish
Bathroom/Kitchen watertigh
Interior Handrails Balconies anding 18 in. or more
Railing across window in s .rwells
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 fireproofmg
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 required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy) �!
Okay to issue permanent C/O(Certif. of Occupancy) i
GENERAL INSPECTION REPORT
Town off Queensbury
Dept. of Community Development Date inspection request received: °:-(70
Buil;'ng& Code Enforcement
742 I.ay Road
Queensbury,NY 12804 Arrive am/pm Depart am/ m
Inspector's Initials Jt/
NAME: s Q PERMIT#
LOCATION: 7 I Lk -Ad DATE : t-I — ci
TYPE OF STRUCTURE: ' 'c
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respo .ible for
providing protection fro ' freez.u g
for 48 hours following e plac;ment
of the concrete.
Materials for this purpose • si
Foundation/Wallpo`
Reinforcement in Place
Foundation/Dampproofing
Back ill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough lumbing
Hea ' g Rough-In
ulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- I
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack 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
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Buikdi g& Code Enforcement
742 },ay Road
Queensbury,NY 12804 Arrive � �Bepart
Inspector's Ink'
NAME: PERMIT#
LOCATION: -1 \ ( „v-e DATE : -TYPE OF STRUCTURE: .G1vs2- 7-lg .Y2Th
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place r
The contractor is responsibli foi•
providing protection from freezing
for 48 hours following the placement
of the concret . / I
Materials for this"purpose on site
Foundation/Wallpour
Reinforcement in Pl� / ,/
Foundation/Dampproo g /
Backfill Approval
Plumbing Under Slab I
Plumbing Vent/Vents in Place
Rough Plumbing I
Heating Rough-In f
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pro a is Vent
ming �C G'
Jack 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
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Commu t ity Development Date inspection request received:
Building& Code Enforceme i t
742 Bay Road
Queensbury,NY 12804 Arrive I Depart2
Inspector's Initials
NAME: DPI t;\ PERMIT# '-I
LOCATION: 7 I zE tJE RI) DATE :
TYPE OF STRUCTURE: E3k2.- Ez EA`)
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this puiose on si
Foundation/Wallpour
Reinforcement in Pl.•
Foundation/Dampproo%.,i g
Backfill Approval
Plumbing Under S ..b
Plumbing Ven ents in Place
Rough Plumbi g
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 St�J eade ‘/ e_ "C OCiR-, a 2._Y-61.5
Bracing/Bridging 1T; Bo ;�
Joist Hangers i/
Jack Posts/Main Beam PLA_, 0rr
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
(518)761=8256
TOWN OF QUEENSBURY =�->
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR .7J DEPAR
REQUEST FOR INSPECTION RECEIVED: /I
NAME /mayp
LOCATION f.J +�•7 ate- 4C /�
DATE I(/ 2/rJ•7 PERMIT ?/ --63
TYPE OF STRUCTURj!!E:
RECHECK 1// APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POR FO
REINFORCEMENT I L E
THE CONTRACTOR IS RE IDLE FOR
PROVIDING PROTE TION ROM FREEZING
FOR 48 HOURS FOLLONIN THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PUR SE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _
FO DATION/DAMPPROOFING _
BACKFILL APPROVAL `7 { /
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-
pL ( 18) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 :, ,-.
r 1
INSPECTOR'S REPORT: ARR `V- DEPAR' ' I INTO)
REQUEST FOR INSPECTIO RECEIVED: /1-)s-97
NAME .‹ in_ A
LOCATION /71 QL/f`Z e�/1 - i
DATE f�-- �� 9 J PERMIT \6 31
TYPE OF STRUCTURE: /e .,(a s
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RESPONS HLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING TH PLACE-
MENT OF THE CONCRETE. ,
MATERIALS FOR THIS PURPOSE ON SITE
UNDATION/WALLPOUR
Vi'
REINFORCEMENT IN PLACE _
UNDATION/DAMPPROOFING
BACKFILL APPROVAL
i//#/
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- •
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 pf'
INSPECTOR'S REPORT: ARR7DEPART iv.-
c
REQUEST FOR INSPECTION RECEIVED: ��
NAME __�I\C F) /
LOCATION 7 1
DATE i12-Ycl PERMIT A CT-7
-
TYPE OF STRUCTURE: C3P-�V2F tk
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT N PLACE
THE CONTRACTOR IS SP• FOR
PROVIDING PROTE TION REEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURP&'SE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE I-
FOUNDATION/DAMPPROOFING
$ACKFILL`APPROVAL i
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-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE .ENFORCEMENT ".r,�
742 BAY RD., QUEENSBURY NY 12804 ^'‘'1": <
INSPECTOR'S REPORT: ,ARTMODEPARTY'1ti`l�, Y
REQUEST FOR INSPECTION RECEIVED: •
lk
NAME 11,ak11.-" i kb _._ a
'l r {ate�,
LOCATION 7 ` p L--v Z�� "E.... P-oPP
DATE , k -1 d-c ;! PERMIT A _ono-,e'—LQ4\
TYPE OF STRUCTURE: ',. I RE 7 EIO
RECHECK APPROVED
. N/rF1 YES NO
FOOTINGS/PIERS f. II
v
MONOLITHIC POUR FORM fir
REINFORCEMENT IN PLACE }`.. I _A///-
,, �Y
THE CONTRACTOR IS RESPONSIBLE FORA+
PROVIDING PROTE TION FROM ,FREEZINC#
FOR 48 HOURS FOLLOWING THE PLACE47
MENT OF THE CONCRETE. I
MATERIALS FOR THIS PURPOSE'ON S'I E
FOUNDATION/WALLPOUR
',
•
REINFORCEMENT IN PLACE �4`?
FOUNDATION/DAMPPROOFING ,G' _
BACKFILL APPROVAL /;'
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING 11
{,
PLUMBING UNDER SLAB
A
FRAMING 1
JACK STUDS/HEADERS q
BRACING/BRIDG(ING
JOIST HANGERS
JACK POSTS MAIN BEAM 1
AIR INFILTRATION BARRIER
t
HEATING ROUGH-IN / k
INSULATION: +
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- 9
FLOORS / R- t
WALLS I -- R- R
CEILING R- I
DUCT WORK O PIPING IN
UNHEATED S ACES R- -
,1
i a
8) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY_ 12804 •r
INSPECTOR'S REPORT:. ARR\MDEPAR u I t'
REQUEST FOR INSPE.CEN RECEIVED:
NAME : I:: 2j/\ 'f7)(-9 S
LOCATION 7/ '
DATE 1 1 —� (�l -7 PERMIT A O1�--( 3'7
TYPE OF STRUCTURE: •���/�.P _Q lj
RECHECK e A OVED
N/A YES NO
OTINGS/PIERS p Y '�t i►2 (—y �\
MONOLITHIC POUR FORM 1
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONS• BLE FOR
PROVIDING PROTE TION FROM REEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE 0 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 1
JOIST HANGERS t
JACK POSTS/MAIN BEAM d � `
AIR INFILTRATION BARRIER jI
HEATING ROUGH-IN t
' "V
INSULATION: II
FOUNDATION WALLS INTERIOR
FOUNDATION WALLS EXTERIOR B-
FLOORS
WALLS - 1 _
CEILING R
DUCT WORK OR PIPING IN `
UNHEATED SPACES
•
P`t %% Fo-c�C� �� a
•
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— - FQAM 1NSUtONT-BE-COVERED
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—_-BY A-1-_M1NUTETHERMAL OAR IER -- -
•
—1CRAfTPAPER;iNStitAT1ON-IVItJST BE • --
VE-COVERED -NONCOMBUSTIBLE-BARWER. - — -
1• '
; • .ajOWN'OF QEESSBURY BUILDING DEPARTMENT i g �s f gG a �y
I ' Based on opr 11mitedexammation,
tcom$Ijance v�jth-our_comments.shalL�_ r ,� < F r '1
not be construed as indicating the
tans and speclfilcations are in full
Fig. E copy ' ; p I - EQ/➢�W ®� --__--_
compliance with the code.: •
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