97-640 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Date IV!rvt 1 "7 19 99
,aqtf i 1 0.--/
This is to certify that work requeate to be done as shown by Permit No.
. has been completed.
• This structure may be occupied as a GARAGE ADDITION
Location 3 4 ORCHARD DR . •
Owner 1 c-rr U 1'T.9 TT.a id
TAX MAP NO. 6 6 . -5-1 . 1 Q By Order Town Board
TOWN OF QUEENSBURY
afjoi;2
•
Director of Bldg. & Code Enforcement
BUILDING : PERMIT
TOWN OF QUEENSBURY No
VALUE. $ 2000 97640< w
TAX MAP NO. 66.-5-1. 10 WARREN COUNTY;NEW YORK
PERMISSION is hereby granted to MICHAELS. SHEILA tI.
OWNER of property located at 34 ORCHARD DR. Street, Road or Ave.
in the Town of Queensbury,To Constructor place a- ^
at the'above location in accordance to.application toget��r pl trif$ they information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
34 :ORCHARD DR..
QUEENSBURY :;•NY, 12804
2. CONTRACTOR or BUILDER'S Name
.:MIC•HAELS JOHN- . .
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( I Wood Frame ( I Masonry ( )StejE$IPENTIAL ADDITION ,..
7. PLANS and Specifications
No "
110:`.SSQ :FT ,.GARAGE' ADDITION AS:::PER 4.PLQT B.X. ,StECIZICA IO Sty a+r3
} 8. Proposed Use
' 3.GARF GE ;ADDIflQIi ; 41
)
1 t
$
i 2 a r'kking rPAID!:-,,THISPERM1.TS,EXPCf3ES
(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 . 12 ' Day of NOVem ber ' _
i
���� ll �
SIGNED BY &,De` ' `v J i for the Town of Queensbury
Building and Zoning In ctor
* � Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-8256J
BUILDING & CODE ENFORCE
NOTICERequirements prior to issuanc Prr' _ 11
C
of this permit: PERMIT FILE NO. 6740
A permit must be obtained before OCT 2 8 1997 '�
beginning construction. No inspections �L
49
will be made until applicant has received n Zoning Board Action TOW
PERMIT FE ID$
a VALID BUILDING PERMIT. All Area /Use rkhR 7
applicants' spaces on this application B��t���RN`FEE ';t� $
MUST be completed and the signature —
n Planning Board Action REVIEWED B ' •
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
pplication form, Thank you. Recreation Fee Payment L J
Applicant: --s-NA,v, `.\ M i C tft.ss.e S Owner: . (!h., 4 . &L(n #cit S
• Address: 3 i O ICI p,w Q Or Address: "--1 tt Or<ti 410 Or
Phone # ..( (� ) '7 if'S �3 E-( Phone # (55.__) _571- 014 6
Property Location: 3 4( Of C i nt o Q/ yQU/ 66 / 1 0Subdivision Name: OLD O Q C HJ 6 t NO SQC 2 Tax Map Number__
Section Block lit
•
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $
residence / commercial
Addition to Building: •
r sidenc / commercial OCCUPANCY INFORMATION:
A\ltet'ation to Building: Pri ary Building -
residence / commercialSingle Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
—K2
Othe oak (descr. e below) Mercantile
6,1 fT Manufacturing
Other
GROSS AREA OF PRO SE STRUCTURE:
1st Floor I � 0 sq. ft. If ADDITION, what will use
of new addition.
2nd .Floor sq. ft. be? :
Other Floors sq. ft. Gar�a F fazr�-e� S 3
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: I (0 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
5' FEET X 22- FEET
Foundation Type: (2)t6 c.k- Will any second-hand or ungraded
Number of Stories : k lumber be used? If so, for what?
(habitable space only) MO
Height (grade to ridge) : 10 feet TYPE OF. HEATING` SYSTEM: �/
Number of fireplaces and/or woodstove (circle all which applies) A.
to be installed: - Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building '
codes is : SOb.r. N Otc4, aols '134. 0,cti',tro Or cJe.ns6J41 SO7-OS'Yb ( k0)
Name Addresss Phone _
Builder: 2-aHy: 4 MC( IAel5
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 w k shall be complied with, whether specified or noted, and
that such work is authorized by the ner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy.or Certi ate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to s showing actual location of project on premises.
•
Signature:
(owner, ner's agent, architect, contractor)
J1 'JAW":!AC'1�1_l'J9_l'.0 J.o-1 10_l J1 1l.." !0_l'!"l J__l' t!'"V"l':l.4l'!"J l"1.1l J_.0 A .."1: e_l' l '"I'.1_!l J_!_l'J. .Al .*l'A!J_.4 J__l' 1,l' , J0l'J_.l' 401t:J_10_l J_"_l'J_,_l'.M11.19-l' 6_l''/,
Al THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 .
; �] ', 789 BUREAU OF ELECTRICITY 1
111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 r>i
Date NOVEHBER 23,.1999 Application No. on file 46133499/99 A 146867 Ir
THIS CERTIFIES THAT I ) ^ T
Itci only the electrical equipment as described below and introduced by the applicant named on the above application nr in the premises of i• }
Al 1
1 JOHN ItircFLLELS, 34 ORc:�ap QU ENSB1RY. NY -
Fi in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. GAR Section Block Lot
'-ki was examined on NOTJEi1`LLBL'.R 18,1999 and found to be in compliance with the National Electrical Code.
AI 1),
it FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS r�
j' OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1.),.....
WI i 1 1 --■-■■■.■.❑ r)
A' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS '
1 BELL SYSTEMS ',
' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. 1122 H.P. NO.OF FEET AMT. WATTS IF
-c1 SERVICE DISCONNECT NO.OF S E '72 V I C E >
=G 6:..
METERlog NO.OF CC COND. A.W.G. A.W.G. A.W.G. V,:-I AMT. AMP. TYPE EQUIP. 0 2W 3 0 3W 3 0 4W pER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL rr
-----`1 OTHER APPARATUS: }
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Wi FOREVER ELEC/BOEL E T,r;C'.i.
%I WYr,T,IAiti D. 11cp R EU1 ; X..;f: ���i ` Sr y' l L "` , r
V,..'.4 :'; , ' I r Y, r
Ai 2446 JAEFREY Si �' �r Y,' �`' GENERAL MANAGER ;
�I wryrvyZ)) ��yy��;r r,s?�i�r}�( ply) 12309
` "'Jy ' •
23 r.;
'WI . . --- "" a Per 1 i
j1 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. ;Yi
%,4YYiYYeYYrY Wiiil YeYiY Y�Y Yir.Yi,YYiYYVr. YiT YeY 411 41.Y�Y YeT YiY YiY,IiY YiY Y07?.Y YYeYY41Y YeY YeY Y•Y YoY Yi7(4,74YeY476 Y.T.YeYY.Y Ye`(AY YeY'Y 4Y YVr YeYiYY•YYeY
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
RESIDENTIAL FINAL INSPECTION REPORT Db
3b3 .®ffice No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Depart (- a,pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME� A �,(^ PERMIT# • ti
LOCATION L (') . C� DATE
GI
TYPE OF STRUCtURE A yr_ S d'1
N/A YES NO COMMENTS
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"
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off expos-s regulator 1:"above grade
Gas Furnace shut-off within 0 feet or 'thin 1. le of site
Oil Furnace shut-off at entran,• to ace area
Furnace/Hot Water Heater oper. • g
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides ore than 3 risers
Interior privacy/trim/doors/main • trance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/L. ding 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 r
Safety glazing 18"or less from floor Final Electrical V ,Jo&e {_ ,JAL 6 LPL f. I A,5 /k C
Site Plan/Variance required �Lv 5 L `p �G
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
(518) 761-8256
•
TOWN OF QUEENSBURY f
BUILDING & CODE ENFORCEMENT . iFsf
742 BAY RD., QUEENSBURY NY .12804 •=„ 1! -
INSPECTOR'S REPORT: AR DEPART
REQUEST FOR INSPECTION RECEIVED:
NAME CAti . 1d 4,
LOCATION —27 -i of? -V 4(?--‘'JE__
DATE l i,--' )"'7 PERMIT A 97--( -10
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS R S;.NSIBLE -OR
PROVIDING PROTE TIO ROM FREE ING
FOR 48 HOURS FOLLON'>G THE PLA'E-
MENT OF THE CONCRE, .
MATERIALS FOR T S PUR'OSE ON SITE
FOUNDATION/WA POUR
/ •
REINFORCEMENT IN PLACE
/v
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
J ,
ROUGH PLUMBING
PLUMBING UNDER SLAB _ /�
FRAMING: ►.IA) E-c) a13 r
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 c
BUILDING & CODE ENFORCEMENT x '
.tom
742 BAY RD., QUEENSBURY NY 128°4 ,•;; fa.
ilie
INSPECTOR'S REPORT: ARR\>,LK DEPART �� ._.
REQUEST FOR INSPECTION RECEIVED:
NAME ,\-\t\, H%C I-\A k.
LOCATION (' y D RCA IV) 9\ 3
DATE 11 PERMIT # (17-10g0
TYPE OF STR CTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ,-
REINFORCEMENT IN PLACE
N
THE CONTRACTOR IS RESPOSIHLE R \
PROVIDING PROTE TION FR FREE ING
FOR 48 HOURS FOLLOWING T PLR E-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON S
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE } 1
FOUNDATION/DAMPPROOFING it
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE ,
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: 1
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-
•
6) C.,\-1IN _ "6 NT2() _ HMI
KEADE52_ ' ? D u G ` D.6:3I
\--\kc, Lam 3 Ell ik 4) Z`_E
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
r�
INSPECTOR'S REPORT: ARR DEPARTIS"1t I
REQUEST FOR INSPECT ON RECEIVED: I —) -f
NAME a..‘ , * `` _! `_r* e
LOCATION 'a—k .• es L�
DATE \'` `1 �'r'i7 PERMIT it cl ~ 10 1.0
TYPE OF S kUCTURE: C
RECHEC .k APPROVED
1, " N/A ES NO
F TINGS PIERS 'Z. �I
MON��OLITHIICQQ POUR FORMA , p
REINFORCEMEN'I�IN PPLACE ZY---,-1 14 -
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURP ON SITE _
FOUNDATION/WALLPOUR _
REINFORCEMENT IN P CE
FOUNDATION/D ROOFING _
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
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- •
\(11)0 AL \ovA C_�\Oil 1 -
MAP REFERENCE:
OLD ORCHARD SECTION 2
BY COULTER & McCORMACK
FILED IN THE WARREN
COUNTY CLERK'S OFFICE
ON JANUARY 25, 1966
4'INCREST DRIVE
LOT
a
A
'UNAUTH0i = ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAUD SURVEYORS SEAL IS A
VIOLATION OF SECTION 7200. Sold-OINSIDN 2, OF THE
NEW YOW STATE EDUCATION LAf.'
'ONLY COPIES FROM THE ORIGINML, OF THIS "%CY
NAKED IMTH AN ORIGINAL OF W LAD SURVEYORS
SEAL SHALL BE CONSIDERED TO K VALID TRUE COPIES.'
'CERTIFICATIONS INDICATED HEREON SIGWY THAT
THIS SURVEY WAS PREPARED IN AOCOROANCE " THE
EIOSTMG CODE OF PRACTICE FOR LAD SURVEYORS ADOPTED
BY THE NEW YOM STATE ASSOCIATION OF PROFESSIONAL
LAID SURVEYORS. SAD CERTIFI 706 SHALL RUN ONLY
TO THE PERSON FCR YIIOM THE SWtVEYIS PREPARED. AND
ON HIS MALF TO THE T(TLE COMPANY. GOVERNMENTAL
AGENCY AND Log" ILS'RTNlm USTED HEREON. AND
TO THE ASSIGNEES OF THE LENDING INSRTUROIL'