97-652 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK'
Date Apr 1 '15 19 98
09 C
This is to certify that work requested to be done as shown by Permit No. ' 97652
f ,
has been completed.
RESIDENTIAL ALTERATION
This structure may be occupied as a
13 HOLDEN AVE.
Location
Owner BOLEN, THOMAS
TAX MAP NO. 117 .-10-g By Order Town Board
TOWN OF QUE NS URY
/I,"
Director of Bldg. & Code Enforcement
BUILDING PERMIT .
TOWN OF QUEENSBURY
• VALUE $: 0 : No 97652
,
TAX 'HAP NO: 117:-10-9 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to BOLEN. THOMAS
OWNER of property located at 13 HOLDEN AVE. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a RES TriHNTIAL- 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
1G STONEWALL DRIVE
2. CONTRACTOR or BUILDERS Name
BOLEN THOMAS
THOMAS-
3. CONTRACTOR or BUILDERS Address
4. ARCHITECTS Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ALTERATIONS
)Wood Frame ( )Masonry (' I Steel ( I
7. PLANS and Specifications
31ø414:1•:f! -=',RESIDENTIAL ALTERATIO N.,AS",!4Talzplic44*.T4ANia RECI=ErICAT3 ONS15-76
Proposed Use
I ;
$ kl2 85.-Eitarrtkpi
(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 e•44'.64:VVIt.
SIGNED BY
for the Town of Queensbury
Buildi a Zon ng Inspector
® •
Building Permit Application k.I�� °�N.
'sr wn of Qlleel1sb111y - Dept. c f Community Development, 742 Bay Road, Qneensbruy, NY 12804 1761,2.561 I 44
--O BUILDING & CODE ENFORCEMENT
NOTICE Requirements prior to issuance
of this permit: PERMIT LE NO. --"
A permit must be obtained before -
b eginning construction. No inspections I'', PAItej ' �.
will be made until applicant has received fl Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use /ZEATION FEF. P
applicants' spaces on this application
MUST be completed and the signature ri Planting Baird Action REVIEWED BY:
tO -2-----
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
application form. Thank p,,,• J Recreation Fee Payment i
Applicant: -X-l-10 91?-) c-301,._ J Owner: �la1Ma , SOI
• Address: 7) 1-\O1._De_O AWE Address: I B ` E__L R1 ORt\f
Phone # .( ) 7q - 42)73 Phone # (,,,5: )79.2. - 1.13Z3
Property Location: 1,a F.1-)T GLF_ Eptu2D 1`� / �/
Tax Map Number CA
Subdivision Name: Section Muck Inl
NATURE OF PROPOSED WORK: I' ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $
residence / commercial
Addition to Building:
residence / commercial OCCU ANCY INFORMATION:
Vlteration to Building: Pr' iary Building -
esid nc--e---,/ commercial •
Single Family elling
V Lttesidence')/ Commercial Two Family D e � ��
no change to exterior size FamilyD� i „.
Office
Other Work (describe below) Mercantile ` OCT 31 1997
t r,15t1t_m--1 6 NO V-itl-C.ANEI n t tJ v b t ill Manufacturing
b tJLuL- .Tto -tJ CEA�--1, Other TON N "t::t.tw•N SURY
GROSS AREA OF PROPOSED STRUCTURE: • BUILDING AND CODE
If ADDITION, what will use
1st Floor '310 sq. ft . of new addition b • -
2nd .Floor sq. ft.
Other Floors sq. ft.
(not unfinished cellar or basement) I ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: A-C) SQ. FT. ' Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building •
Other
FEET X FEET
Foundation Type: s--- Will any second-hand or. ungraded
Number of Stories : -- lumber be used? If so-r-for what?
(habitable space only)
,-------
Height (grade to ridge) : 'eet . TYPE OF HEATING SYSTEM:
Number of fireplaces and/or__woodstove (circle all which applies)
to be installed: �—_ Electric / Oil / Gas. -/ Wood
Forced Hot Air. / -B seboard / Other
Person responsible for supervision of work as regards to building
codes is : —T-vsOS-\o (3jLEI)
Name Addressn "Phone
Builder: _ � � •
- - -- Plumberi - - --- _-- ____ - --_ — --- . _ ' — _ _ - -- - - ---
Mason :
Electrician: '
DECLARATION: Please sign below ajler you have carefidly 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 Oc upancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by .
a licensed surve r;•/drawn o scale, show' g act,al location of project on premises.
1/ ak I' y
Signature: _
(owner, owner's agent, architect, contractor)
i
. .
. 7-
1 -rn
/#�� ENERGY CODE COMPLIANCE APPLICTIRiEePR/
NA ''?= TOWN OF QUEENSBURY, WARREN COUNTY
a` = 9000 HEATING. DEGREE DAYS OCT 31 7997
Compliance Methods : PART 5 - Acceptable Practices MflsiWP" D
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:
1 . Gross Floor Area - square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled? Yes No
4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED: 14
a. Roof R
b. Exterior walls R it
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
i. Heating/cooling-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 140° - WILL NOT BE EXCEEDED
Appl . nt1',�s 7atu e �� Date Phone Number
INSPECTOR' S REM1S :
-EA%-a•4 11;:..CJAP'I:J.,,I a•..C7.g,1'JJ..IA. 7..:•A:��-1:-17,. .n)n:).•-Cad.C.l94:'A CAS.C:I�A�7,CA t:'),)J"P".: �C?..Ca 9-4:'),"!:..I).•,P.1,"A`��cC7:.l l�l..koil;,,(:'.1,./.��._,"C n;:g._l'7JtiA7I.\.0,s.C7�:),•.C.?.9 9.7�la9k 4:.1.0
THE NEW YORK BOARD OF FIRE UNDERWRITERS r;5I:;I; i
-.': 9 9 BUREAU OF ELECTRICITY
111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 / ��
c• s. r
-, Date d fi" i, =, 'I. `1 a Application No.onfih' +�..i:;."n t r,css} dY ,,,a .. ,
• THIS CERTIFIES THAT ,'J,,
only the electrical equipment as describedintroducedthe applicantnamedonthe above
below and by application number in the premises of ,r
, r
i; t`i1.} 11Wild.l'.;it...ti, .i.`, ir,,t,❑4-;Ii,.l AVE't. . rt1I]'I!'<14i'ifj(�Eei'n VV. :i
in the following location; Basement ❑1st Fl. 2nd Fl. Section Block Lot r
►' was examined on .pre Apret 1, C4 .i.qyK and found to be in compliance with the National Electrical Code. }
ly
'
-' r
{; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;ii
RECEPTACLES SWITCHES
• OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. Y
tr
►' J 5 3.; '22 :i.°s it
-' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS .r
)71
�' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET° AMT. WATTS '
!. :r
v
%' W ;i
'i SERVICE DISCONNECT NO.OF S E R V I C E
"ki AMT. AMP. TYPE METER 1 A•2W 1 a 3W 3. 3W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G.
EQUIP. PER RI OF CC.COND. OF HI-LEG OF NEUTRAL '
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1 a 4s ;Fi S. ■ ■ i L 4 a
OTHER APPARATUS:
1: Ci•-Li '1'1•ii3 PA,,..N,.1. ;",
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3C L:, t i;4 C.rfr 1
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rtii[•,i;i3i13C,1 '., NY, .121104 ti. iv•1 iT 'g..-ayy.i GENERAL MANAGER ;Y
•- i Per r;
.: 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. r
-h\"1'CICI?ilr\':;?i?ifY?'11i Y'; ?i 1.YNtYif111f'ilY.i'Y?Y YF'i C'i'. -CT'fY','TC7?Y i"i'`- -"'-- '- -- ' - -\Y'".- Y :"'C YF YYYY YY Y'%`fYYYYY Cl'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
RESIDENTIAL FINAL INSPECTION REPORT /ON()
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement Depart �%
Dept. of Community Development Arrive �� �,,�,,,n P
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804 -
NAME M1�S 411111*-1:- � ERMIT#
9 — (- D"---
LOCATION '�j . X ,4\^ Vs-Pm) a ( _ DATE
TYPE OF STRUCTURE ,,,_ -,
N/A YES NO COMMENTS
Chimney Height/"B"Ven I irect Vent Location
/ !
Fresh Air Intake V
Plumb Vent through roof \ j -
Roof Complete
Exterior Finish Complete ,/
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies, anding 18 in. or more ���fff /
Interior Handrails stairs both si es 3 or more risers /
Grade 2%away from foundation �//
8"clearance to sill plate V
Gas Valve shut-off exposed/regulato 18"above grade I
Gas Furnace shut-off within 30 feet or 'thin line of site
Oil Furnace shut-off at entrance to film area Y
Furnac_e/Hot Water Heater operating
Relief Valve(s)installed \ / li
i .
Headroom,6 ft. 6 in. on stairs j
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 ris'b s /
Interior privacy/trim/doors/main entrance 36"
Floor Finish j
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or m e
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 .f
Garage penetrations sealed �
Furnace in separate roorn'rotected(in garage) / I
Light ventilation per room
Safety glazing 18"or less from floor /
Final Electrical 4/
Site Plan/Variance required I
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okav to issue temp. CIO(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road �;�
Queensbury,NY 12804 • Arrive I`ic -ice Depart °, : 1`J
Inspector's Initials.„ .
NAME: PERMIT# �,Z
LOCATION: 172.3 VA O _d1 DATE : �� 2Ierb
TYPE OF STRUCTURE: 'e,V.1-) (OVER P 1_TF
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f r •
providing protection from ee ing
for 48 hours following the la eir ent
of the concrete.
Materials for this purpose on
Foundation/Wallpour
Reinforcement in Place
Foundation/Datupproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in PIace
Rough Plumbing_ /3TTAC '1 1: NA (ilOO'F
Heating Rough-Iri
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
Joist Hangers_
Jack Posts/Ma in 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:
Building& Code Enforcement
742 Bay Road �
Queensbury,NY 12804 Arrive , � n Depart
Inspector's Initi
NAME: 'Tt fit, cork PERMIT# — •
LOCATION: \ 1-ko1.p I'►\G DATE : Z-Z'Z-q% - -
TYPE OF STRUCTURE: t-- 1, AST
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection fr m fr g
for 48 hours following e acement
of the concrete.
Materials for this purpo on s'
Foundation/Wallpou
Reinforcement i ace
Foundatio03ampproofing - - ---- --
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
feating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- t4M
Ceiling R- "
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
•
lack.Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall2, 3, 4 hour
Firestopping
Lc\TE PD 10
GENERAL INSPECTION REPORT
Town of Queensbury •
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive> m'� Depa r
Inspector's Initial
NAME: PERMIT# q
LOCATION: 1,.'j 1AN,-,��k1 A\IF DATE : Z—
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
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 purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
plumbing Under Slab
Ni plumbing Vent/Vents in Place
ough Plumbing
Heating Rough-In
Insulation_
Foundation Walls Interior R- f ''C2
Foundat.ion Walls Exterior R- cam'
oors R-
alls R-
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
(518) 761-8256
TOWN OF QUEENSBURY .
BUILDING 5 CODE ENFORCEMENT ,/ ``�!
742 BAY RD., QUEENSBURY NY 12804 :,,r,;
INSPECTOR'S REPORT: ARR(�e1--)DEPART °e IN '
REQUEST FOR INSPECTION RECEIVED:
NAME
C$ _ ` P�'� t ��
LOCATION 13 AC S)E1� NE
DATE Z— ? —q ( PERMITLL A 91-7-(QZ -
TYPE OF STRUCTURE: B�Lh• L .-
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ,
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM F EZING
FOR 48 HOURS FOLLOWING THE P CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE ._ f. _
////1.
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE'
ROUGH PLUMBING
PLUMBING UNDER SLAB _
FRAMING: it
JACK STUD H ADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
,AIR INFILTRATION BARRIER
HEATING ROUGH-IN7
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _ _
FLOORS R-
WALLS R-
CEILING L,1 T R /) N./-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
11111
RESIDENTIAL.FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive /012"am/pm Depart
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
-M-
NAME
�-�'L�a PERMIT# R G..�o 5 a
`M ��'i `a
LOCATION - DATE
c j j�`-e r�VL :\ r � —
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location , <a iN
Fresh Air Intake 6747/m32_
rer ;JO
Plumb Vent through roof ��r�. t7J E?
Roof Complete .ct,rr v�
Exterior Finish Complete 174.16
' / �����
Interior/Exterior Railings 30"to 36" — "t . `l/�. /sue`
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers t.j s '�4:5
Grade 2%away from foundation
8"clearance to sill plateis� �'� �'��of
Gas Valve shut-off exposed/regulator 18"above grade ,�
Gas Furnace shut-off within 30 feet or within line of site -P/.-C_ ale; r-
Oil Furnace shut-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 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)
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 r.:*
INSPECTOR'S REPORT: ARRq� �DEPARTt(' 3OI
REQUEST FOR INSPECTION RECEIVED:
NAME R` o t_Ft)
LOCATION
DATE to— tC)"'(V1 PEERMMIITT A \
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE -
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLA
MENT OF THE CONCRETE. -
MATERIALS FOR THIS PURPs.E ON 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
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-
INSULATION:
_FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS (i) R-
CEILING R-
DUCT WORK OR PIPING
UNHEATED SPACES R- •
'1)CoPF ,- D e_V
cv ttabTicALLA B t b F I 00 t
11,tjc-1-1 J 0 O t 6
8 �bv o S
\ wt_wit
a- .\� ,c7c ci
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A_. _ ___ _
iiment 1\_ __1/4)kJ:11E_
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T00 FQ UEENSBURY BUILDING-DEPARTMENT if-1 - i
:--E---C-u v4--- -
Based on our_limited_examination,_
;
compliance with our comments shall
dtif be contruedndicating-tfre _______________. _
pla_ns and specifications are in full
compliance with the code.
__. ..
• ,
I 1
BUIL MN 1:.; -' -(I)rr•',:1' ri,EPT6
E Alf /
RVIEWED BY i__ A
• sp—
---- --
DATE 1' b itili
&Phick,d;
_ -
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