RC-0110-2018 Af TOWN OF QUERNSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building&Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-0110-2018 Date Issued: Monday, September 17, 2018
This is to certify that work requested to be done as shown by Permit Number RC-0110-2018
has been completed.
Tax Map Number: 303.5-1-89
Location: 56 MEADOWBROOK RD
Owner: Paul Kruger
Applicant: Clute Enterprises, Inc.
This structure may be occupied as a: Single-Family Dwelling 1092 s.f.
Attached Garage 400 sq. ft. By Order of Town Board
Cross Ref. Z-AV-2-2018 TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the 04
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road, Queensbury,NY 12804-5904 (518)761-8201
Community Development - Building & Codes (518) 761-8256
pw
BUILDING PERMIT
Permit Number: RC-0110-2018
Tax Map No: 303.5-1-89
Permission is hereby granted to: Clute Enterprises, Inc.
For property located at: 56 MEADOWBROOK RD
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: Paul Kruger Single Family-New $150,000.00
Owner Address: 77 Country Club RD Total Value $150,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Clute Enterprises, Inc.
6 Holden AVE
Queensbury,NY 12804
Plans& Specifications
Single-Family Dwelling 1092 s.f.
Attached Garage 400 sq. ft.
Cross Ref.Z-AV-2-2018
$ 1,352.60 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, March 29, 2019
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of bury; hur y, arch 29, 2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
i
' Office Use Only
PRINCIPLE STRUCTURE PERMIT Permit#: C'_
APPLICATION Permit Fee:$
Tura of C�`rensbun- (/ ��:
742 Bay Road,Queensbury,NY 12804 *Rec Fee: $
P:518-761-8256 www.queensburV.net
Invoice#:
Project Location: _
Tax Ma ID #• �
p :z-, Subdivision Name: r--------•-�- -R---�-��---a�Wm-`,-�
*TOWN BD. RESOLUTION 86-2013: $850 recreation fee for new dwelling units: single family,dupfexesliivoa-6'il' I
multiple family, apartments, condominiums,townhouses, and/or manufactured & moc ula' (tomes, but no , it
homes. This Is In addition to the permit fee(s).
CONTACT INFORMATION: ()Fi 0UEF=,v 3U-RY
CUi"iV�Uidi i"`s` :1arVEl�f:� Isf s'�T
e Applicant:
Name(s): �� --✓�e —e2 - •.� .
Mailing Address, C/S/Z:
Cell Phone:�_) Land Line:
Email:_
i;
• Primary Owner(s):
Name(s):
Mailing Address, C/S/Z: "
Cell Phone: �_) Land Line:
Email:
• Contractor(s):
Business Name: C -c,,4'
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: �_) Land Line:
Email:
• Architect(s)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: �_) Land Line:
Email:
Contact Person for Building & Code Compliance: �=ter-z--�
'3>� ��3 -'I
Cell Phone: 71� ) I iv Land Line:
Email:
Town of Queensbury Building&Code Enforcement Principle Structure Application Revised February 2017
PROJECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
X'S' ingle-Family _Two-Family __Multi-Family(#of )
_Townhouse Business Office _Retail HoteVMoteI
_industrialNVarehouse —Garage(#ofcars ) Other(describe )
STRUCTURE SQUARE FOOTAGE: GARAGE SQUARE FOOTAGE:
1ST floor: i O 1ST floor: 400
2"a floor: 2"d floor:
3`d floor:
4`h floor: Total square feet: 141-1ko
Total square feet: \Ocr
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ (� c-3zJ
2. Proposed use of the building:
3. If Commercial or Industrial, indicate the name of the business:
4. Source of Heat (circle one • Gas Oil Propane Solar Other:
(Fireplaces need a separate Fuel Burning Appliances & Chimney Application, one per appliance)
5. Are there any structures not shown on the plot plan? YES NO plain:
6. Are there any easements on the property? YES NO
7. SITE INFORMATION: _
a. What is the dimensions or acreage of the parcel? _ �
b. Is this a corner lot? YES NO
c. Will the grade be changed as a resilLafthe construction? YES NO
d. What is the wate e? PUBLI PRIVATE WELL
e. Is the parcel n SEWER a PRIVATE SEPTIC system?
Town c`Queenscur; Euildng&Code Enforcement Principle structure Appi ation Revised February 20 P
DECLAtRATION:
I. I acknowledge that no construction shall commence priorto issuance ofavalid building permit and
work will be completed within a 12 month period.
2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to
fees and department approval.
3. I certify that the application, plans and supporting materials are a true and complete statement and/or
description of the work proposed, that all work will be performed in accordance with the NYS Building
Codes, local building laws and ordinances, and in conformance with local zoning regulations.
4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. 1 also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all
newly constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME:
SIGNATURE: - DATE: 7Z (L T`
Town of Queensbury Building&Code Enforcement Principle Structure Application Revised February 2017
Town of Queensbury Thomas R. Van Ness
Highway
Superintendent
Highway Home (518) 745-0929
Department
742 Bay Road—Queensbury,NY 12801 David Duell
Phone: (518) 761-8211 Deputy Highway Superintendent
Fax: (518) 745-4466 Home (518) 743-0938
DRIVEWAY PERMIT
DATE: L-Z-I�QI%'y
APPLICANT NAME:
TELEPHONE NO.:
ADDRESS TO BE INSPECTED:
RETURN ADDRESS:
Applicant must show exact location and width of driveway(s) to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The
following action has been taken:
STEP 1: ( } Preliminary Approval
NEED: ( ) Slight swale
( ) Deep swale
( ) Level with the road
( } Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( ) 15" ( ) 18„ ( ) 24„ ( ) 36"
Preliminary inspection completed by: Date:
Approval by Highway Supt: (or) Deputy Supt:
Upon completion, please resubmit this approved permit for a final approval.
STEP 2: () Final Approval ( ) Rejected
Date:
Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent
NEBPA BLOWER DOOR FORM
411
Home Energy Experts � ��
VOrfJ2 EJst B'IJIY Ltzg
Pecforrrsarzce Arty rsors
5I8'.35/J.2S�I
Contractor: Clute Enterprise Inc Date: 8/6/2018
Contractor Address: 6 Holden Ave City: Glens Falls State: NY Zip: 12804
Phone# 518-793-7277 Email:
Location tested: 56 Meadowbrook City: Queensbury State: NY Zip: 12804
Customer Name:
Phone# Email:
Ventilation requirements:
Volume= (Height x Living)+(Height x Basement) X 3/60 =ACH per Hour
Volume: 18,356 x 3=55,068 /60 = 918 CFM @ 50
Maximum CFM 50 to achieve less than 3 ACH= 918
Blower Door Diagnostics: Ring Open
Inside Temp: 65 Baseline Pressure -50 Pa. A
Outside Temp: 68 Fan Pressure -204 Pa. B
C
Actual Flow @ CFM50 = 850 cfm@50
CFM@50 x 60/Volume = 2.77 ach
New York State Requires builders run a blower door test on new residential
buildings to ensure a maximum air leakage of three air changes per hour(ach50).
*ACH test results are considerably lower than building standards. Mechanical
Ventilation is highly recommended.
**As a reference, Energy Star homes must come in at.35 ACH naturally to qualify.
Blower Door testing performed by:
North East Building Performance Advisors
7 Rocky Ridge
Warrensburg, NY 12885
518-350-2941 l(
°C1lll/l��lll/11�a�
RPI.,CIa:aId S°ta r"n'
IIC a N"I'H A f:'11�0 H
��y IIIIII''
MAP REFERENCES:
MAP OF A SURVEY MADE FOR
CONSTANCE G. KEEP
DATED OCTOBER 8, 1991
BY VAN DUSEN& STEVES
LAND SURVEYORS
PROPOSED
MAP OF HOUSE
BOUNDARY LINE ADJUSTMENT
MADE FOR
CONSTANCE KEEP x
DATED JULY 8, 2003
BY VAN DUSEN&STEVES
LAND SURVEYORS
` MAP OF A SURVEY MADE FOR cy
PAUL &MARIA KRUGER �
DATED JUNE 11, 2009 x x �V-
LAST REVISED NOVEMBER 17, 2017 — x lip,
BY VAN DUSEN&STEVES
LAND SURVEYORS
x
x x x x x x x x x x
yo� LANDS N/F OF
rso$i FAGAN
3_ GARAGE _
OPyPjrApzDRNE S46022'22"E 1 a
IRF 519.80' s
N _
Cd PATIO _ O
RF D L, aT AREA rn'- LANDS N/F OF
S74 49 3 1 E ► 38,559 sq.ft °p CV) GORMAN L6
O ?i 28. 7 I STORY
QQ ASPIIAL7 DRIVE T O
O Q WOOD FRAME o Q 0.89 acres ^ O
F10USE ll) CV)wQ'QQ' _` I WINDOW WELL 221.3'
Q� 219.2' m
500.22' 19
N4604_4'30"W
{n LANDS N/F OF LANDS N/F OF AUG 2 0 2018
-I LOMBARDO GAIOTTI
TOWN OF QUEENSBURY
/ BUILDING&CODES
N c lid
IRF = IRON ROD FOUND `
cUj, = UTILITY POLE ^ �,.��_•. ;,�� ,�U
# = LAMP POST
aLANQS
Uate: AUUU51 '1 /, Wld
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for iiY.l1 11/
4 VIOLATION OF SECTION 7209.SUB-DIVISION z.OF THE
/vim/`/ NEW YORK STATE EDUCATION LAW.'
ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
S MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE SCONSIDEREDICATE TO VALID TRUE COPIES.-
'CERTIFICATIONS - 1
'CERiRVEY AS PREPARED HEREON SIGNIFY THAT C l u t e Enterprises 1
THIS SURVEY WAS PREPARED IN ACCORDANCE YATM THE
P E70STING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
YORK
Lan d S u r v e y ors s TTo THE PERSONPPEERWSON FOR ASSOCIATION
IIS PROFESSIONAL
AND
LAND SURVEYORS.SAID CERDFlCATIONS SHALL RUN ONLY
ON HIS BENALF To THE TITLE COMPANY.GOVERNMENTAL SHEET 1 OF 1
AGENCY AND LENDING INSnTU I'ON LISTED HEREON.AND Town of Queensbury, Warren County, New York
169 Haviland Road Queensbury, New York 12804 TO THE ASSIGNEES OF THE LENDING INsn1Unm"
cLUTE C-917
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 91269_REV
303.5-1-89