94-689 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
January 29 96
This is to certify that work requested to be done as shown by Permit No. 94689
has been completed.
This structure may be used as a ADDITION TO GARAGE
Location 829 BAY RD.
Owner GEPPNER. THOMAS & VERONICA
By Order of Town Board
TAX MAE NO. 48 . - -47 TOWN OF QUEENSBURY
S
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 94-689
WARREN COUNTY, NEW YORK °o
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PERMISSION is hereby granted to Thomas & Veronica Geppner
OWNER of property located at 566 Bay Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to Garage 0
at the above location in accordance to application together with plot plans and other information hereto filed and rci
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
Same
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2. CONTRACTOR or BUILDER'S Name cn
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Jay F. Waldron
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3. CONTRACTOR or BUILDER'S Address
RD#2
Lake George, NY
4. ARCHITECT'S Name
tit
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) :U
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(X)Wood Frame ( 1 Masonry ( )Steel ( ) �L
7. PLANS and Specifications
No. 240 sq ft Addition to Garage as per plot plan specifications
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8. Proposed Use
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Storage Only
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$ 16 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 5 , 1995
(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_5th D of December 1994
SIGNED BY for the Town of Queensbury
uilding and n' Inspector
1
'1'OWI'-,J)r OUEEIISBURY REVIEWED BY : �,.
C''MMUNITY DEVELOPMENT DEPARTMENT' -ti'- .. CQi ,% `
BUI.i_,DING & CODE ENFORCEMENT r5;5- FEE PAID:
531 BAY IW11I)
rYl,.
'QUFENSBURY, MEW YORK 1.21304 PERMIT NO.
"; q(74.--( AY
( 51.i1 ) 745-4447
HUILD i:NG PERMIT APPLICATION
A_ PERMIT_MUS'I'_13L" O1_TAI_NLU_BEFORE13EGINNING_LUNS'.i._RUCTION NO INSPECTIONS
WILL_BL tU1UL UN'1'1 LAPPLIC ANT_HAS gEcRIVED A VALID BUI01 4CO ER14.1T_
Ali applicants ' spaces on this app1 i-catioii 11US'T be completed and the
s.i.grlat.ure of the applicant ✓`ii1ST appear on the application for nr.
OWNER OF PROPERTY : ?j14A'/1s q- -U =/�d fL-'f} '�6'41//
Mailing Address : X4 _ i, dr¢17 /,.E•f/ i1'/. .. Agee
Tel.ephone Nuinber( s ) : Wor1 Iloiime '9 - „x Uglier
PROPERTY LOCATION : f
Tax flap Number. : Section , Block 3' t z/ot 7
Subdivision Name : tot No .
NATURE OF PROPOSED 1IORK : ESTIMATED MARKET VALUE OF TILE
CONS'1'itUC'TTON: $. .64940 c O .
NEW BUILDING :
- -...._.-- OCCUPANCY INFORMATION:121?.SI[)1�1Nt,G'/COMt�11;1ZC 1111,
ADDITION TO BUILDING : PRi-MARY BUILDING -
eiTSIDENC4COMMERC.tAi, £ S.i_ngle Family Dwelling
11li1'ER11TION '1'O BUILDING : Two Family Dwelling
-- - RESLi)EIiCE/COMMERCIAL - ___ Family Dwelling
(NO CHANGE 'I'O EXTERIOR SIZE ) __ Office
BELOW)OTHER WORK (DESCRIBBELOW) Mercantile
Warehouse
Manufacturing
--- - - -- Other
GROSS AREA OF PROPOSED STRUCTURE : _-- —___--___-. _
IS'1' FLOOR 07 �4 _ SQ . FT.
IF ADDITION, USE OF NEW ADLIII' iON :
211 D FLOOR - - SO . F T. S) a__, o/Yhy
OTHER FLOORS St) . FT. /
( not unf i.n i.shed cellar or. basement, ) ACCESSORY BUILDINGS :
Detached Garage - One4=0Car
TOTALFLOOR AREA: 071/40 SQ. FT . Attached Garage -- Crne/ i o ,.r1
Private Storage 13uldiny
Si:7,1 O1.' NEW STRUCTURE : - Conmerc.ial. Storage Rni 1cli.ng_
Other
„tie FEET x 4,71 F 1 E'.l'
"r Will any second-hand or ungraded
Foundation Type : . __ �,y_z�/�___����
Humber of Stories : _ QW_ lumber be used If so, for what?
• ( habitable space only) / -- -- - --
/
Height (grade to ridge) : _ -j feet Type of= Ileat,ing System: /1!///V,6
Number of fireplaces and/or- woodstove (circle all which applies )
to be installed : 0 Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS '1'O BUILDING CODES IS :
NAME or BUILDER/ADDRESS/PHONE • �� �11ti`-� 0 � G,�,y�e____&48_0a19
NAME OF PLUMBER/ADDRESS/PHONE : N,/f/t _--_------_.-_
NAME OF MASON/ADDRESS/PHONE : _ it ft-_ it // if `f _---- _j/ -
NAI1E OF ELFC'1'RICAN/ADDRESS/PROM:: -_,4 A//L — - ---- --
DECLARA'I'ION
To the best of my knowledge the statements contained in this appli-
cation, 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 bein issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location o - rroJeci ;I "premise
ize
Signature
(Owner, o e . ' n agen - , architect, cont:racto.r )
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE :
ENERGY CODE COMPLIANCE APPLICATION
' TOWN OF QUEENSBURY, WARREN COUNTY
_ = 9000 HEATING DEGREE DAYS
Compliance Methods : PART 5 - Acceptable Practice Method -
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
AP CANT' S NAME : PROPERTY LOCATION:
r �,�.���-� f66 B4 y 40 Q,/.0,0,/fA/Ay, y�'i� oV
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - e9 Yr square feet � /
2 . Type of Heat - Electric Oil Gas Other /S�4.v6
3 . Is building mechanically cooled? Yes XI No
4 . Percentage of area of windows and doors Over 17% X7Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R
b. Exterior walls R
c . Glazed areas fie .-- 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 wails (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 X No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
is nt' i nature Date Phone Number
/1- 9' 6Md'‘ a/y9
INSPECTOR' S REMARKS :
TOWN OF QUEENSBURY
10404 BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
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DEPART: c1 1' INSP •
FINAL INSPECTION REPORT - RESID TIAY.
DATE INSPECTION REQUEST RECEIVED:
NAME \ V% t-k1 Nip CrEVVi1lfCAL-
LOCATION rj t'!"4- V.) 1 gri6C,J
DATE k ]q \ 1�^. PERMIT / W
TYPE OF STRU URE � � .f c4DpkT\C+J
FOOTINGS FOUNDATION BACKFILL FRAMING V//
ROUGH PLUMBING S PTI INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE _
N/A TES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIG _
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
5MOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES %f
FOUNDATION INSULATION
GARAGE FIRE PROOFING f . ' 'YT %N.-5UL- r
DOOR CLOSERS
;FINAL ELECTRICAL ‘111Z 011 5-
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN f
WOK TO ISSUE C/O OR C/C
VV111fVN VT llclIA ALA lILUV I au,,IL I 111Vl lll,l ll/11 VLl.Y 1VII,111,•
Main Office 357 Elwyn Terrace — Manheim,PA 17545 ` I a?
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. Cert. Cut-in Card No.
Owner row( & ert J
Occupant `G /� -�I
Location ... . e hL�/ RP 62 t --Aor
Installation Consisting of as 1 ,16 •r4''S ft— -1 CAP-A-6
Installed By ..I l44.6 Lic. #
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of making inspe ns at any time, and if its
rules are violated,the Compan hall have the right to revok th�cer if' . y/��,,,,y/,�
Date ' INSPECTOR ... .h...: /y t:244 T _._..
ember N.F.P.A.,I.A.E.I.
TOWN OF QUEENSBI!RY
BUILDING & COD ENFORCEMENT
ttPro
74?_ E?BAY ROAD
�' QUEENSBIJRY NY 12804
(518)745 4447
ARRIVE: iLI-,h DEPART: \O_) INSP
j X_
FINAL INSPECTION REPORT - RESID TIµ////L
DATE INSPECTION REQUEST(RECEIVED:
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NAME I" �MA'� EW ER
LOCATION l Bf;\ RC-AD
DATE _ „ IC15-
PERMIT # -1L4in
TYPE OF ST TURE _CARASE c\Docnb ( fK4=)
FOOTINGS( FOUNDATI• BACKFILL FRAMING
ROUGH PLUMBING SE TIC INSULATION
FINAL ELECTRICAL OODSTOVE OR FIRE�PiLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/H:IGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS _
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT °
OTHER FLOORS SWEEPABLE Y
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING . /
DOOR CLOSERS J
FINAL ELECTRICAL _ �IJ
SITE PLAN/VARIANCE REQ. _
fl:Z.AtAti3E-L
FIN -b-- E-Y"
OK TO ISSUE C/O OR C/C V
C=i cvni €i_L.-CT 1C
V-?- sac x' N '
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 - 4'
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INSPECTOR'S REPORT: ARR\\^4D DEPART `i'- alk / / L
41111111
REQUEST FOR INSPECTION RECEIVED: _,- -( (1
NAME I e
LOCATION _ (e( l
DATE /,:)- - 7 -- £ t/ PERMIT # - 9 -1 -- 6e)
TYPE OF STRUCTURE: Add d , Gct
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RECHECK APPROVED _
N/A YES NO
(F.001FINGS/PIERS
MONOLITHIC POUR FORMSt/
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR'
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPRO1 ING
BACKFILL APPROVAL i __
PLUMBING VENT/VENTS \N PLACE -_
ROUGH PLUMBING 1
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEAIE' -
BRACING/BRIDGI L7
JOIST HANGERS I
JACK POSTS/MAI;[ BEAM -
AIR INFILTRATION BAR: E'
HEATING ROUGH-IN
INSULATION:
FOUNDATION W LLS INT' RIOR R-
FOUNDATION ALLS EXT RIOR R- 1
FLOORS R-
WALLS ; R- --
CEILING R- -
DUCT RK OR PIPING IN
UNHEATED SPACES R-
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FOUNDATION
MONOLITHIC SLAB----TOP' & END VIEW
SHOWING DEPTHS & REINFORCING
A
1/2" RE-BAR
DOUBLE ON THE OUT SIDE
4 ' GRID PATTERN OVER 'LL
6" WIRE MESH OVER ALL
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FRAMING
2"x 4" PARTITION ON, 2"x 6"shoe, 2"x 4" over lay----set up one block high
TREATED SHOE WITH SILL SEAL,ALL 16" O.C. , 2"x 8" HEADER AT WINDOW
2"x 4" STANDARD FINK TRUSS, 5/12 , 2" CLIPPED SHEATING,FELT, SHINGLE ROOF.
VENT IN GABLE END APPROX. 16"x 24"----FLOOR FOR CEILING--ON TRUSSES
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'.< /SD ,
PLOT PLAN >
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revised 11/30/94
.> PROPOSED GARAGE STORAGE AREA
20 'x 19 '
inside dimension
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4E. 321 q
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/$ PLOT PLAN
SHOWING SET BACKS--PROPERTY LINE
1 1 1
iz..................._.4_7.---------------PROPOSED GARAGE STORAGE AREA
33-4 I
20 ' x 24 '
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