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94-017
CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Septt::mber 10 _ 95 This is to certify that work requested to be done as shown by Permit No. 944317 has been completed. INTERIOR ALTERATIONS This structure may be occupied as a DCF ROAD Location Owner (min!fN , DAVID TAX 'i i' Ni 6 By Order Town Board a � TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement y x BUILDING PERMIT ro TOWN OF QUEENSBURY o No. 9 4-0 1 7 WARREN COUNTY, NEW YORK rn PERMISSION is hereby granted to DAVID MARTIN rn Ridge Road OWNER of property located at Street, Road or Ave. in the Town of Queensbury,To Construct or place a Interior Alterations at the above location in accordance to application together with plot plans and other information hereto filed and H approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t YU 130XAddn is 411 Lake George NY 12845 0-1 H- 2. CONTRACTOR or BUILDER'S Name David T. Martin 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name N 0 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 416 sq ft Interior Alterations as per application, No. specifications and floor plan. 8. Proposed Use H Bathroom , laundry and storage areas �* ID n H- O 16 . 00 K $ PERMIT FEE PAID —THIS PERMIT EXPIRES February 9 19 95 (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.) rt (D ri Dated at the Town of Queensbury this_ 9th Da of February 1994 rat 7 H- ,✓ O SIGNED BY for the Town of Queensbury w Building and Zonin I ctor TOWN OF QUEENSBURY REVIEWED BY: COMMUNITY DEVELOPMENT DEPARTMENT A BUILDINGROAC ' CODE ENFORCEMENT 0/ y FEE PAID: �� t Ir QUEENSBURY, NEW YORK 12804 PERMIT NO. 9V-,Q/7 (518) 745-4447 BUILDING PERMIT APPLICATION ,`Z 34S6Te® A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION 'NO NSPEC NS WILL BE' MADE UNTIL APPLICANT HAS RECEIVED A VALID B DINCFPERMIT ` ' All applicants' spaces on this application MUST be c let i the signature of the applicant MUST appear on the applic ion I e est )(_OWNER OF PROPERTY �'� btlidesi '1 0 1/ , CCU tae „` "Mailing Address: Pc,/ L `t(1�{ Lac 1 " Telephone Number(s) :L Work Home, l-L`12- 7 ) the At-r N PROPERTY LOCATION: 4 i. a e"�y 4 Tax Map Number: Section ,6 Block . Lot 6 Subdivision Name: Lot No. NATURE OF PROPOSED WORK: ESTIMATED MARKET mum 9> THE CONSTRUCTION: $ 00 NEW BUILDING: RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION: DITION TO BUILDING: PRIMARY BUILDING - RESIDENCE/COMMERCIALingle Family Dwelling N- ALTERATION TO BUILDING: Two Family Dwelling RESIDENCE/COMMERCIAL Family Dwelling (NO CHANGE TO EXTERIOR SIZE) Office OTHER WORK (DESCRIBE BELOW) Mercantile Warehouse Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: }� 1ST FLOOR './t t SQ. FT. IF ADDITION, USE OF NEW ADDITION: 2ND FLOOR SQ. FT. OTHER FLOORS SQ. FT. . (not unfinished cellar or !basement) ACCESSORY BUILDINGS: Detached Garage - One/Two Car TOTAL FLOOR AREA: SQ. FT. Attached Garage - One/Two Car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building Other FEET X FEET Foundation Type: ;, Will any second-hand or ungraded Number of Stories : lumber be usedW f so, for what? (habitable space only) Height (grade to ridge) : feet Type of Heating System: Number of fireplaces and/or woodstove (circle al,..„ ch applies) ` s�� `'� to be installed: Electric k Oil / a d Forced Hat e aseboar / Other 4PERSO� �NRES E PONSIB FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:� NAME OF BUILDER/ADDRESS/PHONE: ` Ro K' jjLyj2d 7�r,2- ?t3a NAME OF PLUMBER/ADDRESS/PHONE: >, NAME OF MASON/ADDRESS/PHONE: NAME OF ELECTRICAN/ADDRESS/PHONE: DECLARATION 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 the owner. Further it is understood that I/we shall s prior to a C r ificate of Occupancy or Certificate of Compliance ng is ed, n B I T PLOT PLAN drawn to scale, showing actual locati of proje ,t o prey s . Signat�x (Owner, o r' gent, architect, c tractor) FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE: 1.$46678 _0 ,� boa w s ENERGY CODE COMPLIANCE APPLICATI o N ce , TOWN OF QUEENSBURY, WARREN COUNT G��Jok „-..g� 9000 HEATING DEGREE DAYS Q`gtos`o� va14. Compliance Methods : PART 5 - Acceptable Practice Meth' pq- i,,% 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: / - t4- 1 . Gross Floor Area - LOCQ square feet 2 . Type of Heat - Electric Oil Gas Other e_ Ltucl 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: a. Roof R b. Exterior walls R ('1 t.t ',-� �R 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 CONT OL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED rppli ant' s Signatur ` D to Number (1:Ione ( -D7°° INSPECTOR' S REMARKS : TOWN OF QUEENSBURY + l�wiU BUILDING & CODE ENFORCEMENT ` O 742 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: -Pea) DEPART: Z6V5- INS : FINAL INSPECTION REPORT - RESIDENT AL DATE INSPECTION'� [REQUEST RECCEEIVED: , NAME ]J,\j i l / LOCATION /DC-F1� DATE S PERMIT A (1(--'"-()1�.\ TYPE OF ST ��IUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC INSULATION FINAL ELECTRICAL WOODS'OVE OR FIREPLACE N/� YES NO CHIMNEY HE GHT/B VENT/HEI T PLUMBING VE T \/ ROOFING V EXTERIOR FINI DECK/PORCH/STEP RAILINGS V RELIEF VALVES f FURNACE/HOT WATER 0% RATING Y INTERIOR TRIM/PRIV, Y DOORS FINISH FLOORS: BATH/KITCHEN WA ERTIGHT �/ OTHER FLOORS S EEPABLE Y OTHER FLOORS 'ARPETED V STAIR CLEARANC'/RAILINGS SMOKE DETECTO'S f ` BATHROOM FAN' V ./ PLUMBING FIX URES Ni V4 FOUNDATION I SULATION GARAGE FIRE PROOFING V/ DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. V // FINAL SURVEY PLOT PLAN C} OK TO ISSUE C/O OR C/C ....,‘J1'11'1j1ruIn r,LE,L.rtut.du.,IrrrA,I1uN tKV1L ,11NL. Main Office 357 Elwyn Terrace — Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL -7) Panel Board No. Cert.N 3 2 0 6 0 Cut-in Card No... Owner Occupant Location V /12i '066-- Cap-exi y Installation Consisting of 9 5-e rel /04e-C6-1)., ,44 teS c;- Installed By sTLic. # 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 inspect at any time, and if its rules are violated,the Comyary shall have the right to revoke t i erti • - Date. INSPECTOR. Member N.F.P.A.,I.A.E.I. 9) , TOWN OF'QUEEkSOUr BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME VANRTA LOCATION c,c ) DATE 9-).0\C\t-k PE.RMIT C1LA TYPE OF STRUCTURE \ QTVIFIP:\r)c),N RECHECK FRpopktO,C--, ovw.t.,\UE APPROVED N/A I YES NO 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 COICRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL OUP REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: : I JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM _ -- 1 HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS WALLS CEILING R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE VC).= V:5 DEPART kty.:30 6PECTO :// F QUEENSBURY 5 BAY ROAD QUEENSBURY, NEW YORK 12804 Ipmav TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME VA\) A�1 LOCATION \2 c c DATE 'fit � �� PERMIT# (VA^CA7 TYPE OF STRUCTURE 1v e PRI2VC) ? RECHECK FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS 1 / APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION ✓ B VENT/LOCATION PLUMBING VENT ROOFING ✓ � : SIDING DECK/PORCH/STEPS/RAILING / RELIEF VALVES � FURNACE/HOT WATER OPE ING INTERIOR TRIM/PRIVACY OORS FINISH FLOORS: BATH/KITCHEN WATE IGHT OTHER FLOORS SWEE ABLE _ OTHER FLOORS CAR TED STAIR CLEARANCE/RAILINGS i// SMOKE DETECTORS �/ DOOR CLOSERS i BATHROOM FANS • ✓, ALL PLUMBING FIXTURES OPERATING ,/ GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION .� FIRE/DEMISE WALLS FINAL ELECTRICAL // OK TO ISSUE C/O OR C/C ✓ COMMENTS: ARRIVE 1(l 1!i DEPART k®=?k IN P 0 fT /I 7 Date, >�;,�,.; �° y._ . --a9—- C41 MO1111 IEALTH 'RICAI IN TION SERVJ (tr>cotpQr> ed intiie States of -, MAIN� . 357 EIwYn.Teirace,.Mantleim,.PA'7545 * (!1 " New Yoke_Maryfaftd,P nnsyNanlat,Delaware) 8OO 3 O43 LO " ? 1 Pia�ss'ive tut- d accurate ds pions in ardar'to a+ de sy . use back f$ C i ►ed ." C ificat sn of Approval, apptic $iion is made for.inspection of i tcleal inst llaltidn in the:prei i es be ow Ott id nand, applicant agrees to pay�fot,inspection sera a in accord with schedule of cha s (S erse Side .. r� Pl EAat'E PR1/4ITA" 1 ... . 1�...... x , Ownerr. ' * Type •Bldg ;- WG t7 other Occupant _.... .: Bldg Pe �ntt No: , Ccft(trty78,37 T p. Swtn trig P State Pool = New C#t)l Owner's t ddress iol-Perot No.. : Al 1)itxcti rn o Jola Si,. _-.l t._ ' ' i€ afion por Rou*h_Whin ©t Fixtures Q rvice ❑ or Wvt�fc •New L Additional-0 .-11' Bldg / ew i ld Q Ready for[} ction Fie 1 ,..,, ,...„... .„- _ ., - ._ -._ _ , rhea Cash 1lePay1Tca C.Ir l S,I . t JST ALL EQUIPMENT AND W"Gf',, - rvu1N8ER fir ao CFI... NUMBER OF eL€C-HEAt AIR eoNT3+TIoNt. ninieNER - �Y1s8*At • I' $*�' c � +tnn�u 5 TLEYS �Fy1l MU ES NUMBER ,YPE Of pEVret •tax K ' , a wi W. , r �� - -. r I c fX-':' S y,€ a t.l 'l � k' y Pik ..,' ,, Sl fi;,QQ $cfhl r gtc� �T ,.- - . ktit: HP. - 3A2+0.1/1 i/10 1/8 .1/6- 1/4 113 112. 3/4 1 2-1/2 2 5 '-Ifv ; IS , ' �3o .4 Y # 100 MAf11C N41Mit7"rt• __ -__ _ - - - - - { 4f FAIN SIZE. . Y1 j v . LICENSE at PER„., , # NAMEQF - aa CITY.; 1 � 'TATE 4 ZIP CQ[ �a , pT D , SPAc ; t FO uS cry INSPECT S OtNL Y ROUGH,WIRING AMP SERVICE PUMD OUTLETS EQUIPMENT,,- SiNiTCHES ,' HEk� OVEN - PUMP R � <: ,' R€CEPTACLES SURFACE - OtSGPgA* ' ,. UNIT� a1S�LifNt�'' ,�- MEDIUM BASE r F13TURES-- 13AN€E ,�^. - - MOGUL BASE WATER` 11X3uRES. HEATE€.. X4 DRYER FUOtESCENT AIR AMP. fiEGEPTACIES FIXTURES CONDII' LER MERCURY VAPOR 11 lA II;P . QUARTZ FIX . R WIRING.'.. ri TR06S FO - _ - BURNER- .,- FANS MIAF1 t ER 1/20 I/1 1p3Q 1/8 i/k 1/3 1/2,3/4 1 1/2 `2 3,- - 5 /-1-/2;;10 15 2ti ,25 36 `-4b 75 1QQ- 1 Uf EAt t1.8i2 APP�f r I�ATUS: � j. M#�; II O: '- DATE INSPEC. �_ RED n - ..„. r. , POR iE ffE P-Al -- : RAGTOR- tOtA3. -` - GER ICA 'E ISSUEO ; © DUP .stO"' y- CN6't CtC >t ' ' 'r 7 O FINAL.= r(]SERV. C ctl atvT 0ARt,`E. PROGRESS "=f3 A NI ASH DEFECTIVE 0 > Ee l,T: 4 TEMii�CAl #t DATE - BNIS `E •79$, ' WHITE/Of{Ice CANAf'(Y/Customer PtNlt/fispec {3 car' %0(r' TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT BEQUEST FOR INSPECTION RECEIVED Jai TAME .- c L �.00ATION �v , /2 7 i 11f7, �!'✓ ATE / .:/ Y PERMIT # ✓✓ 'YPE OF STRUCTURE . e A'rc/' h 7/ /% ',ECHECK APPROVED N/A YES NO OOTINGS/PIERS • IONOLITHIC POUR FORM EINFORCEMENT IN PLACE 'HE CONTRACTOR IS RESPONSIBLE 'OR PROVIDING PROTECTION FROM 'REEZING FOR 48 HOURS FOLLOWING 'HE PLACEMENT OF THE CONCRETE. IATERIALS FOR THIS PURPOSE ON SITE OUNDATION/WALL POUR ',EINFORCEMENT IN PLACE OUNDATION/DAMPROOFING ACKFILL APPROVAL .OUGH PLUMBING 'LUMBING VENT/VENTS IN PLACE 'LUMBING UNDER SLAB RAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MATN BEAM 'EATING ROUGH-IN NSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES I.EMARKS: `' T��►.� o \33(\\LL__ ..)( 2-x12i 1)k. - O ' __ ) CSC.\ 1RRIVE 3: Li 5- EPART -- - on / '% INS R • / / ----- i./ /1 i .• • • fdijwifroxig. =_-.. I r C.: 0 2 —. .—,.................s .... %,............) k a, to rt, \,, i, _ k ......, i- \-- 6 ri •.‘".. "(1.4 e A or, .-C al, • 5.,.. g ..... 2 3,= ...0 kr rt, 10, (\ elg FAJ, Ivi-n \./ / C._ _.... ..........) , ., ') . FILE COPY if u 6'''- !'7 t'?' 7;'1' :.T' 7'''. ''- '' ' ''''''' t t,,,,,,,,, t ,,' 1 '3 ,--.'.!, . '- ':-:•,;.'.,,?:.,• -----:r':,- ..,':, n • TOWN OF QllFENSBURY BUILDING DEPARTMENT Based on our muffled examination, .. compliance with eilr comments shall 0 not be construe,cl if; mica-nrig the plans and specifirah,-:ns are in full compliance with tne code L.,.- .• -.. __.2--- , • -.\...