95-153 •
t .G
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 10 19 96
This is to certify that work requested to be done as shown by Permit No. 95153
has been completed.
INTERIOR ALTERATIONS
This structure may be occupied as a
BIRDSALL LOAD
Location
Owner BERRIGAN. DANIEL E .
TAX MAP NO . 40. 1 1.5 By Order Town Board
TOWN OF QUEENSBURY
Avg_ ,
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE $ 9000 TOWN OF QUEENSBURY No. 95153
TAX MAP NO. 40. -1-15
WARREN COUNTY, NEW YORK
BERRIGAN, DANIEL E.
PERMISSION is hereby granted to
BIRDSALL ROAD
OWNER of located at y„ Street, Road or Ave.
property 203 SQ. FT. G TO SF DWELLING
in the Town of Queensbury,To Construct or place a
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
BIRDSALL ROAD GLEN LAKE
QUEENSBURY, NEW YORK 12804
2. CONTRACTOR or BUILDER'S Name
GOODEMOTE, DARIUS
3. CONTRACTOR or BUILDER'S Address
0
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
RESIDENTIAL ADDITION
( 1 Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
203 S00. FT. ADDITION TO SINGLE FAMILY DWELLING (DINING ROOM) AS
PER PLOT PLAN AND SPECIFICATIONS.
8. Proposed Use
203 SQ. FT. ADDITION TO SF DWELLING
$ 16 PERMIT FEE PAID —THIS PERMIT EXPIRES April 8 19 97
(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 20 ay of April 19 95
SIGNED BY for the Town of Queensbury
Building oning Inspector
Department of Community Development Reviewed By: -I•'►r
Build ng & Code Enforcement B�� Inspector
Town of Queensbury i0� Permit No.
742 Bay Road
Queensbury, New York 12804 Fee 1f3
(.518) 745-4447 Building Permit Application
APR 1 31995
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTI 'N;: NO INSPECT;IOTS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID
All applicants ' spaces on this application MUST be completed an 7
signature f the applicant MUST appear on the application form.
lj a ie1,
Applicant: E Beim IAgde Owner: SA ' .C:
( 3
Addre\ 61rd`.ia -cl '0l `.,1,� L 'AKl e_ Address: ~ `i` `...-
Phone # ( 5!8 ) w,';? - u: ;;7 Phone # ( 11, ,,),. (,_ -
Property Location: (- k'-- L A V', `_ /76 / / l /
Tax Map Number
Subdivision Name: ti4 Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE QOFF THE
New Building: CONSTRUCTION: $ D(
residence / commercial
Ia. Addition to Building:
"residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: P imary Building - `-*21
--> residence / commercial Single Family Dwelling ` p
Residence / Commercial Two Family Dwelling f/ "c ,
no change to exterior size _ Family Dwelling r
Office 4 �
Other Work (describe below) Mercantile ��,.
ore- Ex1st► -K toc,rni-?e1 , ' S""'e-- Manufacturing
•
ji2C.�eY'4-h, wvAfe, -Zor.n a v iy O Lk-t -Ye,,,.;er� Ct .y %S ( It-fnil
GROSS AREA OF PROPOSED STRUCTURE:Ch+mi�/y" t"t I '0-C\
-�
q• t . R¢'"", ` � If ON, what will use
1st F_i oo r _ s L of new addition be? :
2nd .Floor sq. ft . �1N,, oc,,
Other Floors sq. ft.
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Y
Detached Garage 1 , 2 car
TOTAL FLOOR AREA: 0 SQ. FT, Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
_„ ) \` Other
.2D ,) FEET X \O \. FEET
Foundation Type: ;; ', t kr - If- Will any second-hand or ungraded
Number of Stories : / " lumber be used? If so, for what?
(habitable space only) _
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: /'%'/f Electric / Oil / Gas / Wood
Forced Ilot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : Var4�s (2,bo Iver,c -. M\\ R\( kor �oc-'d S 1`1 ,--i`RO
Name Addresss Phone � G�
Builder: \ ; :.
Plumber: Sctr'. Cor\\cx ;2 \t' -. c) JA 4 i9z-5 oR 76
Mason: Nft ��/
Electrician: d Cu{ ` -cm.:..C_ v,.o ca. , l,_,.,c -- _<Y .: e („),..s':.r
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 by the owner.
Further it is understood that I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing ac ual location of project on premises .
Signature:
(Wr4.4.:, 7) �-4----
owner owner' s agent, chitect, contractor)
(//4 „,...1 3
�y r ENERGY CODE COMPLIANCE APPLICATION Er"""
-7y dal'' TOWN OF QUEENSBURY, WARREN COUNTY
�. 9000 HEATING DEGREE DAYS
APR e? '_ 5 '
Compliance Methods : PART 5 - Acceptable Practice Meth dIc vvi;l
4�_i l,i _ !f
1&2 Family Dwellings (on BUILDING ANDCCDBi{'1
PART 6* -- Thermal Rating - Component Trade 0 - -
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 - , C square feet
2 . Type of Heat - Electric A. Oil Gas ` ' Other
3 . Is building mechanically cooled? Yes A No
4 . Percentage of area of windows and doors X+ Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R � Sj "
b. Exterior walls R .40qt (o° V )
c. Glazed areas R
d. Exterior doors R "
e . Floors over unheated spaces R �Cp "
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 A' Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
App ' ant' Signature Date Phone Number
INSPECTOR' S REMARKS :
STATUS
AlIlik TOWN OF QUEENSBURY
+ #�i11 BUILDING & CODE ENFORCEMENT
1 � 742 BAY ROAD 747 4f 0
QUEENSBURY NY 12804 7/27_ 011 7
/ (518)745-4447
7:: `D �/DEPART: /b• INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUESTRECEIVED:
NAME , 45ve421 (,44) p,Q/¢,A)
LOCATION T5*<-4-- Lo. �j
DATE 11C7 PERMIT I ` r-,r3
TYPE OF STRUCTURE 1.�!/ r 4L7
FOOTINGS FOUNDATION _ BACKFILL FRA,LYNG
ROUGH PLUMBING PTIC _ INSULATION if
FINAL ELECTRICAL (WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT /
ROOFING �// '
EXTERIOR FINISH �✓
DECK/PORCH/STEPS/RAILINGS /
RELIEF VALVES 1/
FURNACE/HOT WATER OPERATING /✓
INTERIOR TRIM/PRIVACY DORS V
FINISH FLOORS:
BATH/KITCHEN WATERTIG T
OTHER FLOORS SWEEPABL
OTHER FLOORS CARPETED` /
STAIR CLEARANCE/RAILINGS / Y/(/
SMOKE DETECTORS
BATHROOM FANS / V
PLUMBING FIXTURES /
FOUNDATION INSULATION/ :/'
/ f//
GARAGE FIRE PROOFING
OOR OOSSEERS /j / / ,✓ I//)(
-`
FINAL ELEC2I04L f►w/q ✓
SITE PLAN/VXRIANCE REQ. / /
FINAL SURVEY PLOT PLAN
OK TO ISSUE 0 OR C/C
COMMONWEALTH ELECTRICAL 1NJl'l;l;l'HUN SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
45122
Panel Board No. Cert. ,, / Cut-in Card No.
Owner...f'frNZL 16724./cfr
Occupant
Location ADP / T/ - 7 '/ re aes,`
Installed By.. ' 6 0 m v 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 inspec ns at any time,and if its
rules are violated,the Comp shall have the right to revoke •,cer
Date.../Y —76 — �..S INSPECTOR.
M ber N.F.P.A.,I.A.E.I.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRVIi4I DEPARTV55I T/Ti,/
REQUEST FOR INSPECTION RECEIVED:
(
NAME _ ,. J E R I C,c k` ---
LOCATION
DATE , ztl _ PERMIT #
TYPE OF STRUCTURE: ADP
RECHECK APPROVED
N/A YES NO
OOTINGS/PIERS
MON* ITHIC POUR FORM
REINFO EMENT IN PLACE
THE CONT' CTOR IS RESPONSIBLE F R
PROVIDING 'ROTE TION FROM FREEZ NG
FOR 48 HOUR FOLLOWING THE PLAC -
MENT OF THE ►•NCRETE.
MATERIALS FOR IS PURPOSE ON S E
FOUNDATION/WALLP• R
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFI G
DACKFILL APPROVAL 't
PLUMBING VENT/VENTS IN PL CE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: _ /
JACK STUDS/HEADERS \ - `
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-INk
_t
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS -
R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 y
INSPECTOR'S REPORT: ARR-VC() DEPARTk 1 INIA, I t
REQUEST OR INSPECTION RECEIV D: 5— 1 t -" •_J
NAME rr i ► c& "\Yl i P�
LOCATION4:22)is w'o 11
DATE S / L-----(15 ERfMIT IIct 5 -153
TYPE OF STRUCTURE: Cka / RE , a&v.d
RECHECK APPROVED
N/A , YES NO
FOOTINGS/PI S
MONOLITHIC PO ' FORM
REINFORCEMENT I PLACE
THE CONTRACTOR IS RESPO ISLE FOR
PROVIDING PROTE T •N FRO FREEZING
FOR 48 HOURS FOLLO ING T E PLACE-
MENT OF THE CONCRE
MATERIALS FOR THIS PeRPO E ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING,
BACKFILL APPROVAL k
PLUMBING VENT/VENTS IN PTA F
ROUGH PLUMBING
)PLUMBING UNDER SLAB
?FRAMING: +f
JACK STUDS/HEADE;S
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN .EAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
`INSULATION: '�
FOUNDATION WALLS LNT RIOR R-
_FOUNDATION WALLS E 1 RIOR R- — -_
FLOORS R-
A WALLS , R_
x—C-EILING ‘‘o,
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 'n
INSPECTOR'S REPORT: ARR DEPART -C INT 'j
REQUEST FOR INSPECTION RECEIVED:Ofk,,K.W,
'/ R/ l5
NAME `;-+21 Y`' � 1 ) (((LOCATION 4(1Qc /
DATE Cj lC PERMIT # ?S. 1 1,3
TYPE OF STRUCTURE: c JlO)-A 4( eeS ic( 0&
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC PO R FORM
REINFORCEMENT 'N PLACE
THE CONTRACTOR S RESPONSIBL; FOR
PROVIDING PROTE + ION FROM F' EZING
FOR 48 HOURS FOL •WING THE PLACE-
MENT OF THE CONC•% TE. _
MATERIALS FOR THIS PURPOSE IN SITEJ
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLA4
FOUNDATION/DAMPPROOFI
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN IT CE
ROUGH PLUMBING
PLUMBING UNDER SLAB
' FRAMING: VArfL t �_
JACK STUDS/HEADE'S
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRID'
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-3
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-