96-712 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
November 24 98
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 96712
• has been completed.
RESIDENTIAL ADDITION (BATHROOM)
• This structure may be occupied as a
1 MANNIS RD.
Location •
DAVIES, RONALD & VALARIE
Owner
TAX MAP NO. 6 0 . -6-6 By Order Town Board
TOWN OF QUE RY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE $ 12000 TOWN OF QUEENSBURY No 96712
TAX MAP NO. 60. --6-6 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to DAVIES , RONALD & VALARIE
OWNER of property located at
1 MANNIS RD. Street,Road or Ave.
RESIDENTIAL ADDITION (BATHROOM)
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
1 MANNIS RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
MAT T S O N, K E N
3. CONTRACTOR or BUILDER'S Address
64 BLIND ROCK ROAD
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX 706
HAGUE , NY 12836
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ADDITION
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
40 thal. FT RESIDIENTIAL ADDITION (BATHROOM) AS PER PLOT PLAN
SPECIFICATIONS
8. Proposed Use
RESIDENTIAL ADDITION (BATHROOM)
8 November 19 19 98
$ PERMIT FEE PAID -THIS PERMIT EXPIRES
(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.)
19 November 19 96
Dated at the Town of Queensbury this Day of
SIGNED BY for the Town of Queensbury
Building and Zo i Inspector
TOWN OF QUEENSBURY REVIEWED BY: •
COMMUNITY DEVELOPMENT DEPARTMENT it w
BUILDING & CODE ENFORCEMENT Vot„..t*
FEE PAID:
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 i PERMIT NO.
(518 ) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form.
OWNER OF PROPERTY: MfYVi .
J2 ,
Mailing Address : j 1 etym s f(-A . L'"t
Telephone Number(s) : Work Home '716 U 7j-1 Other
PROPERTY LOCATION: Jr /�'�
Tax Map Number: Section l.lX 1. Block ] Lot
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ 1�' 0(1 J
NEW BUILDING:
�% RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
G ADDITION TO BUILDING: PRI RY BUILDING -
RESIDENCE/COMMERCIAL ;Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL • Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile NOV I = 1996
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR 9 C) SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT. r;M)442. 20
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
A Other
1 FEET X l to FEET
Foundation Type: 6 t.C . Y)COC -- Will any second-hand or ungraded
Number of Stories : 1 lumber be used? If so, for what?
(habitable space only) 14 )
Height (grade to ridge) : tO feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all hich applies )
to be installed: 0 Electric _ / Gas / Wood
orced Hot Aim / Baseboard / Other
PERSON RESPONSI LE FO /SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
-.6i,l V V k� l,A
it
NAME OF BUILDER/ADDRESS/PHONE: 4 L (-Alr . 7 2'i311
NAME OF PLUMBER/ADDRESS/PHONE : ,�
NAME OF MASON/ADDRESS/PHONE: j/1� 14 4' 77 mow, s#-, 741 —:32-6 1
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 by the owner.
Further it is understood that I/we shall subm' t prior to a Certificate of
Occupancy or Certificate of Compliance bein issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of r ject r e-s:---------- ------_�
Signature �c� Aj\
(Owner, owner's agent, architect, contractor)
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
APPLICANT' S NAME : PROPERTY LOCATION:
0 Dek. ire 1 \'�Q��ts •
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - t (C) square feet
2 . Type of Heat - Electric ✓ Oil Gas Other
3 . Is building mechanically cooled? L- ' Yes No
4 . Percentage of area of windows and doors Over 17% L- 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
c . Glazed areas R '5'
d. Exterior doors R --�
e . Floors over unheated spaces R /
f . Edge of slab on grade (heated building) R• e.
g. Basement/cellar walls (above grade) R , 60
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
App 'i ant' s i ------ Da e Phone Number
INSPECTOR' S REMARKS :
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Y�
Main Office 176 Doe Run Road-Manheim,PA 17545 /V`
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL />
anel Board No. Cert. N2 66691 Cut-in Card No.
Iwner V frt._672 f E _P 1
ocation...! ,V 19—/!{AJ f5 , ,o
e . t,i_C=C`
��
istallation Consisting of 3 c &sd! TC/ / eecrri.
/ 'A-A) - Rer ,
lstalled By. Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
sncelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
itroduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of ma g i spections at any time, and if its
Ales are violated,the Company shall have the right to yoke is cfica .
late � /Z:.L ' ( J INSPECTOR !`
Member N.F.P.A.,I.A E.I.
(518) 761-8256
TOWN OF QUEENSBURY0
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 -
INSPECTOR'S REPORT: ARR DEPART-6,3()INT J" /
REQUEST FOR INSPECTION RECEIVED:
NAME DA LJV 5
LOCATION v''l 4'J&A S 1,7t..0
DATE li-T.3 7 7 PERMIT 1 7% [ [ Z-
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
\94M MONOLITHIC POU
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 SITEi_
k'OUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: _
JACK STUDS/HEADERS _
BRACING/BRIDGING
j JOIST HANGERS
/J JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
)IEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
CA-6_, A 01) (518)761-8256
TOWN OF QUEENSBURY614
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
� C '
INSPECTOR'S REPORT: ARR 3: S':bEPART INT1J C--
REQUEST FO INSPECTION RECF(/J(ED: -_..2-
i'NAME V �n e S. It
/
LOCATION 1 i i ail
y f 15 96-7/
DATE 1 _a 3_9 PERMIT
2...,
TYPE OF STRUCTURE: e.S /Jdd
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS 3
MONOLITHIC POUR FORM 'N
REINFORCEMENT IN PACE j
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/DAMPPROOFING _
$ACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
ING: 1'// 4
JACK STUDSlHEADERS ‘
JOSINHNGIRSING
JOIST HANGERS \//
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- -
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
4t.--„, (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPART INT'��
REQUEST INSPECTION RECEI . ^ 3- / 7
NAME
LOCATION rntl� ' 1 1 S d ']
DATE / �09,3 -1 7 PERMIT A A \ - !/
TYPE OF STRUCTURE: f' JJ
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORft
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/DAMPPROOFING _
$ACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
OUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: _
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER _
HEATING ROUGH-IN
INSUL TION•
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
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Alibi
TOWN OF QUEENSBURYitlal
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
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INSPECTOR'S REPORT: ARR DEPAR� 0/�) INT-
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REQUEST FO INSPECTION RECEIV -- 3' �-7
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NAME \) i CS t -Urs a
LOCATION \ � S e)
DATE 1--2, / PERMIT A L07/ -
TYPE OF STRUCTURE: 1 e S A)
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
4ONOLITHIC POU RIB}
REINFORCEMEN IN PL E
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 SIT _
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
HEA G ROUGH-
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FOUNDATION WALLS EXTERIOR R-
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UNHEATED SPACES R-
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(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 611
742 BAY RD., QUEENS//BU��R��YEE NY 12804jlil' /�
INSPECTOR'S REPORT: ARttf,�"J DEPART!a,./"INT
REQUEST R INSPECTION RECEIat:
NAME \F'.SS ) elf 1
LOCATION 1 'ln r i S ,
s -7DATE _ PEAT
TYPE OF STRUCTURE: (Ae J) . f14-073-1 l/)
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM /"r
REINFORCEMENT IN P
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
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PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
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FRAMING:
JACK STUDS/HEADERS T
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
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 '4
�'.
INSPECTOR'S REPORT: ARR /,I) DEPART INTSD
REQUEST FOR INSPECTION RECEIVED:
NAME �i. 4 L.,f
LOCATION rrj.,j /G/.
DATE // � �% PERMIT A //°"-7J L
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES , NO
FOOTINGS/PIERS I
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR I RESPONSIBLE FOR
PROVIDING PROTE ON OM FREEZING
FOR 48 HOURS FOLLO NO THE PLACE-
MENT OF THE CON
MATERIALS FOR THIS P POSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDSLHEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
7
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(518) 761-8256
TOWN OF QUEENSBURY413
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR /401DEPART I T Q
REQUEST F INSPECTI�� RECEIVED: II o.1- i /
a
NAME _ ef '4 IGl7.e. 0IS
LOCATION 1
DATE I i �� ZR0MIT i Y/ - lid--`
TYPE OF ST CTURE: /(G�'PT-�� 4Y'*h 610"-•
RECHECK APPROVED
N/A YES
NO
1
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RESPON IBLE FOR
PROVIDING PROTE TION FROM FREEZING tv/
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _
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FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE ,
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
t-
JACK STUDS/HEADERS
BRACING/BRIDGING _
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R _
_CEILING R-
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APPROVEb
Application
NOV 18 1996
Zoning ini rater
TOWN OF QUEENSBURY
•,
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