94-619 `41
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
This is to certify that work requested to be done as shown by Permit No. Ti4 —Lo i q
has been completed.
This structure may be occupied as aaltkat...440L --10
LocationCI-Zie--nd4
.+d
Owner 4 C.e.k J JJClita--
mQ By Order Town Board
? --I` 1 --a I
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 94--t�I
WARREN COUNTY, NEW YORK
IF
PERMISSION is hereby granted to !.L/�L
OWNER of property located at ,—C 1 i Street, Road or Ave.
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 reto filed and ("
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
J3 . gQ - Ond . ., PoWnai
v �
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
No.
8. Proposed Use
aL Ati—q— 1t —1t) chLQOL '
$ 'a o °CI PERMIT FEE PAID —THIS PERMIT EXPIRES �(,�� a-4 19 qg
(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 o..T ` `Qay of 0 host 19 g-1/
SIGNED BY for the Town of Queensbury
Building and Zoning Inspect r
1'UUhl - OF QU)?h.1 51.1U1tY 1 Rit:VIEWED BY :
COML1UI:J1:'1.'Y DEvE1UI'M):tl'I' Df:l.'11R'1'Mi?iI'I -- �t
IUU11_,U.i1J(, & CODE i?Ill.�'ORC:I':Ill El'I' �; �'� Fltii? P11iI) ,,
531 1.111Y ROAD '' i� - • __-
QUI,Ft:IS11URY , HEW YORK 121JUI H. PIi:RM l.'1' MO. / i` 31
( 5IIt ) 745---4447
ilUII.1) 1 NG PEIU•lJ.T APPLICATION ' 1
CONSTRUCTION No- IN 'ECTIUNS
11 ].'t�.tttll.'I' t�]Uf�'J.' Uis OBTAINED I�11�•O)tL:__11L;G1NN BEGINNING _
WILL_ B1s MADE UNTIL APPLICANT I111S RL ci,:IVLI)__11-VI\LI.U—L1U LL)lI�C, _•1_ i( 1. .
Al !- aj:rl)l.r.cror1L-s ' r-l��oc e, on tlrr •; .rjrp-l.i.c ,-t1•_i.on PJli,'I' be comhl.leLer�i .,- �" re
s.N];jnI:ur.-e of the app.lictnrt- M!J.''i' appear on l:lre aj,jali.cft;o ,n t!1 ��uee
n of
--- ______- --- ensburp -- -
�+ L idg. Dept
oflUUEIR OF' 1'itOPEI '1'? : '�a�,p�,e/oik W -',6e_/ 4a/-4 A-. /71-A2l�%
, 5)c /'/Y iZr
Hailing Address :: gyp. Ll//N6 RC) ._._.
Telephone I'luinl,ni s ) _ Wvr: l: Homo 3. 9-0322-- 5i1 ; 4.r6-- 3SO6
PROPERTY LOCATION : 7- / - Z/ /----- 13.lock Lot.
TaxHopNumber : Section - - ----
Subdivision Name : S�eGft1/y' / ";`'-t7— hot No .
NATURE OF PItOI'OSEi) 1-IORK : I:STIMIITsl) MARKET V/11.,tIS OF THECONSTRUCTION: $5 07
49
HEW BU I:I..))) ItG :
Rf:S 1.UEIICI /COMMI?RCI Al. OCCUPANCY INFORMATION :
1\I)UI'I'i011 '1'0 11111.1.U.LIJG : t:'RiMARY 1101 f.,U1110 -
- - t ?SJ _ :[ C ?/CUMP ;R CI 1 1 ✓� Single le Family l w e I I
ity
ALTERATION 1O BU1DI [ G : Two Family Dwelling
— --- . --
t ;SIULICL /CU1hstC11L Family Dwelling
• ,S,. TO EXTERIOR SIZE ) Office
O'.l'i1ER WORK (DESCRIBE 1151.OW) _- Mercantile
Warehouse
Manufacturing
------ Other
DROSS AREA OF PROPOSE)) S'r'itl1C'1'Urti --- -- --- — — ..-
1ST FLOOR / 3 3C) Sc) . 1''f' . -
.__._ __-- — __ IF At)))i.Tf.ON , USE OF NEW ADDITION :
21d1) FLOOR `U,) . FT.
OTHER FLOORS ___ _ SQ . F I' .
( not unfinished cellar or basement ) A('CI;'sDORY etachedl Garage - One/Two Car
----------
t'U'.1'A1_. FLOOR AREA: -..--- SO. FT . Attached Garage - One/Two Car
• Private Storage Building
SIZE OF NEW STRUCTURE Commercial Storage Building
Other
I''f:l;'I' X FP:li:'.l'
S%® N/2Y Will any second-band or ungradedFoundationFoundationYl,Type : �� ���-_-_-.-__._---_-_---
Humberof Stories : 2- lumber be used? If so, for what.?
/\10
• ( habitable space only ) -----. ---� -- - -
liei_glrt (grade to ridge) : feetType of lleatin9 System:
Number of fireplaces and/or w oodstove circle all which applies )
to be installed : El.ectr.i-r. / Oil / Gas / Wood
Forcec: ilot Air / Baseboard / Other -
.TASOU R l SPON S Lt1Lls FOR SULJ RV I.��1 UN OF WORK AS RI(.ARDS TO BU I1.,D i HG CODES I S
NAME OF C1U:i.L1.)SR/ADDRESS/P11011P: : -ice e,//// > �Qur D021-> ! � `v�p J2, "'wA/ v /
NAME OF PLUMBER/ADDRESS/PiIONE: _ — -- __
NAME OF MASON/ADDRESS/PHONE : — - -
NAME OF i J_.L:CTRICAN/ADDRESS/PIiOiJS : ___
----- ------- ----------- -----_ __ I C Ell it lf,'1.'I O N---------- - -
U ----
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 P1.,AN
drawn to scale, showing actual location of r o ' ct 971 pre t�_
Signature !_k_---'--- - - --- ---
(Owner:, owner ' s agent: , architect, contractor )
FOR ANY SPECIAL PROVISIONS - SEE REV1. RS1 SIi)1 :
-644E--. d
C(loSSTZG o e I C I-V ii. . etrim c r — /0 0
•
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: A at am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: OP-
NAME: �Y PERMIT#:
LOCATION: V 3 M S-S 4l 4)7 R3 DATE:
TYPE OF STRUCTUR :
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake \�-�16
3 inch Plumb Vent through roof minimum 6" I -
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios \ �r
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum ''V2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap!Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area: ✓
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
( Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in,(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents
Building No./Address visible from road1./
Final Electrical
Site Plan /Variance required ge,ti
FA< / 1 /«j "f�Final Survey Plot Plan / �Ccr�f
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
y
Office No. (518)761-8256 Arrive: 3' (6 am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: dV
NAME: Ec)v.( 1 C_ ` C PERMIT#:
}\
LOCATION: �Vj\ '.,�( — DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom: —,
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches q
Garage Floor Pitched
Garage fireproofing/'/<hour fire door/door closer ��e— Ci
Duct work Sealed properly �--• ,�
Gas Logs in Sealed or Glass Enclosure c � j•/1�GJ/a/='
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area ..J!_j e X Ih4
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
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RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement j
Dept. of Community Development Arrive ///(am/pm Depart am/pm
Town of Queensbury Inspector's Initials Z)k
742 Bay Road
Queensbury,New York 12804 4
NAME Qrc i.r� WoN--3\- PERMIT# C\
LOCATI E 5c \ DATE A, f C`ci$
TYPE OF STRUCTURE `is \
N/A NO COMMENTS
Chimney Height! B"Vent/Direct Vent Location V
i- 4 s/, I l No/ O�
Fresh Air Intake ,
Plumb Vent through roof �7 `i" _
Roof Complete T fi
Exterior Finish Complete ✓ --- / rr i
Interior/Exterior Railings 30"to 36" ✓ — ,/ {�✓mod 'v' "` �9
Exterior Handrails,balconies,landing 18 in. or more '� / ``
srA
Interior Handrails stairs both sides 3 or more risers f, ✓ _ Mt," k./ [A i4C l p
Grade 2%away from foundation /
8"clearance to sill plate V
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating /�
Relief Valve(s)installed /
Headroom,6 ft. 6 in. on stairs /
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 . -rs /
Interior privacy/trim/doors/main entrance 36" ✓
Floor Finish /
Bathroom/Kitchen watertight V
Interior Handrails Balc nies/Landing 18 or more VRailing across window stairwells V /
Smoke Detectors: �/
every level
every bedroom _ _ ✓/
outside every bedroo i ✓
inter connected _
Bathroom fans
Plumbing fixtures
Foundation insulation tV
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed f
Furnace in separate room protected(in garage) /
Light ventilation per room 45✓ ✓
Safety glazing 18"or less from floor /
Final Electrical 1/
Site Plan/Variance required ✓/
Final Survey Plot Plan ✓�
As Built Septic System layout required
Okay to issue C/C (Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
p,19
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRp?/t DEPART INT
REQUEST FOR INSPECTION R CEIVED: S �.
NAME � A r
OCC}A'�TION j ^ p�_ Pa_
/4'rE ' r x Q'15o Q PERMIT N `� t
TYPE OF S RUC URE:
RECHECK APPROVED
N/A I YES I NO_
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR I RESPONSIBLE FOR
PROVIDING PROTE T ON FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE—
MENT OF THE CONCRaiE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PL' E
FOUNDATION/DAMPPROOFk G
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN?`PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
t
FRAMING:
JACK STUDSLHEADa','S
BRACING/BRIDGINf
JOIST HANGERS
JACK POSTS/MAI :EAM
AIR INFILTRATION BAR'. ER
HEATING ROUGH—IN
/9SULATION:
FOUNDATION WA S INTERIsR R—
FOUNDATION WA'LS EXTERI1 R— _
FLOORS R-
CEILING 2-w //pe R-3
�YR-,�
DUCT WORK SR PIPING IN
UNHEATED'SPACES A- •
01: 14 S'/G��e ra6L
gy er 4
/� i'i ee P