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92-103 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date '� 19 q3 This is to certify that work requested to be done as shown by Permit No. 92-103 has been completed. This structure may be occupied as a Renovation of Kitchen Location 201 Brayton Rd, Cleverdale Owner Ste#e & Jody Chiewcko By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement a x BUILDING PERMIT z TOWN OF QUEENSBURY No. 92-103 WARREN COUNTY, NEW YORK Iv PERMISSION is hereby granted to Steve A Jody Chiewcko OWNER of property located at 201 Brayton Rd, Cleverdale Street,Road or Ave. s tD in the Town of Queensbury,To Construct or place a Renovation of Kitchen at the above location in accordance to application together with plot plans and other information hereto filed and O approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. y e+ 1. OWNER'S Address is tD Same a• CW 0 2. CONTRACTOR or BUILDER'S Name Peter Imperiale 3. CONTRACTOR or BUILDER'S Address N 0 Norningside Circle ~ Queensbury, NY p0 a 4. ARCHITECT'S Name p R 7C a 5. ARCHITECT'S Address C7 ..r fD 6. TYPE of Construction—(Please indicate by X) M C1 a ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. Renovation of kitchen as per plot plan specifications and a application 0 8. Proposed Use a C+ Renovation of kitchen c N C+ O $ 16.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 2, 19 93 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n town of Queensbury before the expiration date.) =r fD Dated at the Town of Queensbury thi d ay f A ri 1 19 92 SIGNED BY for the Town of Queensbury Building and Zon Inspector TOWN OF QUEENSBURY 41EL REVIEWED BY: TOWN OF QUEENSBURi RECEIVED FEE PAID: MAR 3 0 1992 PERMIT NO. : BLDG. & CODE DEPT. 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 reverse side of this application. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property: ��-eyr ,e , a P.O. Address: 2C I a12Yj- �G i� (J PHONq(�3Q6Z— Property Location: C'eye(2rQ rd e Tax Map No. Has there been any split of this property since October 1, 1988? Yes No c/ If yes, Planning Board Review is necessary. Subdivision Name, if applicable: Lot No. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION: $ 154ciU y�— Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: ft. x ft. Other work (describe) * Existing Building Size: L GQ — * ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: * 1st Floor Sq. Ft. * Front Yard ft. Rear yard ft. * Side Yards ft. and ft. 2nd Floor Sq. Ft. * If on corner, setback from side street- ft. Other Floors Sq. Ft. (not cellar or basement) OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: Sq. Ft. * Primary Building - * One Family Dwelling Size of New Structure: ft. x ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units _ Pier/Slab/Crawl/Partial/Full (Circle One) * Business * Industrial No. of stories (Habitable space) * Other Height (grade to ridge) ft. If residential , no. of families: * If addition, what will use be? No. of rooms (excluding baths) : * _ No. of bedrooms: No. of bathrooms: * Accessory Building: Primary heating system: * Detached Garage - One/Two Car Type of fuel : * Attached Garage - One/Two Car No. of fireplaces to be installed: * Private Storage Building Will a woodstove be installed?: * Other Central Air Conditioning: Yes No (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. ' Will any second-hand or ungraded lumber be used? If so, for what? Foundation Wall Material : Thickness: Depth of Foundation below grade (to bottom of footing) : Will there be a cellar? Heated or Unheated? Floor Sq. Footage: Will there be a basement? Will any portion be used as living space? If so, what portion? Sq. Ft. Type of Use? Type of Roof: Sloped/Flat/Shed/Other Material of Roof Size, wood studs of x spacing If o.c. ; length ft. Joists (floor beams) : 1st Floor x spacing o.c. ; span ft. Joists (floor beams) : 2nd Floor x "; spacing o.c. ; span ft. Overlays (ceiling beams) : If x spacing o.c. ; span ft. Roof rafters: x spacing o.c. ; span ft. Roof trusses (pre-engineered): spacing o.c. ; span ft. Exterior Wall Finish: of what material ? Interior Wall Finish: If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so, will a Fire-Rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade: ft. Depth of fireplace hearth: ft. in. Water supply - Municipal o.r private well : SEPTIC SYSTEM: Distance from any private well (including adjoining properties: ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: ?-P_ e�L y_i(,4.1 P C, ee'/ e PHONE �1 b Z NAME OF PLUMBER & ADDRESS: ou QC PHONE NAME OF MASON & ADDRESS: PHONE NAME OF ELECTRICIAN & ADDRESS: t-:- L= �e C +(L r'e PHONE DECLARATION To the best of my knowledge and belief the statements contained in this application, 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 not, and that such work is authorized by the owner. Signature ADii-7., �e� Owner, o er s agent, architect contractor -------------------------------------------------------------------------------------------- SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBUHi TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DlYSE;VE MAR 3 0 1992 Compliance Methods: BLDG. & CODE DEPT. 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 PART 4 & 6 - Compliance Methods Require Submission of Worksheets P-QAe-�L e (L( 6� 4 l'i ZA 0 APPLICANT'S NAME, PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: qQ cc 1. Gross Floor Area - ,Q y1 Sq. Ft. 2. Type of Heat - Elec. . Base Board Other 3. Is Building Mechanically Cooled? YES NO 4. Percentage of Area of Windows and Doors Over 17% Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D THE R-VALUES SHOWN ON PLANS SUBMIT M! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R 30 B. Exterior Walls C. Glazed Area 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 1. Heating/Cooling - Ducts - Piping in Unheated Space R 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code YES NO TEMPERATURE CONTROL MIIXIMUM,SETTING 1409 - WILL NOT BE EXCEEDED 2V -._� a& - 3 3G � � ' 9 TELEPHONEAPPLICANT'S SIGNATURE DATE M INSPECTOR'S REMARKS: TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR`S REPORT REQUEST FOR INSPECTION RECEIVED NAMEQ��� LOCATION_ DATE A �% PERMIT # TYPE OF STRUCTURE A1 RECHECK_ APPROVED N/A YESI 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 CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATI ON/DAMP ROOF ING BACKFILL APPROVAL ROUGH PLUMBING L PLUMBING VENT/VENTS IN PLAC PLUMBING UNDER S AB. r { _ FRAMING: JACK STUDS/HEADERS 7 BRACING/BRIDGING f JOIST HANGERS _ JACK POSTS/MAIN BEAT HEATING ROUGH-IN INSULATION: iq 15� L L FOUNDATION WALLS YNTERIOR R- FOUNDATION WALLS AXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: -",tt e, 7ot3 CoM PLf3f-&,►� ARRIVE DEPART /2.O ,rzl&� S CTOR TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED F LOCATION �ok DATE ` a PERMIT! TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL— SEPTIC —INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL CHIMNEY HEIGHT/LOCATION N/A YES NO B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS X RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BM/KITCHEN WATERTIGHT , OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RKILINGS HANDICAPPED ACCEtS SMOKE DETECTORS' BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER �,/SITE PLAN/VARIANC REQUI MENTS J1FINAL ELECTRICAL I ; OK TO ISSUE C/O OR C/C n COMMENTS: M A-t L G{L, I,r-1 C HTe— ARRIVE DEPARTS INS TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ST NAME l )Al LOCATION1 �Yr_ � DATE t411Q1 PERMIT # TYPE OF S RUCTURE fA t RECHECK PROVED N/A YESI 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 CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN ACE FOUNDATION/DAMPROO,,ING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS:,IN PLACE PLUMBING UNDER SLAB ,- FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING V. JOIST HANGERS - ` JACK POSTS/MAIN A HEATING ROUGH-IN r INSULATION: FOUNDATION WALLS INTE IOR R- FOUNDAT ON WADS EXTEIZ-10R R- FLOOR WALLS tfll R- p D( CEILING 'G R-5 DUCT WORK OR"PIPING IN UNHEATED SPACES REMARKS: ARRIVE-D i DEPART ,cam INSP CTO TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION C) DATE PERMIT # '�03 TYPE OF STRUCTUREop&o ' RECHECK APPROVED N/A YESI 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 CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WAIVE POUR REINFORCEMENT J N PLACE FOUNDATION/DAMPROOFING BACKFILL APPROUL )4 ROUGH PLUMBING PLUMBING VENT/VENTS I PLACE PLUMBING UNDER SLAB F FRAMING: x JACK STUDS/HEADER _ BRACING/BRIDGING JOIST HANGERS JACK !POSTS/MAIp BEAM HEATING ROUGH-IM INSULATION: FOUNDATION ALLS INTERIOR R- FOUNDATION VALLS EXTERIOR R- FLOORS R- WALLS R- CEILING ,' R- DUCT WO OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE-a -3-0 DEPART 1 1 rw� IN EC R t C 1 Y �t 1. ; �a ~ L 0 a �} T y L O { x O &� m m i C'3 ca 00 1 C7 0 <C to co om m z 4 i�fE N m MAP of a `Jurv¢y orr a t�'arcel of La = �( file T N ot• �UCL1l5$U RY �'`�ARftLN COUY+'�T ti. Jt y L8 19F7 u Uo d03 I 71,f -TO- t�- -naW- Acrv�-rev - MC44 Not2. P WejrlklY WAU%A1JP.M6GH4N+ll,S u Poc,' f►..PftQT X r -14 WAS 15Vr,G. LUOKLEN�'�ltt'N PRBw W C. LENS - - - - - - - - � - i � }• =:I�tta�-Its-PAN1'1� _ - . _ReMav-�1aerigl� WA00 ANO-1 ;1ND� GnM E ^Tf��Ta y tl I + s ,1b. 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