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
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BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 92-103
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Steve A Jody Chiewcko
OWNER of property located at 201 Brayton Rd, Cleverdale Street,Road or Ave. s
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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
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1. OWNER'S Address is tD
Same
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2. CONTRACTOR or BUILDER'S Name
Peter Imperiale
3. CONTRACTOR or BUILDER'S Address N
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Norningside Circle ~
Queensbury, NY p0
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4. ARCHITECT'S Name p
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) M
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( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. Renovation of kitchen as per plot plan specifications and a
application
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8. Proposed Use a
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Renovation of kitchen c
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$ 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
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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.,
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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:
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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:
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