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2000-736 01Oki TOWN OF QTJEENSBURY T742 BayRoadQueensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20000736 Date Issued: Friday, June 04, 2004 This is to certify that work requested to be done as shown by Permit Number P20000736 has been completed. Tax Map Number: 523400-226-016-0001-041-000-0000 Location: 280 CLEVERDALE Rd Owner: MICHAEL & LINDA MONTEMARANO Applicant: JUDITH & PAUL CUSHING This structure may be occupied as a: By Order of Town Board Residential Addition TOWN OF QUEENSBURY Director of Building&Code Enforcement TOWN OF QUEENSBURY ..010% ON742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000736 Application Number: A20000736 Tax Map No: 523400-013-000-0003-023-000-0000 Permission is hereby granted to: JUDITH &PAUL CUSHING For property located at: 280 CLEVERDALE Rd in the Town of Queensbury, to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: JUDITH &PAUL CUSHING Residential Addition 8,000.00 BOX 133 Total Value 8,000.00 CLEVERDALE,NY 12820 Contractor or Builder's Name/Address Electrical Inspection Agency TM-CROSS DANA CROSS ARGYLE Plans & Specifications 2000-736 RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS $20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, October 03, 2002 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town f Qu sb ;Jues . ,//ctober 03, 2000 SIGNED BY ' /‘ for the Town of Queensbury. Director of Building& Code Enforcement Building Permit Application Town of Queensbury - Dept. ,f Community Development, 742 Bay Road, Queensbury, NY 12804 /761-82.56/ 'O BUILDING & CODE ENFORCEMENT NOTICE Requirements prior to issuance ' of this permit: PERMIT FILE NO. -' A permit must be obtained before beginning construction. No inspections 0 PERMIT FEE PAID$�. —� will be made until applicant has received n Zoning Board Action a VALID BUILDING PERMIT. All Area /Use RECREATION FEE P D applicants' spaces on this application — MUST be completed and the signature (l Planning Board Action REVIEWED BY: of the applicant must appear an the SPR / Subdivision /Other Building Inspector 4�pplication form. nn,k y.. -I 1/4 Fee Payment Applicant: `�J C 4 �IJO a/g i4%4 Owner: L I -+l 1#O �' S444 z ev ueva EP6'G avao Address: P.G. %Olt 13 3 Address: rs 44411 'Wevwo a 1,NH 11,4441 Phone # ( $10 ) _(4 - tin Phone # ( 41 ) pi, - �i i i 1_ V1�OR4 Property Location: 1 3 / 3 / L 3 Subdivision Name: lax Map Number - Section Block I apt NATURE OF PROPOSED WORK: ESTIMATED MARKET V LUE OF THE New Building: CONSTRUCTION: $ 1 W residence / commercial )4' Addition to Building: eesidencj) / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work (describe below) Mercantile Manufacturing • Other GROSS AREA OF PROPOSED STRUCTURE: 1st Floor ti4f�.�y� sq. ft. If ADDITION, what will use 2nd .Ffogr. . .,!!' sq. ft. of new addition be? : 4npty Other Flouts sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: 140204 SQ. FT. Attached Garage 1, 2 car Private_Storage Building SIZE OF NEW STRUCTURE: Other c al Stork ilding if 1 y 4 — Other O FEET X ii f Ai/FEET — Foundation Type: 4mcgerde Will any second-hand or ungraded Number of Stories : • 1 lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : I) feet TYPE OF HEATING SYSTEM: Number of fireplaCes and/or woodstove le all which applies) to be installed °'"' / Oil / Gas / Wood Force. Hot Air / Baseboard / Other Person responsitlfor supervision of work as regards to building codes is : �k�0 Na Addresss Phone Builder: TM4 4 (*.WC AR1t(`I Ottir 4-tr-44`'24 Plumber: Mason: Electrician: DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge 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 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 by a licensed surveyor• drawn to scale, showing actual location of project on premises. Signature: owner, o ner's agent, ar hitect, contractor) riivrxl,Y LOVE APPLICATIONS ENERGY CODE COMPLIANCE APPLICATION 7404v, TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS • Compliance hods : PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) W. 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: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - Z19.15. square feet 2 . Type of Heat - X Electric Oil Gas Other 3 . Is building mechanically cooled? )( Yes No 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R • 142 b. Exterior walls R c . Glazed areas R d. Exterior doors R • /04 e . Floors over unheated spaces R f . Edge of slab on grade (heated building) R ' lZ 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 Yes No 44 TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED A iClrt ' Si nature Date Phone Number ..y ,,,,6) • 4)- MG' baa Th- 3 INSPECTOR' S REMARKS : s- GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road ti Queensbury,NY 12804 Arrive am/pm Depart a m Inspector's Initials 1 NAME: ('1; 5M )CO PERMIT# 1% LOCATION: C' Z c C� 120 DATE: S1/7/d/ TYPE OF STRUCTURE: RECHECK N/A N COMMENTS ootings/Piers 1. I r Monolithic Pour Form C`/V�� Jf' ( 4-6- O r/ Reinforcement in Place The co' • or is responsible for provi. g p otection from freezing for 48 hours ollowing the placement of the conc Materia. for t''s purpose on site Founda on/W ipour Reinfo -me i in Place ounda o' 5 ampproofing ... •...roval Plumbi :Under Slab Plumbi Vent/Vents in Place Rough ' umbing Heating 'ough-In Insulati.I Foun,,.tion Walls Interior R- Foun y .tion Walls Exterior R- Floor R- Wall- R- Ceil'ig R- Duct ork or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping RECFNED Transmittal MAY I 7 ?Hi TOWN 0, 4“o aifry BUILDING AND CODE Paul E. Cushing, Architect P.C. P.O. Box 4547 Queensbury, New York 12804 Telephone/Fax: (518) 656-3176 Date: (7 ?libity 140/ To: Re: AI4I ttio,44rnfr e d4ev.4% goes 004 / few Number of Pages (including this cover): Remarks: ih. 040 #ddei04141 Atatfte, e 2ev 4444 0/71# 44t4 444,04 /4.4;A/tdh106 ,44 1444; • • ° 4, pl sielf Keik 444.,(44tritieme *,./ rAa COMMERCIAL FINAL INSPECTION REPORT Building& Code Enforcement Date inspection request received: Office No. (518)761-8256 Dept. of Community Development Town of Queensbury Arrive : elw,te part : 742 Bay Road .: tor's Initial".e: i1i/4' Queensbury,NY 12804 7 NAME c)10...)...)a �R� N G PERMIT# _/•�' C�- /,2 J LU LOCATION ,� Q' ( Q Q.� �/( � Q 2) DATE �'1 - ) 7 - C�t� TYPE OF STRUCTURE N ? N/A YES NO COMMENTS Chimney/"3"Vent/Direct Vent location Plumbing Vent Roof Complete Exterior finish grade complete humor/exterior guardrails 42 in.pl., orm/ Interior/exterior ballasters 4 in.spa _platf decks Stair handrail 34 in.-38 in. ""Y risers 7 3/4 in. Main door 44 in. j All others 36 in. Lever handles Exits at grade or platform Canopy to cover req.exit doors Gas valve shut-off exposed&regulator(1: in.)above grade Floor bathroom watertight Other floors okay Hat water relief valve Boiler/fumace enclosure <250.000 BTU N/R 250.000 BTU to 1,000,000 BTU's( hour) >1,000,000 BTU's(2 hour) Gas furnace shut off within 30 ft.or with., line of site Oil furnace shut off at entrance to furnace: ea Stockroom enclosure(1 hour),3/4 hour d.. Storage/receiving/shipping room(2 hour), i '/a doors 1 '2 hour doors and closers 4 hour corridor doors and closers Firewalls/fire separation,2 hour,3 hour. lete Fire dampers,2 hour fire walUseparation • greater Fire door/shutters 1 '/ hour,3 hour Ceiling fire stopping 3,000/5,000 sq.ft. Fan shutdown,smoke vents or fan Exit door/panic bars assembly hardware Elevators Elevator signage Handicapped bathroom grab bars/sinks/toilets Handicapped bath/parking lot signage Handicapped service counters 34 in.,checkout 36 in. Handicapped ramp/handrails continuous/12 in.beyond Active listening system and signage assembly space Final Electrical Site Plan/Variance required Final Survey,new structures .As-built septic system layout required Okay to issue temp.C/O(Certif.of Occupancy) Okay to issue permanent C/O(Certif.of Occupancy) Okay to issue C/C(Certif.of Compliance) 1101014, TOWN OF QUEENSBURY #�'� BUILDING & CODE ENFORCEMENT `1 1. 742 BAY ROAD QUEENSBURY NY 12804 0 (518) 761-8256 ARRIVE: 2.00 DEPART: ,.r/S INSP4r /"Q'j' FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED: NAME Aid G/_h/i'/j / LOCATION 2W C� Oa DATE //f,} 691 PERMIT #200--,736. TYPE OF STRUCTURE © /IC'/ e QA4'0w4 A y or q 9 FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE i\ N/A YES NO 1 CHIMNEY HEIGHT/B VENT/HEIGH`X' PLUMBING VENT t ROOFING , EXTERIOR FINISH f • DECK/PORCH/STEPS/RAILIN S 1 RELIEF VALVES FURNACE/HOT WATER OPERAI\IN INTERIOR TRIM/PRIVACY DOS FINISH FLOORS: ‘; BATH/KITCHEN WATERTIGHT,, OTHER FLOORS SWEEPABLE 1 OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL °--6 PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN 'OK TO ISSUE C/O OR C/C �;�- GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive �•m Depart 4 .,,csf.�I spector' '' NAME: PERMI LOCATION: � U f- V Cr"-) DATE: 7�t?r TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsib - f. providing protection from . zi g for 48 hours following the p.• ent of the concrete. Materials for this purpose on si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in ' , - Rough Plumbing Heating Rough-In Insulation t/ Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- V/ Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour _,- ,Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive ic>10am Depart 1644.m Inspector's Initial lily: Ali+Al NAME: PERMIT#war LOCATION: J�}-Q DATE: ' ! i . ) l TYPE OF STRUC 9 ( RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place it 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/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heati %ough-In Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent yy Framing Jack Studs/Headers ✓ Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour 11 Firestopping j EP►L PL C co Cat l_t t3 Dk 66-\ED �` @ -COP aooT �3 i,,ZE. 61-v0� \�� GENERAL INSPECTION REPORT (� ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 1 Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Dep - Inspector's Initials '3 NAME: ALL 61,6 PERMIT# ed0'� Ce -73 LOCA ON: (j q_�e Q� DATE : El7,t 't (/4 TYPE OF RECHECK STRUCTURE: ' ^ 0(e/Z (/,0e3fi jar" /1,/y,r1/ N/A YES NO COMMENTS 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 si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Oackt l Approval Plumbing Under Slab Plumbing Vent/Ve in Placedi - Rough Plumbing 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- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping �`i n ;,3D , ,.. , Cr 'P GENERAL INSPECTION REPORT /4.‘6.40,k)3 6'" , ( 518 ) 761-8256 Town of Queensbury (r Dept.of Community Development Date inspection request received: A-f40 Building&Code Enforcement 742 Bay Road 9 Queensbury,NY 12804 Arrive am/pm Depare-' . ipir____ Inspector's Initials NAME: C PERMIT# a '73 LOCATION: C Q (L� DATE : / CQ O I TYPE OF STRUCTURE: a44- ondektAv RECHECK N/A YES N COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place Z- -Y`' 4A �A)G . 412/ ' o 6 The contractor is responsible for V ` l providing protection from freezing "itC� i<ise:.42 for 48 hours following the pla ent L. l of the concrete. Materials for this purpose on s to Foundation/Walipour Reinforcement in Place / Foundation/Dampproofing 0 .(j U6 U dZ- P\ i< Back ill Approiak,a_piaegy Plumbing Under Plumbing Vent/Vents i Rough Plumbing . Heating Rough-In Insulation Foundation Walls Interior - Foundation Walls Exterior - Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping "TOWN vie �- N Bi�F�Y -'-- - �, iBUILUINO d f. 1) `%0 EFT. + REVIEWED B'7 c/ Amor , t f - "DATE �. ..�..� i ' i -\ -...v 1 .., ......_ , i , i,. _ C; , i �. ".. : I 7 - r-l. ' ','.4f- tks. _ i I il ` v 7347 4� - ":ryiM f 1 H: j' � F 1 I RECEIVED 1 -��- FEB 0 5 2001 1 1 TOWN OF QUEENSBURY `3 ` �— �-- BUILDING AND CODE 4I‘ _. I -51 -! i4-)i 3 i.i oil OUT 1!(Ciii.t ci ;A..ii; c1101), to f�7C(�. ►t?G! 1A Ail.5 c� l am e with our comments shall .. not be construer�_ s,,ndicathg the :is 1 E n ,ins arvn ft 1i • � y 3� ...„... , 1-. ,--.7, ,_- 00.,. ee-P1/4,:e --e- -e- 1 ,421.1... f '' .'7. • 1., (." 6 u1M►N &V?�dcl ;L ! A N �� r C 1 ''' 0/4 g M tL, �! 11R4(9tt7 1FJS1 A ,i =430 ‘ 017-424)1)1' /D . g c--- ,rvti 45A.11747/,....3 4 6P 1, -Sell"- \c;31•3 1-.'14 '.-) -0 0 ) _,..) /G�►� 4--.`'~ Q L%14 E c._.-- CI`I t't• - - czo e?6Z. , F0E-4, � ,