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99-709 TOWN OF QUEENSBURY Iwo 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: 99709 Date Issued: Saturday, May 18, 2002 This is to certify that work requested to be done as shown by Permit Number 99709 has been completed. Tax Map Number: 523400-226-012-0001-048-000-0000 Location: 347 CLEVERDALE Rd Owner: DAVID & LYNDA JOHNSON Applicant: JOHNSON, DAVID & LYNDA This structure may be occupied as a: By Order of Town Board Unknown TOWN OF QUEENSBURY Li-42P 4 -41' Director of Building&Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 205000 Building Permit No. 99709 TAX MAP NO. 1 4 . -1-9 . 1 JOHNSON, DAVID & LYNDA Permission is hereby granted to Owner of property located at 347 CLEVERDALE RD. in the Town of Queensbury,to construct or place a RESIDENTIAL ADDITION at the above location in accordance to 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. Owner's Address: PO BOX 280 CLEVERDALE, NY 12820 Contractor or Builder's Name: WILLIAMS CONSTRUCTION Contractor or Builder's Address: PO BOX 241 CLEVERDALE, NY 12820 Electrical Inspection Agency: Type of Construction: RESIDENTIAL ADDITION Plans and Specifications: 2226 SQ FT RESIDENTIAL ADDITION (BEDROOM, KITCHEN AND BATH) AS PER APPLICATION Proposed Use: RESIDENTIAL ADDITION 176 November 22 2001 $ PERMIT FEE PAID-THIS PERMIT EXPIRES (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.) 22 November 1999 Dated at the Town of Queensbury this Day of SIGNED 133L-L_Yt1, L l L for the Town of Queensbury Code Enforcement Officer Iiuluaing Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-82561 NOTICI BUILDING & . CODE ENFORCEMENT E Requirements prior to issuance A Permit must be obtained before of this permit: PERMIT FILE NO. beginning construction. No inspections . will be Heide until applicant has received n Zoning Board Action PERMIT FEE PAID$ a VAI,ID BUILDING PERMIT. All Area /Use applicants` spaces on this application RECREATION FEE PAID$ MUST be completed and the signature Planning Board Action c �j of tha applicant must appear an the REVIEWED BY: liea6on form. ikak yn,. SPR / Subdivision /Other Building Inspector Recreation Fee Payment Applicant: v i i ► ?r OY i i 4.�L�tC' i( -- Owner: Address: 26 f 1V�` _ l /'76// !4 �y/� 1 id C,t Q� °�- t� ' dress: • Phone # (Z`/,�' ) ) _ 5 Phone # ( / ) *' % �a� Property Location: '�`T 7 :1 (ill l." f ci %'l 'ver( 'c'.n/'y ` 7, _ ---- iz _ Subdivision Name: i Tax Map Number / , 7 CEO it� r ; ,„ ,., ; 1�• ,on Block lot +�tti NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF, HE New Building: CONSTRUCTION: $ �7c JOOZ) , residence / commercial `. ' Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Prinjary Building - residence / commercial '` Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family -Dwelkling Office Other Work (describe below) Mercantile ManufacturingNOV - '•> 1999 Other GROSS AREA OF PROPOSED STRUCTURE: 1st Floor ' sq. ft. If ADDITION, what will use of n 2nd .Floor w addition be? : Other Floors sq. ft. t"ti�`'� (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: : c cr SQ. FT. Attached Garage 1, 2 car Private Storage Building SIZZ// ,, EOF NEW STRUCTURE: Commercial Storage Building /`7t FEET X /'j FEET Other Foundation Type: et;"E d Will any second-hand or ungraded ' Number of Stories: / lumber be used? If so, for what? (habitable space only) il/t) Height (grade to ridge) : /L feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which applies) to be installed: C`' .E. ectric- / --04 / Gae / Wood CForced Hot Airs / aseboard / Other Person responsible for supervision of work as regards to building codes is: Nine, 7 A ressEjPhone . „.. Builder. W 1/fluit'k . LOA3/. i. X ) /,-,/t`q-1/06,e . �a`. � .�3 Plumber: /- iYe iG& i/ &'e c �.( ' , (ctsen Fe//c' `7 :?:, i��3 . Mason: -,Te-f-, `/l ino id! nt"ci•1r1,. ,3`-y- 1.10.7 � Electrician: fit'..- .�- ,l./x�c^o10 & /ar/. ox erg. , ):- ter;_ `Ye:7 -- V.i5/ 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: , v ec _-- /-'c- -�.� , (ownr, owner's agent, architect, contrasts;•}-- , Application for SEPTIC DISPOSAL PERMIT • Town of Queensbury _76? Dept. of Community Development Permit No. Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 • Location of property for installation: �. `,/ fwel(r e /e / 1 ind( (14. 4'.Y „1 4=1":-2_c) Property Owner's Name:'.L'.CA' cif a d ,. i„ 9L) - 1 Property Owner's Mailing Address: • Installer's Name:( Ck I I X C 4\ 1/ f A0 - Phone # In= '0(-�..a/ . Number of bedrooms (if residential): .j Total daily flow: 5t (residential -compute @ 150 gal./bdrm.) Topography: ,X flat, rolling, steep slope % of slope - Soil Nature: sand, loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Materiah at what depth? feet Percolation test: not required, required [rate min. per inch] of Domestic water supply: municipal, well, other ,,e_�f ( 999 If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank:/O00 gallon (minimum size: 1,000 Pal.) Tile field: each trench - `/ feet / Total system length: 7 .-.- feet Seepage pit(s): number of / size each: . ft.by ft. Size of stone to be used: # / depth or thickness feet • HOLDING TANK SYSTEM: (if required) Number of tanks: - Size of each: gallons Gthum system and associated electrical work to be inspected by a certified agency. 1 For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted wiaich is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ord, Signature of responsible person: _-Date: / ic) 9 ENERGY CODE COMPLIANCE APPLICATION - 10 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: VV/I /it 3(0) (CIM)kegicr -- ,5617 (76erdale ke4u eve,A AV PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - < ( {)2 scruare feet • 2 . Tle of Heat - Electric Oil y Gas Other 3 . Is building mechanidally cooled? X/ 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 SC1 b . Exterior walls R c . Glazed areas R d. Exterior doors R e . Floors over unheated spaces R f . Edge of slab on grade (heated building) R c. Basement/cells: walls (above grade) R h . Basement/cellar walls (below grade) R /.a heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device, r� Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Ao^ ca-t ' S t�=gnt �l Da- Phone Num ber INS?EC OR' S REMARKS: TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT I-1 742 BAY ROAD • QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: Ch FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUE T RECEIVED: ,.ten N. NAME LOCATION 1 f'JV'&n I DATE PERMIT # Q1 TYPE OF STRUCTURE 1111 FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION • FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS ___:_i_. RELIEF VALVES FURNACE/HOT WATER OPERATIN INTERIOR TRIM/PRIVACY S FINISH FLOORS: BATH/KITCHEN WATERTIGH1 OTHER FLOORS 'SWEEPABL OTHER FLOORS CARPETED STAIR CLEARANCE/RAILI S SMOKE DETECTORS I BATHROOM FANS ;' PLUMBING FIXTURE FOUNDATION INSULATION _ GARAGE FIRE PROOFING i DOOR CLOSERS FINAL ELECTRICAL - SITE PLAN/VARIANCE REO. _. Ob FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR CL/'C ,-` _r 131dAr ro r V. E ) 4-0- (10 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement i Dept.of Community Development Arrive am/pm Depart l •l am/ppi/ Town of Queensbury Inspector's Initials 451 e 742 Bay Road Queensbury,New York 12804 NAME \)\ ) PERMIT /1 LOCATION } -( ,/' Gl_ (2s4e-f DATE TYPE OF STRUCTURE? \�"t Cr^.1, . N/A YE NO COMMENTS Chimney Hei tP'B"Vent/Dir ct Vent Loca •n Fresh Air Intake j Plumb Vent through roof Roof Complete /1// Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18' .or more / Interior Handrails stairs both• des 3 or ' •re risers p// Grade 2%away from foun.dati,n /� 8"clearance to sill plate • Gas Valve shut-off expos.. re=Tlator 18"above grade Gas Furnace shut-off within 30 v.et or within line of site Oil Furnace shut-off at entrance .. furnace area ,// Furnace/Hot Water Heater opera , • / Relief Valve(s)installed / '/ Headroom,6 ft.6 in.on stairs ,/ Basement stairs,6 ft.4 in. Handrail exterior stairs both sides ' ore than 3 risers Interior privacy/trim/doors/main trance 36" Floor Finish Bathroom/Kitchen watertight i' /::‘V/i'\////7 . Interior Handrails Balconie . .. g 18 in.or more »,/// Railing across window in stairw lls Smoke Detectors: every level I ` every bedroom / r outside every bedroom ' / inter connected ✓ Bathroom fans Plumbing fixtures Foundation insulation :/..Df. 3/4 hour fire door/door closer Garage fireproofing / Garage penetrations sealed V Furnace in separate room protected(in garage) Light ventilation per room _ Safety glazing 18" ess m floor _ ‘( / Final Electrical f 7 .4.1 Site Plan/Variance r eq ired 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) • TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name #.4/5 A) Location e 6 /eb, Date Ly., Permit # f '"707 SOIL TYP' : Sand Loam-Clay- Results o • - c. .•tion Test- (if applicable) Ra --Minute/Inch TYPE OF SYSTEM ABSORPTION FIELD: To al Le•gqg�th Length of each tren h ( �.C� Depth of trenc e r Size of stone i z,16-41 SEEPA umber- Size - t. x ft. Stone size PIPING: Size Typee Bldg. to Tank 1� b JU Tank to Dist. Box Dist. Box to Fi -ld/ it tt. cj Openings Sealed: Yes No Partial LOCATION/SEPARA Foundation to Ta 1`Z feet Foundation to Absorption !�7 feet Separation of Pits -et Conforms as per Plot Plan No LOCATION OF SYSTEM ON PROPERT (circle .-.- 6/1-bS//, Front - Rear - Left Side - Right Side Middle •nt - Middle Rear COMMENTS: SYSTEM USE APPROVED: I YES NO Arrived: Departed: ` 1242> Building Inspector Z— ‘1 _\_AlE3yo /140/'1_ ,.4-A-7 GENERAL INSPECTION REPORT ( 518 ) 761-8256 -- Town of Qucensbury Dept.of Community Development Date inspection request received: 7- // , 51 Building& Code Enforcement a 742 Bay Road .`. _ ,- Queensbury,NY 12804 Arrive 9 ii pm Depart _'_ _`•,i„ Inspector's Initi,, �_ NAME: -'- C ti-/t&ri"1, - +-4 n PERMIT# / .-� LOCATION: ' -1 r''" , ✓ DAT 44 R 6 /( 4t TYPE OF STRUCTURE: _ cn-._ RECHECK CPie < J� N/A YES NO COMMENTS Footings/Piers I 1 1 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/Wallpour Reinforcement in Place •\' Foundation/Dampproofing_ __ Backfill Approval Plumbing Under Slab , Plumbing Vent/Vents in Place / Rough Plumbing Heating Rough-In 7 sulation 14T F i doe r_. ,Ni_ Foundation Walls lntcfior R- ;{ Foundation Walls E}zterior R- t Floors / R- Walls atj R-11`` R- ►9 �. Ceiling / R- 3U Duct work or piping in unheated spaces R- Proper Proper Vent, Attic Vent ✓ Framing Jack Studs/Headers Bracing/Bridging T _ Joist Hangers Jack Posts/Main Beam _ Air Infiltration Barrier Fire Separation I, 2, 3, hour_ Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping_ a\-4..)n-H 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 k`.! _(a p Depart .,alekp Fins ector's Initial. NAME: PERMIT# .' LOCATION: Un G• _- DATE : cD -7 - c 2OO j TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers � I 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 sit Foundation/Wallpour Reinforcement in.Place Foundation/Dampprooling_ Backfill Approval PI • Plumbing Vent/Vents in Place h Plumbin � Heatin oug - n Insulation_jytA���Y r �jjlo�� ��t 1.t j.> 01%1�L Foundation Walls Interior R- Foundation Walls Exterior R- _ Floors R- Walls R- Ceiling R- `30 Duct work or piping in unhe•ted spaces R- Pro ent, Attic Vent F ming MLA► De t 1 A r I 3 Jack Studs/Headers � �� Bracing/Bridging ✓Joist Hangers_` Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Scaled Fire Wall 2, 3,4 hour v --CO ��-���� '1 Firestopping - ° — V `�VL 1�-+-�--F- CE tLifl)6 30 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 Vl, �_L - -�epa � ? Inspector's Initia NAME: `--fit �, PERMIT# 0o LOCATION: (r) (1 c,�-� rJ DATE : - OL) C_> TYPE OF STR URE: RECHECK x < t N/A YES NO COMMENTS Footings/Piers i I Monolithic Pour Form Reinforcement in Plac The contractor is►,esponsible for providing protec on from freezing for 48 hours fol wing the placement of the concrete. Materials for thi purpose on site Foundation/W 1pour_ Rcinforceme in Place Foundation/ ampproofing_ Backfill A royal Plumbin ndcr Slab Plumbi g Vent/Vents in Place-__ 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- _ _ Pro Vent, Attic Vent aming Jack_Studs/Headers �Bracin id in � � —� Dist Hangers Jack Posts/Main Beam �/ �: � \ . e � ( t" Air Infiltration Barrier "A ``o Cy" �, t��j`1 VLI: Fire Separation I, 2, 3, hour C X_i Lk Penetration Scaled .c 612114 Fire Wall 2, 3,4 hour t (��� S �'i , Firestopping + �\tL t�Al i-SvCt'7 VZJ C40-1. bE. 2-(4vs � AEZlL GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Quecnsbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart) pm Inspector's Initials NAME: ,-.—)z,,`N/-z>i=0 PERMIT# '�� LOCATION: DATE : (`2- �I TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is respoi siblp for providing protection fr m*zing for 48 hours following t c plecment of the concrete. Materials for this purpose n sit• dation/Wallpour__ _ R enforcement in ace j__ oundation/Damppr Foackfill Approval Plumbing Under Slab_________`______ Plumbing Vent/Vents in Place_ Rough Plumbing Heating Rough-In Insulation Foundation Walls Interigr R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling - 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 Fircstopping ,41111 GENERAL INSPECTION REPORT ( 5 1 8 ) 7 6 1—8 2 5 6 Town of Queensbury Dept.of Community Development Date inspection request received: ll/ /� Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arriv am/pm Depart m Inspector's I D NAME: PERMI LOCATION: 3�"f 7 , _,_. DATE 7- TYPE OF STRUCTURE:f n;, 4/64b� RECHECK .i N/A YES O COMMENTS ►dr ooti • onolithic Pour Form _ Reinforcement in Place - 5 The contractor is responsible r 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/Dampproofi ng r_ Backfill Approval_ Plumbing Under Slab Plumbing Vent/Vents in Place 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_2 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 EOM CONEY P. TO BE Mall ��7 o TO Y-0'ABOVE 1,.:„_ PROVIDE OiMET AWE AS SHOWN p i p •181b, \JB Ir %l B d., j�B,+1r BIIIB��1111 ► 1 rsmaimmiBMBaiABlBmrBr iir ....t�Brrfrr BI�BAMMMMMMMNE Iir�MINNUOArrt I01.111.1.111. 1 . •411 � , JOKER WATER 1 I E f 11 [ I ri 1. 1 I ( 1 1 C 1- 1 J 1 i t11wHrNrf.41rg!<► YI1MNrN��rN ■M\.. `4�� vV(sYpa A1L f _ 1 � ( l J T J I _ 1 L 1 1 I ■7�1ry■(y �Wj r msrl��rrr��r�rwwrID�rlNmrrrrrrllsrIDrmw■ .w h s �f _ ,J ■fit 1It,. -"I.ItsseaMiwIiir mgraIXrl�i raIa Miiirigi rlira r nall OP OF PLATE- MIDIMMEINIMICIMMINIMMINWI wilmonimmn I'Iiii"Iii iii '., ,�, sII D n .ir I KCLDAR OOWfDS 121 IMINIIIMII r(r'� �► w�� �(� 1!►r 1!r T �iYY ���' 1[� �►T ' I ��T �►►'�' 1�'r ��'Y mow �Iy t Aja 1�r?t �►Cr �i� _ •� J i r p? a ♦ " • • I i i • 1' I ♦ I I • _ _ . �. � �. � i- 11P IV .�1.r- . .�r-i. h. . . �;; �w." ti+��� -o `+- ��« �w �• `w4 o- rot- tip"- �. 0- �.l. �+�; 00, twit: t11, IIVI►- ��O.) ' l Kr J..., r i r S r r y.r,' 1, • 1' r,.r rr 1 1 1 4.-lie 1.,, i 'IS ,�� - w1 ! 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