94-227 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
• Date 7 6-q 19
This is to certify that work requested to be done as shown by Permit No. 04-227
has been completed.
bedrooms and bathroom in
This structure may be,occupied as a
detached garage
Location Mason Road ,
Owner Dorothy Hodgkins ct,,_/22
13-1-10
By Order Town Board
TOWN OF QUEENSBURY
Iv : .
Director of Bldg.,dc Code Enforcement
BUILDING PERMIT TOWN OF QUEENSBURY
No. 94-227
'
WARREN COUNTY, NEW YORK 0
PERMISSION is hereby granted to DOROTHY HODGKINS
OWNER of property located at Mason Road Street,Road or Ave. iJ
in the Town of Queensbury,To Construct or place a Alteration to garage (detached)
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
0
1. OWNER'S Address is
CJ
Cleverdale NY
cn
2. CONTRACTOR or BUILDER'S Name
Lee Horning t7
Horning Construction
0
I7
3. CONTRACTOR or BUILDER'S Address
RD1 Box 27A
Queensbury NY 12804
4. ARCHITECT'S Name
5. ARCHITECT'S Address
Tn
0
0
6. TYPE of Construction—(Please indicate by X) Sv
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
1456 sq ft of alteration to existing detached garage as
No. per plot plan, specifications and application.
8. Proposed Use H
rt
fD
Bedrooms and bathroom K
r+
0
60 . 00 May 23 95
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 ri-
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
fD
to
Dated at the Town of Queensbury th- D y May 19 94 H,
•
SIGNED BY for the Town of Queensbury rf
uilding and ning ctor
H
t3'
H
lZ
W
TOWN OF QUEENSBURYfti' REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT . ',,� ,`'
/4_____
BUILDING & CODE ENFORCEMENT .. yafif,,..,
FEE PAID: (�/)531 BAY ROAD
QUEENSBURY, NEW YORK 12804 PERMIT NO. ,Za
7
(518 ) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO ,. - 7SPP TIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDIzNG- PERMT' .\
• All applicants ' spaces on this application MUST be comple`ted 4nd the"
signature of the applicant MUST appear on the applicatillin form
�� 1 �994 \''
d a
OWNER OF PROPERTY: "-Do._ o(DG 1Li--/ �rti ROG�;1 of
/ ': jn'�n
MailingAddress : 04. F—seE2 ,o,3tc. , x./• •-' (ti%)' c' ' is :fo ►�eensMiti 6)
Telephne Number(s ) : Work Home 9,s & -97 ` �he ld�Qept �0'"
�y� ,/ 4
PROPERTY LOCATION: /�/��S 4 ``,9P_�FZ
Tax Map Number: Section f3 Block / —Lot /0
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE.
CONSTRUCTION: $ l a , Goo
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
�/ RESIDENCE/COMMERCIAL Single Family Dwelling
A ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
/' Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR 92 i SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR 92.6 _ SQ. FT. A9,g1P/Dn?,S r7 ,6
OTHER FLOORS C2 SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS :
Detached Garage - One/Two Car
TOTAL FLOOR AREA: ) 4 E3 . SQ. FT. Attached Garage - One/Two Car
s Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
(260 FEET X 20 ‘ FEET
Foundation Type: e7),o c Will any second-hand or ungraded
Number of Stories : 2.. lumber be used? If so, for what?
(habitable space only) /JO
Height (grade to ridge) : 2.5 feet Type of Heating System:
Number of fireplaces and/or woodstove (c 1 _ all which applies)
to be installed: lectric / Oil / G�,s�-Id d
Hot Air / Baseboar / Other
PERSON RESPON'IBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
LFc c9a . i *f c. //
NAME OF BUILDER/ADDRESS/PHONE: (-dc��-! i-fd, a;,is . 21 `IG I ,��0 )•-41
NAME OF PLUMBER/ADDRESS/PHONE : Ov;5-6,ze—,J'[>. ;- , ;�4 '2i• 2c35
NAME OF MASON/ADDRESS/PHONE :
NAME OF ELECTRICAN/ADDRESS/PHONE : it
DECLARATION
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 ertificate of
Occupancy or' Certificate of Compliance being is ued, an BUILT PLOT PLAN
drawn to scale, showing actual location of pro 'ect on • .
Signature 4
(Owner, owner age , ar itect, ntractor
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
1
n5,02.027 �
' �� ENERGY CODE COMPLIANCE APPLICATIOO,N;' $�\
y- TOWN OF QUEENSBURY, WARREN COUNT ^`' 00
IA'?t,; + 9000 HEATING DEGREE DAYS '- ��p�ey�BA ?i
�C n of co
Queensbury
Compliance Methods : PART 5 Acceptable Practice M thod �\ag,Dep &
1&2 Family Dwellings (osisV) �
PART 6* - Thermal Rating - ComponeliaLde� �ffs
1&2 Family Dwellings; Multi-Fa-Hilly
Dwellings (3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
. *Requires submission of worksheets
APPLICANT' NAME : PROPERTY LOCATION:/�
LE-- 1-G 11- Sci,c 12c>,3J l tCc%�04
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - /r45eo square feet
2 . Type of Heat - Elect is Oil Gas Other
3 . Is building mechanically cooled? Yes f 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 3.
b. Exterior walls R ? 7
c. Glazed areas R 4
d. Exterior doors R 0
e. Floors over unheated spaces R N,�
f . Edge of slab on grade (heated building) R t(_
g. Basement/cellar walls (above grade) R NA
h. Basement/cellar walls (below grade) R ,mil/A
i. Heating/cooling-ducts-piping in unheated space R rJ/4
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CO TROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Applic t' s S. e Date Phone Number
�- - te.. 9 4 `:3 3- .2
INSPECTOR' S REMARKS :
TOWN OF QUEENSBURY
BUILDING 8 CODE ENFORCEMENT
' 531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
_a
ARRIVE: *DEPART: .a ) INS •
FINAL INSPECTION REPORT - RESIp NTIAL
DATE INSPECTION REQUEST RECEIVED: j 7/qfr, -
jy
NAME ,1Mj�L e-://3 //�(/J
LOCATION 4/& /,11', Ai/ �)�/
DATE 7/J9/t V PERMIT 1 '7y 227
TYPE OF STRUCTURE
FOOTINGS _FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE '
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT r
PLUMBING VENT %//
ROOFING V
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS ✓/
RELIEF VALVES /".
FURNACE/HOT WATER OPERATING v//r
JNTERIOR TRIM/PRIVACY DOORS •
-• ✓
FINISH FLOORS: /, Y
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS _ /�
SMOKE DETECTORS / V/
BATHROOM FANS ! �//
PLUMBING FIXTURES f V/
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICALC rS -1 E�
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN Yti
OK TO ISSUE C/O OR C/C
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545 —2'Z 7
MUNICIPAL CERTIFICATEAAII - ELECTRICAL APPROVAL
Panel Board No. Cert.'v° 3 3 4 4 3 Cut-in Card No. .
Owner -PD T /' 'CDGK'AIS
'l y
Occupant M n
Location fSU� P✓��,,`' C:� - �
L6 /6 Mt&
Installati n Consisting of.. 4�7 t 7Fd 13S �"y 1L/
O I, .. ...D'Y4--- .�fA/S .,../ i
Installed By h, • fie reicr1il c Lic. #
Th.%conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of making inspec ons at any time,and if its
rules are violated,
violated,the Company shall have the right to revoke t c .
v
Date `— Y ! INSPECTOR
P.mhPr NFP A 1_A_F1
1 1
//Op
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 1/7/qy
NAME /rG/4Z� =ICL/1 .f�'A14,fl
I � �
LOCATION '7 t
DATE ,IZ,///1 PERMIT 0 9�/-22 7
TYPE OF STRUCTURE (2(i ,e r
RECHECK APPROVED
N/A YES 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 , /
FOUNDATION/DAMPROOFING I
BACKFILL APPROVAL c I
ROUGH PLUMBING �; 1
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS / '
BRACING/BRIDGING i
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH—IN
INSULATION: A9 N46',
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS R— '
WALLS
CEILING R- 3S ;�
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE /
DEPART 1/4,j 5---
INSPECTOR
,I'
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 ,//7/9 4
NAME i1� � - 1III� /[��.lf�
LOCATION 7t'7T , � �1 •
DATE W/17/9#4 PERMIT I 9'/2r2 7
TYPE OF STRUCTURE Zev 6 f9<:V.(!/ c-Z/p
_-
RECHECK ` � �YkPPROVED
- N/A YES 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
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL I'
(ROUGH PLUMBING '%/,>
PLUMBING VENT/VENTS IN PLACE cr .
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING c'
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION: +` 1
FOUNDATION WALLS INTERIOR4R-
FOUNDATION WALLS EXTERIOR^/R- 1.
FLOORS R- i
WALLS / R-
CEILING 1 R- ',
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: /
•
ARRIVE c.
DEPART 1 = Uj2D
:INSPECTO
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 kAc :4
LOCATION g1r)
DATE ( 9 PERMIT # SL
TYPE OF STRUCTURE AI '-c6 C4.VAC7 .
RECHECK APPROVED
N/A YES 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 I'
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING ! I
BACKFILL APPROVAL ! I
ROUGH PLUMBING a e
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB '� t
FRAMING:
JACK STUDS/HEADERS 1,
BRACING/BRIDGING
JOIST HANGERS If
JACK POSTS/MAIN BEAM
HEATING ROUGH-III
INSULATION:
FOUNDATION WALLS INTERIO R-%
FOUNDATION WALLS EXTERIO , R-
FLOORS R-
WALLS R- .
CEILING R-
DUCT WORK OR PIPING IN NHEATED \
SPACES
REMARKS:
ARRIVE '2' LIb
DEPART 3= _ eta
INSP TOR
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QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination
compliance with our comments shall
not be construed as indicating the
Plans andspecifications are in full
compliance with the code.
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