94-733 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 9 4-7 3 3
has been completed.
This structure may be occupied as a Addition/Alteration (Bedroom &. Living
Room)
Location Cleverdale Road
Owner John & Dorthy Hodgkins
Tax Map # 13 .-1-10'
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 120000 No. 94733
TAX MAP NO. 13 .-1-10 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to HODGKINS, JOIIN & DOROTIIY
OWNER of property located at CLEVERDALE RD. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a ADDITION/ALTERATION TO SFD
at the above location in accordance to application together with lot plans and other in ormation hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
56 E. GLENWOOD DR
LATHAM, NY 12110
2. CONTRACTOR or BUILDER'S Name
HORNING, LEE
3. CONTRACTOR or BUILDER'S Address
RD#1 BOX 27—A
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
RESIDENTIAL ADDITION
( I Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
No. ADDITION/ALTERATION TO SINGLE FAMILY DWELLING AS PER PLOT
SPECIFICATIONS
8. Proposed Use
ADDITION/ALTERATION TO SFD
169 January 9 97
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
23 January 95
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building and Zoning In or
• 7iOW1 OF QUEENSBURY REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT FEE PAID: 1 �`I � =
531 BAY ROAD
00
BUILDING & CODE ENFORCEMENT
.;'.. —7
QUEENSBURY, NEW YORK 12804 C? _PERMIT NO. `'1 / , 3
(518 ) 745-4447
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 application form.
OWNER OF PROPERTY: VOdo j IJ ilO(>�14"IS
Mailing Address : �L85-:•-E,ttp.G4 , ,J.
Telephone Number(s ) : Work Home 96S -`, 79/ Other
PROPERTY LOCATION: /-4 SG..{ /204o
Tax Map Number: Section / 3, Block / Lot //O
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ 120,000
NEW BUILDING: 322?�
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION: n` j �,t,,
74 ADDITION TOBUILDING: PRIMARY BUILDING - Ac;, 6 ``
RESIDENCE/COMMERCIAL -/ Single Family D Pllin \-'�.
/ ALTERATION TO BUILDING: Two Family Dwe 1Ring 1JEC 1994 ` �
RESIDENCE/COMMERCIAL Family Dwe 1�ingReCeiV0d cc'
(NO CHANGE TO EXTERIOR SIZE) Office Town of �A.,
OTHER WORK (DESCRIBE BELOW) Mercantile Queensbury 4;�
Warehouse e.
e�,. BIdg. Dept /f
f 3 (oo IIP. ' Manufacturing /‹�
g'cf0 A-I 3� Other /E'8,C9q-11`
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR �' ` :' 4 ° SQ. FT. � ►'c�r
6 - 4`; IF ADDITION, USE. OF NEW ADDITION:
2ND FLOOR s-G: -40,. SQ. FT.&Io 1 -�on �� f?oO.4-? �Li-.,i4c. %2cdM
• 240- 44.r 6214,00
OTHER FLOORS SQ. FT.
(not unfinished cellar or base'&nt�) ACCESSORY BUILDINGS :
13co-_Apo Detached Garage - One/Two Car
TOTAL FLOOR AREA: j4® - 4�;, SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
_ Otherill
40
FEET X 5 U FEET
Foundation Type: 7.tcR 7c Will any second-hand or ungraded
Number of Stories : 2 lumber bbe used? If so, for what?
(habitable space only)
Height (grade to ridge) : 21 feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all ich applies )
to be installed: 1 E] -trio / Gas / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSI LE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
L as r29/2..s/.1.4.
NAME OF BUILDER/ADDRESS/PHONE : aoa,..(1../G ;. , aU. d /I aoK-2?-4 , c)2S-
NAME OF PLUMBER/ADDRESS/PHONE : '1. -
NAME OF MASON/ADDRESS/PHONE : ,re
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 the owner.
Further it is understood that I/we shall submit prio to rtificate of
Occupancy or Certificate of Compliance being issue , an BU PLOT PLAN
drawn to scale, showing actual location of proje on .
Signature /
(Owner, owner' s age ar iitect contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
,c� • 22 23
*j;elh
'. ENERGY CODE COMPLIANCE APPLICATION -�
', ' '� ` TOWN OF QUEENSBURY, WARREN COUNTY • DEC 1994 �?
:+ 9000 HEATING DEGREE DAYS :i:
r--�
Town of 3
c� ueensbury °,
Compliance Methods : PART 5 - Acceptable Practice Metho . idg,Det /
- 1&2 Family Dwellings (onl }2 p A'�V
PART 6* - `Thermal Rating - Component 'Iz-r ;e JO. V
1&2 Family Dwellings; Multi-Fadty
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:
Lae— / z,.1.-t c, e g0.4 20, c..j452/"Jea l-e.:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - square feet
2 . Type of Heat - 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 340
• b. Exterior walls R i`jJ
c . Glazed areas R /.'b
d. Exterior doors R a
e . Floors over unheated spaces R
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R /O
h. Basement/cellar walls (below grade) R /C.
i. Heating/cooling-ducts-piping in unheated space R
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 is S ' e Date Phone Number
/2-23- g ¢ )153-024=9
INSPECTO ' RE KS : ,
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
3 Date L_..:.� ,19 Permit Nm D
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
Applicant / 1d2;-2 ,,, APPLIANCE (check appropriate boxes)
Address 2D. /, `r;,�, 22-4 ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas
0 FIREPLACE INSERT
Zip t.�%� �-,�'( ' :,o-FIREPLACE, FACTORY-BUILT:
,0-Wood ❑ Gas
Phone 0 ?6-7 • ❑ FIREPLACE, MASONRY:
.', ��Y:w ,= ❑ Wood ❑ Gas
Owner rl..,)c%,?'v ,./— ( e ,c� ,c, � 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address (. 15VEl2I.74L, : IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip -i Model:
Phone 96�� - , 5 f
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: 0 Block ❑ Brick 0 Stone
i20 ,2) v ,E, :,c; FLUE: 0 Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST „Cr-FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ,,crpouble Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title C7
A 173 3389 (190) Public Safety J _l,
A 233 2655 (230) Minor Sales
-Fee Collected From,or Refunded to: 2 P c. r6 P
Address: , - ` 4
Dated: 1 , : ,j Town Clerk or Deputy: `" t' •t 4..2)/
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
• TOWN OF Q UEENSR URY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date ,19 5 Permit No. ' �
63
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
Applicant " r' -,,`,. ,-� �, � a Cam APPLIANCE (check appropriate boxes)
Address ] i C c i - ! ' 6t,}c1r 1X'iriAJ,-Q.. 0 STOVE: o Wood o Coal o Pellet o Gas
04a-41 �N A) V Zip I I / ❑ FIREPL
Cc. ACE, FACTORY-BUILT:
❑ Wood ❑ Gas
Phone —2 _cN49 / 0 FIREPLACE, MASONRY:
" ❑ Wood ❑ Gas
Owner ❑"FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone - \f)`�1 �1 '
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: ❑ Block 0 Brick 0 Stone
FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION I INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
gsi,ry OQT\A--Q-S7
Cashier's Department Town of Queensbury, New York ' e 1`,) -a
Dept: Fire Marshal Amount Collected Amount 13taaived.
Code Number Title
C>c>
A 173 3389 (190) Public Safety ti ,
A 233 2655 (230) Minor Sales
Fee Collected From r Refumded.-to I" - (y' O 1 v c
Address: `" j'`\ (J ' " -
Dated: ,sr_ q ,. Town Clerk or Deputy:
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod:Cashier's I)epi.
TOWN OF QUEENSBURY 4W1kl
BUILDING & CODE ENFORCEMENT S •
531 BAY RD., QUEENSBURY NY 12804 +5 I,,,tr•'
INSPECTOR'S REPORT: ARReAa DEPART,•/(INT
7
REQUEST FOR INSPECTION RECEIVED: ^��� " (5
/-1-0/9
NAME +�k a_ f�Sl� 1
LOCATION GSG,/� (/�-,�/' C�
DATE 2/3. 3 PERMIT 11 / ?3 3
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSI LE OR
PROVIDING PROTE TION FROM R ,OZING
FOR 46 HOURS FOLLOWING THE
OF THE CONCRETE.
MATERIALS FOR THIS PURPO=E ON SITE
FOUNDATION!WALLPOUR
REINFORCEMENT IN PL' E
FOUNDATION/DAMPPR'•FING
BACKFILL APPROV) ,
PLUMBING VEN VENTS IN PL CE
ROUGH PLU :ING
/f
PLUMBING UNDER SLAB
FRAMING: 1/
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS /
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- T
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
•
o#fc �� lee o.r.vlF
�� ,� /effe i
z G cJL�J �X e��� �a� �►
5 r li uwC� tutu ryv 74/"--
S•
ero /0,„, i o i(e
i _L . ieACe /:-
J\1.• !
.
TOWN OF QUEEN URY ",
BUILDING & CODE ENFORCEMENT ,�`�'`
531 BAY RD., QUEENSBURY NY 12804 "'`+ •' ``S
INSPECTOR'S REPORT: ARRJ4',O DEPART �1'L INT ��.
REQUEST FOR INSPECTION RECEIVED: c -).L eL
NAME \ C I ! 3 JO h
LOCATION J
I i J
DATE -1 6_79 e., ,y-
PERMMI✓T }I 9 - 0
TYPE OF STRUCTURE: O
RECHECK APPROVED
T N/A YES NO
\..."
FOOTINGS/PIERS �•
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING HE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPO.E ON SI E ,
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENT IN PLACE
ROUGH PLUMBING _
PLUMBINGGUU. GER SLAB
FRAMING:
JACK STUDS/HEADERS __
BRACING/BRIDGING _
JOIST HANGERS
JACK POSTS/MAIN BE,
AIR INFILTRATION BARRIER
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- • i
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