97-068 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Soptombor 30 19 —99
• This is to certify that work requested to be done as shown by Permit No. 97068
•
. has been completed.
This structure may be occupied as a RESIDENTIAL ADDITION (CLOSET SPACE
Location27 OLD ASSEMBLY POINT RD.
Owner MASON, .TAMRC A r)F.RtIRAH
By Order Town Board
TAX MAP NO. 5 . -1-26
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE $ 5000 TOWN OF QUEENSBURY
No. 97068
TAX MAP NO. 5. —1-26 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MASON, JAMES & DEBORAH
OWNER of property located at 27 OLD ASSEMBLY POINT RD_ Street,Road or Ave.
in the Town of Queensbury,To Construct or place a RESIDENTIAL Annfl TrlJ (CLOSET SPACE
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.
1. OWNER'S Address is
27 OLD ASSEMBLY PT. RD.
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDER'S Name
SUNSOVAL, INC
3. CONTRACTOR or BUILDER'S Address
PO BOX 86
CLEVERDALE, NY 12820
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIP NTIAL ADDITION
( 1 Wood Frame ( )Masonry ( )Steel
7. PLANS and Specifications
56 SQ Pt RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
RESIDENTIAL ADDITION (CLOSET SPACE
$ 8 PERMIT FEE PAID —THIS PERMIT EXPIRES March 11 19 99
(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.)
Dated at the Town of Queensbury this 11 Day of March 19 97
SIGNED BY 040Zr\ for the Town of Queensbury
tiding and Zoning Inspector
TOWN OF QUEENSBURY roll
REVIEWED BY:
04
COMMUNITY DEVELOPMENT DEPARTMENTQ
BUILDING & CODE ENFORCEMENT . FEE PAID: v 0
531 BAY ROAD _
R.
QUEENSBURY, NEW YORK 12804 PERMIT NO.. l7aQ,
(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: James and Deborah Mason
Mailing Address : 27 Old Assembly Point Road, Lake George, NY 12845
Telephone Number(s) : Work 656-9956 Home 656-9316 Other
PROPERTY LOCATION: Old Assembly Point Road, Lake George
Tax Map Number: Section 5 Block 1 Lot 26
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ 5 ,000 . 00
NEW BUILDING:` ,.
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
X
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL X Single Family Dwelling
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 56 SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR 0 SQ., FT. closet space
OTHER FLOORS 0 SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUI DING
X Detached G r'age - 0 - Two ar
TOTAL FLOOR AREA: 56 SQ. FT. Attached age - 0 e/ Car
ivat Stara -Bill ding
SIZE OF NEW STRUCTURE: /� C mme cial Storage uild
/ X Ot �r
3. 5 FEET X 16 FEET /
Foundation Type: block Will any second-hand or ungraded
Number of Stories : 1 lumber be used?noIf so, for what?
(habitable space only) none used
Height (grade to ridge) : 15 feet Type of Heating System:
Number of fireplaces and/or woodstove (circle al ch applies)
to be installed: 0 Electric Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
John A. Mason, Sunsoval, Inc.
NAME OF BUILDER/ADDRESS/PHONE: Sunsoval, Inc. , Cleverdale,VY 656-996
NAME OF PLUMBER/ADDRESS/PHONE:
NAME OF MASON/ADDRESS/PHONE: Sunsoval, Inc. , Cleverdale,NY h5h-995h
NAME OF ELECTRICAN/ADDRESS/PHONE: Sunsoval, Inc. , Cleverdale, NY
656-9956
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 Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of p ect4 gn premises .
Signature �-�/`
(Owner, wn r' agent architect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
r ,!; - 1 " t, •
� ✓�P--.9c 1
I ..)
,a_ RESIDENTIAL FINAL INSPECTION REPOR Cll 1 f
Office No.(518)761-8256 Date inspection request received: r I f �'►`1 C J(
Building& Code Enforcement `' ' C' - �.
Dept. of Community Development Arrive `Dtyt m Depart c Ya
Town of Queensbury Inspector's Ini f4 x f�� - ,
742 Bay Road .r' t ,1 r'
Queensbury,New York 12804\ {}
NAME ,, co I V+�' r74-•`1. �F, .)O' G.h 1 ) ,,sT( lr') PERMIT# 1`C)�s)
LOCATION )-1 ` .�_ ,O'ty<,sij°-�'s ,,4A t-�'£y� DATE `��-30ti -tC\
TYPE OF STRUCTURE t' e", , (�� 1, (i I r.',C
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location 1
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36" _
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%awa° from foundation
8"clearance tq sill plate
Gas Valve sh t-off exposed/regulator 18"above grade
Gas Furnace ut-off within 30 feet or within line of site
Oil Furnace ut-off at entrance to furnace area
Furnace/Hot:Water Heater operating
Relief Valves)installed
Headroom, ft. 6 in. on stairs
Basement stirs,6 it.4 in.
Handrail e, erior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish tr
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans •
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site P1anNariance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance) . / -
Okay to issue temp. CIO(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
4/11/1 (518)761-8256
TOWN OF QUEENSBURY0110
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY/ NY 12804
INSPECTOR'S REPORT: ARR9'/O DEPART INT
REQUEST FORF INSPECTION RECEIVED: 3-(� Ct 7
NAME y \CtJrf C
LOCATION f l( , e t[74., /)
DATE `L PERM /1 7 1 C� `
TYPE OF STRUCTURE:
RECHECK \ APP11OVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POU RM
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON $ITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _ —_'--
FOUNDATION/DAMPPROOFING _
$ACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB _
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING _
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
H TING ROUG+�-IN
INSULATION:^ -' ems I
FOUNDATION WALLS INTERIOR R- -
FOUNDATION WALLS EXTERIOR R-
FLOORS R- .-
WALLS R-.2 j 1'/��
CEILING R-i
DUCT WORK OR PIPING IN ,
UNHEATED SPACES R- -
r
-4,„_„„ 3 (518) 761-8256
TOWN OF QUEENSBURY (PIO
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 y(�
INSPECTOR'S REPORT: ARRO"O DEPART INT Ar,
REQUEST.. INSPECTION RECE
IIA NAME r giP e A
APVLOCATION al _..)'lam/°
�! ` ' 4 ' k0
DATE PERMIT I
TYPE OF STRUCTURE: S
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS _
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION F REEZING
FOR 48 HOURS F VG THE PLACE-
MENT OF THE CONCRETE _
MATERIALS FOR THIS PI,RPO E ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _ )--__
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB - �(
FRAMING: V/
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS _
JACK POSTS MAIN BE
AIR NFILTRATION BARRIER
HE ING ROUGH-IN _ P/'!
NSULATION:
FOUNDATION WALLS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
a 0ft
(518) 761-8256
TOWN OF QUEENSBURY (0110
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR/O24 DEPART INT
REQUEST FOR INSPECTION RECEIVED:
NAME ; j0J0,4.1 LOCATION fi' irjaf 14 /e �j
DATE 3 9? PERMIT A ! 7 `%a
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
. )(7
REINFORCEMENT IN PLA f
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON $ITE1
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE 1
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: /-
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- -
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
•
/ 5/;,'
04' 1,/'l.
She( % ¢/l Gr_ .
MAR-10-97 M0N 15:02 SUNSUVAL, INC, FAX NC. 65Ei9936 F. UI
•
\
SUNSOVAL
P 0.130X 86,CU:Vli U)ALE,NY 12820 •
(518)656.9986 • 656•9956
DATE: March 10, 1997
TO: Town of Queensbury ATTN: John Goralski
FAX it 7 45-44 37
FROM; SUNSOVAL, INC.
FAX : 518-656-9986 NOTICE
KRAFT PAPER INSULATION MUST BE
COVERED BY NON-COMBUSTIBLE BARRIER ,
COMMENTS:
Please add the following diagrams to James and Deborah Mason's
per'mit' application for a 3 ' 6"x16 ' 0" addition. If you have
any questions , please call our office.
Thank you.
Jim Mason
TOWN Of QUEENSBURY BUILDING DEPARTMENT
Based on out limited examination,
compliance with out comments shall
not be construed as indicating the
plans and specifications are in lull
compliance with the code.
•
FILE
4 PAGES WERE SENT (INNCLUDING THIS COVER PAGE). .f
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ADJACENT LANDOWNERS
NORTH: Tax Map #5-1-27
Mrs. Joyce Folsom
Old Assembly Point Road
Lake George, New York 12845
SOUTH: Tax Map #5-1-25
Mr. Norman Witbeck
1801 Crystal Drive Apt. #808
Arlington, Virginia 22202
,,
r----•
LAKE GEORGE
4-..---- 9 7 ' along. ,,
shore ...—�".`
---- I] • LANDS OF
LANDS OF MASON LANDS OF
WITBECK -, �- 640,- __ __ _ 10 , FOLSOM
p
;; _ _ ._existing house and
garage as per
2 7 ' ro:4-4,14 20 % ED
p� ��ir- *c $ x 16', 0"
•
IdtiM
1000 gallon
sealed septic �,�
tank , ' I MAR I 0 1. _7
i • f 1 _ .
drywell - r O
J / .46....4 1 4 1o. .` p.
distribution box - -"'a-
'� Pi Zoning Admin strator
TOWN OF DUEENSBURY
t
% existing guest
`\ �\ � '�. icottage
1 1
. _,. ._ ..._._...,-,.. ,. ......�. ..._ __.._. existing two c a r
1+f . ...._ ..1 garage
- ..,,.._ L t .! ..� _,. _
t-"-- 62 '-""""+ . OLD ASSEMBLY POINT ROAD
JAMES AND DEBORAH MASON
SCALE APPROVED BY DRAWN BY PAH
DATE 3/3/9 7 - REVISED
SITE PLAN
DRAWING NUMBER
- IL
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All
son
Joe
non
JAMES AND DEBORAH MASON
rr •
TOWN OF MENBURY TAX MAP
SCALE DRAWN .
as
_ _ • -n
DATE
LEFT rELEVATION