94-646 . •
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date T1P.cember 1 19
This is to certify that work requested to be done as shown by Permit No. c c
•has been completed.
This, structure may be occupied as a ADDITION TO RESIDENCE
268 SEELEY RD.
Location
Owner KATI-DAS: QT/gilrf
• By Order Town Board
TAX MAP NO. 16. —1-30. 1
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
CERTIFICATE OF COMPLIANCE
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_4-646
has been completed.
This structure may be used as a 337 sq ft. addition to a single family ._ •
dwelling as per plot plan specifications .
Location pa Rox 268 , Cleverdale
Owner Mi chaP1 Rai cias
By Order of Town Board
16-1-30 .1 TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No I/
612—
WARREN// COUNTY, NEW YORK 09 ka
C o, cLLSO�k l aC��
PERMISSION is hereby granted to /11 "�" - _.....-
OWNER of property located at `' 0® o P 0 K c ' U Street, Road or Ave.
A n
�
/ �
in the Town of Queensbury,To Construct or place a a I �/ 0 H a 5(r1 (. /
(t
at the above location in accordance to application together with plot plans and other jZormation hereto l Leg,A.
led and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is P 6 J -Ro� �//_8
6L - N,y /fg-C:Qfp
2. CONTRACTOR or BUILDER'S Name
5 &tY\_-/e
G-,
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
a
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications t ^ '�
33 555 F/. c , ► � i A :r s ? NI C.__y '?‘..
No. r
Dk ij 1?1,kbli—c CC,3 f€Ar
ill-641 _ •,17 e-c-i rWC-A dY>.-C 6-
8. Proposed Use
i 0 0 PERMIT FEE PAID —THIS PERMIT EXPIRES 19 57-4----'--------
(If a longer period is required an application for an extension must be made to the Buildin and Zoning inspector of the
town of Queensbury before the expiration date
/y-- e 'f'4 1'
Dated at the Town of Queensbury Da
y 5ay of 19 J
SIGNED BY l/ i for the Town of Queensbury t."*......-,t1
Building and Loping Inspector >
TOWN OF QUEENSBURY ,. REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT l''l+ < o
G
Y'"
BUILDING & CODE ENFORCEMENT w- k FEE PAID: J
531 BAY ROAD . ' 31 1
QUEENSBURY, NEW YORK 12804 - PERMI 0`NO.k ":r _ 6
(518) 745-4447 /��
BUILDING PERMIT APPLICATION 1aGi \994,g VD
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.-.,ce�T` INSPE TIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VA\hID. S'i7I1EtEn PERMJIT.
All applicants ' spaces on this application MUST be rn�z . an,, co ; the
signature of the applicant MUST appear on the appl,i;catB orm.;cddl'
\6131,Lb�b.
OWNER OF PROPERTY: �"- \.1 a 1
Mailing Address :
Telephone Number(s) : Work Home � Other
PROPERTY LOCATION: Ste\qe_9ckCIANuilV3 1 -,Tax Ma Nuer: Section -z >_-,." Block Lot600
Subdivision Name: / O - / 30./ Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET UE OF THE
CONSTRUCTION: $ / , CR)
NEW BUILDING:
RESIDENCE/e0MMERCTRL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL L/. 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 3 3 7 SQ. FT.
IF ,AD TTOi- , USE r_NEW AD Ic
2ND FLOOR SQ. FT. � Ct ��.�-�- 2.� nc`1aS� �G�
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One/Two Car
TOTAL FLOOR AREA: 3 3 ' SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
CT fc / ? • Poi-c'.? Other
FEET X FEET
/ Z 7-- / `/ /L/, .1 Gl��
Foundation Type: Will any second-hand or ungraded �.
Number of Stories : / lumber be used? If so, for what?
(habitable space only) C, 1
Height (grade to ridge) : feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood '
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR' SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NAME OF BUILDER/ADDRESS/PHONE: kC oklaS,
— 5
NAME OF PLUMBER/ADDRESS/PHONE :.NAME OF MASON/ADDRESS/PHONE: C' e,UP� Gl` 1ar,.. .(--)
NAME OF ELECTRICAN/ADDRESS/PHONE: (05(o '8 (oy J
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 r e o pr mis s .
Signature .���. z�J"" ��.� �.,�.�
Owner, o r s agent, a�rdh�tecFt, contractor)
( � g
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
I1
9V- '6.7
r '` ENERGY CODE COMPLIANCE APPLICATION
Y W:` 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:
/V)/G//,r Z 5 05 A v' 14/4$ Shy /.5. R . C L6Lhi,tD2 L
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 3
b. Exterior walls R ` cf
c . Glazed areas R
d. Exterior doors R
e. Floors over unheated spaces R //
f . Edge of slab on grade (heated building) R
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
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
A c t s ' nat e Date Phone Number
INSPECTOR' S REMARKS :
3 0 /
TOWN OF Qi7ERNSBURY
BUILDING 7; (:OIH ENFORCEMENT
. s � . 742 BAY ROAD
� � QUEENSBDRY NY 12804
(530)745. 4447
ARRIVE: DEPART: INSP..
FINAL INSPECTION REPORT - RESIDENTIAL.
DATE INSPECTION�( ON REQUEST RECEIVED:
NAME C\IA``► !�✓` ^
LOCATION 6 FL- F_. Po AD (]1 J
DATE 1�1 `Io.3)r iLlbi 1 PERMIT 41 I`'S`[Q��
TYPE OF TR TURE V V)�1 ku-FR, /
FOOTINGS FOUNDA/ ION _ BACKFILL FRA G N/
ROUGH PLUMBING. �/ SEPTIC _ INSULATION
FINAL ELECTRICAL • WOODSTOVE OR FIREPLAC
N/A YES NO
CHIMNEY HEIGHT/B .VENT/HEIGHT
PLUMBING VENT •
ROOFING'
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERA+ NG `
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: 1
BATH/KITCHEN WA,ERTIGHT
OTHER FLOORS WEEPABLE k
OTHER FLOOr CARPETED '
STAIR CLEp-ItIINCIJRAILINGS
SMOKE DETECTORS
IJTHROOM FANS '
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING .
. BOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO. _
FINAL SURVEY PLOT PLAN /
OK TO ISSUE C/O OR C/C
Nb 1\ ` HleNE- KI)rOls ��
GDMPt 1 . - k.N1\_t_- CALL-
E ��
r,:..,
141
TOWN OF QUEENSBURY Y* i
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 443:3;iW£+1,-
INSPECTOR'S REPORT: ARR1pEPART INT
REQUEST FOR INSPECT ON RECEIVED: d">
B
NAME LAS }/�ezr)
LOCATION 22
DATE PERMIT if q - 11
TYPE OF STRUCTURE: 3? `
RECHECK , APPROVED
N/A YES/ NO
. FOOTINGS/PIERS
MONOLITHIC POUR FORM /
*REINFORCEMENT IN PLACE _ v
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TIO. FROM FREEZING
FOR 48 HOURS FOLLOWI-G THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PUN•OSE ON 'ITE
FOUNDATION/WALLPOUR
RE1EINFORCEMENT IN PLACE I __
pOUNDATION/DAMPPROOFING I
BACKFILL APPROVAL
PLUMBING VENT/VENTS PLAC'.
ROUGH PLUMBING
PLUMBING UNDER SLAB
•
FRAMING:
JACK ST iS/HEADERS
BRACIN /BRIDGING
JOIST/nANGERS
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- L _
' llif
TOWN OF QUEENSBURY s,
4
BUILDING & CODE ENFORCEMENT Wa, y
531 BAY RD., QUEENSBURY NY 12804 F„� 5; ,,,
INSPECTOR'S REPORT: AR DEPART . 'r )Ii /
R,\. l
REQUEST F R. NSPEC ON RECEIVED: 3 5
NAME r4i, — �
LOCATION j/ I gk&
DATE 117 "! �� PERMIT # I(T_" �
TYPE OF S RUC U' Adz&
RECHECK APPROVED
N/A _ YES NO
/
FOOTINGS/PIERS
MONOLITHIC POUR FO•
REINFORCEMENT IN PLAt'E •
THE CONTRACTOR IS RES•ONSI: E FOR
PROVIDING PROTE TION 'ROM 'REEZING
FOR 48 HOURS FOLLOWING- TH:: PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURTSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLAN
FOUNDATION/DAMPPROOMI
_ '�
BACKFILL APPROVAL a _
PLUM:. NG VENT VE. I ACE
PLUMBING UNDE• SLAB
FRAMING: 1,,
JAC STUDS HEADER'
BRA'ING/BRIDGING
JOI 'T HANGERS
JA' POSTS/MAIN BE, w °
AIR INFIL - ,TION BARRIER
HEATING RbUGH-IN -
NSULATI'N
FOUNDATION WALLS INTERIOR R-
FOUNr'TION WALLS EXTERIOR R-
FLOO•S R-
WALL'• R-
CEIL.NG R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
TOWN OF QUEENSBURY4y
BUILDING & CODE ENFORCEMENT =, J �
531 BAY RD., QUEENSBURY NY 12804 rtx „ rd+tip
� �
INSPECTOR'S REPORT: ARRDEPAR 11
REQUEST Ft' NSPEC ON RECEIVED: P--(
NAME lb.
LOCATION &-
DATE PERMIT 0
TYPE OF STR TURE: 0421,/ / Isr'"
RECHECK APPROVED
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 FOLLOWI G THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PU:POSE ON S ZO _
FOUNDATION WALLPOUR - - -
REINFORCEMENT IN PLACE 111,
FOUNDATION/DAMPPROOFING,
r
BACKFILL APPROVAL 4. _
PLUMBING VENT VENTS I A CE
G PLUMBING ` a '�I
PLUMBING UNDER SL.
FRAMING: AM=
JACK UDS HEADERS
BRAC .'G BRIDGING
JOI HANGERS 1.11111111
JA . POSTS MAIN BE'
AIR INFI ,"RATION .BARRIER
HEATIN ROUGH-IN
SUL'' ION:
FOUNDATION WALLS INTERIOR R-
BOUNDATION WALLS EXTERIOR R-
FLOORS
WALLS
CEILING R- 711NIA
DUCT WORK OR PIPING IN
UNHEATED SPACES R-