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2002-167 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020167 Date Issued: Friday,March 05,2004 This is to cent that work requested to be done as shown by Permit Number P20020167 has been completed. Tax Map Number: 523400-266=003-0001.065-000.0000 Location: 30,CLEMENTS Rd r Owner: ROBERT.&JACQUELINE KOCH Applicant: ROBERT&JACQUELINE KOCH This structure may be occupied as a: -BY.-Order of Town Board - Garage-2 Cars Attached TOWN OF QUEENSBORY Director of Building&Code En£oteement i TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020167 Application Number: A20020167 Tax Map No: 523400-266-003-0001-065-000-0000 Permission is'liereby granted to: ROBERT& JACOUELINE KOCH For property i.ocated at: 30 CLEMENTS Rd in the Town 6f Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Unifonn Building Codes and the Queensbury Zoning Ordinance. , Type of Construction Value Owner Address: ROBERT& JACQUELINE KOCH Garage-2 Cars Attached 12,000.00 30 CLEMENTS Rd Total Value 12,000.00 QUEENSBURY,NY 12804 Contractor or:Buildei's Name/ Address Electrical Inspection Agency HEATH, JOHN JR RD I BOX 1219 WHITEHALL,NY Plans &Specifications 2002-167 672 SQ FT 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $67.20: PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,March 27,2003 (If a longer period is required,an application for an extension must be madeto the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at th Tow 0 Q- n day,ay,March 27,2002 SIGNED BY� for the Town of Queensbury. Director of Building&Code Enforcement f 1 / Building Permit Application Town of Queens_bury-Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No 2_ No inspection will be trade until applicant has received a Fee Paid" $ valid building permit. All applicants' spaces on this Rec.Fee Paid application must be completed and must appear on the Reviewed application form, t / , Applicant: C3fl"-r fC 0cii Owner: $Ej[Tj pG Address: 30 C 1. IG M C,WES VZ Address: G�iGhE►ar Phone#("____) -6_ Phone# Property Location: Lot Number: / House Number CuFaielaTs'r�M, 0UEE��B Subdivision Name: Tax Map Nurnber•. .Z(n(�,.3 i'.:•tfa a AAI CC)De ❑ New Building: residence /commercial Estimated Market Value of.Construction:$ .'14 Addition: I<Emge>commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial change to exterior size: residence t com'1 ❑ No',' ❑. Other work(describe ) s Check OccupancyInformation 1"Floor 2" Floor -Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ❑ . Single family dwelling ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ .. Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car,attached garage 2 car attached garage 7 2 ❑ 3 car attached garage ❑- Storage building- commercial ❑ Storage building- residential ❑ Other ,I What is the proposed height of the structure �9 feet Q inches Will any second-hand or ungraded lumber be used? If so,for what? Tpe of Heating System: electric/ oil / gas!wood. /forced hot air/ baseboard/other:_��,8f.1 G Number of Fireplaces.to be installed 0 Number of Woodstoves to-be installed O. List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Ibirk,4 tJ6 1"il 6 y 2- - 138 2- Plurhber Mason Electrician . 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,as requested by the Zoning - Administrator or.Director of Building and Codes,an As Built Surveyby a licensed surveyor;drawn to scale,showing actual location of all new cowtiuction. 1` Signature: V CJ!!i'►lJt+l�[. ` 6.�� owner,owner's agent;architect,contractor Office Use GENERAL INSPECTION REPORT Inspector: Toivn of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART/6,11amlpm � Notes: (518) 761-8256 Inspector's Initials NAME: V0 PERMIT# (9 7 LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS 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/'vVaRpour Reinforcement in Place Foundation/Dampproofmg_ 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- vkpP per Vent,Attic Vent arpn' V/T Jack Studs/Headers Bracing/Bridgmg Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L-\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: .742 Bay Road Queensbuiy, AT 12804 ARRIVE am/pm: DEPARam/pm Notes: (518) 761-8256 Inspector's Initials`� NAME: PERMIT# LOCATION INSPECT ON(date): u --2k TYPE OF STRUCTURE: RECHECK N/A YES COMMENTS tings/Piers Monolithic Pour Reinforcement in lace u 'in r 0 la �tings lace p 'bl,The contractor is res ble,fb� I1po providing protect n.from freezing 11 for 48 hours'follo ing the lacement of the concrete. s purp on Materials for this 7puirpse on ite this Foundation/Wallf Reinforcement in Place Foundation/Damp proof_ g_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P ce Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio R- Foundation Walls Exteri R- Floors Walls R- Ceiling R- 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 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppig- L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc Queensbury, Building & Code Enforcement - Residential Final Inspection \V-1 6Office No. (518)761-8256 Arrive: am/pm, Dep rt: L,/4ar)Jpm Date Inspection request received: Inspector's Initials: f NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: �� Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Co m lete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above rade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp, 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety lazin Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/o hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"acce s, 1 s . ft.-150 s . ft.vents Building No./Addresi visi e from road Final Electrical Q Site Plan /Varian re u' ed Final Survey Plot Plan As Built Septic System/Sewer De t. Inspection Sticker Flood Plain Certification,if required Okay to issue C/C or C/Cl Tem orar /Permanent] L:1PamWlBuildinp,&Codes\Iruspection FormslRes, Final Insp. form 2.docLast printed 2/12/04 MAP REFERENCE: MAP OF A DE FOR BETTT-y VEYBATCHEDER MALCOLM & B 19g4 DATED: JUNE 31 1994 REVIFILED* AMAPU GUS#223 PLAT CABINET A--1, SLIDE 197 BY: VANDUSEN & STEVES LEGEND: o IRF = IRON ROD FOUND FENCE LINE l UTILITY POLE ELECTRIC TRANSFORMER _ WELL LANDS gANNON F OF DAVID LANDS N /F OF ALENE BROWN SEE SUBDIVISION MAP OF LA MC O OF CORMACK ALENE M. BROWN SY COULTER MARCH 27, 1991 APPROVED JAN 22' 1991. FILED N 05'2 '2 30"E N Ito "- 3: waRK :- A, HOUSE 00 r N � Co 125.96 c!� PROPANE O TANK 121,039 sq.ft. 2.78 acres Dus en Q� steves rve ors LL Land su York 12801 Glens Falls, New 50135 37 Chester Street New York moo• No. (518) 792-5474 S01'4! 0"E 70 wTVATO 11 > 2.Of'"F �/ 1qE( ST!•TE E9t,0� EQI Cf T�7' �R�Y MAR7�D Mae V,Uo 187E 00"M 'CR'7�cA1> 5 M "ecORDAN�E Z., ro `��Ttm �� >� Tp TiE ISaG7EQ I.R.F. YAWTIDA — •-- 688' + /- TO NEW YORK STATE ROUTE 9L t.R.F 705.89' CRUSHED STONE DRIVE 418.34' S05'22'37W LANDS N /F OF M ALCOLM BATCHELDER DGE OF WATER AS OF 2-1-9 s POND LANDS N/F OF SEVERANCE Map of a Survey made for LINE KOCH � �,pEERT & 3AQTj ueeusbury, Warren County, New York Torre of Q TAX MAP N0. 27-3-1.3 N0. , DATE 44" M APLEW 48" MAPLE Zo d HOUSE V DESCRIPTION Cn E---4 z w w a v m e"V E LIAR 15 20M TOWN Or� C,��CENSOBURY e�/EMbr-r-, -. S 1 %*ET 1 OF i KOCH DWG. No. 92321-3