2002-347 1 d
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: P20020347 Date Issued: Tuesday,March 02,2004
- This-is:to:certi .thattwork-re uested.to:be done=asshown b Permit-Number -- — -
' --q _. .P2002034.7
has been completed,
Tax Map Number: 523400-309=007-0001-007-000-0000
Location: 15 HOLDEN Ave
Owner: EDWARD&SARAH HERMANCE
Applicant: EDWARD&SARAH HERMANCE
This structure may be occupied as a:
By Net of Town Board
Residential Alteration TOWN OF QUEENSBURY
Diector of Building&Code E once t
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020347 Application Number: A20020347
Tax Map Na 523400-309-001-0001-007-000-0000
Permission is hereby granted to: EDWARD & SARAN HERMANCE
For property located at: 15. HOLDEN Ave
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plaits and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tie of Construction Value
Owner Address: EDWARD& SARAH HERMANCE
15 HOLDEN Ave Residential Alteration 2,000.00
Total value 2,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-347
600 SF FT RESIDENTIAL ALTERATION AS PER APPLICATION
$C0,00' PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,May 14,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of ueensbury before the expiration date.)
Dated at a To £Q n ay,May 14,2002
SIGNED BY d®g�' for the Torun of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256 -
A permit must be obtained before beginning construction. Permit File No. 71
No inspection will be made until applicant has received a Fee Paid $ c7
valid building permit. All applicants'spaces on this Rec. Fee Paid $
application must be completed and must appear on the Reviewed B
application form.
Applicant: g,0tu4Rd1 r ,S'ARAfl Owner: arq 4 r+YVC&
Address: Address: ls- f�aLdc'�v .¢u rvu�
l�ca��r►.��¢ctr�.� ,��.B�EF C�u�-��4u,e..i , x?-v.. r
Phone#(-a) 7 U Phone#(. } - (
Property Location: Lot Number:- I House Number D La 2F;�tJ 4y turf g
Subdivision Name: _ Tax.Map Number:.J. q 117. -. W6/
7-
❑ New Building: residence /commercial Estimated Market Value'of Construction: $
[a f Addition: residence ommercial If an Addition,what will use of new addition be?
Alteration:- ence c� ercial
❑ No change e; r size: /com'l _ f
❑ Other work(describe ) �.Mov r_V lei
�A
Check OccupancyInformation is`Floor 2" Floor Other floorZSquar
otal
Below sq.ft. sq.ft. sq.ft. eFeet
Single y dwelling �, C>
❑ Two f, it wellm
❑ Townhouse i
❑ Multifamily dwelling
#of units . \ It
,❑ Office
❑ Mercantile
❑ 'Manufacturing
❑ 1 car detached garage
�y ❑ 2 car detached.garage .
Cl 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage {
❑ Storage building-
commercial i
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure feet inches
Will any,second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric I oil / gas I wood- /forced hot air/ baseboard/other:
Number of Firevlaces to be installed Number of Woodstoves to-be installed
,List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder 14
Plumber
Mason
Electrician I�
Declaration: please sign below after you have carefully read the statement: j
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 Uwe 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 Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: owner,owner's agent,architect,contractor
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY SAY 0
9000 HEATING DEGREE DAYS 1VQ
Comyliance 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___ Zy ZL Ceti & . t�P41e&Flvst3l�j O�
'PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - square
2 . Type of Heat - Electric Oil f: Gas Other
3 . Is building mechanically cooled? Yes No
4 . Percent I age 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 I - R 19
b. Exterior walls R &&rl 106 -M
C. Glazed areas R
d. Exterior do6rs R
e. Floors over unheated spaces R
f. Edge of slab on grade (heated building) R
9. Basement/cellar walls (above grade) R
h. Basement/cellar walls (below grade) R
is Heating/cool ing-duct s-piping in unheated space R
6 . Service' (domestic) hot water heating device
Conforms to.' minimum efficiency per code Yes No
TEMPERATURE: CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED
ApV1J_ ant' s Sig a ure Dad
INSPECTOR' S REMARKS:
Queensbury Building & Code Enforcement - Resi tia i I Inspection
Fet.i ea r t.i
Si
Office No. (518)761-8256 Arrive: Pm e \V,D�1�2nvpm,
Date Inspection request received: Inspector's Initial
NAME: QA
-L�Lu(,�,X- 11Y 11" P IT#:
LOCATION: TE:
TYPE OF STRUCTURE: f
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 CoLnplete
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 1/2"
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 grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
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/'/4 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"access, I sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification-,Tir-e-q-u4red
Okay to issue C/C C/O_L,-Temp e
2r-a!Y_
L:\PamW\Building&CodesUnspection Forms\Res.Final Insp.form 2.docLast printed 2/12/04
Residential Final Inspection
C�
Office No. (518)761-8256 Date Inspection re cei
Queensbury Building&Code Enforcement Arrive: p D
742 Bay Rd., Queensbuiry,NY 12804 Inspect i Is:
NAME: k Al-?n -A C FMT M
LOCATION: ATE:
TYPE OF STRUC
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
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
Grade away from foundation 6 in.with 10 ft,
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
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 Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazigg
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: — / Battery ba*W:
Bathroom'Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
%hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I sq. ft.-150 sq.ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
-Flood Plain Certification,if required
Okay to issue C/C(Cert.Of Compliance)
Okay to issue Temporary Q/0(Cert.Of Occupancy)
Okay to issue Permanent C/0(Cert. Of Occupancy)
L:\SueHeniffigway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.dde.Aited January 28,2003
Office Use
GENERAL INSPECTION REPORT Inspector:
Ready a time:
t/OcC)O-10
Town of Queensbury,
Dept. of Comrimunity Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road'
Queensbury, NY 12804 ARRIVE _ a m: PAR `� Notes:
(518) 761-8256 Inspector's Init
NAME: PERMIfffif
LOCATION: �j gn INSPECT ON(date):
TYPE OF STRUCTURE: ) 61
RECHECK
N/A i YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsib fo
providing protection from eezi g
for 48 hours following the lace ent
of the concrete.
Materials for this purpose on s to
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
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 �-� 1.t R-
Ceiling V w1b'i a lzb R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers �}
Bracing/Bridging 1= C3
Joist Hangers
Jack Posts/Main Beam k>- Z
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping .
r
L:\.SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT < Inspector:
Town of Queensbury Ready at time:M,
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12864 ARRIVE 10c a DEP T ' a Notes:
(518) 761-8256, Inspector's Initial
NAME: — ` C } } Q' Q PERMIT#
LOCATION: �-� ! ('/►1 ��j` 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. P
m_ _ _
Materials for this,p u- ose on site -- -
ioundatioi�Vallpour
Reinforcement in Place .--a.�-� P�, �t)6 Uf q-ka7-)
FoundationJDampproofmg
Backfill Approval ��
Plumbing Under Slab \G\ac %�X UJ—
Plumbing VentlVents in Place'
Rough Plumbing ""° � "��1�
Heating Rough-In
Insulation
Foundation Wails Interior R-
Foundation Walls Exterior R-
Floors R-
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 I,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\,SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
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3 5 87 4442 W 2.25 ROAD
4 N 02 15'15 W
5 5 87 44*42ffi W 2.25 r C�
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FROM AN ACTUAL FELD SURYM
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47_1518' E —2.50 FOR viom THE SURVEY WAS PREPARED.
00 9?_ BEHALF TO THE TITLE COMPANY,GOVERN
167 5 02 15'15' E 7.30 AND LENDING INSTITUTION LISTED HEREON.
ll 5—4244'42* W 2.80 !Ilk CERTIFICATIONS ARE NOT TRANSFERABLE
-12 -5 02 15'18' r 2.80 ---------- OWNERS
5 87 fof_4 4042' W 5.30 NEW; CERTIFIED TO- OEM U.MORRIS
4§ C. FIDELITY NATIONAL TITLE IN
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5 02 15#18P E 1G.30 DATED- DECEMBER 14, 2001.
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