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2001-578 's TOWN OF QUEENSBURY Bay Road,Queensbury, 742 NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010578 Date Issued: Tuesday, December 18, 2001 This is to certify that work requested to be done as shown by Permit Number P20010578 has been completed. Tax Map Number: 523400-301-017-0001-016-000-0000 Location: 25 FOREST Ln Owner: MARC &MARY CLOUTIER Applicant: MARC &MARY CLOUTIER This structure may be occupied as a: By Order of Town Board Residential Addition TOWN OF QUEENSBURY Residential Alteration (DavP Director of Building& Code Enforcement 1 fir\ TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010578 Application Number: A20010578 Tax Map No: 523400-301-017-0001-016-000-0000 Permission is hereby granted to: MARC &MARY CLOUTIER For property located at: 25 FOREST Ln in the Town of 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 Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: MARC & MARY CLOUTIER Residential Addition 42,000.00 25 FOREST Ln Residential Alteration QUEENSBURY,N.Y. 12804 Total Value 42,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency HORNING CONSTRUCTION COMMONWEALTH ELECTRICAL A( 10174 SARATOGA Rd FORT EDWARD,NY 12878 PO BOX 706 HAGUE,NY Plans &Specifications 2001-578 378 SQ FT RESIDENTIAL ADDITION AND 120 SQ FT RESIDENTIAL ALTERATION AS PER PLOT PLAN SPECIFICATIONS $115.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,August 15,2002 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of Queen bury; Wednesday,August 15,2001 SIGNED BY for the Town of Queensbury. D ector of Building Co Enforcement Building Permit Application Town of Qucensbury— Dept of Community Development, 7,12 Bay Road, Quccnsbury, NY ' (518) 761-8256 A permit must be obtained before beginning construction. Permit File No 01 'S7 No inspection will he made until applicant has received a Fee Paid 11 .,0-6 valid building permit. All applicants' spaces on Ibis Rcc. Fee Paid application must be completed and must appear on the Reviewed By: < C�-- application k)rrn. Applicant: ()-,F i� I 6,24-0--1 Owner: /�,21•L OLvv c/L ; Address: /017 4 p- ac,.4 Ii2 G_ Address: 2• CiZ c € - • M;2T IGa.44)4,2�, d. L2 C.A.)— 7-/SibVi2.'', P,r I Zee • Phone II (6bS). - 0202 Phone II ( ) - Properly Location: Lot Number: / House Number �-5/ - i �� Subdivision Name: Tax Map Number:—a- -d - ^alp . 3 ❑ New Building: residence /commercial Estimated Marl CValue of Construction: $ 4 2, o --`rso.•,�ac3z, • Addition: residence/ I If an Addition, what will use of new addition be? Alteration: residence/dial ❑ No change to exterior size: residence/com'l . u Other work(describe ) • Check Occupancylnformatiou —— O Fluor 27'a Moor Other floor Total •Below sq. ft. sit. 1'1. sq. B. Square Feel Single family dwelling '3. 7 '7 S Y❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling II of units ❑ -Ofllee ❑ Mercantile _ o Manufacturing u I car detached garage ❑ 2 car detached garage _ ❑ 3 car detached garage ❑ 1 car attached garage ❑ 2 car attached garage [] 3 car attached garage ------- -- u Storage building- commercial — / u Storage building - •� �-.I1'CSidCntat__. _ -_ 2..__ /J///ppp Other ;,.,,irA `'--0-N.,- 37 ti -4 -f� '7/ _ Wi any sccon la l +r ut>gradcd lumbcr/beiltsc_�? If Q, fur_what/ N //� _ � �� — 1 Type of h eating System: electric/ oil gas/wood /forced hot ai baseboard/other: r N of Fireplaces to be installed /�£ /J Number of Woodstoves to be installed List below the person(s) responsible IOr supervision of work as regards to building codes: Name Address Phone Number Builder 6,Zr-I ,Pic, eon-- Iol)q �424rec,4 lam_ 993 -ow? Plumber 4 j f,i2 -F,D04)4 e; .,Ni - Mason i., Electrician ,. • Declaration: please sign below niter you have carefully read the statement: '1'o the best of my knowledge the statements contained in this application, together with the plans and specifications submitted,arc a true and complete statement of all proposed work to he done on the described premises and that nil provisions of the Building('ode. the 7.oning()icliiiance and all other laws per tailing to the proposed work shall be complied with, whether specified or noted, and that such vouk is authorized by the owner. Further, it is understood that I/we shall submit, prior to a Certificate of Oecu Nano r C'cr of icate of Compliance being issued,as requested by the Zoning Administrator or Di •tor of Iluildi g• d Codes, all,Is Built Sarre i by a licensed surveyor;drawn to scale.showing actual location of all nn onstruction. Signature: i' - —_ ___ owner,owner's agent,architect contractor i 5 ENERGY CODE COMPLIANCE APPLICATION EE 3 iP TOWN OF QUEENSBURY, WARREN COUNTY iC �� ' 9000 HEATING DEGREE DAYS JUL 2 7 2001 Compliance Methods: PART 5 - Acceptable Practice Method TOWN OFQ�Np CODES 1&2 Family Dwellings (only) BP — PART 6* - Thermal Rating - Component Tiade 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 APPLIICANT' S NAME: PROPERTY LOCATION: /22flr kl / PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 3 7 a 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 b. Exterior walls R :le:c . Glazed areas R d. Exterior doors R if e. Floors over unheated spaces R .— f. Edge of slab on grade (heated building) R -- g. Basement/cellar walls (above grade) R / 3 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 CO ROL MAXIMUM SETTING 140.° - WILL NOT BE EXCEEDED Applica ' s S. atu Date Phone Number 7- 99 -020) INSPECTO ' S RE RKS: RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 41)11L-e Building&Code Enforcement �zgc5C) Dept.of Community Development Arrive ax .epart Town of Queensbury Inspector's Initial 742 Bay Road Queensbury,New York 12804/ J Q NAME , Q�- (cam( PERMIT --57 U LOCATION -; �}Y �(,vy�Q , DATE TYPE OF STRTURE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,laning\18 in.or more Interior Handrails stairs both side3 or.more risers Grade 2%away from foundation( \1 8"clearance to sill plate Gas Valve shut-off exposed/regi.lator 181'above grade Gas Furnace shut-off within 30 f t or within line of site Oil Furnace shut-off at entrance furnace area Furnace/Hot Water Heater operat g Relief Valve(s)installed / Headroom,6 ft.6 in.on stairs / Basement stairs,6 ft.4 in. �` Handrail exterior stairs both.sides 3aore than 3 risers Interior privacy/trim/doors/main Vance 36" F 'Wish Bathroo 'tchen watertight V tenor Handrails Balconies/Landin 18 in.or more Railing across window in stairwells Smoke Detectors: J/ every level ✓� every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures 4 Foundation insulation 3/a 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 PlanNariance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)__ Okay to issue permanent C/O(Certif.of Occupancy) COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Qil Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL C Permit No. Cert. N® 7 3 5 6 4 Cut-in Card No Owner fl 6< e 4a—c4 77 6 Z a. ro 2c'S Location � � Installation Consisting of 7 Sol `I / 4 i2Bt , /2, 12,ti Installed By....4 e /46 exN/ 6 • Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon thi introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if it rules are violated,the Company shall have the right to revoke t is ertificate. Date./ 2✓r Z" O I INSPECTOR If? f V• 111111krie4 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Qucensbury,NY 12804 Arrive am/pm Depart / ' am/pm Inspector's Initials sJ - NAME: 1-�it tL12--- 1. PERMIT# 0 ( -75 LOCATION: L J DATE : /O/f 7 /C� 1 TYPE OF STRUCTURE: l RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is es. nsible for providing protect on fro n freezing for 48 hours foil. ing th, placement of the concrete. Materials for this pu -.se on site Foundation/Wallpou Reinforcement in Plate Foundation/Damppro. in' Backfill Approval PI nbing Under Slab umbing yenr • s in " ace Raugh Plumbing �; Heating Rough-In Insulation Foundation Walls Interior '- Foundation Walls Exterior "- Floors R- Walls R- Cei l i ng R- Duct work or piping in unheated spaces Proper Vent, Attic Vent_ Framing Jack Studs/Headers Bracing/Bridging . Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire eparation 1, 2, 3, hour P ctration Sealed ire Wall 2. 3.,4 hour Firestop ing • 2 Bt.W . ) GENERAL INSPECTION REPORT ' ( 518 ) 761-8256 "� ' Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depar /\a�m/,�j Inspector's Initials(JU� NAME: ��1 CACCA-A ,e"/ PERMIT# D l ~ 5 7 LOCATION: e ATE : ��7 `//- (J'O j TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I l 1 Monolithic Pour Fotrtin Reinforcement in P ace The contractor is•'responsible for providing protection\ om freezing for 48 hours following the placement of the concrete. Materials for this pu\-pose on site Foundation/Wallpour� 1 Reinforcement in Plai.e Foundation/Dampproofitig Backfill Approval \ / Plumbing Under Slab y Plum.' g Vent i t Place V C f U& ROGC9Gis-/AJ ,' ^L P Plumbing. ~ 1 Cow 6-1-6 1 ling Rough-In �nsu En, 1 r Foundation Walls Int#rior R- Foundation Walls Exterior R- Floors R- / Walls R- Ceiling l� �// R- (/ Duct work or piping in unheated spaces R- ro Vent,Attic Vent l .- P ram ing ./' Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam J/ Air Itlt atoi Barrier _ Fire Separation 1,2, 3,hour Penetration Sealed Fire ylap11lg 2,,3_,4 hour 6' •cam GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: C�/ Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart tpm Inspector's Initials NAME: (.�lnl.,`fXe'/ PERMIT# LOCATION: o2 5 W9r-/ i`-'� ' %ATE : ( -(1- GU/TYPE -GU/ TYPE OF STRUCTURE: MCA,o RECHECK NI• 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/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab P .r gybing Vent'en`ys in Place h.. ,&-A-4 �'''Hugh Plumbing: eafmg;Rou -In ie ' sulat oai-- ' oundation Walls Interior R- Foundation Walls Exterior R- Floors R Walls R- 1 CI Ceiling R- P2 Duct work or piping in unheated spaces R- `,?enx;=Attic Vent L,/ ac Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed dire W 112,T3,4 hour �. I�� ng _ L��z�-��L��C' 44 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement < / 742 Bay Road f Queensbury,NY 12804 Arrive am/pm Depart( �j� Inspector's Initials J !" NAME: t—C',Z Oar ► e)r— PERMIT# LOCATION: ,p<' ,n DATE : TYPE OF STRUCTURE: eta , i I RECHECK N/A YES NO COMMENTS Footings/Piers C, Monolithic Pour Form Reinforcement in Place The contractor is responsibl foI\ providing protection from fr zi g for 48 hours following the pl ent of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place /1:7- Fo dation/Dampproofing ackfill Approval Plumbing Under Slab Plumbing Vent/Vents• ace Rough Plumbing Hearing 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- 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 Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depa ` n/ n Inspector's Initials NAME: r; LoiT l C U2 PERMIT# 5-7 LOCATION: Coa • DATE : Q TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsibl; for providing protection from fr=-zing for 48 hours following the pl. emen of the concrete. /Materials for this purpoo on site oundation/Wallpour rc Reinforcement in Place ` S 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 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 Firestopping (-44 791 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 421/ Building&Code Enforcement 742 Bay Road ff s Queensbury,NY 12804 Arrive am/pm Depa�ttL /n Inspector's Initials NAME: PERMIT# - or LOCATION: Y��/- DATE: J TYPE OF STRUCTURE: PimG a-� er RECHECK 'N/A YE NO COMMENTS (Footings /( �ylonolrttuc Pour Form '/ �/ Reinforcement in Plac The contractor is r nsi$le for providing protecti from freezing for 48 hours folio 'ng the lacement of the concrete. Materials for this purposed site Foundation/Wallpou- Reinforcement in Pla e ' Foundation/Dampprd fing Backfill Aprbval Plumbing Under Slab Plumbing Vent/Vents Place Rough Plumbing Heating Rough-In Insulation Foundation Walls In erior R- Foundation Walls E erior 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