2001-596 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: P20010596 Date Issued: Monday, November 05, 2001
This is to certify that work requested to be done as shown by Permit Number P20010596
has been completed.
Tax Map Number: 523400-302-005-0001-014-000-0000
Location: 4 JUNE Dr
Owner: SUE WILES
Applicant: SUE SMALLEY
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
oi 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010596 Application Number: A20010596
Tax Map No: 523400-302-005-0001-014-000-0000
Permission is hereby granted to: SUE SMALLEY
For property located at: 4 JUNE Dr
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: SUE WILES Residential Addition 19,000.00
4 JUNE Dr Total Value 19,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
JOSEPH AUSTIN
71 BLOODY POND Rd
NY 12804
Plans &Specifications
2001-596 ENCLOSED BREEZEWAY
187 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
$75.00 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 own o ue nsb ; Wednesday,August 15,2001
SIGNED B - for the Town of Queensbury.
Director of Building Code Enforcement
Building Peniiit Application C
Town ol•Qucensbury-Dept of Community I)cvclopmcnl, 742 I3ay Road, Quccnsbury, NY
(5 18) 76I-825i
A permit must be obtained before beginning construction. Permit File No
• No inspection will he made until applicant has received a Ice Paid $1
valid building permit. All applicants' spaces on Ibis Rec. Fee I'nid
application must be completed and must appear on the Reviewed By: l
application form, 4-
Applicant: Jo,/3S /� At - Owner: •_ 6 . 1' 6/t1
Address: 7/ o#' fit A %0 s� Address: L{. EIVED
Phone it(ea ) 771p - 4.6- Phone it(0 ) 79 - AUG 0 6 2001
TOWN'OF QUEENSBURY
Property Location: Lot Number: / House Number ;A- / BUILDING AND CODE
Subdivision Name: Tax Map Number: --12 1 •- ,
❑ New Building: residence /commercial Estimated Market Value of Construction: $ //� 006
kr Addition: c-''residence/c mcrcial if an Addition, what will use of new addition be?
o Alteration: -residence commercial
No change to exterior size: residence/cowl /MO �U"M
❑ Other work(describe )
•
Cheek I. irlour 2"a h
(7ccupancylnformation lonr —OIhe floor Total
Below sq. I.f, sq. It. sq. I'I. Square Feel
Single family dwelling r ,
❑ Two family dwellin_
o Townhouse .
❑ Multifamily dwelling
it of units
❑ office
❑ Mercantile
o ManufacturingI car detached garage —
O 2 car detached garage _
3 car detached garage
❑ i car attached garage
. u 2 car attached garage _ __
. u 3 car attached garage —- -- — ---
u Storage building -
conimercial
❑ Storage building -
residential r -. _ --
other 4. -ee e
Will any second-hand or ungraded lumber be If so, for what? NO
Type of I lcating System: electric/ oil /0 wood /forced hot air/ baseboard/other: .
Number of Fireplaces to be installed 0 Number of 11'ocdslot'es to be installed 0
List below the pers(n(s) responsible for supervision of work as.rc�arils to building codes:
Name _ 'Address - Phone Number
•
_J_Buil(ICAL-_-.I- - - ' Q5 �-1
1.�t�2 �-0„0-04a' j. 1/i,�lamr��o-.Q�-.L.aI�6 C,�t��c./f_ 7 [,? _5��"1� _
. Plumber H r r
Mason
Electrician I, `e - del
i
Oeclnrntign: please sign below alter you have carefully rend the statement; .- . ••
'i'o the best of my kno vledgc the statements contained in this application, together with the plans an(i specifications
submitted,are a h:ue and complete statement oral)proposed work to he done tin the(lescriihed.pre:mises and That all
provisionk ofthc)alit ling Code, the Zoning(h(Iinanee and all oilier laws poilaining Iu the proposed work shall be complied
with, whcthu .specified or noted, and That such wort: is aulhurii.ed by the Owner. I nrtlici It is understood Olaf Ihs•c shall
sut'lnil, prior In*a Ceilificatc of Occupa icy or Cc'tificate of Compliance being issued,'as='rcdurstc(I by the Zoning
n(Itniui lraloi•or Director of Building nd Codes, an GIs h u h Sur•rcj by a licensed surveyor;drawn to scale,showing actual
r a
l iealitin of all new eonstit iction.
Signature: -:` - --- -1 i t--- ------- owner,owner's agent,architect,contractor
•
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods : PART 5 - Acceptable Practice Method -
1&2 Famil \Dwellin s onl -
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings;. Multi-Family
D ellings ( 3 stories or less)
PART 4* - De ' gn by Component Performance
Co ercial Buildings-Hi Rise Residential
* uires sub fission of worksheets
APPLICANT' S N 1E : PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross .Floor Area - 1?7 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 640/419:2,n ��0"1� Rb . Exterior walls � R `c
c . Glazed areas `^T,�rp/,r, er,� j • R 3d. Exterior doors R a
e . Floors over unheated spaces R /6
Edge of slab on grade (heated building)• R
• Basement/cellar walls (above grade) R
Basement/cellar walls (below grade) R
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
Applicant ' s Signature Date Phone Number
INSPECTOR' S REMARKS :
C/105 Skr- •
1p
l�n L 6C60.7-0 ✓ 1/400
LAJIV11V1U1' VVLAL1fl LULL.1 KIL./11...11larzt.,1 alUtt V JAIL.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL .4o
Panel Board No Cert. N2 693 1 5 Cut-in Card No./41 0/47/V 9
Owner be7 ,s
Location .(1 e- o..p, v cn.S vy
Installation Consisting of Q-00./4 c/C7— ...........
I 1:6 I-1-
Installed By/4 vS7j../3 6..13 Q.,9— Lic.No.
The conditions following govemed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
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 its
rules are violated,the Company shall have the right to revoke this certificate.
INSPECTOR...
Member N.F.P.A.,I.A E.I.
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement •
Dept.of Community Development Arrive am/pm Depart I I/pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804 NAME cC\O\\ PBRIvIT f# 0 ! ~S?
LOCATIC • DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"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,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundat'in
8"clearance to sill plate
Gas Valve shut-off expos--d/regulat• 18"above grade
Gas Furnace shut-off wi n 30 feet or within line of site
Oil Furnace shut-off at en'ance to furn;ce area
Furnace/Hot Water Heat- operating
Relief Valve(s)installed
Headroom,6 ft.6 'n.on sta, s
Basement stairs,6II4 in.
Handrail exterior stairs both ides more than 3 risers
Interior privacy/trim/doors/m.e entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies .la'a g 18 in.or more
Railing across window in stairwe s
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
j\if
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"o le , f om floe
Final Electrical tt, `'
Site Plan/Variance r u' ed
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)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement y'
742 Bay Road /ti ` /V
Queensbury,NY 12804 Arrive am/pm Depart' Iff
Inspector's Initials U
NAME: ) _\\ PERMIT# caoo i-5 1 (.0
LOCATION: 3�, _ ` DATE :
TYPE OF STRUCTURE: E�c�U _-- Y�p7QV.) \
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7-7
Monolithic Pour Forl{iN
Reinforcement in Pl ce \
The contractor is responsible for
providing protection from\freezing
for 48 hours following the lacement
of the concrete- II
Materials for this pu se o site
Foundation/Wallpour.
Reinforcement in 'e
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rou lumbing
H ting Rough-In
sulation
Foundation Walls Inte 'or R-
Foundation Walls Exte 'or R-
Floors
Walls - C)\,
Ceiling - 3
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 Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
00A W
GENERAL INSPECTION REPORT
( 518 ) 761-8256 „ £r
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement i 0
742Bay Road _ !
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initials U
NAME: t PERMIT#° 1 — 31
LOCATION: DATE : 7
TYPE OF STRU TURE: — c='_ _/C U )
RECHECK
N/A YES NO COMMENTS
Footings/Piers I T I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo sible for
providing protection from freezing
for 48 hours following e placem nt
of the concrete.
Materials for this purpose i n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing VentAients i ' acI.
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior -
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
heated spaces R-
Pro r Vent, Attic Vent
aming
Jack Studs/Headers
Bracing/Bridging •
JoistHangers
Jackk Posts/Main Beam
Vdr Infiltration Barrier
Fir Separation 1,2, 3,hour
P netration Sealed
ire Wall 2,3,4 hour
Firestopping
)912/H,
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road L 1
Queensbury,NY 12804 Arrive am/pm Depart ` pm
Inspector's Initials U �
NAME: (.___YmC\`\ � \ PERMIT# OF-4
LOCATION: � S�t11 v )��� DATE : / (� —%C -�QX 1
TYPE OF STRUCTURE: .•.
RECHECK `
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in • . e
The contractor s re .nsible for
providing prote,tion . om freezing
for 48 hours foll,iwin=the placement
of the concrete.
Materials for this pu es: on site
Foundation/Wallpou
Reinforcement in Pla•-
Foundation/Damppro.= ig
Backfill Approval
Plumbing s.,e _ .b
Plumbing Vent/Vents in 'lace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interikr R-
Foundation Walls Exteri. R-
Floors R
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pro Vet Attic Vent
*�n cimLilg ¢ fJf,
tt�' Jack Studs/Headers
Bracing/Bridging LOU-Me \(&-
Joist Hangers
IJck Posts/Main Beam
nfiltration Barrier
Wire e ration T;23:.hour
e ration Sealed
-re Wall 2, 3,4 hour
irestopping
-me_ 1,6g0
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 _b pm ' Depar '
= -')
Inspector's Initial
NAME: 6 Ft Pa I PERMIT# 2
LOCATION: t- - LC= °R l.)a DATE: -- 4
TYPE OF STRUCTURE: ADO
RECHECK
N/A YES-NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is respon(Sible for
providing protection froi i freezing
for 48 hours following e placenient
of the concrete. •
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vens T lac-
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior - •
Floors R-
Wallls R-
Ceiling R-
Duct work or piping in
unheated spaces /'-
groper Vent,A,ttVent i
Jack Studs/Headers ,/
Bracing/Bridging •. r'
Joist Hangers
Jack Posts/Main Beam �-� ` iF��
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 Arrivet1;3 L Depart I -
Inspector's Initi s
NAME: � i-4.A E. PERMIT# (Q
LOCATION: Rt vF DATE: —L 1
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible or
providing protection from fre ing
for 48 hours following e pla ment
of the concrete.
Materials for this purpose n si
Foundation/Wallpour
Reinforceme in Place
Foundation/D ropfing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation t R
Foundation Walls Interior t(T
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 f2:1-DaiDepart -
spector's Initi s
NAME: � NA R t_a. PERMIT# c —,6961
LOCATION: DATE : — — 1
TYPE OF STRUCTURE: R e, ROD
RECHECK
N/A YES-NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freez'
for 48 hours following the p . : ' •nt
of the concrete.
Materials for this purpose on site
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 '-
Floors R-
Walls R-
Ceiling 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 Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
12fcHS -t oo
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,: • pm epart - m
spector's Initial
NAME: \`j b`AQ�,�.`'1 PERMIT#
LOCATION: �-I �V;1�} (�(,y F DATE : - -
TYPE OF STRUCTURE: PP\F F 7 E-u `(
RECHECK
N/A YES,NO COMMENTS
otings/Piers /
Reinforcement in Place V
The contractor is responsible for
providing protection from freezi g
for 48 hours following the place ent
of the concrete.
Materials for this purpose on site
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 R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
.ii-Top.- 1 . .
i i ,
tea) -55 (0
I RECEIVED
L
' AUG 062001
.'� 41 TOWN OF QUEENSBURY
�� �., BUILDING AND CODE
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