2001-671 i
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: P20010671 Date Issued: Wednesday, January 02, 2002
This is to certify that work requested to be done as shown by Permit Number P20010671
has been completed.
Tax Map Number: 523400-295-006-0001-046-000-0000
Location: 34 LEHLAND Dr
Owner: DALE & JUTTA WICKS
Applicant: DALE & JUTTA WICKS
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
Deck
Director of Building& Code Enforcement
fell, �
WTOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
0
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010671 Application Number: A20010671
Tax Map No: 523400-295-006-0001-046-000-0000
Permission is hereby granted to: DALE& JUTTA WICKS
For property located at: 34 LEHLAND 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: DALE&JUTTA WICKS Residential Addition 17,000.00
34 LEHLAND Dr Deck
QUEENSBURY,NY 12804 Total Value 17,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
.
Plans & Specifications
BP 2001-671 Lot 62, House 34 Lehland Drive,Lehland Estates
Construction of residential addition 340 sq. ft. with an attached 280 sq. ft.. deck as per plot plan and
specifications.
$115.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, September 19,2003
(If a longer period is requited,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 of Qu nsbury; Tuesday, September 18,2001
SIGNED BY41
for the Town of Queensbury.
Director of Buil ode Enforcement
uildingPermit Application
Town of Qucenstu ry-- Dept of Community Development, 7,12 Bay Road, Quecnsbury, NY
' • (518) 7(il-8256
A permit must be obtained before beginning construction. Permit File N — •
No inspection will be made until applicant has received a I7cc Paid $
valid building permit, All applicants' spaccs_on this Rec. Fee Paid )�
application must be completed and must appear on the Reviewed I3y: r I
VED
application form. m
•
Applicant: D IA L c Id 1 lc-5 Owner: ---- 5 L N j 20 01
Address: 34 t/--e-_h I G,tv L s-f-nr 5 Address:
TOWN OF QUEENSBURY
Phone II ( ) - Phone it ( ) - •UUILDINGAD CODE
Property Location: Lot umber: we- _ / House Number•3 / :te: d+ .c�«� b .,,i
Subdivision Name: ,e h f ir§ t�J r) g s-Fg ejl'ax Map Number: 74di 0 2--
Cl. New Building: residence /commercial Estimated Market Value of Construction: $ 17 i U 0 O
Addition: residence/ commercial
If an Addition, wh it will use of new addition be?
❑ Alteration: residence/ commercial ,t"^ i 0 j
❑ No change to exterior size: residence/com'l
❑ Other work(describe 1 ',- )
•
• Check OCCUl1a11CyIitforlllatioll I. Moor 21i1 Floor Other floor Total
Below sq. II. sq, It sq. II. Square Feel
❑ Single family dwelling ,; —
❑ Two family dwelling _ �C,Q c
LiTownhouse J Li Multifamily dwelling1) _ l �Q/J
ii of units `�
o Office
S
❑ Mercantile __,_---------4
u Manufacturing
❑ I car detached garage
o 2 car detached garage _ _
❑ 3 car detached garage
❑ 1 car attached garage
U —2 car attached garage _ i
—
u 3 car attached garage .
U Storage building-
commercial ,��J_._f? G
❑ Storage building - 5/-V
residential me rl 7J _
Other `� �_ _ ' ' `a'
!4
•
l
Will any second-hand or ungraded lumber be used? If so, for what? /J
Type of I Iealing System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed E ANumber of II'oodslones to be installed 0 U •
List below the person(s) responsible far supervision of work as regards to building codes:
Name Address Phone Number
Builder `7- )y _Ja J� JO7 & e�edar eo �9 - 1-f9 r`t
-5
Plumber .
• Mason S IA l't(`1 ` .
Electrician
Uc• aralig : please sign;bclow ancr you have carefully read the statement::
To(behest ol•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 be done on Ile.describcd premises mid that all
provisions ol•the !Wilding('ode. the %caning!Oulin:n ce and all other laws pertaining to the proposed work shall be complied
with, whether specified or noted, and That such %yolk is author reed by the owner. Further, it is understood That Uwe shall
submit, prior to a (.'eilificatc of-Occupancy or C'cllilicalc of Compliance being issued, as requested by the Zoning
Administrator or Director of Uuilding and Co s, an i s Built Surrey by a licensed surveyor;drawn to scale,showing actual
location of all tie nslrue ion. - -
Signature:. --__ owner,owner's agent,architect,contractor
•
, ENERGY CODE COMPLIANCE APPLICATION
tia
= : TOWN OF QUEENSBURY, WARREN COUNTY {J- ��, "�D
-,., 9000 HEATING DEGREE DAYS b �3'
SEP 0 6 2001
Compliance M4ethods : PART 5 - Acceptable Practice Method - f�;
1&2 Family Dwellings (onl A6,01ouEENiS URY
PART 6* - Thermal Rating - ComponentT? ade0'f'fs=
1&2 Family Dwellings; Multi=Family
Dwellings ( 3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
/e, ,tc k.J *Requires submission of worksheets
APPLICANT' S NAME : PROPERTY LOCATION:
3 Y 2..e.IN I 4 ft /Q" 61,-0C •a5 v r,S /u YziBo y
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
' 1 . Gross Floor Area - f square feet .r
2 . Type of Heat - Electric Oil V4 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 �U
b . Exterior walls R —o- —
c . Glazed areas R
d. Exterior doors R
e . Floors over unheated spaces R N/M
f. Edge of slab on grade (heated building) R /"/14
g. Basement/cellar walls (above grade) R 13
h. Basement/cellar walls (below grade) R 11
i . Heating/cooling-ducts-piping in unheated space R 'Q/i¢
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code !>f Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
App ' s Sig a Date_ Phone Number
�..�-dt S'is Ws-Ye, .8
INSPECTOR' S REMARKS :
(1 a 5 '4.--c-)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: ./,'
Building&Code Enforcement /
Dept..off Community Development Arrive \- . a Depart' ���<
Town of Queensbury Inspector's Ini I s
742 Bay Road
Queensbu ,New York 12804 G� ps•--
NAME � G.JiLS / PERMIT# - _ -
LOCATION �;.Q7-1: 3_ /4/ X�L.�.< 0S'r c� DATE
TYPE OF STRUCTURE _-._3. L/ ,Y -
31"{0 i —N 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
Exterior Handrails,balconi.s,Ian. 'g 18 in.or more
Interior Handrails stairs bo sides 3 .r more risers • ,
Grade 2%away from fours..tion
8"clearance to sill plate
Gas Valve shut-off exposed/ -gulato, 18"above grade
Gas Furnace shut-off within 30 feet.: within line of site
Oil Furnace shut-off at entranc• to ce area
Furnace/Hot Water Heater oper.-t'
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs b. sides •ore than 3 risers
Interior privacy/trim/.a.rs/main en.ance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing .8 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
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 Plan/Variance 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.U/�
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. Cert. No 73575 Cut-in Card No
Owner to C 64
Location..3
Installation Consisting of 6 W- fiereld / GC 72-5. /
Installed By Ei""e Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued h
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 maki i!pections at any time, and if it
rules are violated,the Company shall have the right to ev ke
Date 4Z -Zi`G I INSPECTOR f
�J
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road U�
Queensbury,NY 12804 Arrive am/pm Depar Inspector's Initials pri/p(V
NAME: �' L5 PERMIT# 0 •1(
LOCATION: �j� ' 43 LkA)0 Ca-. DATE : l4 6
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7— I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f r
providing protection from freezing
for 48 hours following the placemen
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo ng .)
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 7
Fire Separation 1,2, 3,hour
enetration Sealed
ire Wall 2, 3,4 hour
/ .
• Firestoppi ng
AT
- t 1
10.
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road t i
Queensbury,NY 12804 Arrive am/pm Depart l� `_ a
Inspector's Initials
NAME: V.)___ \p W i(� c, PERMIT# 0I - (;0 IJ
LOCATION: ` ,4 LC-4L4-4/6 siOk_ DATE : //-,�1 -, i.)D
TYPE OF STRUCTURE:
RECHECK
l \ , N/A YES NO COMMENTS
Footings/Piers } \ I
Monolithic Pour Form ', \
Reinforcement in Place `
The contractor is responsible foil
providing protection from\freeziiig
for 48 hours following the`placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour, `t i
Reinforcement in Place };
Foundation/Dampproofing ,/ \
Backfill Approval `--J 1
Plumbing Under Slab
Plumbing Vent/Vents in Place \
Rough Plumbing 1
Heating Rough-In 1
Insulation 1.
Foundation Walls Interior R- 1
Foundation Walls Exterior R- 1
Floors R- `1
Walls R- 1
Ceiling R-
Duct work or piping in \.
unheated spaces R-
Pr.per Vent, Attic Vent l
F arcing .--a
Jaek Sttids/HHeaders
Bracing/Bridging ✓
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Pene ation Sealed
Fir Wall 2, 3,4 hour COWL-K.-6V/
F p,..11 &/f----
6)0A.1 ,ALL
4 Ai
/..„7---s-, ,
.___ _,____.
_....... ,..,...., .. .---
itik
GENERAL INSPECTION REPORT �'
( 518 ) 761-8256 - t,;*,; t;; zf; fir,,
Town of Queensbury
Dept. of Community Development Date inspection request received: id— 3 L) 1
Building& Code Enforcement /
Bay742ad Queensbury,
Z m/pm
eensbury
NY12804 Arrive am/pm Depart
,,,
Inspector's Initials (-SA
NAME: — W t~ S PERMIT / - /1
LOCATION: 3 L. )DATE : __ 3-- f
TYPE OF STRUCTURE: ., ,-/5 ',ri_36 s
RECHECK 4i- 6.i�,, „cRl s ci-4-c,i
N/A YES NO COMMENTS
Footings/Piers. 1 I j
Monolithic Pour Form
Reinforcement in Place
The contractor is respons ble r
providing protection from reez'ng
for 48 hours following the .lace ent
of the concrete.
Materials for this purpose on s tei
Foundation/Wallpour
/
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rou h-In
Jt . Ow 1
oundation Walls Interior R- l
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- �j
Pr Vent,Attic Vent I ZDU r 2 � u,,'o/9U 2 I e L/4-AN 0 iv-
,Frain Ia. r,
—Jack"Studs/Headers
Bracing/Bridging Zo'k_pLe-j GJ 3/2( �' r J C.
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Pe etration Sealed
peWall2.34hour resto ping ,. Zw
. P.I-At°i
Cov&i<
GENERAL INSPECTION REPORT
( 518 ) 761-8256 CwC j "
Town of Queensbury
Dept.of Community Development Date inspection request received: 1 O(o(G
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depa -Z
Inspector's Initials /e
NAME: L G W_Lo PERMIT# 00 — (v
LOCATION: ?jL\ l_24, 1v5,�1 (� D( , DATE : I ErOk
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-
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 .n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproafii g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in 'lace
Rough PIumbing
Heating Rough-In
insulation
Foundation Walls Interi. R-
Foundation Walls Exteri r R-
Floors •- ✓/
Walls
Ceiling R
Duct work or piping in
unheated spaces `
Proper Vent,Attic Vent V
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beath,
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
Atyrir&-Al I
7;
GENERAL INSPECTION REPORT C\ �' � �
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 1 .
Queensbury,NY 12804 Arrive am/pm Depart) / m
Inspector's Initials £1 I
NAME: \ V\) , PERMIT# c� LP 7 ),
LOCATION: DATE : )
TYPE OF STRUCTURE: ,}�`c . _�
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Plac
The contractor is res nsi a for
providing protection om fr zing
for 48 hours followin the pl cement
of the concrete.
Materials for this purpos on sit
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing /
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents-in la e '
Ro gh Plumbing
•eating Rough
Insulation
-, -4 Foaridation Walls Interior \-
Foundation Walls Exterior -
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces - 7 -
Pro ent,Attic Vent ✓ //
Jack Studs/Headers /
Bracing/Bridging 1/7
Joist Hangers /��
Jack Posts/Main Beam 11
r Infiltration Barre V.
ire Separation 1,2, 3,hour
Penetration Sealed
F Wall 2,3,4 hour 1 / _
v: irestopping
mo)•,
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 d
Inspector's Initials ILJ
NAME: M PERMIT#
LOCATION: C DATE : — f
TYPE OF STRU P„S t '� I
RECHECK
N/A Yp<NO COMMENTS
oti _s/Piers !i
Monoli 'cur orm
Reinforcement in Plac
The contractor is re risible for
providing protection from feezing
for 48 hours followi g the placement
of the concrete.
Materials for this purpo°e on sites
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac-
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
` I
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 Depart�' am/pm
Inspector's
u , Inspector's Initials �1lrx�/
NAME: Lit)
/`' (C-4S PERMIT# �( 71
LOCATION: -5 4Nj DATE : /df ziO/
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers \ � I
Monolithic Pour Form \
Reinforcement in P_ ce \
The contractor is sponkible for
providing protectio from\freezing
for 48 hours followi g the placement
of the concrete.
Materials for this purpo on ite
Foundation/Wallpour
Reinforcement in Place
Fcidation/Dampproofin
vlackfill Approval .(////
Plumbing Under Slab
Plumbing Vent/Vents'n.Pla e
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 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
, . .
.. a + 3 Vir
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:—
Building& Code Enforcement
742 Bay Road
56
Queensbury,NY 12804 Arrive am/pm Depart2` pm
Inspector's Initials L)
NAME: � 1 C..� r' PERMIT# 0 C� I
LOCATION: . f / -9—O
TYPE OF STRUCTURE: 2 �L t. ea-) c
RECHECK •
N/A YES COMMENTS
\ otings/Piers .,I
_
V
Monolithic Pour Fort
Reinforcement in Plac `17 c,/
The contractor is re risible for 1
providing protection r
oin freezing
for 48 hours following`the placement
of the concrete. \
Materials for this purpose n'site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing \1
Backfill Approval ;
Plumbing Under Slab
Plumbing Vent/Vents i Pla e
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior - ,
Foundation Walls Exterior R
Floors R-
Walls R- \
Ceiling R- 1
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