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2001-756 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: P20010756 Date Issued: Thursday, February 06, 2003 This is to certify that work requested to be done as shown by Permit Number P20010756 has been completed. Tax Map Number: 523400-301-014-0001-061-000-0000 Location: 26 LADY SLIPPER Dr Owner: JOHN & JUDITH GORALSKI Applicant: JOHN & JUDITH GORALSKI This structure may be occupied as a: By Order of Town Board Residential Addition TOWN OF QUEENSBURY (DJ 4 1. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010756 Application Number: A20010756 Tax Map No: 523400-301-014-0001-061-000-0000 Permission is hereby granted to: JOHN&JUDITH GORALSKI For property located at: 26 LADY SLIPPER 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: JOHN&JUDITH GORALSKI Residential Addition 19,599.00 26 LADY SLIPPER Dr Total Value 19,599.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency TROMBLEY, WILLIAM 65 SAGAMORE STREET I Plans &Specifications 2001-756 435 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS $75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, October 17,2002 (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 Queensb ; Wednesday, October 17,2001 SIGNED BY ,f for the Town of Queensbury. Director of Building& . •..= orcement 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 Noc)CO _.75 No inspection will be made 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 B . • application form. �Applicant: h,n ��os `a • Owner: Address: 7 L It �- mac- Address: Phone# (SI 43 )718 - /6f�j Phone#( ) LIVED OCT 0 q 2001 Property Location: Lot Number: / House Number / TO Subdivision Name: Re yv( (�,,�� ? � Tax Map Nu NbOFG AEDN$�IJRY CODE ❑ New Building: residence /commercial Estimated Market Value of Construction: $ f 7 5 eJ q Addition: ( commercial If an Addition,what will use of new addition be? ❑ Alteration: resit ence/ commercial i t ® tArl ❑ No change to exterior size: residence/com'i ❑ Other work(describe ) Check OccupancyInformation 1st Floor 2"d Floor Other floor • Total Below sq.ft. sq.ft. sq.ft. Square Feet V4 Single family dwelling 3 (/'3r ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office _ __ ❑ Mercantile o Manufacturing. - _ ❑ 1 car detached garage --� -- ❑ 2 car detached garage o 3 car detached garage ❑ 1 car attached garage ❑ 2 car attached garage o 3 car attached garage ❑ Storage building- commercial ❑ 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/ oil / */wood /forced hot air/ aseboa other: Number of Fireplaces to be installed d 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 s�\'T -o��a� . Cs.-.F. `7 °(Z 7 3 y Plumber 1 Mason i 1 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 a d Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new onstructio Signature: owner, wner's agent,architect,contractor Y,2:� ENERGY CODE COMPLIANCE APPLICATION 2 ` TOWN OF QUEENSBURY, WARREN COUNTY ` 9000HEATING DEGREEDAYS Compliance Methods : PART' 5 - Acceptable Practice Method 1&2 Family Dwellings (only) cis ;. 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: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . - Gross Floor Area- VOD square feet 2 . Type of Heat - Electric Oil X Gas Other 3 . Is building mechanically cooled? Yes V. 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 Icl c . Glazed areas R d. Exterior doors R e . Floors over unheated spaces R f . Edge of slab on grade (heated building) R 10 g. Basement/cellar walls (above grade) R 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 CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Applf•/ cJnt' Si a ure d e O/ Phone Nub e IN PECTOR' S REMARKS : ppi �i RESIDENTIAL FINAL INSPECTION REPORT� Office No.(518)761-8256 Date inspection request received: D p a- 0)-n,�v, Building&Code Enforcement A Dept.of Community Development Arrivec. epart� Town of Queensbury ector's Initi s 742 Bay Road Queensbury,New York 12804 NAME s•—I D hk. &c (s 'G,` . `� - PERMIT 1 S _ '� f6�Q LOCATION a(o LA ( S L' ,E— r DATE TYPE OF STRUCTURE (2 4e i,di a-- N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete •�/ Exterior Finish Complete ti/ Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in. 'r more Interior Handrails stairs both sides 3 or more 'sers Grade 2%away from foundation �/ 8"clearance to sill plate ✓/ Gas Valve shut-off exposed/regulator 18"above ade ✓ � Gas Furnace shut-off within 30 feet or within line.If site i •/ Oil Furnace shut-off at entrance to furnace area • Furnace./Hot Water Heater operating / f Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. ,// Handrail exterior stairs both sides more than 3 risers). ,/ Interior privacy/trim/doors/main entrance 36" f li Floor Finish ,..// Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 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 1 Safety glazing 18"or less from floor i Final Electrical (/f 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. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No. Cert. N2 79334 Cut-in Card No. e• 7s6 Owner " (ear Q CJ s K l Location. ....4 G f'DY Su PPL-2' � . J�q,� Installation Consisting of/6 ! �� ) `5 Li r� Installed By ,' 0w. (3`z./ Lic.No. The conditions following governed 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 maki spections at any time, and if its rules are violated,the Company shall have the right t re ke thi cert. scat . Date `—Z3—0 v INSPECTOR Mnmhn.-N FP A I A F.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 a Inspector's Initial NAME: C��j��L�� , , PERMIT# LOCATION: 2_(0 L_tAV).� L t YY DATE : j7.—1 _n TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1-7-1 Monolithic Pour Form Reinforcement in Place The contractor is respon 'b1e for providing protection fro freezin for 48 hours following th placem nt of the concrete. Materials for this purpose o :site Foundation/Wallpour Reinforcement in Pl ce Foundation/Damppro ng 1 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 E ) 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 WILLIAM E. MONTGOMERY JR. PE NEW YORK STATE PROFESSIONAL ENGINEER 104 HARTMAN LOOP QUEENSBURY,NEW YORK 12804 Phone: 518-792-4262 INDUSTRIAL December 17, 2001 Structural Renovation Pumps and Piping HVAC Energy William F. Trombley Compliance 65 Sagamore Street COMERCIAL& Glens Falls, New York 12801 RESIDENTIAL Building Codes EnergyCodes Dear ear Bill Trombley, y, HVAC As I outlined in my note to you the other day, the double 2"x6" construction and the closet framing support most of the roof load in the John Goralski home at 26 Lady Slipper Lane in Queensbury, N.Y. The balance of the roof framing and the new ceiling framing in the addition are adequately supported by the 4-member 16" LVL girder and the 7-. member 2"x4" hanger fastened to the girder and the double 2"x6" support. It is a little confusing but all supports now in place are more than adequate to support the loads. I am sending a copy of this letter to John O'Brien for his records. Sincerely yours, *U, /. ?7'William E. Montgomery Jr. PE Yt 9 Kati cc: John O'Brien ry o rOpTHES. a� • -;0' AM F Y :z•. � -'sou GENERAL INSPECTION'REPORT ( 518 ) 761-8256 Town of Queensbury 1 J Dept.of Community Development Date inspection request received: ( ( b 1 Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive j Depart • Ot Inspector's Initial. NAME: r LDS G PERMIT# p „L (— • S LOCATION: DATE : Mi 6 I le�rf TYPE OF STRUCTURE: 4 4 �. RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is res •nsible providing protection t•m fr-: ing for 48 hours following the pl•cement of the concrete. Materials for this purpose . site Foundation/Wallpour Reinforcement-inPin-ce Foundation/Dampproofing Backfill Approval Plumbing Under Slab ents in Pia,e Heating Rough-In Insulation oundation Walls Interior ' Foundation Walls Exterior "- Floors R- Walls R- la Ceiling R- 1.12 tj Duct work or piping in unheated spaces R- ent, Attic Vent ack Studs/Headers '� Bracing/Bridging � 13L�,�;,V i ��cp ,.. J 4` Joist Hangers �/S � `' "`� C��7� t Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping 4 1-" GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: al11 6 i Building& Code Enforcement 742 Bay Road •1 , Queensbury,NY 12804 Arrive V.Di) am/pm Depart Inspector's Initial i• NAME: !`.., Ao f r PERMIT# 1--`,`S LOCATION: v (p Q DATE : / i l 77 01 ,t(e.,� TYPE OF STRUCTURE: a a ,;(` RECHECK N/A YES NO COMMENTS Footings/Piers ,1 I I Monolithic Pour Form Reinforcement in Place The contractor is responsi e for providing protection from eezing for 48 hours following the p acemen of the concrete. Materials for this purpose on sit Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi g 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- - . Pro Vent, Attic Vent l f ra ng) lJ `� �iJ �EFr �"1 Jack Studs/Headers 1 Bracing/Bridging tip/ i��R J1 -0 l� �� V -. ' �,t (� `'FE__ Joist Hangers �! �. � Jack Posts/Main Beam V D i�- 1i"r Air Infiltration Barrier Fire Separation 1,2, 3, hour - ) 6- W)_D3 t Penetration Sealed F. Wall 2, 3,4 hour 1)„ Ni- -- - -\ _�}j \w3 ( (} 6 - �� -- Firestopping F GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road )1W ��.,,�� Queensbury,NY 12804 Arriv aXan _ Depa t A ' pm Inspector's Initial A NAME: (-70P,P,1_5 )Y PERMIT# A— r-Za LOCATION: Z t Q 1r,A sy`� ALA,P4 R o L DATE: TYPE OF STRUCTURE: ROiDe 16J RECHECK N/A YE NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place 1 The contractor is respo ible for , providing protection fro freezing for 48 hours following tlite placent of the concrete. Materials for this purpose on site Foundation/Wallpour 1 Reinforcement in Place \ f Foundation/Dampproofing Backfill Plumbing -- 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