2001-781 J
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: P20010781 Date. Issued: Thursday, February 14, 2002
This is to certify that work requested to be done as shown by Permit Number P20010781
has been completed.
Tax Map Number: 523400-301-017-0001-040-000-0000
Location: 3 MORGAN Dr
Owner: MICHELLE HANCHETT
Applicant: MICHELLE HANCHETT
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
(Doe,ipett ' it —
,;_, , , _ V ,
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: P20010781 Application Number: A20010781
Tax Map No: 523400-301-017-0001-040-000-0000
Permission is hereby granted to: MICHELLE HANCHETT
For property located at: 3 MORGAN 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: MICHELLE HANCHETT Residential Addition 19.00
3 MORGAN Dr Total Value 19.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
BRIAN WASHBURN NEW YORK BOARD OF FIRE UNDEI
78 FEEDER DAM
SOUTH GLENS FALLS.NY
•
Plans &Specifications
2001-781
300 SQ FT RESIDENTIAL ADDITION AS PER PER PLOT PLAN SPECIFCIATIONS
$75.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday, October 26,2002
(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 th ow f Qu nsbury; riday, October 26,2001
SIGNED BY /17 for the Town of Queensbury.
Director of Buil g& de 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.0/-7 /
No inspection will be made until applicant has received a ®� Fee Paid $ '15 r'
valid building permit. All applicants' spac 7 b c. Fee Paid S
application must be completed and must a..-1
viewed By:
application form.
0).ii .
9, OCT 1 8 200?
��9
Applicant: ( tJC:S bu�r� iQSYI��uc. F DU • ar: v ,4
(� Address: y FP ec��K { .,, 1 DING A A's 7 ill . 3 r�F= - fir'
/ /�5 �, //s ///Y7 —`-- Cibeo.,5 tiUrzi f_- N_, - /ad'd '
Phone#(5/F) 73 - Sa 7 7 Phone# (cvs- ) 79 g- (30/6?
Property Location: Lot Number: / House Number 3 / v.-n eve. cr.,, Vr, v-e
Subdivision Name: Tax Map Number:
f9;OcO
�F,4
O New Building: residence /commercial Estimated Market Value of Construction: S . =.'. »�
;
' - Addition: residence commercial
If an Addition,w at will use of new addition be?
o Alteration: residence/ commercial crsfp 8 ,ea/4 ct � �
n U No change to exterior size: residence/com'1
`)t `) ❑ Other work(describe )
V:;i6 Check OccupancvInformation 151 Floor 2"d Floor Other floor I Total
Below s ft. sq.ft. ;Sk
ft. quare Feet
Single familydwelling
"' a'�
I }�+ g g .r'S� r ✓ yik �7
❑ Two family dwelling /
❑ Townhouse . _
7 r
/1 _ _
❑ Multifamily dwelling /
#of units
❑ Office 1 _
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage ,
❑ 3 car detached garage .. - i N w
❑ 1 car attached garage c D ' '
2 car attached garage %5 IIP& s ',./
❑ 3 car attached garage
❑ Storage-building- _ --- - _
- --commercial- -------- :�--
o-__-Storage building- -"- .L `� a -_
..
; ,
esidentia ��`�
•
. , !ether - � (��— � S
..._
,.--, ,_ What is the proposed height of the structure / 3 feet 0_.____-inches __,
Will any-second-hand or ungradedlurriber be used? If so;for what? -
Type of Heating System: electric/ oi'/ gas/wood / 'orced hot ai / baseboard/other:
Number of Fireplaces to be installed 0 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 `&-rimlvg a5h6vvi 176?reee elc m 79 a-S )7Z.-
Plumber C'/ 5 //
Mason •
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 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: ,eILL/i A. --owner,owner's agent,architect, contractor
/ ____� ENERGY CODE 'COMPLIANCE APPLICATION
1.
�,,,,0 TOWTN OF QUEENSBURY, WARREN COUNTY
_ 9000 HEATING DEGREE DAYS
Comnli ance Methods: PART 5 - Acceptable Practice Method. RE�����®
1&2 Family Dwellings •(only)
PART 6* - Thermal Rating - Component Tra pfifg 2001
1&2 Family Dwellings; Multi-Family
Dwellings (3 stories or lesT WN OF QUEEVSEURY
PART 4* Design by Component Perfo . JDINGANDCODE
• Commercial Buildings-Hi Rise Resident,a
*Requires submission of worksheets
APPLICANT' S NAME: l
V�� PROPERTY LOCATION:
1405• uv�► e,o -Ir�e,# in 11 3 I-la rz -e, 0- ,,,..e () D
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - .31aD scare feet /Z 1.2if 44/;+..;*1
2 . rye of Heat - Electric ,K Oil Gas Othe
r
3 . Is bui i ding mechanidally cooled? Yes No
c . Percentage of area of windows and doorsOver
17% K Under 17%
5 . R-V:=7.YES FOR INSULATION GIVEN BELOW MUST T CORRESPOND TO R A E_ -f--u�S AS
SHOWN ON PLANS SUBMITTED:
a . Roof P.
b . Exterior walls R M9
c . Glazed areas R
d . Exterior dcors R
e . Floors over unheated spaces R -/9
. Edce of slab on grade (heated building) R
c. Basement/cellar wails (above grade) R
b . 3a•se:nent/Cella= walls (below trade) R
. eating/cocii nc-duc_s-p i D i ng in unheated space R .
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
T E M=ERATURE CONTROL MAXIMUM SETTING 1 40° - WILL NOT BE EXCEEDED
A_� �},-ce=t ' s Si D� Phcne N�-^
_NS?EC=CR' S REMARKS:
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive i Depart
Town of Queensbury Inspector's Ini <
742 Bay Road
Queensbury,New York 12804
NAME VA Pit C Her^ PERMIT#J_ba\741
LOCATION 3 MbP...LA0 DATE 2.- 12_--cZ_
TYPE OF STRUCTURE,; . ADD
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" o 3 '
Exterior Handrails,balconies, andin• 18 in.or more
Interior Handrails stairs both des 3 s more risers
Grade 2%away from foundati n
8"clearance to sill plate
Gas Valve shut-off exposed/re ator 8"above grade
Gas Furnace shut-off within 30 eet o 'thin line of site
Oil Furnace shut-off at entrance to - • ce area
Furnace/Hot Water II:.ter►.►- . ing
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
• Handrail exterior stairs both side-more than 3 risers
Interior privacy/trim/doors/main e trance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Lan► g 18 in.or more
Railing across window in stairwe
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans I
Plumbing fixtures
pundation insulation
04 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)
...... pm
' ...
/J Jam,. ,•,,
RESIDENTIAL FINAL INSPECTION REPORT G
Office No.(518)761-8256 Date inspection request received: r II I.N)
Building&Code Enforcement
Dept. of Community Development Arrive• i.1 .m ..1 • I art I 1/ ale
Town of Queensbury Ins.ector's Initial -
742 Bay Road /
Queensbury,New York 12804
NAME /4, 6 4--e£L . 4( PERMIT# Z I`7i/
LOCATION Ur .,_, pii,•� , DATE !l 1.,'
TYPE OF STRUCTURE 0 g.�. -i&L.L4,tri—f •
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location r
Fresh Air Intake /
Plumb Vent through roof �(f
Roof Complete V/
Exterior F. ish Complete ‘/
Interior/E e 'or Railings 30"to 36" ✓
Exterior •. drails,balconies,Ianding 18 in.or more
Interior .i drails irs both sides 3 or more risers /
Grade 2% .way fro oundation l.,,bo J `'-
8"clearan• to sill pla a GC, \N fi ) 1f
Gas Valve••ut-off a osed/regulator 18"above grade
Gas Fumac=shut-off /thin 30 feet or within line of site
Oil Furnace• ut-off aY entrance to furnace area
FumacelHot ater eater operating
Relief Valve(s ins . ed
Headroom,6 ft.. in.on stairs
Basements irs, + ft.4 in.
Hanrrior•tairs both sides more than 3 risers /
Interior privacy/tri + doors/main entrance 36" 1/ .
u
Floor Finish
Bathroom/Kitchen w tertight
Interior Handrails Bal•onies/Landing 18 in.or more
Railing across windo in stairwells /
Smoke Detectors: �/'
every level I J
every bedroom 1
outside every bedroom /
inter connected I �//
Bathroom fans I Jr v Plumbing fixtures 1 J Foundation insulationJ �,
3/4 hour fire door/do closer /�]rj/`//
Garage fireproofing) �/ �(
J/ ` �- ,' / �$b%) N/
Garage penetrations sealed /
Furnace in separate room protected(in garage) ✓ f 0.n
Light ventilation per room Y�(" Jy
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)
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 'L',[Dam/:.a_ Depart `‘
Inspector's Initi
NAME: HR&1-1F.l I PERMIT# k
LOCATION: �3 N1a R 1 AWE_ DATE : _
TYPE OF STRUCTURE: ODD
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7--I
Monolithic Pour Fo
Reinforcement in P1:ce
The contractor i responsib • for
providing protec ion from fr•ezing
for 48 hours foil%wing the p acement
of the concrete.
Materials for this pu .•see site
Foundation!Wallpou
Reinforcement in a•-
Foundation/Dampproo ng
Backfill Approval
Plumbing Under Slab
/Plumbing Vent/Vents in Place
%/Rough Plumbing v`A t
)-Ieating Rough-In
/Insulation
Foundation Walls Int rior R-
Foundation Walls E erior R-
Floors R-
Walls R-
Ceiling R-
Duct work or pip' g in
unheated spac,s R-
Proper Vent,Attic ent
Framing
Jack Studs/Hea•ers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
yire Wall 2, 3,4 hour
N/Firestopping QL c-- VE0ETO. 11Ch,17
4711
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury O
Dept. of Community Development Date inspection request received: �-
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive Depart_
/�� � ����fj Inspector's Initial
NAME:/�"l/L(.-P(, PERMIT#
/U, J
LOCATION: ���- 8.� � � ' DATE r
: � ��-
TYPE OF STRUCTURE: (�
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is resp ins ble for
providing protection fiom freezing
for 48 hours following'the placement
of the concrete.
Materials for this purpose site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampp ng
Backfill Approval
Plumbing Under Slab
Plum.'., -. A -nts in Pla e / PIN 1, 1` 61`FtLL��
V Ron! Plumbing y � �.` L6�p,��� �`��t3E 13 G^
•ea mg ough-In
linsulati i 0 b-TP l FV.
Foundation Walls Interi r R-
Foundation Walls Exterior R-
Floors R-
Walls R- VS 1 TRLL. v ti�PO e'iNP-g-1
Ceiling R- \/-7 P-\\1�b' t 4:Ej
Duct work or piping in
unheated spaces �=
R- \c T t1�1✓ I h j tJ -1 e� 0`
Proper Vent, Attic Vent P\P1 36
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
F' e Wall 2, 3,4 hour C,� �'> -\
irestopping �f
A ....._
GENERAL INSPECTION REPORT '
( 518 ) 761-8256
Town of Queensbury j O�
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrivet.---- m Depart ..
ie
spector's Initial, L
NAME: (-4,4e,,,31---,,,../.3.„, PERMIT# - 'P(— TryLOCATION: 7j �r �� Ts DATE : A /
TYPE OF STRUCTURE: '4 p 'r\-,.
RECHECK
N/A YES NO COMMENTS
Footings/Piers ,----T— 1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from fr-: in
for 48 hours following the p %cement
of the concrete.
Materials for this purpose on s to
Foundation/Wallpour
Reinforcement in Place 1
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-
Prot�e�r Vent,Ntie Vent ,\,
Frain in ^�i :LA IA � i 4'—V 71 if
Jack Studs/Headers �;
Bracing/Bridging VLD L- F.—�r\ � Ti% z ' t\E E,'\
Joist Hangers /
Jack Posts/Main Beam r/ tJ` 7
Air Infiltration Barrier \_,A7k_s___
Fire Separation 1,2, 3,hour
Penetration Sealed I
Fire Wall 2, 3,4 hour
Firestopping
-----,araR\
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` I , pm-
Inspector's Initials. tk,
NAME: '\ W\Q\Ct- / PERMIT# 0 I - /
LOCATION: 3,_t, ��S DATE : t \ `� 1
TYPE OF STRUCTURE: � 7 Uy
RECHECK
N/A YES NO COMMENTS
Footings/Piers • I I f
Monolithic Pour Form
Reinforcement in Place
The contractor is res nsible for
providing protectionfrom freezing
for 48 hours followin the placement
of the concrete. /
Materials for this purpos,on sit
Foundation/Wallpour I
Reinforcement in Place /
Fo datiowDamp ing
ackfill Approval ��-L � �� c';
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
•
/4)9,1aid
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( vs ./
m
Inspector's Initials P
NAME: i\\`, PERMIT#
LOCATION: DATE : — tci- Do)
TYPE OF STR CTURE: •\."
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contrac .r is r- .+nsible for
providing pr tection from freezing
for 48 hours '.11owing the acement
of the concrete
Materials for this 'urpose on s* e
Foundation/Wallpo r
Reinforcement in Pl.ce
Fou tion/Damppr.i fing
ackfill Approval b Cd 0- A-5 1-2/ L v.5-560
Plumbing Under Slab
Plumbing VentLVents '. ace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interi. R-
Foundation Walls Exteri R-
Floors -
Walls
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 Barrie/
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 I`
Queensbury,NY 12804 Arrive am/pm Depart I P am/gym,
Inspector's Initials s ii/
NAME: ck‘C'SC' \e , PERMIT# — -7
LOCATION: 3 V\ c-') `( DATE : \� (��
TYPE OF STRUCTURE: `U��
RECHECK
N/A YES O COMMENTS
ootings/Piers ^� I�
Monolithic Pour Form
Reinforcement in Place 7 lk
The contractor is responsible or
providing protection from freezi-lg
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Pla
Foundation/Dampproofi
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
CI vc,s, \s6.)5
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 m_ Depare
Inspector's Initia _
air
NAME: `� �TT PERMIT# r — '`
LOCATION: MoR E t 1v E DAM,
TYPE OF STRUCT
RECHECK
N/A YES NO COMMENTS
Footings/Piers �— I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f r
• providing protection from free ing
for 48 hours following the pla•-ment
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing VentNents 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-
oper Vent,Attic Vent r .�
b./Framing (/
Jack Studs/Headers
Bracing/Bridging ,/,/,�
Joist Hangers
/ Jack Posts/Main Beam '' �/ �'wi t-L� cu
v/Air Infiltration Barrier �;; `is v
Fire Separation 1,2,3,hour
P etration Sealed
ire Wall2, 3,4hour
Firestopping
JeH.4—
A.,,_ Z.. Z
X A
AL
-% �zvj-�
Z' go
0
;a
Co
.1'a 4-4
11
r
0; r
dl
A
> clr
0 —
c
No
Pi
?(Gt SIG h
I
r r: i7rI 'r ! '! n-C
, vr-, OEPARTMW
compliance ntsMce w,
not be consj,;,L.'
plans and spy cif! tIG are in tA
compliance 4th Me wde.
BUILUH,,IG PTO
REVIEWEL"
DATE
41 0; 6-
FILECOPY
+ -8-rc., ci &o
mc>tebf
e-- CIL %,00\