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2001-923 ." TOWN OF QUEENSBURY ET iy 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010923 Date Issued: Thursday, November 17, 2005 This is to certify that work requested to be done as shown by Permit Number P20010923 has been completed. Tax Map Number: 523400-308-018-0001-055-000-0000 Location: 66 NORTH CHURCH Ln Owner: MARY ANN VALENTI Applicant: MARY ANN VALENTI This structure may be occupied as a: Residential Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, cl,.)11/P )kti&if Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. T TOWN OF QUEENSBURY f i-----1 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010923 Application Number: A20010923 Tax Map No: 523400-308-018-0001-055-000-0000 Permission is hereby granted to: MARY ANN VALENTI For property located at: 66 NORTH CHURCH 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: MARY ANN VALENTI Residential Alteration 12,500.00 66 NORTH CHURCH Ln Total Value 12,500.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2001-923 472 SQ FT RESIDENTIAL ALTERATION (162 SQ FT PORCH TO BE RAISED)AND (312 SQ FT RESIDENTIAL ALTERATION) AS PER APPLICATION $47.20 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,January 10, 2003 (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 t e n of eensbu /;:, Thursday,January 10,2002 SIGNED BY illy'i for the Town of Queensbury. Director of B ,wing Code Enforcement " t_ ENERGY CODE �� ,i COMPLIANCE APPLICATION TOWN OF QUEENSBLTRY, WARREN COUNTY 9000 HEATING DEGREE DAYS Comol i an ce Methods: PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) • 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 • *Rernzi res submission of worksheets • APPLIC_T' S AMr: PROPERTY LOCATION: ilittcyarvril oh Ckv-e---e Lo 14/ PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: fZr-o! 1 . Gross Floor Area - Z/ square feet • 2 . T-Jpe of Heat - Eric ` V i Z Gas Other 3 . _s building mechan_dally cooled? Yes y 4 . Percentage of area of windows and doors /Over 17% Under 17% 5 . R-ALt ES FOR INSULATION GIVEN BELOW M-�:ST CORRESPOND TO R AS R-VALUES SHOWN ON PLANS SUBMITTED: a . Roof R b . Exterior walls R a . Glazed areas R d . Exterior doors R L o e . Floors over unheated spaces R .1 _ Edce of slab on grade (heated building) R c. Basement/cellar wails (above grade) R . Basement/cellar walls (below grade) R . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heatinc device Conforms to minimum e= 4 ri oncy per code k/Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED /3firtalevrv^ it- I�-j� 1 S REY R{S: • 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. eaoc l 9c 3 No inspection will be made until applicant has received a Fee Paid $q 7 ,D-C, valid building permit. All applicants' spaces on this Rec. Fee Paid application must be completed and must appear on the Reviewed By: application form. l / / Applicant: 11 L( Lc,k W .V G�� �'�- 1 I Owner: Milt a PI IV Lk-N i Address: (, (�J - �U.„. ,,,� Address: c„ f.T. Cti vL (� cfcev,b�, N �«zi v N-y (Z34,y Phone#CILf) -],( - o Phone# (a (y)1 Li • - A- -- Property Location: Lot Number: / House Number � / I"``�-� A,t�-6- w'' )w l Subdivision Name: 7ert-r-oak C I -L Tax Map Number:. ,cc . ❑ New Building: residence /commercial Estimated Market Value'of.Construction: $ I Z VfU o Addition: residence/ commercial If an Addition,what will use of new addition be? Alteration: residence/ commercial XNo change to exterior size: residence/com'l ❑ Other work(describe ) Check Occupancylnformation 15`Floor , 2°d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet perah. o,‘}• • p7 Single family dwelling '3 f fi ❑ Two family dwelling • o Townhouse o Multifamily dwelling #of units o Office . o Mercantile ❑ Manufacturing ,�� o 1 car detached garage 4.,/' . A. ❑ 2 car detached garage 0er. ❑ 3 car detached garage 104/ 1 ZQ o 1 car attached garage �U/0 GQ06`�t7 �j ❑ 2 car attached garage 4NCO ��J' 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? /"4 Type of Heating System: electric/ of / gas/wood /forced hot air/ baseboard/other: Number of Fireplaces to be installed 0 Number of Woodstoves to be installed v . List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder e-i frthc,-- 2 4 Zcf 'I-11--er• ,14( 0 13A14-1:.,_ 7 R j—a 6 d-7 Plumber , 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 n w construction. 1,' Signature: /LQ/yv12 ,�,C.� owner,owner's agent,architect,contractor Queensbury Building & Code Enforcement - Re •s tial F• al Inspection °11 �� Office No. (518)761-8256 Arrive: am/p ••.art: r Date Inspection request received: Inspector's Init'+..1 • NAME: AL— CT 1 ' . IT#: - Col —' Zip LOCATION: (,06. C - C H 1 Lf\ E, o ATE: ` — TYPE OF STRUCTURE: Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq. ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Try/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum Y2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required NilFlood Plain Certification,if required Okay to issue C/C or C/0 [Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection For ns\Residential Final Inspection Form revised 100405.doc Residential Final Inspection CSC ( 2D $ . Office No. (518)761-8256 Date Inspection request ceived. . Queensbury Building&Code Enforcement Arrive: tV.,brpa m p : \'rit) a 742 Bay Rd., Queensbury,NY 12804 Inspectors Initial . NAME: •r- Mai P T#: 0/—qcL LOCATION: LAn kr � ° cQr L rv•-e _ D — 122 TYPE OF STRUCTURE: es , I Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete ✓ Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers • Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30.ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq.ft.vents Building No./Address visible from road Final Electrical . - Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C(Cert.Of Compliance) Okay to issue Temporary C/0(Cert. Of Occupancy) Okay to issue Permanent C/0(Cert: Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: — Dept. of Community Development Request received: : Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am . EP RT3%i amp. tes: (518) 761-8256 Inspector's Initic s NAME: v 1�t L 1V —0 PERMIT# ?c c1— 9 z3 LOCATION: WO 0 p{��N C\1 W C-\ LJA1F INSPECT ON(date): (S - I I-0F_ TYPE OF STRUCTURE: b Qp , RECHECK J N/A 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 Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In f Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- E� Walls R- V Ceiling R- �1'jQ-- 3o Qvotn t fly.{ 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc 3 \\%\--- _-=NOD , GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay RoadJ. ,� Queensbury,NY 12804 Arrive :(i a Departt PA Inspector's Initi ' NAME: 41—E i\ --1- �i PERMIT# -- LOCATION: (sac poQR- A C\\ NL .DATE : . al . TYPE OF STRUCTURE: 6.ti1 F RECHECK N/A YES NO COMMENTS Footings/Piers F f Monolithic Pour Form Reinforcement in Place The contractor is res•.nsible for providing protection ' om eezing for 48 hours following the p cement i'rof the concrete. Materials for this purpose •n sit,. Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Zi bing Under Slab / bing Vero/ents in Pla e gh Plumbing Heating Rough-In , Insulation Foundation Walls Interio R- Foundation Walls Exterio R- Floors R Walls R Ceiling R- uct work or piping in unheated spaces R- oper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging , Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3,houri:// Pe tration Sealed re Wall2,3,4hour Firestopping k � ` \ \ Office Use GENERAL INSPECTION REP RT=r: -" .--.'" '"#`" - - Inspector: Ready at rimer rY\ Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement ' At time: 742 Bay Road Queensbury, NY 12804 ARRI,VEAl a p ' %f 'TN!/Uam ,i1�Notes: (518) 761-8256 Inspector's Ini O"— NAME: L -_.N .' 11�C3\ PERMIT# <::=D--SW ) I C-3 LOCATION: `Q\Si. \v 0 Q A.K. INSPECT ON(date): U9— (Q r0 . TYPE OF STRUCTURE: 'CZQ.S } 3A ---, RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo .b1e for providing protection om i -ezing for 48 hours followin_ the pl.cement of the concrete. Materials for this purpos- on sit Foundation/Wallpour Reinforcement in Place Foundation/Dampproofn! Backfill Approval Plumbing Under Slab / Plumbing Vent/Vents n Pl.ce Rough Plumbing i 1J , - 3`' \°G; Heating Rough-In Insulation Foundation Walls Interior '- ��Foundation Walls Exterior '- Floors R- Walls R- u�iv]}L Ceiling R- �� ` �� Duct work or piping in Ce unheated spaces R- i� Pro er Vep.tj Attic Vent �� 11 Jack Studs/Headers �/ l ',:J---' Bracing/Bridging Joist Hangers .ii Jack Posts/Main Beam �(�Air Infiltration Barrier ^bFire Separation 1,2, 3,hour0 -.X.ic:;, Penetration Sealed Fire Wall 2,3,4 hour j Firestopping r/ L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc ...---,`-_' N-7-7.-Ct\T Office Use GENERAL INSPECTION REPORT— . Inspector: Town of Queensbury Ready at time: 7 Dept. of Community Development Request feceived: 0 V?171))---- Meet: Building& Code Enforcement ' At time: 742 Bay Road Queensbury, NY 12804 ARRIVZ3'Clam/ P �;' - . /pm„.41,P - (518) 761-8256 Inspector's Initi /� �z NAME: q4/(1),s,a4...A,2-. V a,(64` PERMIT# (2 (i2)/— /c 3 LOCATION: taCe (l'l bi-4.64 , INSPECT ON(date): 572 3/LiDa TYPE OF STRUCTURE: g702 S /`�j�-;C�j/ , <.0,(2/6 `-°6c`',i RECHECK '` �� ( `S •p''r41 f-a `& N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form I-\{�rO( ��f `_ Reinforcement in Place � � The contracto ' -sponsible for 00\)2) h J34 �et �� providing pro-.ction om freezing for 48 hours fe lowing ie placement r__AFTh_ _ t,V t n LE �' e 3�\- of the concrete. �� 7-', Materials for this • rpose o site Foundation/Wallpo r 1�� h� �� Pt t-� `�pt... \`- Reinforcement in P1 ce F Pt C—E 1J' t p Foundation/Damppro•fin_ Backfill Approval ` R Plumbing Under Slab Ob �'J l l- 2 `� Plumbing Vent t i :Place F-�9 v__A\7eC-c) 9vv.:t � Rough Plumbing Heating Rough-In Insulation rov 6 �t 0��` Foundation Walls Inter or R- Foundation Walls Exter or R- Floors R- Walls - 1 tA-/ l'i IA-- t ' % -D___ - L Ceiling - Duct work or piping in ) \ � V) �� unheated spaces - Pr �1 ' nt,Attic Vent '�l Frami `. 1-L1_..— E L,u1:- c2R___-�c )u\ Jack Studs/Headers ^ Bracing/Bridging t, ��1 kZ‘110b 0 JJ 7-� •mot ‘‘A__.- Joist Hangers Jack Posts/Main Beam 4/Air Infiltration Barrier �` Fire Separation 1,2, 3,hour v`� - Penetration Sealed f �� `� �— ' Fire Wall 2,3,4 hour V \�� �J Firesto g L:\SueHemingway\Building.Codes.inspection.FORMS\GENERAL INSPECTION REPORT.doc �tib � C, pl c H, 2-7 V i €iiiTF 7(a( 26,9-k Co�vdnw c Sfro 4;c�� '/9reu 5F,z., ;l�C uo �i o 7 hl C ff �t c t� 1.a iv WfPSo tic/ C`/os F i ;� VT AO E 7fe''�s- Y Z Gra FivS u� �6 1�-�-o `f a s Ie/----f /--992-Y I -to( '' - <-;'--j--7-7 Zo-D 4 ,-A. ,. - aim l" ouEENSBuitY NOW DEPARTMENT / i,� on our linked examination, coripliance with our commends shalt 99761 12 5. -4-5 _ not be construed as indicating the VALENT I, MARY ANN l� '" _ .i4 GP_.. -_ " plans and specifications are in fiuh 66 NORTH CHURCH LANE -- _ '~ SEPTIC ALTERATION ( b---__ comptianctwith the cade. nallbl,A4M �� s 2p01 a a� have seen or observed, or believe I saw evidence of, D 6�RY � � I is such as houses, wells,trees,fences,etc., QUEENS sho+rrn nn this document. I also represent tfiat 1 have IG�' NG P.� 2ti ; o %ersonally measured the distances set fo.. rth on the diagra , , - _ .•,..i.. . /..,. --/-0 • `i -- - SIGNATURE . D'TE s . � r(- \`'( i - d `(7 ;e` , e -ip 6 6 y, COI 1 Y o �® �� /' �� / >�' . zS - TOWNF E v: . URY BUILDING ,r EPT. • f REVIEWED / I/ DATE • A .. . il) 6 & fti 0 t( N C, NvdkC 1i J`-AOE