2000-493 TOWN OF OUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761=8256
CERTIFICATE OF OCCUPANCY
Permit N ber: P20O00493 Date Issued. Tuesday, December 12, 2000
This is to certify that wor r e to be done as shown by Permit Number P 3 ,g 0 ag o0 -
has been completed. S
Tax Map Number. 523400-049-000-0001-006-000-0000
Location: I JUNIPER Dr
owner; FRED & BARBARA CHAMPAGNE
This structure may be occupied as a:
Porch
By Order of Town Board
TOWN OF QUEENSBURY
( )4; w kww�
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: P20000493 Application Nurnber: A20000525
Tax Nfap No: 523400-049-000-0001 -006-000-0000
Permission is hereby granted to: FRED & BAR.BARA CHAMPAGNE
Owner of property' located at: 1 JUNIPER. Dr
in the Town of Queensbury, to construct or place a Porch
at the above location in accordance with application together with plot plans and other infortnation hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance.
Owner Address: FRED & BA.RBARA CHAMPAGNE
1 JUNIPER Dr
QUEENSBURY, NY 12804
Contractor or Builder's Name / Address Electrical Inspection Agency
MICHAEL CHAMPAGNE
NY
Type of Construction: Porch Value : $ 109500000
Plans cgc Specifications
240 SQ FT PORCH AS PER. PLOT PLAN SPECIFICATIONS
$24.00 PERMIT FEE PAID - THIS PERMIT EXPIRES; Sunday, .1uly 21 , 2002
(Ifa 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 Towno Quee bu rr�' f a'yV, .I ly 21 , 2000
SIGNED BY - "�` +� for the Town of Queensbury.
Director of Building Sc Code Enforcement
TOWN OF QU4l:NSUURY 1•{.e 1'f1 � � �d
BUILDING CODES DEVARIMCN-1-
APPLICATION E oRe 1'OItcIILS--DLCXS•- Perini L
DOCKS Ss UOA`T'IIOUSCS Est . Cusl:
A J11C IT MUST tit: ou-i-AINLU UL{VOIU: Li1:GiNNiNG c0I4STejtUt:5l' I0r4 . PLEAsC ANSWER ALL O ']'ill: I'Ul_l-oHint: :
Tile undersl Jned hereby tlirpl ies for it Uu 'i 'I1.111111 Iturrni L Lo tiu Lise rut luwine, work which will 1r1!
done 1n accardanCe wi Lls tllc df: 5Cri1rL -ton . 1st ails mill slsnci ric ;a1: Eor1e. subuli LI.r ,E . rerlrl sur: h 1r1 s; ; ;,
Canditiaies a .. rimy be if1elicuLttd art 'Liles? lrue•ire9 L . 1 "t0 .1::'T; OF S-1Itt)CItlftnt. V AII " IIAI-1_ YLI ':Yi1rNY1 t f;li
wi'rlt 'I'irlti AI'PL [ Gn"E'JiAN . -
Owner of Property :
P . O . Address d�2 �� 1'ilarle Z�1r 3 - � ! ZY-
i"rope ri;y ' l,ocaLion Garr 7 u n s` Tax Malf # Co
Subdivision Name ( If applicable )
_..._...._
PERSON RESPONSIBLE: Ffllt SUPERVISION OF WORK AS It OARDS TO H I LU I NG C+rl)f:S : _
Name : 1 t~ IlAfC AIE Address A5' FiPA Ave �en PhUllc ✓r � y 7
BUILDING SPECIFICATIONS :
�. Type of work to Lib done : lyorCll Heck Uack Uaathousu ( Circl ¢ w1e }
Size of Structure to be built ( square
Foundation Material : WidLrl /p2 "X LQ Thickness
Vel, tll of =ooLil►U . below +prutle : Z/�'S �SF� r"+ a1t"'" �
5ixa of Posts or Studs : & 4 x - /t, x - d7fe Lam
Size of Floor Joists : � x x rws ' O Span JUL 1 8 200I3
Decking or Flooring Material : ss�� 1 _ �_�� + �- , , 4 - ^� RY
flow will Porch or Deck be fastened to bui 1clillr l
\ �H C �C' � 1 �' ra GJ 1 � ilJ C'... I`�-•k-''t-'1aL�.vc'Q. �r'.Sc�.g �1 ..�`S, _
If Roof Will Be Installecil Answer Followinq QUcsLluns : d
Size of,posts or Studs : cod.. x Cp x ° C-N> Long
itoor Rafters : x e Spacing ILA " Span e = C7
Roof Trusses { pre--ell ineered spacing } : /%V 1A Span
Type of naafi : 5] alaed r] at 5hesl UL ear ( circle alit ) l
Matoriul of Roor' : _- - - ` Ze` e, DX l `s ' F+e.k• , 0 SN4N" 'les 1 '1
ZONING Ir FOHMATXUN
10140 PLOT PLANS MUST 11t: PREPA14L'_U ANDSUIIMt 'I'T'I;i) , drawn ruasmiably Lo setale mitt aLLa anvil
Irere4:67. shawl?ill C aa "ift y ttirrcl%I'i s i i7icL• 3; all—lkrr '1171,1 1,41. . wl It? t;IJuly r: x l r: t l lr ,l or IPri,lrr, srprl :11111
indicate it 'll set back d1mensiurrs I'r•arl, 1erolsr; r- Ly Hefts . SJroav lucaLiull ur rsaLcr sltislsly tmmq=1
location and configuration of sapLic disl+usal area *
Size of Properly : 17.6 . S2� ft . x }, s " 3 ? fl .
Existing huilding ( s ) . Size - & C) fit . x 3t fit .
Size ft . x 2Z �a 1 t .
Use of Existing building ( s ) .'
Proposed structure , stance from property lines
Front yard ce s f t; . Rear yard 7s� f t .
yit.,zSide yards Ss'-`ft . and ft .
If oil corner , setback from s dee 'street : ft .
DECLARATION
To tYeo best of 111y keeowledua and boiler the sL' aL•emerrts +canLaitiecti in this a>slrliCaLirrrl .
to,7aLhar with Lila 1e1 ons cited s1161311 tt'nil . " roe it Crno sliest comp 1 13 L atcliecoss L
ui' call vrovoosed work to be claret use Lill a descr-abed jJ1-:s ill ses kited Lha t till lsrav s ' 11s uP Lire
UtAiIIEirlrl. Code . the 7,uninII t71-dII% titer. c . ;rIN till ul: lleV Iows 1ser1 C .1i1t1iisi Lo Lite! see stpnv slrttl ] i work Lea cauilai lug wl L11 . Who LlieI- sleet 11' I ed ur etu L . is LI1: s10%; It work tthtil- 17ed by Lei<r owner. �
DATE : ~/ b /zzv SIGNATURE
U le Owner s Cy , Con Lrac Lur
REVIEWED BY CODS: ENFORCEMENT Qmaii , DATE /�,�+ SIGNA`EUrtE
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 Bate inspection request received: � I C7v G7
BuHdfng& Code Enforcement
[rt f DOPL of Community Development Arrive antlpm Depart ' nfL./'
Town of Queetasbury Inspector's Initials
742 Bay Road
Queensbury, New York 128804 "}
NAMffi PER1vlTF 4
LOCATION Y —• DATE
TYPE. OF STRUCTURE
NIA YES NO COMMENTS
Chimney Height! 713" Vent1l3irect Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Coxnpiete
Interior/Exterior Railings 30" to 36"
Exterior Handrails, balconies, landing 18 in. or more
Interior Handrails stairs Moth sides 3 or more risers
Gracie 2% away f xxn foundation
8" cle Xance to sill plate
Gas Valve shut-off exposedlregulator 18" above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to filrnace area
FurnaCcdjot Water Heater
Relief Valve(s) installed
headroom, 6 ft. 6 in. on Stairs
Basement stairs, 6 ft. 4 111.
HandrwI exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36„
Floor Finish
Bathroont/Kitchen watertight
Interior Handrails Balconies/La r ling 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
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room tested (in garage)
Light ventilation per,
Safety gla-d6ng 18" ] ,gs floor
Final Electrical ((;; ��
Site Plan/Van
Final Survey Plot Plant
As Built Septic System layout required
. Rld� il
Okay to issue C/C (Certif. of C O"Iiance)
Okay to issue temp_ CIO (Certif. of Occupancy)_
Okay to issue permanent CIO (Certif: of C k upancy)
THE NEW YORK BOARD OF FIRE UNDERWRITERS
41 32 `x9 r BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NV 1003E
Lhtte IJi;Si@i113E1t 3{i , ,?at{tli Application No. on fete
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
VP.400 CH At*JAGNtdA , .1 i mM I-1 PIP i)k2 Q0FI jWUi0PV MY -R,IZ.-� r
�-
in the following location; ❑ Basement 13< ist FL ❑ 2nd FL .Section Bloch Lot
was examined on N' It+F,hllihIR .7 1 , ,r000 and found to be in compliance with the 1Vational Electrical Code. -
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DEc%s OVENS DISH WASHERS EXHAUST FANS
OUTLETS WCANOESCE FLIXNESCpiF OTNER AMT. K.W. AMT. KWAMT. K.W. AMT, K.W. AMT. N.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIALREC'PT.1 TIME CLOCKS I BELL IUNIT HEATERS MULTI.OUTLET DIMMERS
SYSTEMS
AiMT. K.W. Olt X.P. GAS H.P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO, OF FEET AMT. WATTS
SERVICE DISCONNECT METER S E R V I C E
AMT. AMP. TYPE EQUIP. 1 • 2W 1 i 3W 3 • 3W 3 • 4W Wo' OF k PC0"0' OF CC. COND- NO, OF HI-LE6 Oa. AF I l;1.66 NO. OF NEUMALE a NELfTGRAL
OTHER APPARATUS:
t'F'[ Ltl'NG
Ii0t114 RnIB - 1
Ih hf. F' di.i:.i , Ny r I.1.X4F1/i .. l.. i{1Ei GENERAL. MANAGER
x,
Per
This cerllficate must not be altered In any manner, return to the office of the Board H incorrect. Inspectors may be Identified by their credw
CORY FOR BUILDING DEPARTMENT. 7r]IS COPY OF CEFSTIFICATE MUST NOT BE ALTEAr=0 IN ANY MANNER.
tdiolC5 413,
UENERAL INSPEC'TIONREPORT
( 518 ) 761 - 8256
Town of Queenshury
Dept. of Community Developm wit Date inspection request received:
Building & Code Enforcement
742 Bay Road /,� � �
Queensbury, NY 12504 Arrive am/pm Depart
Inspector's Initials -y
NAME: did YE' C% P'EFJ%RT # 6G74._a
LOCAII7C7N: DATE : L jN ��l� C-,7>
TYPE OF STRIJ
RECHECK 'r
N YES NO COMMENTS
Footings/Pic rs �
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 i
FoundationJWallpour
Reinforcement in Place
Foundation/Dampproofingid 1k.
Backfill Approval
Plumbing Under Slab
Plumbing VentlVents in Place
Rough Plumbing,
Heating -Irx
on
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
Frard
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
.lack PostsMain. Beam
Air Infiltration Barrier tore
Fire Separation 1, 2, 3, hour.
Penetration Sealed
Fire Wall 2, 3, 4 hour
FiresrTMg
_GENERAL INSPECTZON RE RT
( 518 ) 761 -8256
Town of Queensbury
Dept. of Community Development Date inspection request received.
Building & Code Enforcement
742 Bay I+<aad (}, Z��
Queensbury, NY 12804 Arrive am/pm Depart
Inspector's Initials
Np,M]E; (i Q, yt ,q�r. PERMIT #
LOCATION: DATE
TYPE OF STRUCTURE: C.
RECHECK
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 1
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing.
Backfill Approval,
Plumbing Under Slab
Plumbing Veattvents in Place
Rough Plumbing,
Heating Rough-ln
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
raminvr
Jack Studs/Readers
l3racing/Bri
Joist Ilauxgers
Jack Posts/Main Ream
Air Infiitration Barrier
Fire Separation 1, 2, 3, hour.
Penetration Sealed
Fire Wall 2, 37 4 hour
Firestoppin
GENE u, iNsPECTMN REPORT
( 518 ) 761 -8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement x
742 Bay Road , (/
Queensbury, NY 12804 Arrive am/pm Depal
Inspector's Initials
NAME;
PERMIT' 4
Y"
LOCATION: BATE
TIME OF STRU
RECHECK
fA YE NO COMMENTS
n ers
Monolit o
Reinforcement in P
The contractor is risible for
providing protection freezing
for 48 hours following a placement
of the concrete.
Materials for this purpose on 'te
Foundatioa/Wallpour
Reinforcement in Place
FoundationAlampproofin
Backfill Approval
Plumbing Linder Stab
Plumbing VentdVents in Place
Rough Plumbin
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
Frami
Jack. Studsllleaders
Bracing/Bridging�
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wail 2, 3, 4 hour
Firestopping All
GENERAL INSPECTION REPORT
( 518 ) 761 - 8256
Town of Queensbury
Dept. of Community Development Date inspection nt•quest received:
Building & Code Enforcement
742 Bav Road
Queensbury, NY 12804 Arrive .71CL-`_ am/pm Depart am/pm
Inspector's Initials �7)k
NAME: J� Gt r PERMIT #
LOCATION: �� r DATE : ,2
TYPE OF STRUCTURE-
RECHECK
NIA "YES NO COMMENTS
Footings/Piers _ _ —
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for f f
providing protection from freezing � T /'zf� 'for 4R hours following [lie placement
of the concrete.
Materials for (his purpose on site T
Founda(ion/WalI pour
Reinforcement in Place
Foundation/Dampproori ng____— _
Backfill Approval-
Plumbing Under Slab _
Plumbing Vent/Vents in Place---
Rough Plumbing_ _
Heating
Insulation
Foundation Wails interior R-
Foundation Walls Exterior R-
Floors R- _
Walls R-
Ceiling. R-
[duct work or piping in
unhcatcd spaces R- _
Proper Vent. Allic Vent -
Framinf; — -
Jack Studs/Hcadcrs - - - - - - -
Bracing/Bridging-_______. __
Jois( hangers_
Jack Pos(s/Main
Air Infiltration Barrier
Fire Separation I . 2. 31 hour _
P'ene(ratlon Seated _
Fire Wall 2. 3, 4 hour _ -
Firestopping.___
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