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2000-647 TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761=8256 CERTIFICATE OF COMPLIANCE Permit Number: P20000647 Date Issued: Wednesday, March 14, 2001 This is to certify that work requested to be done as shown by Permit Number P20ON647 has been completed. 3D Tax Map Number: 523400-126-000-0001-007-002=0000 Location: 415 LUZERNE Rd Owner: JO ANNE K. HUNT Applicant, JO ANNE K. HUNT This structure may be occupied as a: By Order of Town Board Residential Alteration TOWN OF QUEENSBURY -- r: jW 4 1 Director of Building & Code Enforcement Y. TOWN OF QUEENSBURY 742 Say Road, Queensbury, NY 12804-5902 (518) 761 -8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000647 Application Number. A20000647 Tax Map No: 523400-126-000-0001-007-002-0000 Permission is hereby granted to: JO ANNE K. HUNT Owner of property located at: 415 LUZERNE Rd in the Town of Queensbury, to construct or place a Residential Alteration 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. Owner Address: JO ANNE K. HUNT 415 LUZERNE Rd +QUEENSBURY, NY 12504 Contractor or Builders Name/ Address Electrical Inspection Agency WASHBURN CONTRACTING NY Type of Construction* Residential Alteration Value : $ Plans & Specifications 2000-647 RESIDENTIAL ALTERATION (REPLACE ROOF RAFTERS) AS PER APPLICATION $30*00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, September 06, 2002 (If a longer period is required, an application for an extension must he made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town Qu sb d tember 06, 2000 SIGNED BY for the Town of Queensbury. Director of Building & Code Enforcement .Permit` Application ccxtx'can Builaing Town of Queensbu,ry - Demq of Ci+trrrrruriity DcVelulsrrtcrtt, 742 B4rly Rnfrd, Oteoereclrury, NY 12804 1761-82.561 NaTICE BUILDING & CODE ENFORCEMENT Requirements prior to issuance FA ,parrmt must be obtained before of this permit: PERMIT FILE NO.ning construction. Noinspecti<maPERA9IT FLGE PA1D $be made until applicant has received Q Z1'ting ward Ac#vnI,II7 BUILDING PERMIT. All Arra f Use applicants" spa*= an this application RECREATION FEE PAID $ MOIST be compt6ted, and- the signature �] Plartndatg Board Actfcm r'_ of thus applicant must appear on the REVIEWED BY. 19cation farm. ' ��� SPR I SubdiviAiott f other ar4I4 In IIftvr cfnr n Recreation Fee Payment Applicant: ( 1�C _ rLtlK bcs 'fna�iI �e Owner: c ,07 Address: Address: Phone # - Phone # � ) � � _ C, r Property Location: Subdivision Name: 'Tax Map Number _ Section Mock 1 nt NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMTION : Alteration to Building : Primary Building - esicenc / commercial Single Family Dwellingj a Rest -- 7''Commercial Two Family Dwelling U no change to exterior size Family* Dwell. inc;� G ,L � Office t�Glp� Other Work ( describe below ) Mercantile Manufacturing Other Iqe� e b Y GROSS AREA OF PROPOSED STRUCTURE , 1st F'loor . . . . . . . 0 sq , ft . If ADDITION , what will use 2nd ,Fl:oor a A we 4' . . . sq a ft . of new addition be ? : Other Floors . . . . . sq . ft . ( not unfinished cellar or basement ) ACCESSORY 13UXLDINGSO Detached Garage 1 , 2 car TOTAL FLOOR AREA : SQ . FT , Attached Garage 1 , 2 car Private _ Storage Building SIZE OF NEW STRUCTURE : Commercial. Storage Building FEET X FEET Other Foundation Type ; Will any second- hand or ungraded Number of Stories : lumber be used ? If so , for what ? ( habitable space onyly ) Height ( grade to ridge ) : feet TYPE or HEATING SYSTEM : Number of fireplaCet and /or woo stove ( circle all which applies ) to be installed : Electric / Oil / Gas / Wood Forced Hot Air / Baseboard j Other Person responoible for supervision of work as .regards to building codes is : art , ,� w. Name Addresss Phone Builder : Plumber : Mason : Electriclan : DECLdRATTOM Please sign beknv after you have carefully read the statettent. 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 Iaws 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, an AS BUILT PLOT FLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: 217 cL-2�-' 6L2cz. (owner, owner's agent, architect, contractor) �1 RESIDENTIAL DIAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development Arrive f.% a atm/pni Depart Town of�Queensbury Inspector's Initials 742 Bay Road lQi ueensbury, New York 1. (f i+ PERMIT L LOCATION Dj�JE . TYPE OF STR N/A YES No COMMENTS Chimney HeightrWI Vent/Direct Vent Location Fresh Air intake Plumb Vent through roof Roof Complete Exterior Finish Complete 4above tenor xterior Railings 30" toerror Ilat►drails, balconies, Iaor m rtInterior Handrails stairs both sidriser_Grade 2% away from foundation8" clear==nce to sill plate Gas Valve shut-off exposed/mgv� ef grade_Gas Furnace shut- off within 30 fI i c of siteOil Furnace shutwaff at entrance Furnace/[jot Water Heater olng 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/ n tin On rance 36" Floor Finish II Bathroom/Mtchen watertight I Interior Handrails Balcoeues/l radio 18 in. or more Railing across window in stairwells_ _ Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroonrfans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage frreproofur Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room. Safety glazing IS" or less &OM floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required — Okay to issue C/C (Ccrtif. of Compliance) _ Okay to issue temp. C/O (Certif. of Occupancy)_ _ Okay to issue permanent CIO (Certif of occupancy) GENERAL rlvsP�cr�a v AREPORr ( 518 } 7 +61 — $ 256 Town of Queenshury Depi of Community opiment Bate inspection request received; Building & Code Enfo nt 742 Say Road Queensbury, NY 12804 Arrive am/pin Depart a / li pm �}- Inspector's Initials NAME: \ ? 1 PERMIT # LOCATION: DATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place _ The contractor is responsible C providing protection frorn freez for 48 hours following the pla t of the concrete_ Materials for this purpose on site .............. Foundation/Wall ur Reinforcement in Place Foundation/l]ampp roofs r:g Sackfill Approval Plumbing under Slab Plumbing Vent/Vents in Place Rough Plumbing Heatmg Rough-In Insulation Foundation Walls Interior R. Foundation Walls Exterior R- Fl000rs R- Walls R- Ceiling Duct work or piping in Bated spaces R- Pr r Vcnt, Attic Ven I Jack S rs r4I3 h I ti f4 it Bracing/Brid Joist Flange Jack 'n Beam Air Infiltr Barrier Fire Separation I, 2, 3, hour. Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppi ,f�ENER I INSPECTION REPORT ( 5l8 } 76Z — $ 256 Town of Queensbury Dept, of Community Development Date inspection request received C 3 l Building & Code Enforcement 742 Bay Road Queensbury, KY 12804 Arrive I_fam/pm Depart arn/mn Inspector's Initial NAME: f ` -�C� l*r+✓1G ! 1 , PERMIT # / LOCATION- DATE TYPE OF STRUCTURE_ 'Slw% RECHECK r"<ef e S NIA YES NO COMMENTS Footings/Piers Monolithic Poor Farm _ Reinforcement in Place The contrproviding ror is respononfro front freezing for � p �r V' s�,pravrding protection firoen freezing �' Ilt f^ �-- for 48 hours following the placement �^of the concrete. P� Materials for this purpose on site �} Foundation/Wallpour, Reinforcement in Place 46 Foundation/I�ampprooftn t k 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- Wails R- Ceiling R- Duct work or piping in unheated spaces R- Ptoper Vent, Attic ''Tent Franu Jack Studs/Headers Bracing/Bri Joist Hangers Jack Posts/Main Beam_ Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration 'Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTION AREP©RT ( 518 ) 761 - 8256 Town of Queensbury Dept. or Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road , Queensbury, NY 12804 .Arrive 3' 2,5� am/pm Depart am/pm Inspector's Initialsve—Z � NAME: �{ ,� PERMIT ## .C � L.00ATiom 43415 .Gu t!/ /V DATE : TYPE OF STRUCTURE— RECHECK .-- \ .._ N/A NO COMAhENTS Footings/Piers tE Monolithic Pour Form Reinforcement in Place The contractor is responsiW for providing protection from ing for 48 hours following the pta ment of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Flace Foun,dation/Dampproofn Backiill Approval Plumbing Linder Slab Plumbing Ventf Vents in Place Rough Plumbing Heating Rough4n 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 , Fra Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 31 4 hour Firestopping GENERAL MS'PECTLUN REPORT ( 518 ) 76 ]. - 8256 Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 128804 Aririvc-9 "J6 am/pm Depart am/pm Inspector's Inkiall�ig2 NAME: PERMIT # LOCATION: J , , ,vee ��— HATE : TYPE OF STRUCTURE: RECHECK t NIA YFES NO COMMENTS Footings/Pwrs 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 Foundatioc�l V4'allpour 4, Reinforcement in Place FoundationrDampproofing. } Backli ll Approval Plumbing 'tinder 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- y Proper Vent, Attic Vent Frami J fd ir[o GGf/ ' .CJ� eaeC )r Jack. Studs/Headers Bracingl$riclgin C7f++4er IY�r Joist Hangers Gr . ]acJackPosKsPosts/Main Beam tA6,0fd/� +GL�CZ S<�$ Air IttEitration Barrier Fire Separation 1, 2, 3, hour All Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin LUC q1 AUG 2 flow 21T TOWN OF QUEENSBURY ; shall BUILDING LQ DE,$QEPT, REVIEWED BY Z DATE LE 4q , i �` 2 f I r It RVA r'MlAa 7 ' kj 41OA + oti S%4%Akj sr CD 0 .�yy Z V r LL \Ix�l irrv`1 Y w x!ings 133n'D ,7 'V mA i: 4klktl'�11,' V QD F {� tia rY1 3 i ,� 4 .►