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98-077 CERTIFICATE OF (.��%CNCLJPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Clete .April 24 19 � 98 This is to certify that work requested to be done am shown by Permit No. 98077 i I ham been completed. SINGLE FAMILY DWELLING This structure may be occupied as a 14 -ZZ r'I GENEVA DR . Location Owwoer CLUTE , LARRY TAX NEAP NO * 1 20 . - 1 - 1 . S By Order Town Board TOWN OF QUEENSBURY �� Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 55000TOWN OF QUEENSBURY No. 98077 TAX MAP NO . 120 . - 1 - 1 . 8 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to CLUTE , LARRY OWNER of property located at GENEVA DR * Street. Roar! or Ave. in the Town of Queettsbury, To Construct or place a SINGLE FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury 'Building and Zoning Ordinance. t. OWNER'S Address is 13 DAWN RD . QUEENSBURY r NY 12804 2. CONTRACTOR or BIlILOER''S Name CLUTE ENTERPRISESe INC . 3. CCWSRA_Ujffior�3i IlL F% S Address QUEENSSURY , NY 12804 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY S. Affr6IT A f g" HAGUE , NY 12836 G. TYPE of Construction -• (Please indicate by X) SINGLE FAMILY DWELLING l I Wood Frame l I Masonry I l Steel I I 7. PLANS and Speciticatiotts 816NSO FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATION a. Proposed Uts SINGLE FAMILY DWELLING 96 March 17 2000 S PERMIT FEE PAID - THIS PERMIT EXPIRES 19 [If a longer period is required an application lot an extansian "we be made to the Building and Zoning inspector of the town or Cueensbury ball ore the eKpirstion date. 17 March 19 Dated at the Town of Queensbury this Day of _ r, 19 SIGNED BY for the Town of Queensbury Building and caning Building Permit Application Town of Queensbuly - agw. :fcev,1rtariry Dereloluuerrr, 742114r+HRrAo, Queen.slxrry. NJ' 12804 1761-82561 A BUILDING c� CODE f Nf ORCLMGNT CE I equirements prior to issuance K rApermil must be ohlained berore of this Permit: PI RMl7' FILL N[7. _ 077 tning construction. No inspections PERMIT FEE PAILa $ C> C>ope made until applicant Ilas received 0 7.mling I1oard AcdoisLID BUILDING PURMI't'. All Amn I U.9c cants, spaces on this "llplicalitrtt RECREA77ON FEE 'A10 $ MUST tae coln,pleled and- the signature [� Planning Doard Action or lite applicant must appear on the REVIEWED BY, ` SPR / Subdivi!liott I other F++PlrrinR hGR�+ra-i<n- attltlication fcrrrn. xk.kr., Recr`eatioxt rice payment Applicant: �-s+ � .� -� .�*^�t� a Owner: Address: ��' ' � O�C=t Address: 1'ltone # # Prolierly t .octiliotl; _ �p31 { . iillildlYlAtili NltillUl - , „� "r � .>^�_.....+r�� IZ7 �... long Map NttnlhPr .�. lvdutlttEt 1!lEx�k I rri HArxujtK or PROPOSED WORKS ESTIMATED MARKET VALUE OF THE New Buildings CONSTRUCTION : $ r residence / commercial Addition to Building : residence / commercial OCCUPANCY TNFOMATIOH : Alteration to Building : Pritilary Building � �q residence commercial single Famlly lao _gIVEl..-t Residence / Commercial Two Family Dwelling no change to exterior size Family DwVnnl.s 19% - Office Other Work ( describe below ) mercantile v`_' �Q 11 'N mac. = ,; i .' MX v Manuiactur n7BU1LEA'NG i-kNI co _ L3E Other GROSS AREA OF PROPOSED STRUCTURE 1st Floor . . . . . . . `' l sq , ft . If ADDITIONt what; will use of new addition be ? 2nd ,Floor . . . . . . . sq . ft . Other Floors . . . . . sq . f t . ( not unfinished cellatr or basement ) ACCESSORY BUILDINGS ; Detached Garage 1 , 2 car `1'OTIiL FLOOR AREA : ` � I, 4o SC . FT . ttacited Gar 1 , 2 car P ate rage Building SIZE OF NEW STRUCTURE * Comm pzimft�, al Storage Building FEET X 3 L � FEET Ot r Foundation Type : �,rc- rr Will any second- hand or ungraded Number of stories * l lumber be used If sof for what ? ( habitable space only ) i}c2i sleight ( grade to ridge ) : feel: TYPE OF HEATING SYSTEM : Number of fireplaces a d/tar--was tvve ( ci pets all which appli s ) to be installed : _ E ood e,e6orced Hot ALr-.�/ Baseboard / Other Person responsible for supervision of wort as regards to building codes ! Go ea NaiveLc] es gs Phone Builder Plumber : r Mason : Electrician : L7CGT..,'1I2A710N.• Please sigrt below after you have carefully read the statement. "ro the best of my knowledge the statements contained in this application, logether Willi [lie plans and specifications submitted . are a true and coinplete slatenient of all proposed work to be done on the described premises and that all provisions of the Building Coale, 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 authoriF the owner. further, it is understood (hat Ilwe shall submil prior to a Certificate of Occu y'or Cc tificatc of Compliance bei issued, an AS BUILT PLOT PLAN by a licensed starve drawn to ale, sk%owl a1 loc to of project on premises. Signature. 7 _._._ (owner, Ivnerps agent, arcbilect, contractor) Application for SEPTIC DISPO►SA,L. PERMIT Towwa of Quecnsbury v D J Dept of Community Development Permit No ? Building & Codas Office ''i a2 Bay Road VAR ] 6 19% Fee Pain 5 Queensburf, r+"Y I2804 4 t%�"' k +� Location of property for installation: Property Owner's Name: Property Owner's Mailing Address: ( �, w2_ t�4,a a Cam, ,✓—� Installer's Name: C`� .•� �er^ S— e •� �� Phone # 3 �7 Number of bedrooms (if residential): Total daily flow: ,gip (residents .l - compute co 150 0'.fbdrm.) Topes pily: flat, ro ing, stems siege %W of slope Sou iar:xe: sand, Iaam, cTav, cs�� ! depth: Ground ware. at wriest depth? feet I Bedrock or L~ur>er~r-c= Mater=.T: at what de"di? fast Percouttas test riot reQ red, ratisw r _xi in ne: inch ] Domestic wataw sutroly: muvic-:gal, we?, c��r If domestic water su= y is a WFI..L, wata supaly f=cm a—v se~dc aosorpticc is feet. PROPOSED, SYSTEM Septic tanFc 1 won (r,,;n - .. ,, size: t ,CCQ mil_) Tile ffeld: eac:l trench feet I TQtvl s-_'rem '1�srt.: Z)D (7 fee: Seeuage pit(s): number of f siws ft by f� m Size of scone to be used: n I dertb or to c , feet ]~OLI)D G TAIN'C SYSTEM: (if mquired) itiunbe: of mnla: size of rwcy g2?lcus �4larm system sad associated electrical vwK7rk to be b. : certified ageocy. For your pmteo=; a, please note that pmivant to Sect 136-29 of the Ccr3a cer tSo Town of Qtsoeuabury, any permit or spp=val wed which is based upon or is granted. in ,Y•i;a:nca ux)c,= =v rnx*~�i misrepresentation or Ekilas to ma]co a m az,v,.al fact a cr•amatanca ]mown by or ou behalf of aQ applic ar-aET bet a I have mesa the regulations with resQe�.� to aggti =d a.�n to abodes b* �e and all requireme� a[" the TQ9 = of �yF-Ur*J* Sarnrary Sewago Uispae rl � �t S i :7,xM of responsible son: Date: r,r ` ENERGY CODE COMPLIANCE APPLICATION sm TOWN OF QUEENSBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS MAR 16 7�$ TOWN ;`;r rv� tivF3v COMPliance Methods : PART 5 - .Acceptable Practice 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 * Requires submission of worksheets APPLICANT ' S NAME : PROPERTY LOCATION : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - too square feet 2 . Type of Heat - Electric Oil Gas Other 3 . is building mechanically cooled ? Yes r< No 4 . Percentage of area of windows and doors Over 17 % 5�e Under 17 % 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : a , Roof Rig b . Exterior walls R c . Glazed areas R d . Exterior doors R e . Floors over unheated spaces R _ -t9 - f . Edge of slam on grade ( heated building ) R 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 T RATT)JRE CONTROL MAXIMUM SETTING 1400 Now WILL NOT BE EXCEEDED pl ' c 5 ' gna u&2 D to Phone Number INSPECT ' S REMARKS TOWN OF OUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY I2004 " (5 i 8) 76I-8256 ARRIVE . DEPART : INS60d�� r IHAL INSPECTION REPORT — RESIDENTIA DATE; INS ECTION REQUE CEIV,ED : NAME LOCATIIOtN DATE t-[ '"' pc_'t-'r — � n7 PERHIT I TYPE OF STRUCTURE a FOOTINGS FOUNDATION BACKFILL ROUGH PLUMBING SEPTIC FRAMING INSULATION FINAL ELECTRICAL 'NpODSTOVE OR FIREPLACE N A YES p HETCHTYB VENT/HEIGIIT i N S I DECKI 'ORCHeS E S N BELIEF VALVES . N pT W T O ERA IN INTERIORM IV C ORS G S �ovfR C R E BD S R C EA C L NGS O E C U B G T S T N U ON ING A E EC CA T V N N U E T P AN ISS E C p R C C I MAP REFERENCE: GENEVA ESTATES BY MORSE ENGINEERING P.C. FILED JANUARY 29,1993 i HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: Judith M. Benson M&T Mortgage Corporation, Its successors and/or assigns State of New York Mortgage Agency. Inc. Its successors and/or assigns Old Republic National Title Insurance Company CERTIFIED BY: MATTHEW C. STEVES. LLS NYS 50135 DATED: April 23, 1998 •p.�EOF NEB,/- . •` �,��,Ew c, sr 9 • N ' • •• • • jw�IJJry�� • .v an D u s en 8c Steve s Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York Lie. No. 50135 1RIALIr MDD ALIEM1101 OR ADWW TO A "M MAP EANNO A LDfJIS D LAM) 31IRV M ZEAL li A VIDIAIM OF WMM rAk S111-010ION Z OF M IEIIF V= SMIE OUCAIIDtl LAW 'OLY OOM FM M ONO" OF 10 SMWY MMM UM MI M®IAL OF IM LAND UNW000 W-OL DIML K OOff OM 10 W VALID IM OOFW 1MRN'AWO MrAIM MDEOI SOIFY INAY IM MR[Y VM PRO -AM ! AOCONDARM MM M EMIND OWE W FRACTU FOR LAND SUIMVMN ADWft SY M NCr• STAR: ASSOCU71014 OF FROMSIOW. LAND !IIVEV;Yd! SAID IERIMOAOOM OVAL RCN OILY 10 M PMM RM ow M away s !REAMED. MID Of MS SMMF 10 RE IMF 001~. 00413O MAL A@RCY MD LDMNI M{T1AIM LWO HMEOK AND TO M ASSIIEES a TM! LEtONW NISRMOOK' Map of a Survey made for JUDITH M. BENSON Town of Queensbury, barren County, New York NO. I DATE 1VD APR 23 1M Tp11V p€ -'ju'%'C3 - Y BUILDIM- A !'V 0t7c DESCRIPTION w w 4 e A n ?I W-K1L e 1'=30' S --1 &Iwr 1 CF 1 CLUTE ENTERPRISES DWG. NO. 95001-3G RESIIIENr A,L FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Jj ✓ t Dept. of Community Oevelopment Arrive I • L5 atnlpm Depart r5 43 Town of Queensbury inspector's Initials 742 Bay Road Queensbury, New York 12804 NAME PERM( I �-; PERTf # _ _ '�. LOCATION DATE. TYPE OF S UC NIA YE. NO COMME S Chimney Heightf'B" Vent/Direct Vent Location Fresh Air IntakeVY Plumb Vent through roof Root'Complete Extenor Finish Complete Interior/Exteriar ilings 3 ' to " Exterior Handrail balco es, Ian g 18 in. or more lntexior FIarrdrails rs tlt si 3 or more risers Grade 2% away from dalio 8" clearance to sill pla Gas Valve shut-off a :in ed/regulator 18" above gradeGas Ftureshut-O t 30 feet or within line of site Oil Furrt<ice shut-o at entrance to furnace area FurnaceJllot W/6m. Heater operating Relief Valves) talled Headroom, fi 1 . on stairs Basement s rs, G ft. 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/tri.rn/doorslmain entrance 3fi" Floor Finish Wthroom/Kitchen watertight Interior Handrails BalconieslI.anding 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 protected ( in garage) Light ventilation per room OF Safety glazing 18" or l pelo. r Final Electrical — f Site Plan/Variance requir Final Survey Plot Plan As Built Septic System layout required Okay to issue CAC (Certif. of Compliance) fJkay to issue temp. C/O (Certif. of Occupancy) ] A) /Il , �, iz y+ Okay to issue permanent C/O (Certif. of Occupancy) / COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC, 1 Main Office 357 Eh yn Terrace — Manheim, PA 17545 " ' '7 MUNICIPAL CERTIFICATE - ELECTRICAL O APPROVAL ...... . Cert. / Panel Board No. . .. ... ..... �ryj �pj ��--yy r G O 6 G Cut-in Card No. . . .... .. ........ ._. .--- Owner . .. .. . , . E Location .r .. ..... �'� _�.1 /� .. . ._ .................. .... . ... . . . .. . . .... . iy j ' ' y" Installation ConsistingAFW rz�., Y �, . . . . . . . .. .. .. . ...............................` / .. ....-...._.. . . . . . .. installed By .,a)-... a�+l,'e,#- _............. ........ .. ... . ---- .. .-- Llc, #.... . ... . . . .. . . . . . . . . . . The conditions Following governed the issuance of this certificate, and any certificate .. ....prcvj usiy issued iscanceiled; — This certificate only covers the electrical equipment and installation conditions as of mate. Upon the introduction of additional equipment or alterations, application shall he promptly made forinspection, Inspectors of this Company shall have the privilege of k- rules are violated, the Company shall have the right to rev ok x e inms a e s at any time, and if its Date . .. :. ..�a—, . . . .. .... INSPECTOR Member N.F.P.A_, I.A.E.I. T ` TOWN OF QDEENSBl1RY r/y) BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 128" (S I8) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date 3 SOIL Sand- - Clay_ Results of Perc ation Test- ? ( if applicable ) Rate-Minute/'I ch { TYPE OF SYSTEM ABSORPTION! FIE D : Total Leng h r Length of each trench Depth of trenc es Size Of Stone - SEEPAGE PITS : Numb Size - ft . x ft , Stone size PIPING ; Bldg . to Tank le e Tank to Dist . Bo Dist . Box to Fie /'Pit *• Openings Sealed? o artia LOCATION/SEPARATI S ; Foundation t0 Tank feet Foundation to Abso ion feet Separation of Pits feet Conforms as per PI Plan "ye LOCATION OF SYS PROPERTY: ( circle Fron _ Rea Si - Right Side Middle rant - ddle R ar COMMENTS : vow SYSTEM USE APPROVED : Arrived: • L�' Depa 71 Ing n r GENERAL INSPECTION REPORT �;7 Town of Queensbury Dept. of Community Development Date inspection request reeeived: Building & Code Enforcement 742 Bay Road Qu eensbury, NY 12804 Arrive \`5t*nir�� Depart Ins o r°s Initials NAME: CAA)XE PERMIT # LOCATION: DATE : TYPE OF STRUCTURE: !jam RECHECK NIA YES NO COMMENTS Footings/Piers I Monolithic Pour F Reinforcement in Plac The contractor is re siCsite providing protection for 48 hours following a of the concrete. Materials for this purpose n Foundation/W allpour Reinforcement in Place Foundatio n/Da mpproofi ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In nsulation Foundation Walls Interior R- F'oundation Wails Exterior R- Floors R oe - Walls R- Ceiling R- Duct work or piping in unheated spaces R oe - Proper Vent, Attic Vent Framing Jack Studs/Readers BracinglBridgi n Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I , 2. 3, hour Penetration Sealed Fire Wall 2, 3. 4 hour Firestopping GENERAL INSPECTION REPORT 4 + 3 Town of Queensbury Dept, of Community Development Date inspection request received:. Building & Code Enforcement �... � 742 Bay Road Queensbury, NY 12804 ArriveZ=H aWpa� Depart Inspector's initial NAME: PERMIT # - tJ LOCATION: 3 DATE - TYPE OF STR TIRE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour F rm Reinforcement in The contractor is risible for providing pro o from freez' for 48 hour llowin a place ent of the co rete_ Materials4tor this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Cinder Slab Plumbing Vent/Vents in Place 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 rig JaacR Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam zi `%.�nfiitration Barrier Fire 'Separation I . 2. 3, hour Penetration Sealed Fire Wall 2, 3. 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road -Z 4 --�� Queensbury, NY 12804 Arrive ' am/pm Depart s {� Inspector's Initial NAME: `C 'we ` _- �z- - PERN41T # LOCATIO IR: ':�> I 'ten ro DATE TYPE of STRUCTURE: 4 r, RECHECK N/A YES NO CO7MMENTS Footings/Piers J Monolithic Pour Form Reinforcement in Place The contractor is responsi for providing protection fro fr g for 48 hours fo a placement of the concrete. Materials for this pu on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo �,,,,.- aackfill Approval Plumbing Under Slab _ Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-In Insulation Foundation Wails Interior R- Foundation Walls Exterior R- Floors R- Walis R- Ceil ing R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers .lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 . 2. 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping EENERA.L INSPECJ"1011+' R P+CIRT' Town of Queensbury Dept, of Community Development Date inspection request mod: Building & Code Enforcement 742 say Road Queensbury, NY 12804 ArriveV.14S331114M D71ni4idals ... Inspector's NAME: LA ff—F PERM" # LOCATION_ Z G V-- 62S t= IN _G?.: R DATE TYPE OF STRUCTURE. RECHECK NIA YES NO COMMI3NTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection g for 48 hours followi the pia ent of the concrete. Materials for this 0 Foundation/Wall Reinforcement in P Foundation/Dampp ng - Backfill Approval Plumbing Under Sl - � Plumbing VenVVe in Place + C, Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R.- Foundation Walls Exterior R- Floors R- Wails R- Ceil ing R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Braangfflndging_ Joist Hangers Jack Posts/Main Beam Aar Infiltration Barrier Fire Separation 1, 2. 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firesto GENERAL I11+'SPEGTIQIV REPORT Tdwn of Queensbu r5' Dept of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY I2804 Arrive I amtrs,r_ Depart12: ( � Inspector's Ini#ial9 - NAME:LC FE1thiIT # j �CATTC}N DATE : — 'S r "TYPE OF STRUCTURE: RECHECK. ootingslPiers NIA YES o CONfKMNTS � nolithic Pour Form o e=Reinforcement in Place e7F The contractor is responsible for Providing protection from freezing for 48 ,hours following a pla ent of the concrete. Materials for this purpose to Foundation/Wal 1pour Reinforcement in Place FoundationAE)ampproofi n Backfill Approval Plumbing Under Slab Plumbing Vent/Vents i lace Rough Plumbing_ Heating Rough-ln Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Wal Is R- Ceil ing R_ Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing .lack Studs/1-leaders 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, ... cyia 1- i i 4 �O1 - Z kk led r r� 4 jv uan an I � OCD , et j {i r f r . } a tidy , a9