97-033 4 f .. --- ..- .. .-:.
. CERTIFICATE 'OF OCCUPANCY
TOWN OF QUEENSBURY
• WARREN COUNTY, NEW YORK
July 31 ' ' 97
Date 19 _
3O9— — &3 ,
This is to certify that work requested to be done asshown by Permit No. 97033
has been completed.
. h
RESIDENTIAL ADDITION (BEDROOM)
This structure may be occupied as a .
16 HOt^WARD ST.
Location
WATERS , JOAN
Owner
TAX HAP NO, 120. -1-15 By Order Town Board
- . TOWN OF QUEENSBURY` '
Director of Bldg. do C'de Enforcement
BUILDING PERMIT
VALUE $ 5000TOWN OF QUEENSBURY No. 970'11.
TAX MAP NO. 120. —1-15 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to WATERS, JOAN
OWNER of property located at 16 HOWARD ST. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a RESIDENTIAL AnnTTION (BEDROOM)
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.
1. OWNER'S Address is
16 HOWARD ST.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
TROMBLEY, WILLIAM
3. CONTRACTOR or BUILDER'S Address
WEST MOUNTAIN BUILDERS 806 WEST MNT ROAD
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX 706
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ADDITION
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
96 Hf FT RESIDENTIAL BEDROOM ADDITION AS PER PLOT PLAN -
SPECIFICATIONS
8. Proposed Use
RESIDENTIAL ADDITION (BEDROOM)
8 PERMIT FEE PAID —THIS PERMIT EXPIRES February 7 19 99
$ (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 7" Day of February 19 97
SIGNED BY G for the Town of Queensbury
Building and Zoning Inspector
Dttttuung remit' Application
Town of Queensbury - Dept. of Community Development,' 742 Bay Road, Queensbury, NY 12804 1761-82561
• INOTIC BUILDING c& . CODE ENFORCEMENT
E Requirements prior to issuance r 1
.
of this permit: PERMIT FILE NO. • --6 3
A permit must be obtained before
beginning construction. No inspections IfQ 6
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ 4fh :a
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE ' • D $
MUST be completed and.the signature n Planning Board Action
of the applicant must appear on the REVIEWED 13Y.
SPR / Subdivision /Other
4pplication form. n�,m Recreation Fee Payment /Buil�ing Inspector
Applicant: 24 , `� itrh. //69�i 3'L7 Owner: a4%97 " ZfrX/C -s
' Address: -aZ 't 27 11 ). 9107 Address: `/ h'f > 5 r 9
7
Phone # ( )7f Z - �_'7. Phone # ( ) -
I'roper ty I men Iion: 1l i 4 c Ep pia ®
Subdivision Name: Tax Map Number i
Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ Ji" —
residence / commercial .
Addition to Building:
residenc- / commercial OCCUPANCY INFORMATION:
Alteration to Building: Pr'mar Building -
residence / commercial ingle Family Dwelling
Residence / Commercial Two Family Dwclliny .
no change to exterior size Family► > 11. iiijr . 1
Office
Other Work (describe below) Mercantile FEB 06 199�
Manufacturing
GROSS AREA OF PROPOSED STRUCTURE: Other
it; 1l}60(.. t....
1st Floor 74 sq. ft. If ADDITION, what will use
2nd .Floor of new, addition be? :
sq. ft. i eeips�2 ilzp,p,--770/v
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: 74 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
�
O FEET X FEET Other
•
Foundation Type: yXy %i� f' Will any second-hand or ungraded
' Number of Stories : / lumber be used? If so, for what?
(habitable 'space only)
Height (grade to ridge) : /3 feet TYPE OF HEATING SYSTEM:
Number of fireplaces a d/or woodstove (circle all which appli s)
to be installed: .//5 Electric / Oil / Gas //Wood
Forced Hot Air / Baseboard / Other
•
Person responsible for supervision of work as regards to building .
codes is :
Name �,; Addresss Phone
Builder: Aril 44'�, / 4,,,,,,ej_ y Pw, Ls/i 7 �, p7)) ;75. 7�
Plumber:
. Mason:
Electrician: it i e /e l r /-
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, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature:
(owner, owner's agent, architecCcontrac
'' ENERGY CODE COMPLIANCE APPLI ATI'ON�- � ��'� i ..�
- S ' TOWN OF QUEENSBURY, WARREN a4UNTY
• 9000 HEATING DEGREE DA S FEB 06 1997
Comol i ance Methods: PART 5 - Acceptable Practi ". ?
'� � �� �:���
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Offs
• l&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:
)10 r/ 7 , T� V� � /4r� k D � l�
PART 5 METHOD OF COMPLIANCE -BY' ACCEPTABLE PRACTICE:
1 . Gross Floor Area - � - scuare feet
2 . Type of Heat - Electric X/ Oil Gas Other
3 . Is building mechanically cooled? Yes X No
4 . Percentage of area of windows and doors Over 17% k` Under 17%
5 . R.-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a - Roof R 30
b . Exterior walls R
c - Glazed areas R
d- Exterior doors - R N n.
e . Floors over unheated spaces R ,2_/7
f_ - Edge of slab 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 �/f
TEMPERATURE CONTROL MAXIMUM SETTING 140° = WILL NOT BE EXCEEDED
Applip t' S•gnat D ie Phone Number
INSPECTOR'S REMARKS:
tlk
� TOWN OF QUEENSBURY
+(1i��4BUILDING & CODE ENFORCEMENT
742 BAY ROAD
VA/ W QUEENSBURY NY 12804 //O4
' (518) 761-8256
ARRIVE: �r DEPART: �'` INSP: j
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: -7-30 `Q i
NAME V (kkO/t_�� -
LOCATION / ( r ��l , '`]�
DATE --, (---el 7 PERMIT' I / - ,�.�
TYPE OF STRUCTURE EIN-6:7 S P06 O
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATI N •
FINAL ELECTRICAL WOODSTOVE OR FIRE LACE
N/ YES NO
CHIMNEY' HEIGHT/B VENT/HEIGHT
PLUMBING VENTI
ROOFING
EXTERIOR FINIS z
PECK/PORCH/STEPS ' $LINC'S 1i/
RELIEF VALVES
FURNACE/HOT WATER OPERATING - p
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED )
STAIR CLEARANCE/RAILINGS J '
COKE DETECTORS •
j3ATHROOM FANS V
LUMBING FIXTURES V
FOUNDATION INSULATION I
I
GARAGE FIRE PROOFING- kb
DOOR C OSERS
FINAL ELECTRIC;IL l_6l 5
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN ) /
OK TO ISSU (3)OR C/C
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545 9 7 Q 33
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. Cert. 4 31 v Cut-in Card No.
Owner crG Gf�e 7g
Occupant pp
Location /6 1 �2'0 PA g2—( `V
Instal ion Consisting of.. ��.( .T V pew / / B
O,- ti66 -A/4-Smi d 46— r-5TV- 10t5u,q-�
O,K4
Installed By gi /fto> 8.G.e 7' Lic.#
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of making inspe to,s at any time,and if its
rules are violated,the Company shall have the right to revoke If ertif ate.
Date -?5.-- 9 7 INSPECTOR. ..
Member N.F.P.A.,I.A.E.I
(518) 761-8256
TOWN OF QUEENSBURY" ' 3(0
BUILDING & CODE ENFORCEMENT '
4'. ?,
742 BAY RD., QUEENSBURY NY 12804 f . �,
INSPECTOR'S REPORT: AR1s3c 2- DEPARh° t ik1/2 1.
REQUEST] FOR INSPECTION RECEIVED:60
NAME 4��
LOCATION Dzolleb �7 ,
DATE ;00.-197 PERMIT A <-`' r' 6533 ',
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES , NO
FOOTINGS/PIERS
MONOLITHIC POUR RM
REINFORCEMENT IN L E
THE CONTRACTOR SPANSIBLE FOR
PROVIDING PRO T ON FROM FREEZING
FOR 48 HOUR FOLLO G THE PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
k'OUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
P/IJJMBING UNDER SLAB
FRAMING:/ -
✓✓✓JACK STUDS/HEADERS —
BRACING/BRIDGING _
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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—
L Vv
(518) 761-8256
TOWN OF QUEENSBURY !
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ,41'_:
l n
INSPECTOR'S REPORT: ARR 1.1av DEPART/rf 6 INI4/<-�
REQUEST FOR INSPECTION RECEIVED: 1.1/1 (4/7
NAME (it.)/} �9'2.5(��
LOCATION 1(Q QLU,l�1( ' �j_
DATE .I J/a- // I'I 97 PERMIT II J 7- 3 3
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC PIUR FORM
REINFORCEMENT I` PL. E
THE CONTRACTOR IS 7*:SP• SIBLE FOR
'PROVIDING PROTE T •N R&M FREEZING
FOR 48 HOURS FOL -*MING HE PLACE-
MENT OF THE CON ` TE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE ♦ 4
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS _
BRACING/BRIDGING _
JOIST HANGERS •
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
EATING ROUGH-IN / ,
INSULATION:
FOUNDATION WALLS INTERIOR R-
F NDATION WALLS EXTERIOR R-
LOOKS R-4� =i
WALLS R-
CEILING R-°
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
A, s j (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804 �r '
INSPECTOR'S REPORT: ARR DEPAR '¢°
REQUEST FOR INSPECT ON RECEIVED: 2 1l 7
NAME V`*t A,s Joc
tLOCATION O/L) �,,(V
DATE a J -9 PERMIT A � 7 03
TYPE OF STRUCTURE: //! -E S �� . f5cd r 06'
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
Mir
MONOLITHIC POUR FO'd
REINFORCEMENT I PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
IR INFILTRATION BARRIER
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-
NY- "'
454/r (
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: A DEPAR? 6 3Y)NTJAA4----
REQUEST FOR INSPECT ON RECEIVED: -/I
NAME L �/ _ _ L�LOCATION I r ,� a �7
DATE - PER_ _E1411 # (-O 3
TYPE OF STRUCTURE: Ilt="111iMMAIRIIIIIIIIIihk
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM \I)c:///
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL -
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PRAMIING UNDER SLAB
NG:
JACK STUDS/HEADERS
BRACING/BRIDGING - ✓/_
JOIST HANGERS f�—
JACK POSTS/MAIN BEAM yJ
AIR INFILTRATION BARRIER
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-
(518) 761-8256
k1
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 '1.
INSPECTOR'S REPORT: ARR1 to► t1 DEPART12—cf IN't'—d--`
REQUEST FOR INSPECTION RECEIVED: 779 -7
NAME
LOCATION ` \J) ,ACM, )ri.St-7`/
DATE tom` 7 -/ 7 PERMIT -1 '_1J33
TYPE OF STRUCTURE: � �J pi'
RECHECK APPROVED
N/A YES NO
YFOOTINGS/PIE k`''C?<<
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIB FOR
PROVIDING PROTE TION FROM EZING
FOR 48 HOURS FOLLOWING P CE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING _
` JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH—IN
INSULATION:
-4
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN
_UNHEATED SPACES R—