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98-571 TOWN OF +QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY C/ O Number: 08571 C/O Date: Monday, August 07, 2000 Y_ Application Number: 98571 Permit Number: 98571 t y This is to certify that work requested to be done as shown by Permit Number 98571 has been completed. Bedroom & Unfinished Basement only . This structure may be occupied as a Residential interior Alterations Tax .Map Number: 523400- 148-000-0002-030-000-0000 Location.: , 3 MOCKINGBIRD Ln Owner: PATRICK J. O'CONNOR By Girder of Town Board TOWN OF EN5BLJ Director of Building & Code Enforcement Y BUILDING PERMIT VALUE s 2500 TOWN OF QUEENSBURY TAX MAP NO . 148 . - 2 - 30 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to O OF CON1MRr PA#rnTr-x j OWNER of property located at 3 NOCKINGRIBEI 1• aNE Street. Road or Ave. In the Town of Queensbury. To Construct or peace a RESIDENTIAL 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. 010ME R S Address is 1 MOCKINGBIRD LANE QUEENSBURY , NY 12804 2. CONTRA or SUI LDE R S Name OrCONNOR , PATRICK 3. CONTRACTOR or SUII.DER'S Address 4. ARC:HITECT"S Name COMMONWEALTH ELECTRICAL AGENCY s. TUQHIBOX 706ress HAGUE , NY 12836 $. TYPE or Construction -- lPieww indicate by Xl RESIDENTIAL ALTERATIONS I I wood Frame I I mosoney 1 f Steel 1 I 7. PLANS and SpacHiraQtions 892 nW FT RESIDENTIAL INTERIOR ALTERATIONS AS PER PLOT PLAN SPECIFICATIONS S. Proposed Use RESIDENTIAL INTERIOR ALTERATIONS 36 September 17t� 2000 $ PERMIT FEE PAID - THIS PERMIT EXPIRES (if a longer period is required an application for an extension must be made to the Bufldire and Zoning inspector of the town of Quaenstwry before dw axpiratien data.) 17 September 1998 Dated at the Town of Q eendwry this Day of 19 SIGNED BY y for the Town of Queensbury S and coning inspector �` ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance 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 *Requires submission of worksheets APPLICANT ` S NAME : PROPERTY LOCATION : dd { /10 6)I !, LF �t..{''�c'�''lr7S✓(//.-�i' + '" PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area square feet 2 . Type of Heat - Electric Oil Gas J Otherpp ] 3 . is building mechanically cooled? Yes ��No r 4 . Percentage of area of windows and doors Over 17 $ ,�-r"'� Under 17 % 54 R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : am Roof Rti b . Exterior walls R iq cm Glazed areas Ra d . Exterior doors R e . Floors over unheated spaces R f . Edge of slab on grade ( heated building ) R g . Basement/ cellar walls ( above grade ) R Syr h . Basement/ cellar walls ( below grade ) R I i . Heating/ cooling-ducts -piping in unheated space R �- 6 . Service ( domestic ) hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Ap ca. t ' 5. 5riature I]at�e Phone Number INSPECTOR ' S REMARKS : Building Permit Application Town Of Queensbiely - Dept. of Corrux tinily Developurent, 742 &ry &,Pad, Quee ashtifty, NY 12804 1761-8256/ BUILDING & . CODE ENFORCEMENT NOTICE Requirements prier to issuance A permit must be obtained before of this permit: PERMIT FILE NO. — L beginning con.stnvction. No inspections PERMIT FEE PAID $ '�� � p will be made until applicant has received 0ZmIng Board Action a V^lell) BUILDING PERMIT. All Area / Use applicants' spaces on this application RECREATION FE P MUST be completed and the signature Pkmnht .board Action of the applicant must appear on the $ REVIEWED I3Y. $PI2 ! Subdivision 1 Other Breiklinyq Irrxperinr lication Form. > _ Recreation Fee Payment Applicant: — 1 _L`r c . I . 1[-,.,c� rat Owner: Address: � !c is �Cr +2 4 4, . Address: 3 All K. 'rs f Phone # { ..S J{s ) Z ` '_ Phone # Property Loca tion: ��} Tax Map Number a -, �•1 Subdivision Name: S t-L ur IrC ..,, Section Block tK)t NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ residence / commercial Addition to 'Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - resi.dence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office . Other Work describe below ) Mercantile SEP G r1 �L'tc ✓ Manufacturing other GROSS AREA OF PROPOSED STRUCTURE : If ADDITION , what will use 1st Floor , . , . . . . . sq . ft . of new addition be ? : 2nd .Floor . , . . . , , sq . ft . Other Floors . . , sq . ft . ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : 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 Other FEET X FEET / Foundation Type : ri' utrzc:�7 Will any second-hand or ungraded Number of Stories : :X lumber be used? If so , for what ? ( habitable space only ) � �_�_., Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces and/or woodstove c ' all which applies to be installed : ectric / oil / Gas / o0 Force Hot Air / Saseboar / Other Person respo.Lzsible for supervision of work as regards to building codes is : IE;^ 4 : T l /-G�, 7 . rE;e ,'' , 7`kA -L N2iine Addresss Phone Builder ; Plumber : Mason : Electrician : DECLARATIC M Please sign belmv 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 Cade, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied will) , whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we 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: i ��{ (owner, o ner's agent, architect, contractor) TOWN OF Q U.EEN.S.B UR'Y 742 Bay Rd,, dueensbury , IVY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS 19r ��- — 5 �� Date , I a Permit No. APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form it more than one appliance and/or chimney. f Applicant 0,-+ 'i APPLIANC:eood check appropriate boxes) Add ress .� ( �['. ► Ifi _ ❑ STOVE: ❑ Coal ❑ Pellet r3 Gas ❑ FIREPLACE INSERT � � Zip - �� C] FIREPLACE, FACTORY-BUILT: ❑ Wood ❑ Gas Phone ❑ FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner .#'Ct� C. rye [` i 11 -)c)1 ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: Manufacturer: Zip Model : Phone CHIMNEY (check appropriate boxes) EXACT ADDRESS of proposed construction t ❑ MASONRY: [I Block ❑ Brick ❑ Stone OCR A t FLUE: ❑ Tile ❑ Steel Size: inches CONSTRUCTION l INSTALLATION MUST FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model : BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑ Triple Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title } A 173 3389 ( 190 ) Public Safety k A 233 2655 (2:40 ) Minor Sales �. $ Fee Collected From or Refunded to : Address: Dated : Cl= 1 L4 - Town Clerk or De F uty : White: Applicant Green; Fire Marshal Yellow: Bldg. Dept. Pink & +Goldenrod. Cashier's Dept. TOWN OF Q,UEgNSBURY BUIz jt4 6 COUY ENFORC M Nr ROAD QUtKOSBUPY NY 12804 (519) 761-g256 hg.ltl V fS ; -#*�' .. RT,SI BN AL y ILfAL IN6PZCTDEPART It7N Ra'(+O PTC i EQUEST RECEIVED! DATE INSPECTION R9 �!' Nnh'iE LOCATION PERMYT TYPE OF STFlom — FRhMI.NG F}hCICF ILL FOt??'rINGS.,__�_ FOUNI7hTION INSULATION sEPTic ROUGH k�LUMBING �r7(?ODS'TOVIT OR P'IILLPLACE -..�-� F I"i7RL ELECTRSCML --- p YSSS Y IV OOP' ..-._---- R I IS 5 FPS NGS - Lrpy,v S� O W T T NG .,+gTMIPRTVa 't ORS t n T.�j, —'R�i'. mHRR LE OTi1I' .FLOORS C PET D CL RTNCE I ti Fr DE's"GCTORS F NG GhV IP A I SITE RL yA I NCE F,,,sr_ anVEY FFT 'i1N � G T u c o o Q FIRE MARSHAL TOWN OF ©UEENSBURY QUEE 5SB Ry l N 1 2804 FIRE MARSHAL INSP CTION REPORT REQUEST RECEIVED KI o T-e - - NAME % iC6 PERMIT # _ - LOCATION - -~ SCHEDULE INSPECTION ON M M APPROVER NIA YES NO EXITS AISLE VYIDTHS .----- EXIT SIGNS ._-.--- - -- EMERGENCY LIGHTfNG FIRE EXTINGUISHERS - -- - - FIRE ALARM SYSTEM ---- - -- FIRE SPRINKLER SYST M --- - - - FIRE SUPPRESSION S STEM - l-IOOD INS-TALLATION -_- INTERIOR "41SHES ---- - �� -- STORAGE: -- -^ LERS - CLEARANCE TO SP 1 ING UNITS - CLEARANCE TO H - - REQUIRED SIGNAGE _ CHIMNEY ---- --- -__ --�WOOD STOVE - FIREPLACE [-jMASONRY [] FACTORY -- ❑ ROUGH-Ill OK TO THIS DATE REMARKS; 1Q , l Q {.y(`Q 0 W ' Y t` 1NS CTO K,srs.�.rua 3Z30VA RESIDENTL4kL FINAL INSPECTION REPORT QMce No. (518) 761-8256 Bate inspection request received. Building & Code Enforcement Dept of Community Development Arrive Town r~ Town of Qneeusbnry ,Jnspeetor's Irni ' 742 Bay Road Qaeensbury, New York 12804 NAME 1 C> PERMIT # LOCATION DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney fleightF'B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2% away from foundation 8" clearance to sill plate Gas Valve shutoff' exposed/regulator 18" above grade Gas Furnace shut-of within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Beater 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/rra n entrance 36 Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/(.ending 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 1/4 hour fire door/door closer Garage firc'irxoofirng Garage penetrations sealed Furnace in separate room protected (in ',garage) Light ventilation per room Safety glazing 18" or less from. floor Final Electrical Site Plan/Varian0e regvira[l Fine! Survey Plat Plan As Built Septic System layout required Okay to issue C/C (Certif. of Compliance) Okay to issue temp. C/O (Certif of Occupancy)_ Okay to issue permanent C/O (Certif. of Occupatu:y) RESIDENTML FINAL INSPECTION REPORT Office No. (518) 761,8256 late inspection request received: Building & Cade Enforcement Dept, of Community Development Arrive �� Dep:ArTE9 Town of Queensbury Inspector's I 742 Bay Road Queensbu w York 12804LOCATION TYPE OF STRUCTf.3R:E N/A YES NO COMMEWS Chimney Height/"B" Ven1/13inect t on Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete lnterior/Exterior Railings 30" to _. Exterior Handrails, balconies, Ian 18 in. or more interior handrails stairs both sides or more risers Crrade 2% away from if 8„ clearance e to sill plate Gas Valve shut-off exposed/regulat 18" above grade Gas Furnace shut-off within 30 feet or thin lime of site Oil Furnace shut-off at entrance to area Fuffiace/IIot Water Heater operating, Relief Valve(s) installed Headroom, 6 ft. 6 ru. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 Auers Interior privacy/trim/doors/nmin entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 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 settled Furnace in separate room protected (in garage) Light ventilation per room_ Safety glazing 18" or less from floor. Final Electrical Site P1an/Varianee required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C (Certif. of Compliance) Okay to issue temp. C/O (Certif. OfOccnpancy). � \ Okay to issue permanent C/O (Certif of Occupancy) { -'� COMMONWEALTH ELECTRICAL INSPECTION SERVICE. INC. Main Office 176 Doe Run Road - Martheinr, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 9e_ 5 -9 � Panel Board No�............�....�ert. N� $ 9 3 ,7 1 Cut-in Card No. . .......... .....................•. Owner.,........ J.0 I— " /t l.+[J!"� _............................. q. Location .... ... V �a I4-c- s� .�ls �I" 'C 7 cr7J ...G9.�..r ..Installation Consisting of ............. r ....._.....,........_......_ .....,,.-._............... ....,,...........,............ ......... ........... ..... ............,............-...................,,..,,....................,.,........................ Ff.;� Installed By.._..... ........................_.........,,,,,.......................,__......... Lic- No. ...................................-............. . 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 he promptly made for inspection. Inspectors of this Company shall have the privilege of ma - inspections at any time, and if its rules are violated, the Company shall have the right yoke - ifi e, Date.7-z6 — '�'r INSPECTOR .. ..�. - . .�........... Member N.F.P.A., 1_A E.[. f q? _ 36 cvL GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building ,& Code Enforcement 742 Bay Road Queensbury, NY 12804 Arriv e. t Depart { � Inspector's linrtl NAME: �' 1 .1C • n 4C-C3 -� PERMIT' # LOCATION � f �C LRCM �_- �l�C DATE : ; �— t —[Y�► TYPE OF STRUCTURE: RECHECK NIA, YES NO CrO1NMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo 'ble far providing protection freezing for 48 hours allowing a placeme of the con Materials for this Foundation/Wallpaur Reinforcement in Place Foundation/Dampp Backfili Approval Plumbing Under- Slab Plumbing Vent/Vents n Place Rough Plumbin eating Rough.-In Insulation Foundation Walls terior R- Foundation Walls xterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- per Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack PostslMain Beam T -„�+ ,•^ p Air Infiltration Barrier x---- V i~--- Fire Separation 1, 25 3, hour Penetration Sealed 1� ► �_ � Fire Wall 2. 31 4 hour C- s Firestoppin +� � t#li -644 Y4• 4U .Yu. xA� A swl e, .i'vVe kw" r. _ rl { :-. -1 •V, a f 00 T OZ ; NV ld 101d 'O * d ASi00311HOaa 4S !` IDOSS 'd Stl` ek +.�+.. 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