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98-627 CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSSURY WARREN COUNTY, NEW YORK November 30 98 Date 19 _ (D - R 98627 This is to certify that work requested to be done as shown by Pennit No. i has been cotnpleted. SINGLE FAMILY DWELLING This structure may be occupied as a 4 R.ALPH ROAD Location CLUTE , LARRY Owner TAX MAP NO e 12 0 . - 1 - 60 . 5 51 By Order Town Board rowN cyt: QUEENu Director of Bldg. do Code l~nforcement BUILDING PERMIT "VALUE $ 85000 TOWN OF QUEENSSURY No . _ q8671 TAX MAP NO . 120 . - 1 - 60 . 551 WARREN COUNTY, NEW YORK PERMISSION is twebY granted to CLUTE OWNER of property located at 10 RALPH ROAD Street. Road of Ave. in the Town of Queensbury, To Construct or place a at the above location in accordance to application together with plot Plans cull other information hereto filed and approved and in compliance with the Town of OueensburV Building and Zoning Ordinance. III r30A dress is ROAD RYr NY 12804 OR Qr at1ILDEWS Name TERPRISESr INC . tLDER'S AddressRYr NY 12804 4. ARCHiTECT'S Naffm COMMONWEALTH ELECTRICAL AGENCY g_p } �LZEt L�ddress YHCAJGIU�E rr N7Yb 12836 FPER nstruction - IPtease indicete by X) SINGLE FAMILY DWELLING Wood Frame f ) Masonry f I Steel I I Scecifiaatiores T SINGLE FAMILY DWELLING WITH 1 -CAR ATTACHED GARAGE PLOT PLAN SPECIFICATIONS seFAMILY DWELLING 11 145 October 14 fs2000 $ PERMIT FEE PAID - THIS PERMIT EXPIRES lif ao wn ofrnaer period s reQutV icedbefore an application f date extension mart be mach to the BuiWirp end 2pninq inspector Of the 14 October 1998 Dated at the Town of Queensbufy this Day of 19 for the Town of QueensburY SIGNED BY Build aw zOnIn uatseaer Building Permit APPUcation Town of Queenshury - Dept. of Community Develojwneiu, 742 Bay Road, Queensbury, NY 12804 176I-82561 gt BUILDING & CODE ENFORCEMENT Requirements prior to issuance e� g _ %A permit must be obtained before of this permit: PERMIT FILE NO. ) beginning construction. No inspections PERMIT FEE PAID $ will be made until applicant has received r S BoardActkmR a VALID BUILDING PERMIT. Ali ArW I Use RFCf2EA770N FL�E�€" E� applicants apace an this application r1.�/f MUST be completed aW the signature Ptart�.ing Board Action REVIEWED BY.• of the applicant must appear an the SPR / Subdivision t other Building Impeeusr licatian form. r+.=L*Y� 'Recreation Fee Pay Applicant: i r T Address- t3 , -y� Address: Phone # --_- -77ei � _-r 7) _1 - P one # -- _ _ Property Location: ..--, ^r�•" �� L_ ---- Tax Map Subdivision me,: Number Section Block T .nt de Adz MATIYAE OF PROPOSED K : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ _ cx�- residence / commercial -T— Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Pr ry Building residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other work. ( describe below ) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE : -' If ADDITION , what will use lst F3oor . . . 40 seQ sq . ft 5x of new addition be ? 2nd7loorWq0q * WWW sq . ft . r} Other Floors , . , . , . sq . ft . ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : q Detached Garage 1 , 2 'car' TOTAL FLOOR AREA : ILoT. > SQ . F3 . Attached Cara ap�1 , 2 car Private Storage wilding SIZE OF NEW STRUCTURE : Commercial Storage Building FEET X [ a FEET Other Foundation Type : Will any second- hand or ungraded Number of Stories : 4 lumber be us d? if so , for what ? ( habitable space only ) r Height ( grade to ridge ) : L'*4V feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ or woodstove: ( circle all which applies ) to be installed : _[ El Gas wood arced Slot aseboard / Other Person responsible for supervision of work as regards to building codes is : [_r^ �r-s--f [" { , .ate `�'ij 'mot �'/ . 7 7dame Addresss Phone Builder : Plumber : Masora : Electrician : DECZ RA77ON. Pl earse 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 sed work shall be complied with, whether specified or noted, and that such work is au ed by a owner. Further, it is understood that I/we shall submit prior to a Certificate of upancy or Cert icate of Com a bein ed, an AS BUILT PLOrr PLANT by a licensed s eyor; drawn to ale, showin actua lac on o project on premises. Signa e: (owner, ow er's age , rchitect, contractor) 7..I' Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Dept, of Community Development Permit No. Building & Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12SO4 Location of property for installation: 0=e Property Owner's Name: L_c � +" r�f � t Property Owner's Mailing Address: C '3 Installer's Name: Ee Phone # 7�? `7 Number of bedrooms (if residential): Total daily flaw: —` (residential - compute (W 150 gal.Ibdrm.) Topography: fiat, rolling, steep slope % of slope Soil Nature: sand, loam, clay, other I depth: Ground water: at what depth? feet f Bedrock or Impervious Material: at what depth? __._, feet Percolation test: not required, required [ rate min. per inch ] Domestic water supply: `municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank: gallon (minimum size: 1 ,000 gal.) Tile field: each trench feet / Total system lengo feet Seepage pit(s): number of I size each: ft. by ft, Size of stone to be used: # �.�- f death or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each- gallons Alarm syswm end aaaociated electrical work to be inspected by a certified agency. For your protection. please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or to granted m valiance upon any material misrepreseubMan or failure to make a material fact or cin:uniatance ]mown by or on behalf of an applicaaat, shall be void. I have read the regulations with respect to applicatio and agree by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Signature of responsible pe n, /� Dater r *)6w c7 ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURYr 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 : FART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area. - ��0 _ square feet 2 , Type of Heat - Electric Oil Gas/ Other 3 . Is building mechanically cooled ? Yes a 4 . Percentage of area of windows and doors Over 17 % Under 17 % 5 . R--VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : R --�� a . Roof b . Exterior walls R _ c . Glazed areas d . Exterior doors R e . Floors over unheated spaces R t � f . Edge of slab on grade ( heated building ) R cr . Basement. / cellar walls ( above grade ) R --- ho Basement / cellar walls ( below grade ) R i . Heating/ cooling-ducts -piping in unheated space R 6 . Service ( domestic ) hot water heating devi- 1 to minimum efficiency per cods Yes No T P TURF CONTRO XIMUM SETTING 14OQ - WILL NOT BE EXCEEDED Ap is - _ tIs na re Dat Phone Number l G INSP � CTO. ' S REMARKS : 44 BUILD ONE &epU ERl FSgUR y 742 R ENFbRCEMFNr (FURENSSUBAY ROAp { 5x8 ) 7g5N Z12004 AP,r? 7V;"; bAT rNs zNnz IN13PECTIOIV Raga NAME CTrON REQUEST ReC RT RLc•SrbSNTIAL EzvQo . wcnTrotr OAr _ Type OF STRUCTURE� pejzT # FOOTINGS ROucH PLU y FOUraoAmxOnr F'r NAL E'z.EcmRrcAx-"' sEFTxc 13ACKPxr L UM8 NG RNT r'__LEi-• L'-L�'ttT 1[E' A 1"_ �AfC�I` ROOFING --- ." E`--XTVR OR .I I3 DlRcx Po if ST �x.IRF yALV g S RAI s FURrrAc aT y WA R IN RR (y_R TA C Tr xN g�00 • FI BATH C OT e N W ERmr tfj L RS SWE PA ' FL Cup S rnxR Cr,EA RAMC R s xL1NGS UKE ET � S B xRooll FA F._OUNDATION E � GARAG �""'�'gT.�xON FIRE pR .PING.__-_______�__-___-`_ DOOR F-lVAX STIR ANCE AU SURTV y PUO OT PLAN C C ""---- �` ILV-1-rt'%Rl Vr VV.JJ CoMMiONWEALT" ELECTRICAL INSPECTION SE12V10E INC* Main Office 176 Due Run Road _ Manh ELECTRICAL APPR�YvAL MUNICIPAL CERTIFICATE No...........................•••Cert. N° 66693 Cut-in Card No. ....................... Panel Board ............. A.�- wI2'I�� `�'......��. e �c 7�E� ......................................................../.................. ....... ....................... ........_......... Location ... JEfa'`r`l�Cr �l L .................... .... ! .. _..,.............. .. ..... of ..... .. r.,.........�............ .... installatjun Cansast5r+g�^ /� � !rs+I ...` t .................. ......... .................. ............... .................... .......... nn Lie. i3o. ................................... fi .. +..................... ........... .... Installed Sy...Z „ """ certificate previously issued is The conditions following governed the issuance of this certificate, and any on the canceYled: - P licatiun shall be pr❑mpxty made for inspection. This certificate only covers she ele<:trical equipment and installl be pconditions ataany time, and if its introduction of additional equa�m shallr haveaihenpriv�privilege of m � inspections lnspectors of this ComPan yshall have the right to yoke 's ccvfiirlc , e. rules are violated. xbe C-oxriP Y .� ..,...... Date. r y - INSPECTOR ......,.... . - Member N.F./ RESIDENTIAE FINAL INSPECTION REPORT Otlice No. (518) 761-8256 Date inspection request received: Building & Code .Enforcement t ,I Dept. of Community Development Arrive am/pm Depart Town of Queensbuty Inspector's Initials /T 742 Bay Road Queensbury, New York 12MM NAIVIE PERMIT # [ LOCATION DATE TYPE OF STRUC N/A YES NO COMMENTS Chimney Height/"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, landin in. more Interior Handrails stairs both si ar In risers Grade 2% away from founda 8" clearance to sill plate Gas Valve s -off ex gulator 18" above grade_ Gas Furnace shut-o thin 30 feet or within line of site _ Oil Furnace shut-o t entrance to furnace area Furnace Hot Wa eater opera Relief Valve(s) stalled Headroom, 6 6 in. on stairs Basement s 6 B. 4 in, Handrail a or stairs both sides more than 3 risers Interior pri acy/trim/doors/mam entrance 3 Floor Fitti Ba tchen watertight Interior Handrails Balconies/landing 18 in. or more Bailing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation a/a hour fire door/door closer Garage fueeproofin Garage penetrations sealed Furnace in separate room protected (in garage) Fight ventilation per room Safety glaring 18" or less fr loor Loop �� C Final Electrical L S ,q/ Fit ► Site Plan/Variance re% quireA ,,rr Firmer! 'Survey Plat Plan �3v►'�,Kr..t,1, T ✓� I �+1rU "7 �f$,i✓.'.�� s Built Septic System layout required Okav to issue CIC (Certif of Compliance) At 0 Okay to issue temp. C/O (Certif. of Occupancy) IF S Okav to issue permanent C/O (Certif. of Occupancy) TOW OF OUEENSBURY BUILDING E CODE ENFORCEMENT 742 Bay Road Queensbury MY I2$04 (519) 76I-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name - Location � Date � Permit #�`-f ,.-�,`J�j SOIL TYP Sand- am- Clay. "1 Results of Percol ati o est- ( if applicable ) Rat inute/Inch TYPE of SYSTEM: ABSORPTI7eacheng Length onch Depth of Size of SEEPAGE ber- �— Size - ft , x ft . Stone size IPING_ - Size Bic! to T na k Ype a n' p~�PF � Ox ti ti Dist . Box to Field P ' L � Openings Sealed ? ^Yes No artia LOCATION/SEPARATI , Foundation to Tank Foundation to Absorprt+on - feet Separation of Pits - - feet Conforms as per Plot PT an y s o{ LOCATION OF SYSTEM OB PRQPERTYa ( circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COPWENTS : f I SYSTEM USE !!r PRV 1 GY i YESt 5 fl Arrzv � I Di t , Bui di g Spector � � 1 i 1 Y cl TOTAL 00 r E s . c i L/O � x TOWN OF QUEENSBURY '� 1 BUILDING A CODE ENFORCEMENT 742 BAY Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INISPECTION Name Location Date �_ permit # SOIL T�E:'rSand-� fir,-CT ay_ J Results of Percolation Test- ( if aW icable ) Mate-Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD. Total Length Length of each trench Depth o renches Size of so SEEPAGE PITS; Size - ft . x ft , Stone size PIPING: Sire ype Bldg . to nk -E,q ri j Tank to ist , Box Box tt P Dist . Box to Field/Pit + ► Openings Sealed ? Yes No ar to LOCATION/SEPARATIONS ; Foundation to Tank IQ feet -� Foundation to Absorption feet Separation of Pits `�`� feet Conforms as per Plot Plan LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - _� �-1-�..�.i.ti�--M' R i h t Side Middle Frontdl e Rear m COMMENTS: SYSTEM USE APPROVED: YESZ � NIO�� Arrived: Depart ui din ec or 2 4 Vcc\ off' GENERAL INSFEG 10N REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road -, � � Queensbury, NY 12804 Arrive am4@L:X Depart ' - Inspector*s Initials MTT" NAME: i� �s PER # LOCATION: k DATE : C u TYPE OF STRUCTURE- RECHECK RECCK NIA YES NO CONIMENTS Footings/Piers F Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection ftm freezing for 48 hours following the piacrem of the concrete. Materials for this purpose n si Foundation/Wallpour. Reinforcement in Place Foundation/Dampproofin Bacifill Approval. Plumbing Under Slab Plumbing Vent/VentS in F Rough Pl Ugating Rough-In ation Foundation Walls Interior R- Foundation Walls Exterior R Of - Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging, Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, bour. Penetration Sealed Fire Wall 2, 31 4 hour Firestoppin GENERAL INSPECT�TDIY REPORT � F Town of I� Queensbury Dept. of Community Development Date inspection request rcceivrcd6 Building & Code Enforcement 742 Bay Read Qhueensbury, NY 12804 Arrive nspector's In NAME: PERMIT / LOCATION: DATE : TYPE OF STRUCTURE' RECHECK NIA YES NO CCRVIMENTS Footings/Piers i Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the place of the concrete. Materials for this puqx= on site Foundation/Wailponr Reinforcement in Place Foundadion/I3ampproofin Backiill Approval Plumbing Under Slab Plumbing VentfVcnts in P 6. Ggh Plumbing Heating Rough-In Insulation Foundation Walls Interior It- Foundation Walls Exterior R- _._ .... ...___..__ .. Floors R- Walls R- Ceiling R- 17uct work or piping in unbeated spaces R- Vent, Attic Vent ramie c lack Studs/Headers E9 ��' • ' ' D 4 Bracing/BridgingG�1-'�q ►:�- � tl �� Joist Hangers --- " p �, lack Posts/Main Beam Air Infiltrattion Barrier Fire Separation 1, 2, 3, hour �] � �� ► ��] �-�t�1 � � Penetration Sealed 1 Fire Wall 2, 30 4 hour Firestoppin GENERAL INSPECTION REPORT Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NV 12804 Arrive am/pm Depart l apypm rr�� I Inspector's nitial NAME: C / e1 PERmrr # - 2,7 LOCATION: 6CL DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Farm Reinforcement in Place The contractor is responsible for providing Pfotection from freez for 48 hours` slowing the p ment of the concrete. Materials for this p on site Foundation/Wal 1pour Reinforcement i/PI Foundation/DamfinBack ill ApprovPlumbing i]ndePlumbing Venn Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundal ion Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic ''gent Framing Jack Studs/Headers 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 F ERAL IN,SPE+�'TIt N� REPORT � �G � p Torn of Queensbury � Dept_ of Community Development Date inspection request received: c`� c3 Building & Code Enforcement 742 Bay Road Queensbury, NV 12804 Arrive d am/pm Depart am/pm Inspector's Initials—s� NAME: (_ 9' PERMIT # LOCATION: DATE : TYPE OF STRUCTURE: RECHECK N/A YES O COMMENTS angslPiers ! Monolithic Pour Form 1�,/�, C2 '* e-1 J Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours,following the placement of the con e_ Materials for thi purpose an site Foundation/Wall ur Reinforcement in Foundationll]amppr y 'ackfill Approval CC Plumbing Under S Plumbing Ven eats in Place Rough A Heatin ugh-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 Framing Jack Studs/Headers 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 Firestoppin GENERAL MAEEGTI[7N REPORT Town of Queensberry Dept. of Community Development Date inspection st receivc+E�: Building & Code Enforcement 742 .Bay Road Queensberry, NY 12804 Arrive Depart is NAME: n z)�d,e RMIT r �� LO CAT ON: 4e — D TE TYPE OF STRUCTURE: RECHECK NIA "YE COMMENTS ootings/Piers Monolithic Pour Form Reinforcement in Plane The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin9 Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough PlumiyinJO Heating Rough4n ins elation Foundation Walls Interior R- Foundation Walls Exterior R.- Floors R- Walls R- Ceiling R- Duct work or piping in X unheated spaces -/R- Proper Vent, Attic Vent Framing Jack StudsAHeaders Bracing/Bridging. Joist Hangers Jack Posts/Main Beam Air ln&ltration Harrier Fire Separation 1 , 2, 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin