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98-690 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK March 29 99 ` Date t 9 98690 This is to certify that work requested to be done as shown by Permit No. i has been completed. RESIDENTIAL ADDITION ( LIVING ROOM ) This structure may be occupied as a 354 DIXON RD . AV- 75 - 1998 Location FULTON-DEEB . KAREN Clwner TAX MAP NO . 9 2 . - 1 - 1 . 10 By Order Town Board TOWN OF QUEEN +�^^ Director of Bldg. 3c Code Enforcement BUILDING PERMIT VALUE $ 6500 TOWN OF QUEENSBURY No . 98690 TAX MAP NO . 92 . - 1 - 1 . 10 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to U TO - owNER of property located at 354_ DI LON R Street, Road or Ave, in the Town of oueensbury. To Construct or place a u_ REST (LIVING ROOM I 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 oueensbury Building and Zoning Ordinance_ 1. OWNER'S Address is 354 DIXON R.D . QUEENSBURYr NY 12804 2. CONTRACTOR or BUILDER'S Name BARTLETT CONSTRUCTION 3. CONTRACTOR or BUILDER'S Addfess 44 3R.D ST . GLENS FALLS , NY 12801 4. �Af;.CHITECT'S Name S. ARCHITECT'S Address 6. TYPE of Construction — (pies" indicate by X) RESIDENTIAL ADDITION I I Wood Frame 11 Masonry { I Steel I I 7. PLANS and Specifications 243 Wq ft RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS $. Proposed Use RESIDENTIAL ADDITION ( LIVING ROOM, ) Novelm1ber 17 19 2000 16 PERMIT FEE PAID - THIS PERMIT EXPIRES flf a longer period is required an application for an extension must be made fo the Building and zoning inspector of the town of aueensbury befare the expiration date.I 17 November 1998 Dated at the Town of Clueensbury this Day of 19 for the Town of oueensbury SIGNED BY But I and Zoning Inaprctor Building Permit Application. Town of Queensbury - Dept. of comnrunity Develop nenr, 742 Bay Road, Queensbury, NY 12804 1761-82561 BUILDING & CODE ENFORCEMENT D�f Requirements prior to issuance of this permit: PERMIT FILE NO. A permit must be obtaiuried before o C7 beginning construction. No inspections PERMIT FE D $ , will. be made until applicant has received � �8 BaYCt7fl Action a VAfdli BUILDING PERA41T. All Area I Use RECREATION applicants' spaces on this application MUST be completed and- the signature �] p�rming Board Action REVIEWED B � of the applicant must appeair on the SPR 1 Subdivision I Other II1rrGtnrg tnsrnc•clur lieation form. omA Y» Recreattian Fee Payment Applicant: G Yj e b Owner: • Address: �-��'.�Cf.�7 Address: , �" ,��' i .I'`G /I d E'..�►S'� Phone # Phone # f - � ►� Property Location: �� Tax Mali Number Subdivision Name: _ — _ Section Mock 1 x,t NATURE OF PROPOSED WORK * ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ residence / commercial Addit to resii ence / commercial OCCUPANCY INFORMATION : Altera Lon to Building : Prim y Building residence / commercial Single Family Dwelling Residence / Commercial �_� Two Family Dwelling no change to exterior size Family Dwelling Office other Work ( describe below ) Mercantile 0CTc99 1998 Manufacturing other GROSS AREA OF PROPOSED STRUCTURE : If ADDITION , what will use lst Floor . , . , . , , . sq . ft • of new addition be ? : 2nd .Floor . . . . . , . . sq . ft . /.. j C.1 % t] G7o YY+ Other Floors . . . . , sq , ft . ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : r� Detached, Garage 1 , 2 car /� SQ . FT . TOTAL FLOOR AREA : Attached Garage 1 , 2 car Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building b other FEET X FEET Foundation Type : _ ��- Will any second-hand or ungraded Number of Stories : / lumber be used?/b if so , for what ? ( habitable space only ) Height ( grade to ridge ) : e`.7 feet TYPE: OF HEATING SYSTEM : Number of fireplaces an / or dstove ( circle all whic lies ) to be installed : Electric / Oil / oseboard / wood Forced Hot Air / / Other person responsible for suPp -�jrvision of work as regards to building codes is : j`f L . €s 1rGftffa �/C ''Tf ,✓ cs ,7 Q ��...Builder : ram / Nam r Addes e s Phones hone Plumber : Mason : 27o rt Electrician 's eff� DELL RA7yoN.• 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 Ilwe shall submit prior to a Certificate of Occupancy' or Certificate of Compliance being issued, an AS BUii T PLOT PLAN by a licenrsed surveyor; drawn to scale, showing actual location of prCuect on �promises. Signatur �c 424 (owner, owner"s agent. architect, contractor) +� " ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS Comvliance 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 -APPLICAI3T ' S NAME : i < , PROPERTY LOCATION : ZW PART 5 METHOD OF COMPLI+._ANNCC.E, BY ACCEPTABLE PRACTICE : 10 Gross Floor Area - - square feet 2 . Type of Heat - Electric Oil "Gas�.�'� Other 3 . Is building mechanically cooled ? Yes ,+ I.- " N4. 4 . Percentage of area of windows and doors L.e Over 17 % Under 17 % 5o, R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : a . Roof R b . Exterior walls RIs Co Glazed areas R d . Exterior doors R 2.S e . Floors over unheated spaces R /_ f . Edge of slab on grade ( heated building ) R tl) ___ g . Basement / cellar walls ( above grade ) R /a h . Basement / cellar walls ( below grade ) R /D — Io 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 Applicant's Sign ure Date Phone Nv ember INSPECTOR ' S REMARKS : fir• TOWN W QUEENSBURY 742 Bay Rd., Queensbury , IVY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS l �- --7 a , 19 ' " Permit No* Date APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit j 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 if more than one appliance and/or chimney. Applicant r- ! ' - APPLIANCE (check appropriate boxes) �. . , / E3 STOVE: o Wood o Coal a Pellet witz -s Address __ p FIREPLACE INSERT ' zip , urf I REPLACE, FACTO RY-B I LT: -; , Ile p Wood as Phone � , X --, E! F I REPLACE, MASONRY: o Wood j 6as Owner c , l ;'? r . _ ❑ FURNACE: p Wood D Gas p Oil _ r � Address IF NON-MASONRY APPLIANCE: Manufacturer: Zip Pb �; Model ; Phone dCHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction O. MASONRY: o Block O Brick o Stone FLUE: sa' Tile cl steel Size: inches CONSTRUCTION 1 INSTALLATION MUST ❑ FACTORY-BUILT: Model : CONFORM TO NYS FIRE PREVENTION & Manufacturer: BUILDING CODE. CONSULT AVAILABLE Listed By ; , • . r �o,. Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall oTripler+JVall REGARDING REQUIRED INSPECTIONS . a 1n coney Liner Cashier' s Venting Cashier' s Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number 'Title A 173 3389 (190) Public Safety ' A 233 2655 (230) Minor Sales y Ce .Cekiiected F1C,atn or Refunded to: '- Address: Dated: Town Clerk or Deputy. -Y White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement D Arriw , Dept. of Community Development s Town of Queensbury 742 Say Road Queensbury, New York 12804 PERMIT # NAME _ DATE LOCATION TYPE OF S`I'RI3C"fi..1Fi:E NIA YES NO CC7Ivi3v1]'NTS Chimney HeightP W' Vent/Direct Vent Location Fresh Air Intake Plumb Vent through mof 1 -- — Roof Complete Exterior Finish Complete InteriorfExterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in. more ��C i �_- } Interior Handrails stairs both sides 3 or more sers Grade 2% away from foundation_._. L) _ VAfe +; 8" clearance to sill plate _ f Gas Valve shut-off exposed/regulat r 18" bove �� f Gas Furnace shut-off within 30 feet -Jim line site Oil Futmace shut-*ff at entzance to ti Furitiucc+=lot ::'stet Heater operating Relief Valve(s) installed Headroom, 6 R- 6 in. on stairs Basement stairs, 6 ft. 4 in- Handrail exterior stairs both sides in e than 3 risers Interior privacy/tritn/doorshrram en Floor Finish Bathroom/Kltzhen watertight Interior handrails 13alconies.L ^toting 18 in. or more Railing, across window in stairwells Stroke Detectors: every level every bedroant outside every bedroom inter connected Bathroom fans Plumbing, fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofin Garage penetrations sealed Furnace in separate room protected (m garage) Light ventilation per room Safety glazing l8" or less from Hoerr Final Electrical Site Plans/Variance required Final Survey i'lot Plan As Built 'Septic :Svstern layout required okav to issue C/C (C=ertif. of Compliance) Okav to issue temp. C/o (Certif. or occupancy) _ C)kav to issue permanent C/() (Cer" of occupanev) GENERAL INSPECT'I N RE 'lRT ,� l ,n Town of +Queensbury request received= -� Dept. of Community Development Date inspection r�equ Building & Code Enforcement 742 Bay Road Arrives �" �C�- part NYQueensbury, N 12844 �--• �� spector's 3ni"0 LOCATION: . Typp OF STRUCTURE: RECHECK N/A YES ND 'C'd 'NTS I Footingsl'Piers t� Monolithic Pour Form Reinforcement in Place The contractor is respo Bible for providing protection fro fteez g for 4S hours following ent of the concrete. P el ` � 1LL - r `� Materials for this prurpeise on FoundationlWallprour! Jf Reinfol=mera-m-pi ae Foundation/Damppfoofin Backfill Approval Plumbing Under tab Plumbing Ven ents in P Rough Pliumbin Heating Rough n insulation Foundatio Walls interio R- �7 1 �p�^ C �;C __� ,L _ lT Foundatio Walls Exteri r R- Floors R- Walls Ceiling R' Duct w or piping i unh tied spaces R- Proper VeAL Attic Vent _-- 1 Y a�\' yam' Frarninice Jack S dsmeaders 6 C_ Bra 3n ridging _- Joist llatigers - ,,rr lack Posts/Main B in V <r Infiltration Barris' Fire Separation 1, 2, 3.. hour Penetration Sealed `- Fire Wall 2, 31 4 hour Firestoppin GENERAL INSPECTION REPORT_ Town of Queensbury Dept. of Community Development Date inspection request received: Building +& Code Enforcement 742 Bay Road Depart ` Queensbury, NY 12844 Arrive °X _ $ Inspector's Initials NAME: _ 'an ��i_ PEPM TT # LCICATIO)N: �Z ti - 'C k DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place111 The contractor is responsible for I V-} ED 1%�s providing protection from freezing for 48 hours following the pia t rzk-� 'r7 l"��t�JT \ `Cl_— of the concrete. ' Materials for this purpose Foundation/Wallpour T � Re:nfon'; rat-in-PI FoundationlDam Backfill Approva Plumbing U Stab Plumbing V ents in Place. .- Rough Plumbin 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 Framin Jack Studs/Headers, BracinglBridgin Joist Hangers Jack PostslMain Beam Air infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire 'Wall 2, 31 4 hour. Firestoppin GENERAL INSPEC3"I©N REPO T Town of Queensbury 7 d' Dept. of Community Development Date inspection request received= — Building & Code Enforcement 742 Bay Road art Queeusbury, NY 128414 Arrive�x- r*s bnitials NAME: - Y' PERMIT # LOCATION: f o DATE : TYPE 4F STRUCTURE: RECHECK _ r ,4 r ;+ NIA YES ND FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the place t of the co Materials far 's purpose on Foundatiorn at ur Reinforcement in Foundation/DarnpFrOOfin Backfi'ill Approval Plumbing Under Slab Plumbing Vent/Vents in . lace Rough Plumbin Heating Rough-In Insulation Foundation Walls interior R- Foundation Walls Exterior R- Floors R- Walls RI Ceiling R- Duct work or piping in unheated spaces R` � , Proper -v sill, Attic VentjtJ ] Framin Jack dslHeaders l sue ? o tis - r BracinglBndgin Joist Hangers jack PostslMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 31 A hour Firestapping - GENERAL , b- ,LCT I N AEPCDRT Town of Queensbury Dept. of Community Development Date inspection request received: _ Building & Code Enforcement --- 742 Bay Road Ate_ Queensbury, NY 328i14 Inspector-ya initials PERMIT # NAME;LOCATION: BATE � c� � �- ; - S�1'yLl�_� TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/men Monolithic Pour Form Reinforcement in Place The contractor is responsible fo ,providing protection from M97mg for 48 hours following the went of the concrete. Materials for this se o site FoundationlWallponr Reinfor ntent-in Place Foundation/Darnppn Backfill Approval Plumbing Under Slab Plumbing 'Vent/Vents i 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, At4ic Vent Framin Jack StttdslHeaders Bracing/Bridging Joist Hangers Jack postvMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed — Fire Wall 2. 31 4 hour Firestopping G vex rN�sPEC ION . 9PfflA Town of Qaeensbery Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 128414 Arrive �� rpm Depart a Inspector's Ini#i NAJ <4Dor`Cnoe� PERMIT # LOCATl(5N_ DATE : C� TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. F Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing. Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Bpugfr4n on Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- tJC7T C i�1. ►T Duct work or piping in unheated spares R- as aT�'vt= 17V"t d!tiC Vent Of Framing Bark Studs/-leaders C AAtY- 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 hV EC'TID RT r" 1 Town of Queensbury ! Dept, of Community Development Date inspection request received* 7 Building & Code Enforcement Road Qu eensens bnry, NY 12804 Arrive Q Inspector's Inki NAME: J - t� �� 'b PERNUT 4 LOCATION: '4 r ' oy. DATE : ':;1f) TYPE OF STRUCTURE: �j RECHECK NIA YES NO C0AeV ENTS Footings/Piers I Monolithic Pony Form Reinfarcemlent in Place The contractor is responsible for providing protection from fuzing for 48 hours following the placement of the concrete. Materials for this ourpDse on site Foundation/Wall Reinforcement in Foundation/Dam Bacldill Approval Plumbing Under Slab Plumbing Vent . C n Place Rough Plumbin 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- Vent.; Attic Vent Jack Sfi+� Bracing/Bridging Ve CXVK .foist Hangers �.G �t �� ►�-�.►`-� _ � ti ► �- F41 � ih Jack. Posts/Main Beam �,�,J 1PF-Q I t.� l�l#�► ►���_� Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Scaled Fire Wall 2, 3, 4 hour Firestoppin C l L-A 4�(Z�w` GENERAL 11VSPEG'T'If�N REPORT f Town of Queensbury Dept. of Community .Development Date inspection request received: Building & Code Enforcement 742 Bay Road Arrive ''pm Dept Queensbnry, NY 128t14 Inspector's Initials NAME: a A) PERNII'i' ## LOCATION: SO� DATE : J - " TYPE OF STRUCTURE: RECHECK ✓ NIA YES NO CONOvIENTS Footings/Piers Monolithic Pour Form Reinforcement in P The contractor is nsible for providing protection m g for 48 hours following a ment of the Concrete. Materials for this purpose on Foundation/Wallyaur Reinforcement in Place JoundationlDampproof g _ Backfill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Fl+oors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- 4irope-r Vest, a!tiC Vent Franu Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beset Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour, Firestopping GENERAL INSFECTI N REPG�RT Town of (Queeusbnry Date inspection request rec Ved: ----- Dept, of Community Development Building & Code Enforcement 742 Bay Road Quueeusbury, NY 1280�4 Arrive pector's Initials t--,� PERNU # J NAME: DATE : LUCAMN: L TYPE OF STRUCTURE: RECHECK. NIA YES NO CouN NTS Foatings/Piers Monolithic Pour Form Reinforcement i Place nsible for The contractor respo providing Pmtk0 in for 48 hours following a nt of the concrete. Materials for this n site Fvundation/WallPro�u,,r� � R,elntor(Cmrilt i.I1 . ,� FoundationMamppraofin 13,ult9cc:o ;..plumbing Under Slab Plumbing VenVVents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls interior R' _ Foundation W alU Exterior R- Floors R- Walls R_ Ceiling R- Duct work or piping in unheated spaces R" prop proper Verity Attic Vent Fromm lack S rs BracingfBridging ---- joist Bangers jack posts/Main Beam Air Infiltration Barrierhour Fire oration 1, 2. 3 penetration Sealed Fire Wall 2. 3, 4 hour FirestopPLn �'VERAL IIVSFEG" IUN REPORT � '�.-- ] Town of Queenabury GE Dept. of Community Development Date inspection request receWcd: Building & Code Enforcement 742 Bay Road Queensbury, NY 128" Arrive am/pm Depart --+r.,a'-I Inspector's Initials zy [�� "'/-� C) LOCATION: DATE TYPE OF STRUCTURE: o-,� RECHECK NIA VE"Oz COMMEWS �urgs/Piers I Monolithic Pour Form Reinforcement in Place " The contractor is respo a for providing protection m for 4$ hours follo the ent of the concrete. Materials this site Foundatio Reinforcement in Foundation/D n Baclfill Plumbing U Slab Plumbing VentlVents in Place Rough Flumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walis R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack StudslHeaders Bracing/Bridging, Joist Hanger$ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour. Firestoppin