2006-389 TOWN OFQ UEENSBURY
742 BayRoad,Queensbury,NY 12804-5902
ojo (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20060389 Date Issued: Thursday, October 18, 2007
This is to certify that work requested to be done as shown by Permit Number P20060389
has been completed.
Location: 3 MAPLEWOOD Dr
Tax Map Number. 523400-296-009-0001-054-000-0000
Owner LARRY W CLUTE
Applicant: RICHARD & MARJORIE RODRIQUEZ
This structure may be occupied as a:
Fireplace
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the 4 /
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
41%
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060389 Application Number. A20060389
Tax Map No: 523400-296-009-0001-054-000-0000
Permission is hereby granted to: RICHARD & MARJORIE RODRIQUEZ
For property located at: 3 MAPLEWOOD Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: RICHARD & MARJORIE RODRIQ
10 HAMPTON Ct Fireplace
QUEENSBURY, NY 12804-0000 Residential Addition $20,000.00
Total Value $20,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
CLUTE ENTERPRISES, INC.
13 DAWN RD.
QUEESNBURY, NY
Plans &Specifications
2006-389
288 sq. ft. residential addition and 1 fireplace
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, June 20, 2007
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town Que bu 4Tu's a r I e 20, 2006
SIGNED BY ` for the Town of Queensbury.
Director of Building&Code Enforcement
Permit NoZ- •
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid /NW/
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin, Director, codes@aueensburr.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder L\Jr ' �'
,: Owner: „t�.,��
Address: k!. ( .Jr Address:
`-{
Home Phone: "7 9 z '7 77 Home Phone: RECEIVED
Email Address: c•k Aga r% Email Address:
Cell Phone: _r S;G Cell Phone: JUN 0 / Z006
FAX Phone: '1'-i O`ZS— FAX Phone:
TOWN OF QUEENSBURY
Person responsible for supervision of work with respect to building and codes complianceBUILDING AND CODE
Name: r-� CAA-
Address: Phonerj 3 -7.7
Location of proposed construction: Lot No. Legal Address: \`-Lc \r.-.:.:;:y;_A.- o r ..ie
Tax Map Number: Olio '� — I - �LI Subdivision Name:
Estimated Cost of Construction: $ P(
Proposed construction is for: esidential Use _Commercial Use )(,)Name of Business:
If proposed construction is an addition,what will use of new addition be?
New Addition Alteration Proposed Construction 1"Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. Sq. Ft. Square feet Height
Ft.&in.•
Single-Family Dwelling j&rK(3 1
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage 1, 2, 3
Type of Heating System: Electric, Oil Gas, oo , Forced Hot Air, B seboard, Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application. Yes _ No
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the 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 Codes, 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 I/we shall submit prior to a Certificate of • up. cy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Direct. of Building • • 4 odes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of a I new c•nst d io ,
Date: (2I cf CL Applicant/Builder Signatur_. .
The application of _ - ted is hereby approved and
permission granted for the ons' uction, reconstruction or alte do -of .- b ildin /and or accessory structure as set
forth above.
Date: 6V Authorized Signature: ��`�
L:\Sue Hemingway\Building.Per it.FORMS\Principal Structure Permit Application.doc ` V:12/14/04
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
' 9 r 0 applicable to solid fuel & vented gas appliances
Date w /7 , 20 0(, Permit No. _ o
Application is hereby made to the Building& Codes Office 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 per furor required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: ci.( r--1/4.1 �--k• Stove: wood coal pellet gas
Fireplace insert
Address: (.0 —1+4 �� �.•.. �,, Fireplace, factory-built: wood Tas
bk7 �� �] �y Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone: 7)-7 7
if non-masonary applicance, please provide
Owner: • cve Manufacturer Name:
Address: 41`--Cc Model Number:
Gib
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
.2 4(a Flue tile steel size: inches
Exact Address: �..�
of construction or installation Factory-Built
Manufacturer name:
Model Number: _
Note: Listed By: Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple rami! / Insulated / Direct venting
Chimney Liner
Csistaii1er',er Depazrtm zzt—Z'viarriz tar 42litze4ezverbilve3r, Anew 3?-csittir
Fire Marshal Code#! $Collected $Refiarded Received from(refunded icr.,�
C\ 8r6� - 0 address: - - --- ---
A /73 3389 (190) Public Safety c '; _
A 233 2655 (230)Minor Sales _ r
I v '
DATE: / -- � ;.G )
t 4 au— Twn �iGiele of Dept Ty,
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
le Y yZ� � " � vq �vR/MAL � ` �g � p�y �/ iN� w y �Y miNorxiwe4g �m7w
4�•�Va,... . eeia ...� �a�1.amV c�a\_. cC� ✓a�.�,�a✓?.✓.•. ,.\,a�✓<�� ;Cae,aamsaviav�✓.✓✓a✓�%:�J�i-a✓av;',,,,e,..1,1))�
)
th MIDDLE DEPARTMENT INSPECTION AGENCY, INC. (% '335 ti.
�� r/r`�s that the electrical wiring to the electrical equipment listed below has been examined and is approved as 41
�,�
�) being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
I';;; noted below and is issued subject to the following conditions. u)
�C�� Owner: Clute Enterprises Date: 10/30/2006 c
�� Occupant: Unknown Location: 3..._ �-, 3 ��^► Dr-
00 e
t Queensbury, Warren Co. NY A
Occupancy: Single Family Dwg. et
54
I� F T ��
Applicant: Dan Beagle
a) 1747 Hadley Hill Rd. 4
g
Hadley, NY 12835 �ti���i
L Jr��
r��
0Raymond A. Novak ?��
No. 3180141540-34 -- ----- ---_. -
-(•'•a - -- - - _ .. _ -. -
AEquipment:
t )
i ) 200 Amp. Service Equipment 4/0; 27 — Switches; 44 — Receptacles; 20S
vg
,, i — Fixtures; 1 — Range; 1 — Air Conditioner; 1 — Burner, Wiring &
Controls; 1 — Garbage Disposal; 1 — Dishwasher; 1 -. Dryer; 2 — 20 IG�
LI' Amp. Receptacles; , 2 Vent- Fans; 5._-- Smoke Detectors; . 1 - Carbon
Monoxide DetectorI . " .,f--'e' ,
on
co
<t
0 -,,,,,.......1.,,,,,FirticE 4182,3 ._,,,,,,.
_
..
l* This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and ?'fix
y:, above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership f�
g. inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void. `v)
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, r�
be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department ?fig,
A system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation f i�
41 any of the components installed as of the above noted date,this certificate shall bei process. A fee will be charged for this service. ?/C`r
Vv�SFS>r'rF>/i ^>R\iF>F A' > >R> `1>�> >/7 /.r ,, v�>v'Asi F. -.rv;/�,IP.ivr.,�i vH`�i"r>�%i�4,�.�3''�>�>�>F:iF�'i >�r'r�>�> r�>,R��`�q
4Q�`.�.� ��.Rw t` /.�'s�v.fv.�..��G'� n v?J�.w J ��s��P.�vn.n�.vw��r. .yv:�`. "T�.ti�
I o �f-/ Aj 7//2/6 7
Queensbury Building & Code Enforcement - Residential Final Inspection
,
Office No.(518)761-8256 Arrive: 'U am/pm/ a : am/pm
Date Inspection request received: Inspector's Initials: �1 I
NAME: PERMIT#: (J j `, �
LOCATION: /
_ DATE:
TYPE OF STRUCTURE: _ 4 ph .
Comments
Yes INooIN/A
�p
Building Number/Address visible from road i4V�y ' 3 ^r-C1
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake (/ / - ,_ co—a
3 inch Plumbing Vent through roof minimum 6 inches // �
Roof Complete/Exterior Finish Complete 1J1'-?.. yo)
Platform at all exterior doors �`� /�
Guards at stairs, decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq. ft.vents
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq. ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/o hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical 4-6
6a/QVciii(Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required r
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pj�( ,Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: rc�
NAME: rj/Z ICk�/(�l PERMIT#: C)CO - 7K7
LOCATION: L°A 4,pL 6-to oz t> j/2 . INSPECT ON: ((Ice
TYPE OF STRUCTURE: — �L� • A 12.7-7—T Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: 7// 3/Ok
NAME: C/ri
IC
LOCATION: M//�� trk koc
PERMIT#: Q -- No A)
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
Craig Brown, Zoning Administrator
Notes: 1111/1 1 C F F YY`g• nJ
m C L L k rt �ld/
S 1Mcbtt L147 I Al 5 fork:,
L:\Suellemingway\Building.Codcs.Inspection.FORMSWinal Survey
Zoning Administrator.doc
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169 H
•518)
Mb P REFERENCE:
A L5ECTION TWO
TWIGWOOD
UBDIV15ION OWNED BY
u
.QA'0a
ASPHALT
DRIVE
°24'01'W
L=59.90'
R=141.78
26, 02 ,
„ ,pORGtt 90
1 5TORY PROPOSED TOTAL AREA
W FRAMED 25,649.25 sq. ft.
HOUSE 0.59 acres
PROPOSED CONVEYANCE
1,631.92 sq. ft
0.04 acres
— _
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;474
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Lie. No. 50135
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CONCRETE
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PROPOSED CONVEYANCE
1,631.92 sq, ft.
0.04 acres
91
89
PROPOSED TOTAL AREA
31,003.95 sq, ft.
0.71 acres
Map of a Survey made for
CLUTE ENTERPRISES
Town of Queensbury, Warren County, New York
E
El
1 1101161061 PROPOSED LOT LINES
NO. I DATE I DESCRIPTION
ale 1'=30'
S®1
SHEET 1OF1
CLUTE
DWG. NO. 06118 -VARIANCE
Cog' q