94-298 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December. 29,, 19 94
This is to certify that work requested to be done as shown by Permit No. 94-298 •
has been completed.
This structure may be used as a new roof and entrance
Location Honeysuckle Lane
Owner Robert Supply
— -12 By Order of Town Board ,
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
ro
TOWN OF QUEENSBURY No. 94-298 0
WARREN COUNTY, NEW YORK
co
PERMISSION is hereby granted to ROBERT SUPPLY
)
OWNER of property located at Honeysuckle Lane Street, Road or Ave.
in the Town of Queensbury,To Construct or place a New Roof and Entrance
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. U'
1. OWNER'S Address is ro
Box 298 Maine Av
Queensbury NY 12804
0
2. CONTRACTOR or BUILDER'S Name
ri
Steve Seybolt c�
3. CONTRACTOR or BUILDER'S Address
Box 278 Maine Av
Queensbury NY 12804
4. ARCHITECT'S Name °
lD
k<
to
n
5. ARCHITECT'S Address
F-'
fD
)v
6. TYPE of Construction—(Please indicate by X)
( Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
New roof and 8 ' x12 ' Entrance way as per plot plan,
No. specifications and application.
8. Proposed Use
New roof and entrance
$ 30 .00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 22 19 95
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ri
town of Queensbury before the expiration date.)
113
Dated at the Town
of Queensbury this 2 2nd Day of June 1994
SIGNED BY /. /a../rr/ ,L� .,u`C�f!�, i q an for the Town of Queensbury
dloning Inspector
v ,� _ _- -
TOWN OF QUEENSBURY ti t, - • REVIEWED BY: < 4j_
COMMUNITY DEVELOPMENT DEPARTMENT .{ j,,
BUILDING & CODE ENFORCEMENT +;� � . FEE PAID: 0v
531 BAY ROAD \it • /
UEENSBURY - '�(- �/
QUEENSBURY, NEW YORK 12804 PERMIT NO. �rr , y�5
(518) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING'-
PERMIT
All applicants ' spaces on this application MUST be comple,;ted and the
signature of the applicant MUST appear on the application form. \
pp
OWNER OF PROPERTY: / c f �`� '� •' fa -
•(�(a `?i t C, c, o-es , s 7 C
Mailing Address : f 4;/ , ,, �% �'-�ir aly.., .1, cyl s-��. ,,•,,1
Telephone Number(s) : Work ' d z, 7 6 c� Home 1/,3_ - 2?�6 ,0 eCgth 2 r'-��'/_
PROPERTY LOCATION: J/e,>.;;:<, �,��,t,I, L. xx,c /955-c ,,, 4�l Ida/tr- (el�__...,r.A.L
Tax Mgp Number: Section Block yz,'� '`iai
Subdivision Name: Lot No. R--j /7
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ /01(260
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING: Ale-0 Rov(= Two Family Dwelling
RESIDENCE/COMMERCIAL . Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORE.-(DESCRIBE BELOW) Mercantile
'aXit etajeoper• j. i. Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR / ,49 SQ. FT.
/ IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR ( SQ. FT. . .
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One/Two Car -
TOTAL FLOOR AREA: SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other _
FEET X FEET
Foundation Type: Will any second-hand or ungraded -
Number of Stories : lumber be used? If so, for what?
(habitable space only) 5,v,r.
Height (grade to ridge) : feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SU VISIO LOF WORK_35 REGARDS TO BUILDING CODES IS:
NAME OF BUILDER/ADDRESS/PHONE: Z304 '17 -- J.,�ep j C. /. ve C.,4,, ,,5,4?: r,i 7 5ie, '•Z7
NAME OF PLUMBER/ADDRESS/PHONE :
Ili
NAME OF MASON/ADDRESS/PHONE :
`AME OF ELECTRICAN/ADDRESS/PHONE.: -
DECLARATION
To the best of my knowledge the statements contained in this appli-
tion, toaether with the plans and specifications submitted, are a true.
e4 ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY ��72.2324212
1,4' 4';: 9000 HEATING DEGREE DAYS �0 GP��
.ry F
r
Compliance Methods : PART 5 - Acceptable Practice (Method ��I�r9' o
1&2 Family Dwellings4A(onn,A0' ,N.
PART 6* - Thermal Rating - Compon-',, /14 fad€ Off
1&2 Family Dwellings Mul�'Q�p yv mil
Dwellings (3 stories orL.less ) r;o'
PART 4* - Design by Component Perfo'r-inanee'-
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME : PROPERTY LOCATION:
0n,i Ste.(2/2l-/- G� 2o;,�
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - ( square feet
2 . Type of Heat - Electric /Oil Gas Other
3 . Is building mechanically cooled? Yes /No
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:
a. Roof R P.�
b. Exterior walls R IfT
c. Glazed areas R
d. Exterior doors R /0
e. Floors over unheated spaces R /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
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Ap li }aannt' s Signa 1.Zr Date Phone Number
,Vg,ea e 7 g7V7v 77gSz_ 75
INSPECTOR' S REMARKS :
�i QUEENSBURY A
BUILDING & CODE ENFORCEMENT Al
TOWN OF 531 BAY ROAD
QUEENSBURY NY 12804 ///0 i -((
(518)745-4447 /� -lL/ J
ARRIVE: /01) DEPART: &/D INSP: :0
. FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPE TION REQUEST RECEIVED: ?laa/ /p
(/
``
NAME J1r) Si )00(.
LOCATION 14On (it-KY LAU
DATE cif og1 L/ PERMIT # 9 / -{2/'ff
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION • /
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/Ay YES NO
CHIMNEY HEIGHT/B\VENT/HEIGHT !/
PLUMBING VENT (��/f
ROOFING \ / `'
EXTERIOR FINISH C:////ef
DECK/PORCH/STEPS/RAILING•
RELIEF VALVES
Zr
FURNACE/HOT WATER OPERATI •G /
INTERIOR TRIM/PRIVACY D ORS ✓/
FINISH FLOORS:
BATH/KITCHEN WATE IGHT7/7
OTHER FLOORS SWE PABLE vf
v�
OTHER FLOORS C PETED
STAIR CLEARANCE RAILINGS /
SMOKE DETECTOR ' 7
BATHROOM FANS
PLUMBING FIXTLRES
1,//:/
FOUNDATION IN ULATION
GARAGE FIRE PRCRFING ✓
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN __0),___,:::
OK TO ISSUE C/O OR C/C [/•
1,14 (:el7V76,-C744- 71‘.C796
/,- -2�Y✓�t.�� r �"4t
g2. (n,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED il4 I42-1
NAME .&b 5 p,pl L,j-
LOCATION J-JbfW 1-"LLt,C aLti
DATE ql q)9� 0 PERMIT # qq -c 'J
TYPE OF STRUCTURE WO ,roll .i kkegLQ.2CQ
RECHECK APPROVED
( N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POU FORM
REINFORCEMENT I PLACE
THE CONTRACTOR I RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 H RS FOLLOWING.
THE PLACEMENT OF T € CONCRETE
MATERIALS FOR THIS PURPOSE 0 SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLAC
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALL EXTERIOR R-
FLOORS <, A= tire_ R- \
WALLS R-
CEILING R- '
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: V eke c-c- _
Q NV/0?___ 2,i\ ' W-?-- 01,05 P;• ____
e b i s-, sr 6 S
Ate t2M-T- F C CAS► \
CE_ L__ __F----c- E_,/,,,%5‘A) (_ti,,,L,e,m3u
ARRIVE ',\!--;
DEPART LV 7—/-2) , / ---
i' 'INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT MIL
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 0//,/
NAME
LOCATION
/� .P i/PL1 . �At
DATE 1/4,/f 4- PERMIT #. fN z 9er
TYPE OF STRUCTURE W y d awe/
RECHECK APPROVED
N/A YES ' NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
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/WALL POUR •
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING-VENT/-VENTS-IN-PLACE- - - ---
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
)(INSULATION: �/� ��1�1-Z J4(
/� FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: _
JD tiucei - iv.
c.) Li)tAIDO 60
ARRIVE
�• y
DEPART I /�,t
/' INSPECTOR
4-4-0 1211X6 61%1--6- D Lj 2,6_ �t S
TOWN OF QUEENSBURY
- BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 �l
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 1` S `?P L.c
LOCATIONnr�-
%
DATE sly f qd Y PERMIT 0. �--Z•f'
TYPE OF STRU(rCTURE,t/-t i f�Zpd P
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
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/WALL POUR •
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING 1
PLUMBING VENT/VENTS IN PLACE ;
PLUMBING 1NDER SLAB
7FRAMING:' ` � ,r i/-i I
JACK STUDS/HEADERS 1
BRACING/BRIDGING "" ,y /
JOIST HANGERS ti{ / ,/
JACK POSTS/MAIN BEAM -T-Igly
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-/
WALLS Rf .
CEILING R-
DUCT WORK OR PIPING IN UNEATED
SPACES
REMARKS:
V06 3 k. .
e_
01K. 0 i13, 0L.1\--x-F
ARRIVE lZ =2{j
DEPART l
�/- I SPECTO
TOWN OF QUEENSBURY ��j/f
BUILDING -AND CODES DEPARTMENT /0 /
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE' (518) 745-4447
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED rIb /IjSL
NAME
LOCATION c�4 --
DATE i/l /1-7- PERMIT # 94L2_
TYPE OF STRUCTURE-2/4w AA7
RECHECK APPROVED
N/A YES ' NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
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/WALL POUR .
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN -PLACE_
PLUMBING UNDER SLAB
xFRAMING: -vZT1/L.
JACK STUD/HEADERS
BRACING/BRIDGING
JOIST HANGERS ,
JACK POSTS/MAIN BEAM \
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
REMARKS %j/c)L'T k)
6Ic a Co P) �-
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ARRIVE /J
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