99-615 BUILDING PERMIT
VALUE $ 15000TOWN OF QUEENSBURY No 99615
TAX MAP NO. 48 . -3-16 & YYARREN COUNTY, NEW YORK
PERMISSION is hereby granted to COONS, MILLARD & BELLE
OWNER of property located at 638 MOON HILL RD. Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a
RESIDENTIAL ADDITION
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. OWNERS Address is
R. D. #1 BOX 1624
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDERS Name
COONS, DOUGLAS
3. CONTRACTOR
6 4 8C MOON BUILDERS
ROAD
LAKE GEORGE, NY 12845
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by Xi RESIDENTIAL ADDITION
( i Wood Frame 11 Masonry ( 1 Steel I I
7. PLANS and Specifications
35r0 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
RESIDENTIAL ADDITION
32 September 27 2001
$ PERMIT FEE PAID -THIS PERMIT EXPIRES 19
Of a longer period Is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.) 27
September 1999
Dated at the Town of Queensbury this Day of 19
SIGNED BY � .�1.{' 14 for the Town of Queensbury
Building and Zoning Impactor
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-8256J
-o BUILDING & CODE ENFORCEMENT
!NOTICE Requirements prior to issuance r
of this permit: PERMIT FILE NO. �-6/S
A permit must be obtained before
beginning construction. No inspections PERMIT FEE PAID$ 3 Z`4'
will be made until applicant has received f Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$
applicants' spaces on this application ^,
MUST be completed and the signature 0 Planning Board Action REVIEWED BY: ►p ^
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
,implication form. Thank,,w. _I Recreation Fee Payment J
Applicant: YijIc;.s C Ccr..7S Owner: .t.t i E'
Address: G�3 �•k IIr ll L (cc act.•3e Address:
iz 4.S
Phone # (. 1 ) 'wiz - it cam Phone # ( ) -
Property Location: 4 3E-3 Ma:,-I g( it 2S
Tax Map Number 14 S) / 31 �' f i
Subdivision Name: —
Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ l$,c,c=c
residence / commercial
✓Addition to Building:
- residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial ✓ Single Family Dwelling
Residence / Commercial Two Family Dwellj.t
no change to exterior size Family Dwet' Ti'g -; ' 4 , Y•",
Office
Other Work (describe below) Mercantile SEP 2 3 7999
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
If ADDITION, what will use
1st Floor / sq. ft . of new additione? :
2nd .Floor sq. ft. 1176
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detach rage 1, 2 car
TOTAL FLOOR AREA: 3 3 1 SQ. FT. Attar rage 1, 2 car
Priva a rage Building
SIZE OF NEW STRUCTURE: Commerci torage Building
/34" FEET X 2$..0 FEET Other
Foundation Type: 6.A.,...:,. Will any second-hand or ungraded
Number of Stories : / 7 lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : /5 feet TYPE OF HEATING SYSTEM:
Number of fireplaces d/or woodstove (circle all which applies)
to be installed: Ai Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as ,regards to building
codes is : ;; ((;c (Li'is 4347 n�, •., -i' I( i2..Q
Name Addresss Phone
Builder: /t::. c,..icc: j! '
Plumber: is . C& as LI(.- C :,. r� 74z--icyP,
Mason: -j- ,,‘,,,,,e,,it //
Electrician:- 6 k< Cl2.,�5 444(cr C;CO-Jr'- cr z irY
DECLARATION 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 Uwe 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.
Signs . e- r.-FCr = '
(owner, owner's agent, architect, contractor)
-1111kENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS SEP 1999
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:
•
Tvc., Pd.
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 2 51 scruare feet
2 . Type of Heat - Electric ✓ Oi 1 Gas Other
3 . Is building mechanically cooled? Yes ✓✓No /
4 . Percentage of area of windows and doors Over 17% V Under 17%
5 . R-V?.LUES FOR INSUL.?TION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R 3S
b . Exterior walls R tc/
c . Glazed areas R
d . Exterior doors R
e . Floors over unheated spaces R
. Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R - w
1 . Heating/cooling-ducts-piping in unheated space R x�N
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code ✓ Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
�' natc_e Dar Phone Number
cia/C .7S 2 - 47C
INSPECTOR' S REMARKS:
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive Jyf am/pm Depart am/pm
Inspector's Initials()fr
NAME: Coo) ,,�
PERMIT#
LOCATION: // ,� DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in P1
The contractor is - .. ble for
providing pro : I.n fro freezing S //ttYL c,<-42-
for 48 hours folio -n_ e placement /�
of the concrete__. _e,,h l s k �e¢e 4 r/s e�L
Materials for this p ••se on site 4 K/ p J fi e c-f gei
Foundation/Wallpo
Reinforcement in Pl.4 -
Foundation/Damppr. fing
Backfill Approval
Plumbing Under Sl• .
Plumbing Vent/Ven . in Place
Rough Plumbing
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
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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive tigalm Depart .
Inspector's Initi = ��
NAME: �J `r Q PERMIT#
LOCATION: Z,uc;, VON. : 1
TYPE OF STRUCTURE:
RECHECK
( , N/A YES NO COMMENTS
Footings/Piers 1
I
Monolithic Pour Form
Reinforcement in Place ,'
The contractor is responsible;for it
providing protection from frees g
for 48 hours following-the • ement
of the concrete.
Materials for this purpose on site
Foundation/W a l l you r__
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heat Rou In
I ation C.�►" ,
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 I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
1M CAr'-
GENERA I, INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury !� 9 Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Quecnsbury, NY 12804 Arrive? r /pm Depa rt911 m
Inspector's
NAME: !!L.S PERMITS 0-5
LOCATION: 3 fI/fvOn - A E : 9
TYPE OF STRUCTURE: a
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible Ifor
providing protection from freeing
for 48 hours following the plcccment
of the concrete.
Materials for this purpose on sit'
Foundation/Wallpour �_ '
Reinforcement in Place_ I
Foundation/Dampproofi ng_
Backfill Approval I
Plumbing Under Slab
irtgt ents in Place _
ough Plumbin
Keating Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior R
Floors R-
Walls R- (q �ljh�li-PrT� 'eeH1i �� t�i�.:
Ceiling R- c Ff tom'S'i-i ceA
Duct work or piping in 11EtJT�
unheated spaces R-
Proper Vent, Attic Vent • �//
\ `��� t-A.V7471 , q
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers_ _Jack Posts/Main Beam _
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3,4 hour__
Firestopping J
19i)I
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive+rl}ai�, Depa t
nspector's Initia -
NAME: '.j • '/r./ (PERMIT# l
LOCATION: L j Jv 10\c,' 7\T --}-i ( Nj DATE : -Ci
Ci
TYPE OF STRUCTURE: 1,1� �� --t Cam.---
RECHECK
N/A YES NO COMMENTS
Footings/Piers i
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours\following the placement
of the cone*
Materials for thispurpose on site
Foundation/Wal l pbur___
Reinforcement in Place
Foundation/Dampproofi ng
Backfill Approval
Plumbing Under Slab
Plumbing_Vent/Yents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
\ Walls R-
4`l, Ceiling R-
Duct work or piping in
_,71heated s a R-
Ve , flit Ven _ JE+:S� lzil� (-�p‘` � �
raining 'F
iNgzA
Jack Studs/Headers
VtZi
Bracing/Bridging
Joist Hangers ,_
Jack Posts/Main Beam _
Air Infiltration Barrier —,-�. ✓ {\C")Q Fes _ Crypt
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive i )'/Jam/pm Depart m/ m
Inspector's Initials
NAME: `; \\\ 1) C`'-( (rr `` /� PERMIT# l�
LOCATION: L9 � "j\r0 0(_>-\ I 11 � DATE : ��r^
TYPE OF STRUCTURE: _c 1 \i
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection fr. eezing
for 48 hours followin: the . acement
of the concrete.
Materials for this pur.'se on .ite
Foundation/Wallpo-r
Reinforceme . ' e
Foundation/Dam..roofing
Backfill Approva
Plumbing Under .lab_
Plumbing Vent/ ents in Place
Rough Plumbin-
Heating Rough- n
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 /
r //( ` "�°
ti ;
Jack Studs/Headers �
Bracing/Bridging
Joist Hangers f/ I/
Jack Posts/Main Beam ,, // Are/J �4 kJ
Air Infiltration Barrier /
Fire Separation I, 2, 3, hour le�` /Jo //
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
`;'2191)-)
GENERAL INSPECTION REPORT
( 5.18 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive,t5am Depart
Inspector's Init. �J
NAME: PERMIT# -�Q 5
LOCATION: (Y\ .n .4 DATE :
TYPE OF STRU TUBE: £r S1Z._..,
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours followu the placement
of the concrete.
Matey•Is for this pu se on site
ndation/Wallpour
Reinforcement in Pla _ f
Foundation/Damppr Ping
Backfill Approval_
Plumbing Under Slat
Plumbing Vent/Venti.in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
I
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 I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Qucensbury,NY 12804 Arrive am/pm Depa pm
Inspector's Initials
NAME: 0404U 6 ' � PERMIT# i� �P
LOCATION: I-8 I+-kc,:n nJ (1[Lc_ kae)- DATE : gc7Il
TYPE OF STRUCTURE:
RECHECK
N/A YE, NO COMMENTS
Footings/Piers �✓/
Monolithic Pour Fo
Reinforcement in lace
The contractor s response,Ie for
providing prot 6 ion from ' eezing
for 48 hours foils ing the • acement
of the concrete.
Materials for this pu •k c on ite
Foundation/Wal 1pour__
Reinforcement in Place
Foundatia• )amppr.. g
Backfill Approval _
Plumbing Under Slab _
Plumbing Vent/Vents in Place
Rough Plumbing
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
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour_-_--—_---�— ---_-Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
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Produced by the Town of Queensbury, NY, Planning Department SCALE: One Inch Represents 50 Feet N
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