94-100 Lei
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
This is to certify that work requested to be done as shown by Permit No. 94—1 00
has been completed.
This structure may be used as a second floor ceiling
Location Assembly Point
Owner Frederick Hardt
71-1-21 By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT y
TOWN OF QUEENSBURY
No. 94-100
WARREN COUNTY, NEW YORK 'b
as
O
PERMISSION is hereby granted to FREDERICK HARDT
OWNER of property located at Assembly Point Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Interior Alterations-2nd floor Only
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.
x
1. OWNER'S Address is
same CG
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2. CONTRACTOR or BUILDER'S Name
Eichler Enterprises Q0
William Eichler m
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3. CONTRACTOR or BUILDER'S Address
9 Hummingbird La
Queensbury NY 12804
4. ARCHITECT'S Name
IA
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5. ARCHITECT'S Address
13'
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6. TYPE of Construction—(Please indicate by X) F."
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(X)Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
1040 sq ft ceiling alteration to 2nd floor only as
No. per plan, specifications and application.
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8. Proposed Use ct
Second floor alteratino to ceiling height only n
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3>
40 . 00 April 13 95
$ „ PERMIT FEE PAID —THIS PERMIT EXPIRES p 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.) Sv
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Dated at the Town of Queensbury this 13th Day of April 19 94
SIGNED BY for the Town of Queensbury
BuiId1Zoning Inspector
1-h
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Fi
%� REVIEWED BY:
1.614
.uEENSBURX DEPARTMENT o '�
NT FEE PAID:'
COMMUNITY DEVELO �
�
BUILDING & CODE ENFORCEMENT
531 BAY ROAD PERMIT NO. �t-/Cc/
QUEENSBURY, NEW YORK 12804
(518) 745-4447 BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. N• '0; TIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUIL! 1" Pt
All applicants ' spaces on this application MUST be come e ed ale t oQ
signature of the applicant MUST appear on the applicat;cn form. .s
� oc.;
OWNER OF PROPERTY: ,p�, gQ�` i Qd
Mailing Address : /)ss .ntii /r ' ,V
Telephone Number(s) : Work OfT- i Home 3 yi-O 3� ��Ot "':a ;"N_6_ .., •
6,&e��
PROPERTY LOCATION: 2SZ1s
Tax Map Number: Section ! Block
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ 4c-00
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
f/ Other h Cirn/
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
(2ND FLOOR /G'tc 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)
Height (grade to ridge) : feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: cElectric)/ Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPS IS}ON OF WORK Aq REGARDS TO BUILDING CODES IS:
Z: i.r / /c 7'GrF rise s <`=) A/t /—
i5'._ ??vim
NAME OF BUILDER/ADDRESS/PHONE: L"rehutrE/ei-o, s'-cs �A6;i21,2 e. C.PeeeriS�,�f fr
NAME OF PLUMBER/ADDRESS/PHONE:
NAME OF MASON/ADDRESS/PHONE:
NAME OF ELECTRICAN/ADDRESS/PHONE: 3-Ante
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being i -uee , an AS BUILT PLOT PLAN
drawn to scale, showing actual location of es .
Signature % /„.egilenOr,
(Owner, owner s .gen , :r hitect, ontracto
FOR ANY SPECIAL PROVISIONS — SEE REVERSE SIDE:
7r„
T �
ENERGY CODE COMPLIANCE APPLICATION APR 1994
7.4„: TOWN OF QUEENSBURY, WARREN COUNTY ReCe•
9000 HEATING DEGREE DAYS ` QQ To;yn ied
y Bl�El ry f
g -ept /
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:
1r - arr 5.5"drn P
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 X 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 33
b. Exterior walls R &3
c. Glazed areas R
d. Exterior doors R
e. Floors over unheated spaces R
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
TEMPERA URE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Appli e .Da, eft Phone Number
INSPECTOR' S REMARKS :
•
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: A.,24 am/p Depart: am/pm
Date Inspection request received: Inspectors Initials:
NAME: PERMIT#:
LOCATION: „ c)±" DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake vl
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum 1/2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. 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
Interior privacy I trim/doors/main entrance 36 in.
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
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/e hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in,(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents
Building No./Address visible from road Final Electrical
/ Y` I.Af� / '"� / rA-<
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
REPORT
GENERAL INSPECTION REPO
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive ///(am/pm Depart am/pm
)4atInspector's Initials („1*yY PERMIT# DILf\ 1G
NAME:
LOCATION: DA : ���7i�i 1
TYPE OF STRUCTURE: Ti�(,Qr�i crk 'rki`ry----,
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 following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place,
Rough lumbing
Hea ' g Rough-In
ation \ tXy•el
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- /Sr S ( V 20 fo
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
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY ANY 12804 -
INSPECTOR'S REPORT: ARR/�1`/J DEPART INT O
REQUEST FOR INSPECTION RECEIV D. •
-
NAME tr°e� ,
( �l
LOCATION f` / a1y L;�-L
DATE . (� PERMIT # -4
TYPE OF STRUCTURE:
RECHECK APPROVED
N A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PUR OSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING V ENTS IN PLACE i
1,
ROUGF1 PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING BRIDGING -
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
If-
`P-7...)/e4jr c.o.,-4- • vs 94
re�e4) --mil c:tL r r �e
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR11INSP CTION RECEIVED67/4 j Y2
NAME .
LOCATION174
DATE q 9!q- PERMI # �LI- / ®v
TYPE OF TRUCTURE
RECHECK ) APPROVED
N/A YES NO
FOOTINGS/PI,RS
MONOLITHIC NUR FORM
REINFORCEMEN IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING P'OTECTION FROM
FREEZING FOR 48 OURS FOLLOW G
THE PLACEMENT OF E CONCR
MATERIALS FOR THIS 'URPOSE IN SITE
FOUNDATION/WALL POW,
REINFORCEMENT IN PLA►
FOUNDATION/DAMPROOFINt
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS P ACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEAD 'S
BRACING/BRIDGI
JOIST HANGERS
JACK POSTS/MA N BEAM
HEATING ROUGH- N
INSULATION:
FOUNDATION ALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R
WALLS R-
CEILING R-
DUCT WOR OR PIPING IN UNHEATED
SPACES
REMARKS:
/ .4%; ��« . hA,A,
dote"-
ARRIVE //,O
DEPART //' )4
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
k
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /r ,
LOCATION vt P4/1 47
DATE 444, PERMIT #
TYPE OF STRUCTURE
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/MATN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR'R-
FOUNDATION WALLS EXTERIOR it-
FLOORS
WALLS R
CEILING R"
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE /Pr
DEPART /j ZG
INSPECTOR
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