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91-591 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 9,2, 2319 This is to certify that work requested to be done as shown by Permit No. 91-591 has been completed. This structure may be occupied as a Alteration & Addition to nwpl l i ng Location Bean Road Owner J. David Michaels By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement • BUILDING PERMIT TOWN OF QUEENSBURY No. 91-591 WARREN COUNTY, NEW YORK X PERMISSION is hereby granted to J. David Michaels OWNER of property located at Bean Road Street, Road or Ave. cri in the Town of Queensbury,To Construct or place a Alteration & Addition to Dwelling �+ 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. OWNER'S Address is Star Route/Box 250 Queensbury, NY 12804 3 a 2. CONTRACTOR or BUILDER'S Name CD E. Peter Carr, Jr. H v 3. CONTRACTOR or BUILDER'S Address —�• a 4. ARCHITECT'S Name 0 5. ARCHITECT'S Address IZ e+ 6. TYPE of Construction—(Please indicate by X) C. (X)Wood Frame ( 1 Masonry ( )Steel ( ) a e+ 7. PLANS and Specifications 0 No. 217 sq ft addition & 204 sq ft Alteration to Dwelling as per plot specifications and applications 8. Proposed Use cp Expanded Master Bedroom $ 26.00 PERMIT FEE PAID—THIS PERMIT EXPIRES August 20, 19 92 (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.) Dated at the Town of Queensbury this Da of August 19 91 SIGNED BY - /l for the Town of Queensbury Building and Zoning ctor TOWN OP QUEENSBURY / // wri AprA REVIEWED BY: / _'i✓� To- '.<. ,, ,s, illit R FEE PAID: PERMIT NO. : I ! - 5Qi4--, 4 �... � :, 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 completed and the signature of the applicant MUST appear on the reverse side of this application. k * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * )wner of Property: J. David Michaels 3.0. Address: _Star Route/Box 250, Queensbury, New York 12804 PHONE 1-783-9641 property Location: Bean Road Tax Map No. 523 /400 / 153.-i-1 ias there been any split of this property since October 1, 1988? Yes No x '.f yes, Planning Board Review is necessary. >ubdivision Name, if applicable: N/ALot No. "HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: IATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION: $ 15,000 x Addition to building .-! 7 building, * x Alteration to bui Pdi ng .204 S - * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensio_D`'ns) * Size of Property: 200 ft. x 270 ft. Other work (describe) * Existing Building Size: * 40 ft. x 56 ft. * Proposed building - distance from CROSS AREA OF PROPOSED STRUCTURE: * property line: * st Floor 217 Sq. Ft. * Front Yard 90 ft. Rear yard 11445n ft. * Side Yards 28 ft. and 57 ft. !rid Floor N/A Sq. Ft. * If on corner, setback from side street- * N/A ft. Ither Floors N/A Sq. Ft. not cellar or basement) * OCCUPANCY INFORMATION: * OTAL FLOOR AREA: 217 Sq. Ft. * Primary Building - * x One Family Dwelling ;ize of New Structure: 14'-0" ft. x151-6" ft. * Two Family Dwelling t5dation: * Multiple Dwelling/No. of Units pier Slab/Crawl/Partial/Full (Circle One) * Business * Industrial lo. of stories (Habitable space) 1 * Other leight (grade to ridge) ft. * f residential , no. of families: 1 * If addition, what will use be? lo. of rooms (excluding baths): 1 * Expanded Master Bedroom lo. of bedrooms: _ 3 * lo. of bathrooms: 2 1/2 * ccessory Building: primary heating system: Forced Air * c g On 'ype of fuel : oil * Attached Garage - One/Two Car lo. of fireplaces to be installed: N * Private Storage Building sill a woodstove be installed?: * Other ventral Air Conditioning: Yes x No * (OVER) • BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. Will any second-hand or ungraded lumber be used? If so, for what? N/A Foundation Wall Material : Concrete Thickness: 8" Depth of Foundation below grade (to bottom of footing) : 48" Minimum/or to Bedrock Will there be a cellar? No Heated or Unheated? Floor Sq. Footage: Will there be a basement? No Will any portion be used as living space? If so, what portion? N/A Sq. Ft. Type of Use? Type of Roof: o.ed'Flat/Shed/Other Material of Roof 325# Asphalt Size, wood studs 2 " x 6" ; spacing 16 " o.c. ; length 8 ft. Joists (floor beams) : 1st Floor 2 " x 10 spacing 16 " o.c. ; span 16 ft. Joists (floor beams) : 2nd Floor -- " x -- "; spacing -- o.c. ; span -- ft. Overlays (ceiling beams) : N/A " x " ; spacing " o.c. ; span ft. Roof rafters: 2 " x 6" ; spacing 16 o.c. ; span ft. Roof trusses (pre-engineered): spacing N/A " o.c. ; span N/A ft. Exterior Wall Finish: Board & Batten of what material ? Pine Interior Wall Finish: Sheetrock and Tongue and Groove Pine If a garage is to be attached, describe materials to be used for FIRE SEPARATION: N/A Is there to be an opening between garage and dwelling? N/A If so, will a Fire-Rated door, enclosure, self-closing device be provided? N/A Will a flue-lined chimney be installed? N/A Height above roof ft. Depth of chimney foundation below grade: N/A ft. Depth of fireplace hearth: N/A ft. in. Water supply - Municipal ori.L SEPTIC SYSTEM: Distance from any private well (including adjoining properties: 90+ ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: E. Peter Carr, Jr. PHONE 793-0941 NAME OF PLUMBER & ADDRESS: Krug Plumbing and Heating PHONE 785-7073 NAME OF MASON & ADDRESS: E. Peter Carr, Jr. PHONE 793-0941 NAME OF ELECTRICIAN & ADDRESS: Togan Electric, Latham, New York PHONE 783-8653 DECLARATION To the best of my knowledge and belief 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 not, and that such work is aut i by the ow . Signature • w , owners age , architect tractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: q 8 PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) 1 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 PART 4 & 6 - Compliance Methods Require Submission of Worksheets Ocx>i\-4 (V) \A0-€ 6vvi APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - > -7 Sq. Ft. 2. Type of Heat - Elec. Base Board Other CD\ A\l 3. Is Building Mechanically Cooled? X YES NO 4. Percentage of Area of Windows and Doors Over 17% x Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED THE R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R 30 B. Exterior Walls R C. Glazed Area R 3 . 1 D. Exterior Doors R N H E. Floors over unheated spaces R 3 U F. Edge of Slab on Grade (Heated Building) R N� G. Basement/Cellar Walls (Above Grade) R N H. Basement/Cellar Walls (Below Grade) R NA I. Heating/Cooling - Ducts - Piping in Unheated Space R /V /t 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code X YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED /- APPLIC SIGNA RE DATE TELEPHONE- NUMBER INSPECTOR'S REMARKS: REVIEWED BY TOWN OF QUEENSBURY 531 BAY ROAD i tQUEENSBURY, NEW YORK 12804_ TELEPHONE (518) 745-4447 LDIN6R'S REPORT --aqua INSPTI rTh REQUEST FOR INSPECTION RECEIVED "' I l Q it NAME -xi \�� C_ VkGZ.e 12 LOCATION DATE Ck I / 9) PERMITS Di TYPE OF STRUCTURE \, J ) 4-u k 1196 RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL I/FRAMING 2OUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE c-q)n REMARKS N)Pv_-r$ ������ ter- APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ✓ ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES L.-- FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS v- FINISH FLOORS: BATH/KITCHEN WATERTIGHT L.-- OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS V- HANDICAPPED ACCESS C.- SMOKE DETECTORS BATHROOM FANS/WHQ 4 &E--ff NS ALL PLUMBING FIXTURES OPERATING ;/ GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER ;✓ SITE PLAN/VARIANCE REQUIREMENTS L./:///// FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS:,/ n / 1, , ` c ARRIVE DEPART INSP 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 j I NAME _.���V � ���► C,. c��� v LOCATION ,� 't.7) DATE 5 ( -4 PERMIT # 9 / TYPE OF STRUCTURE {` \ f -)(9 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: °E JACK STUDS/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: r 1 1 IAA ARRIVE DEPART INSPECTO ` TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 4 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 4 /�� NAME 41ZO1dt ✓y2!12, LOCATION � !'C DATE _ l/9 PERMIT it 9,/;f�/ TYPE OF STRUCTURE z,e/`j,7, 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 k INSULATION: : FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIRING IN UNHEATED SPACES REMARKS: 2 ,p � /C/ /,r 6 vC 21 f e BaVA ARRIVE DEPART NSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT / EQUEST FOR INSPECTION RECEIVED II���y� liALY AME /(/l!�(d .LG61(LC-e6? OCATION ATE //j O/4 c� PERMIT # YPE OF STRUCTURE aZf ad/d `=CU ECHECK APPROVED N/A YES NO OOTINGS/PIERS +. ONOLITHIC POUR FORM EINFORCEMENT IN PLACE HE CONTRACTOR IS RESPONSIBLE OR PROVIDING PROTECTION FROM REEZING FOR 48 HOURS FOLLOWING HE PLACEMENT OF THE CONCRETE. ATERIALS FOR THIS PURPOSE ON SITE OUNDATION/WALL POUR EINFORCEMENT IN PLACE OUNDATION/DAMPROOFING ACKFILL APPROVAL OUGH PLUMBING LUMBING VENT/VENTS IN PLACE LUMBING UNDER SLAB RAMING: JACK STUDS/HEADERS ( BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM IRESTOPPING WALLS CEILING IREWALLS EATING ROUGH-IN • NSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES EMARKS: f RRIVEf EPART INSPECTOR /�,3 %-/ 7 E!i uI S7 &'/W TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED • NAME /Nd 1) 72/4e'-44:,_6 LOCATION ,z la' DATE / /j9 /I/ PERMIT I TYPE OF STRUCTURE � /Qo //2,d16/ RECHECK APPROVED IN/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FOR REINFORCEMENT IN PLACE THE CONTRACTOR IS R:.PONSIBI'E FOR PROVIDING PROTE"! ION "OM FREEZING FOR 48 HOU'- FO, OWING THE PLACEMENT OF THE CI RETE. MATERIALS FOR THIS P ' 'OSE ON SITE FOUNDATION/WALL POU• ` REINFORCEMENT IN P • tE FOUNDATION/DAMPRI:-IG BACKFILL APPROV' ROUGH PLUMBIN PLUMBING VE /VENTS PLACE PLUMBING U 'ER SLAB FRAMING: JACK DS/HEADERS BRAC G/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS 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: '/ 9 ARRIVE DEPART SPECTOR