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97-748 BUILDING PERMIT TOWN OF QUEENSBURY VALUE $ 6000 No. TAX MAP NO. 14. -1-7.2 WARREN COUNTY, NEW YORK 9114i - PERMISSION is hereby granted to SKINNER, DEtsvKAiii OWNER of property located at 82 CLEVERDALE RD. Street,Road or Ave. in the Town of Oueensbury,To Construct or place a at the above location in accordance to application togethee WittiAlliFinMaTrletation hereto filed and approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance. 1. OWNER'S Address is P.O. BOB 82 CLEVERDALE, NY 12820 2. CONTRACTOR or BUILDER'S Name MATTHEWS, JOHN 3. CONTRACTOR or BUILDERS Address 3219 ROUTE 9L LAKE GEORGE, NY 12845 4. ARCHITECT'S Name - -E NEW YORK BOARD 5. ARCHITECTS Address NEW- YORK- BOARD OF FIRE UNDERWRITERS 6. TYPE of Construction—(Please indicate by X) I )wood Frame l )Masonry ( )Steel RESIDENTIAL ADDITION 7. PLANS and Specifications 32 d• ft RESIDENTIAL ADDITION (KITCHEN APPLICANCES)__<AS PER, -,r s PLOT_ FLAW SPECIFICATIONS 8. Proposed Use RESIDENTIAL ADDITION —PERMIT . December, 29 t9 99 $ PERMfT-FEE PAID —THIS PERMIT EXPIRES (If 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.) Dated at the Town of Oueensbury this 29 Day of December- fg 97 SIGNED BY for the Town of Oueensbury Building and Zoning Inspector Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensburv, NY 12804 /761-8256/ 'o BUILDING & CODE ENFORCEMENT NOTICE Requirements prior to issuance r A permit must be obtained before of this permit: PERMIT FILE NO. beginning construction. No inspections PERMIT FEE PAID$ will be made until applicant has received Zoning Board Action a VALID BUILDING PERMIT. All Area /Use RECREATION FEE ' • D applicants' spaces on this application MUST be completed and the signature fl Planning Board Action REVIEWED BY le / of the applicant must appear on the �/ , SPR / Subdivision /Other / •aiding In or pplication form. n „o, Recreation Fee Payment J / �, / r Applicant: c.J W u f /fl4 i ry,5 Owner: /�tlI'i€A'N S/(;,✓eve'.? Address: 3 Lt /4 Lke<:rrKy Address: , ed,,"& 1'-F / ziY'T Phone # ( 5(SS- ) -Ni-- - —per 3 Phone # ( ) - Property Location: - --6 l� / z Tax Map Number Subdivision Name: Section Block I of NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ <vWo residence / commercial ✓ Additio ' lding: • residence / commercial OCCUPANCY INFORMATION: Altera io o uilding: Primary Building - residence / commercial 1✓ Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work (describe below) Mercantile • Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: nye 23 1997 1st Floor 3(-- sq. ft. If ADDITION, what will use of new addition be? : 2nd .Floor sq. ft. Other Floors sq. ft. X' i�a'r-� 04k—ai (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: 3 L SQ. FT. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building Other 3 FEET X /3 15 FEET Foundation Type: (a4te C`w,-der {' Will any second-hand or ungraded Number of Stories : l lumber be used? If so, for what? (habitable space only) ti10 Height (grade to ridge) : /0 feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which lies) to be installed: e, Electric / Oil / Forced Hot Air aseboar / Other Person responsible for supervision of work as regards to building codes is : 'i'hi `'.//7977f ; 34,(' L, , 14 5:al Name Addresss Phone Builder: 9 . Plumber: << Mason: , % Electrician: K y' 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. Signature: )!4/444/(A427c • (owner, owner's nt, architect, contractor) ENERGY CODE COMPLIANCE APPLICATION - W TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS 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:� PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 3 L- square feet 2 . Type of Heat - Electric Oil 4Gas 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 3' b . Exterior walls R f7 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 TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED • l) nt ' s gnature at Phone Number °�� �� 1,?�z/q 7 7'/S—/L/3 IN.PECTOR' S REMARKS : • \\ [\i\ry_ GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive ' - am/ De rt" Inspec or's Initi NAME: vs- '�d ts`� r \\ PERMIT# LOCATION: DATE : 3 TYPE OF STRUCTURE: _ ti i�i Q ( ► \ t F RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is 1-spo' ible for providing protectio - ing for 48 hours folio ng the placement of the concrete. Materials for this surpose on site Foundation/Wa pour Reinforcement n Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ H g Rough-In ulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- 1c% Ceiling R- 130 Duct work or piping in unheated spaces R- Proper Vent: Attic Vent gaming �1 A �� 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 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive kteAt pm Depart Inspector's Initial NAME: t>J3F_R_ PERMIT# /-- LOCATION: 9� C1 E\)E E_ Y() DATE : ("6 TYPE OF STRUCTURE: Ft�, Pt ie RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from ing for 48 hours following th cement of the't ncret ---_.. .... ,._- Materials for this pu on site Foundation/Wallpo Reinforcement in ace Foundation/D pproofing Backfill A oval Plumbin nder 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 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping GENERAL INSPECTION REPORT ‘q\ .- ,� Town of Queensbury � Dept. of Community Development Date inspection request received: `,/ 6 i„ Building& Code Enforcement 742 Bay Road i I, �i-� /� ;.< Queensbury,NY 12804 Arrive _`''am/pm Depart/t l.'am/pm Inspector's Initials .1 ' NAME: / DATE : • PERMIT# ? a f, ' / -Q- ` - `i LOCATION: `� ,� �ti'��Y (;�X.v—v�`L> TYPE OF STRUCTURE: 6 , rm RECHECK N/A YES NO COMMENTS Footings/Piers! Monolithic Pour Form Reinforcement in Place. The contractor is re ible for providing protection fr freezin for 48 hours following th 1 m nt of the concrete. Materials for this purpose n si Foundation/Wallpour Reinforcement in P Foundation/Da proofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-Ir Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- oper Vent, Attic Vent ./ VROu i 6L10 l3LOu� !mac` (:),,t 2oei . naming / tokvonto //C:'�,fig Jack Studs/Headers t Q Bracing/Bridging ,Joist Hangers / r/ /"v3 7 4L.4_. 13cue<' /4) (, C6-t L i&J Cy Jack Posts/Main Beam �c�' 14L-°r i R toi3O``i Air Infiltration Barrier Fire Separation 1, 2, 3, hour t Penetration Sealed 01`k Pe--T�--- A k+ti,G C r2 Fire Wall 2, 3, 4 hour Firestopping_ 0 V _ • 'fb (A)5UL_ (518) 761-8256 TONG OF QUEENSBURY BUILDING 6 CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR9J 6 DEPART INT'4(.- REQUEST FOR INSPECTION RECEIVED: (Q_&77V NAME � ✓�y1 LOCATION ( I- r (r) DATE `.�� � PERMIT 1 9 7 Li 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 PURPOSE ON SITE FOUNDATION/WA>\OUR REINFORCEMENT INPLACE --``\\ FOUNDATION/DAMPPROOF G BACKFILL ::: /7/ LUMBING S IN PLACE iifOUGH PLUMBING ,P 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- (518) 761-8256 )111\ TOWN OF QUEENSBURY0110 BUILDING 6 CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR AO DEPART INT'c!/ REQUEST FO INSPECTION RECEIVED: - 9 NAME t \\ i1c\s' if�- LOCATION :-J`; ( )AN;,,,' )�.. DcL_ \,\ DATE ,—AJ � tz, PERMIT I ()\ i " 7L f g TYPE OF STRUCTURE: t:4\ ? Al. *,1 RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM EINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONS : iE FOR PROVIDING PROTE TION FROM -;EEZING FOR 48 HOURS FOLLOWING THE , 'CE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE (N SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING _ UMBING 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- • /14-,11 ,4 ( ,eirett-c, (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARICit2b DEPART , ,4 REQUEST FOR INSPECTION RECEIVED: NAME ..61<10Z � LOCATION �7 \n ` c-_OFPS�ALE c? { J - DATE ' "' �`(1 PERMIT I -1 -11-1 TYPE OF STRUCTURE: T tDD�` TID) RECHECK APPROVE N/A YES NO FOOTINGS/PIERS } _ MONOLITHIC POUR FORM t REINFORCEMENT IN PACE , THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE.\ MATERIALS FOR THIS PURPOSE ON SITE,_ I, FOUNDATION/WALLPOUR _ REINFORCEMENT IN PLACE JOUNDATION/DAMPPROOFING ' I V BACKFILL APPROVAL ' ., �// PLUMBING VENT/VENTS IN PLACE _ ROUGH PLUMBING . ;, PLUMBING UNDER SLAB FRAMING: _ JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN EAM AIR INFILTRATION BARRIE/ y HEATING ROUGH-IN _ INSULATION: ! ;. FOUNDATION WALL INTERIOR R- FOUNDATION WAL EXTERIOR R-TC FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- 4.24.14.;, poti (518) 761-8256 TOWN OF ODEEENFORC $UILDING b CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 E INSPECTOR'S REPORT: ARR\ �.) DEPARTVa?,ye ,' REQUEST FOR INS ECTION RECEIVED: ( � NAME /• LOCATION OILW 42//' CQ lJ� d' L�' DATE I .- LC l 1� PE;a T I L /- /'T ,4. 6- TYPE OF STRUCTURE: >� RECHECK APPROVED N/A YES NO 'FOOTINGS/PI$RS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE Y THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE 0 SITE FOUNDATION/WALLPOUR REINFORCEMENT I PLACE FOUNDATION/DAMPPR00 r_ BACKFILL APPROVAL PLUMBING VENT/VENTS IN P ACE ROUGH 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- ...: cl r7 ) • "'\'14"- ,•___,,-, r.c ev—c: . ?'' Ito 2 vs' y st. (-)'ri:P,-,•Ate t 1-6 1^,Askr 1.14 ----- 1 •$,- /•.4' r 7 ! r el rt, 7 Iff ,_....._- ., . , r - , , ;• . _ _,---- , ---- •S - Il ( :0 LP O, ,---- ,-- ,--- - iiThr...1 ''.i:(i 4. - - J r---:— — — -.'7:-.: r r .• c ,., : ::- ;f:- ,.,...-(15 1.---- ! ' 1........_..L—....- 1..,•{.‘..JT Y'Lf 1 . ,:iiï — ' ,:- :- 7 ,:; - , ,I --4 - i I - ..... .. i. —7. .% ' 1,. c..,,,; , , , . ., fiOTICE:. •, DEC 3 997, ,*----• --ANCHORtNG OF MOBILE HOME I. FRAME IS REQUIRED PER MANUFACTURERS SPECIFICATIONS i , 2:)(1, 1(.•€Ait,,( , -->_____ .-.---, s., er•k v-' / r: r4 ' . REV I P,''Ir''-', n''''' , $,, t...:,.., k,..^ti ____ ---- heL.--...---.„., AA' DATE II 0 111 ......... ....-....... -...._ e.-.- • g X I le, FLAM v-C.4 / ..............td sIr • 1 i J I .'t.j'‘', 'De )Z.a d 5\so r1/4,i NE fL. - Lreaterti6lie 71 L::-Ai '.--; 'r ''''-'' Lii -z_z...12 , 73 q-21 3()1( p — ---Z.!1 -.3%liNi 1>I S' '14 v?)01-... <1. ' — 1 _..._.. , 11 I I" . — 1 i 0).''')(.:".-4- 1.,,,,;(7,f c ikov 4") •••:,,-•.,,,, ,....j , . . ,... rl , ..., i ------- .--• .-- ...-- ; . .--- ,.., , e i i . c i) ti - .. .._ i 1 : ,,,, Ls 1A 3 „ 1 — es