2004-746 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040746 Application Number: A20040746
Tax Map No: 523400-309-013-0001-037-000-0000
Permission is hereby granted to: F,RNF,ST&DOROTHY SKF,TJ,TF.
For property located at: 9 RHODE ISLAND Ave
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: ERNEST &DOROTHY SKELLIE
9 RHODE ISLAND Ave Residential Alteration $1,000.00
Total Value $1,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2004-746
REPLACING ROTTED STUDS TO EXISTING FAMILY ROOM
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 29, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To ueensb n sday, September 29, 2004
SIGNED BY for the Town of Queensbury.
Director of Building& ode orcement.
Building Permit Applieation
Town of QueeasbMy—Dept of Community Dcvelopmmt,742 Bay Road,Qucensbury,NY
(518)761.82%
A permit must be obtained before beshming construction, Permi2TO No.Nopcation will be made until applicant has rooeived a Foe,P S 0 0
valid building permit. AU applicants' spaces on this Rea.Fee Paid $
applidetion mustbe completed and must appear on the Roviowed By:
application form.
RECEIVED
Applicants �' Owner:
Address: Q ge-A L, - Z a:!2.v ,,� Address^
phone#(-Lr—),��L._, Phone#(..,^.) - _.r.
TOWN OF QUEENSBURY
• � BUILDING AND CODE
Property Location: LotNumber:___-__I House Number__._-.r
Subdivision Name: �I/f� Tax Map Number:
o New Building: residence 1 commercial Estimated Market Value of Construction:$ T�i�jd
o Addition; residence./ commercial If an Addition,what w M use of new addition bog
Alteration: residence,! commercial
ebange to exterlor size: residence!eom'1
c1 Other wox'k(desodbe )
Check 0ccnpancyIaf0rmatton V Floor 2 Floor Other floor Total
Be1ow aq,ft. sq.it. square Feet
single tmzil. d=Uin
0 Two family dwelliu
ca Townhouse .
o Muldftr4y dwelling
#Of unit
0 Office
o Mato a .
c Ivisau:lhatut
0 1 oar dtfaeked BELO
0 2 oar dstacFtad e
0 3 oar detached prage
o l our at40hed larage
0 2 oar attached 8=20 .
0 3 car attached g=ge
0 Storage,building r
commercial
0 Storage,building-
residentW
a O er
What is the proposed height of the structure feet inches
'Will any sdaond hs nd or ungraded lumber be used? Tf so,for what? Ala
Type of Heating System; electric I oil Ie�Pl wood i forced hot air/ baseboard/other:
Number of FIMIgSs to be installed - Number of Wooct ,g to be installed '., „_,,,
List below the person(s)responsible for supervision of work as regards to building codes:
Address - Phoiae Numb or
Butilder �J = �� u G'�• -''�u��—�" ����
Plumber
Mason.
" Eloatsdciaa
l;t4slti�su please signbelow after you have carefully read to statement:
To the beat of any knowledge the statements contained in this application,togother with the plans and specifications
submitted;are a true and complete statement of aU proposed work to be domo 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 Certitloate of Ooenpaney or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an ds 8alle Survey by a licensed surveyor;drawn to&ogle,showing aotu&l
location of all now oy�ndtrucdon.
Signature: o G �i ownex,ownax's agent,arcbitoct,contractor
J
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBUR Y, WARR13N COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods:Part 5 -Acceptable Practice Method—1&2 Family Dwellings(only)
Part 6*-Thtnnal Rating—Component trade Offs 1&2 Family Dwelling;
Multi-Family Dwellings(3 Stories or less)
Part 4*-Design by Component Performance,Commercial Buildings-fIi
Rise Residential
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area-- 1.2—4 U square feet
2. Type of heat- Electric . Oil L,/Gas Other
Is building mechanically cooled? yes No
3. g Y �-
4. Percentage of area of windows and doors Over 17% Under 17%
5. R-VALUES FOR INSULATION GIVEN BEL•OW MUST CORRESPOND TO R VALUES AS
SHOWN ON PLANS SUBMITTED:
a: Roof R
b. Exterior walls R
C. Glazed areas R
d. Exterior doors R RECEIVED
e. Floors over unheated spaces R
L Edge of slab on grade(heated building) R S E P 2 1 2004
g. Basement/cellar walls(above grade) R
SBURY
h. Basement/collar walls(below grade) R TOWN JILC�I'r� AID OF -AID CODE
i. ]Heating/moling-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 EXEEDED
ApB"'s Si ature Date Phone Number
INSPECTOR'S REMARKS:
i
I
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Based of, - RTilki
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-- plans and s� r2,ts.are ii-full -- . . _. -- -----
tpl6a��ce w s�i1.4 Codes
of New Fork SZa
�x BUILDING AND CODE
REVIEWED BY .
DATA �`