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2003-092 '-` TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 :Community Development- Building & Codes (518) 761-8256 CE"'IF1 "ATE_ :OF_-OCCUP CY :Permit Number ' P20,030092 Date:Issued; Wednesday, July 02, 2003 This.is_to.:cerdfy.thatw0rk7 uested_to.be'done as shownsb Permit Number s .. - - q y - _ P20030092 has been completed. = Tax Map.Number: ,.M, -523400-301-017-0002-004-000-0000 Location: 12 CHEROKEE Ln Owner: . DIANE P HAYES - Applicant: DIANE P HAYES This structure may be occupied as a: By Order of Town Board - _ Residential Alteration _ -.- = TOWN OF QUEENSBURY Director of Building&Code Enforcement T ` TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030092 Application Number: A20030092 Tax Map No: 523400-301-017-0002-004-000-0000 Permission is hereby granted to: DIANE P HAYES For property located at: 12 CHEROKEE Ln 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. T-Ue of Construction Value Owner Address: DIANE P HAYES Residential Alteration 12 CHEROKEE Ln QUEENSBURY,NY 12804 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency TREMBLAY. TIMOTHY COMMONWEALTH ELECTRICAL I RON MUMBLO NY .12804-0000 Plans&Specifications 2003-092 441 SQ FT RESIDENTIAL INTERIOR ALTERATION AS PER APPLICATION $44.10 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 27,2004 (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 r=n saay,March 27,2003 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury Department of Community Development,742 Bay Rd.,Queensbury,NY 12804 (518) 761-8256 A permit must be obtained before beginning construction. Permit No.: 03 � No inspection will be made until applicant has received a Fee Paid: valid building permit. Form must be completed. Rec.Fee Paid: Reviewed By: Applicant: D e H Owner: Address: �I�C Address: CA .a e l+erv �e Lr Phone#: L) ' `f f Phone#: c 3 6 S"Y Tax Map Number: Subdivision Name: (if applicable) Lot Number: /House Number: /Street Name Mr,,A OR rQt - ? 1 Z003 Property Location: 9 C h,gr-n k F e ❑ New Building: Residential/Commercial Estunated Market.Value-of Construction: ❑ Addition: Residential/Commercial If an Addition,what will use of addition be? Alteration: ,Residential/Com=;Gi4 u,'No change to Exterior size: Residential/Commercial ❑ Other work: (describe ) Check Below Occupancy Info 1' floor sq.ft. 2"j floor sq.ft. Other floor sq.ft. Total Sq.Ft. Single Family Dwelling Two Family Dwelling Townhouse Multifamily Dwelling #of units Office Mercantile Manufacturing r 1 car detached garage 2 car detached garage 3 car detached garage 1 car attached garage 2 car attached garage 3 car attached garage Storage Bldg.,Comm i� Storage Bldg.,Res. Other What is the proposed height of the structure: feet inches Will any second-hand or ungraded lumber be used? If so,for what? No. of Fireplaces to be installed: No. of Woodstoves to be installed: List below the person(s)responsible for supervision of work in regards to Building Codes: Name Address Phone No. Builder Plumber t: Mason El 7S3 — ' /ectrician T• � 6 ! ro k e L^- s 7.7 . 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 I/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director of Building and Codes,an As Built Surve y a licensed surveyor; drawn to scale, showing actual location of all new construction. Signature: f circle one: owner,owner's agent,architect, contractor) Project BP# ``� Address: Building Pernut Submission SFD Checklist 2-Family MqR Che Y r®WN® ?003 avii O v�EF�s All items below must be checked either yes,no or not applicable prior to submission of an ��j° permit to the Town of QueensburyBuilding Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 11. Building Permit Application Completed ... ... ... ...... ... ... ... ... ... ../iv es ❑no ❑n/a 2. Energy Form or CheckMate Energy Code Compliance Forms Comples ❑no ❑n/a (2 copies) 3. Energy Code Inspector's Report from CheckMate Program.. ... ... ... ... .. ❑yes ❑no ❑n/a (2 copies) 4. Septic application completely filled out(if applicable)... ... ... ... ... ... ... ... ❑ yes [:]no ❑n/a 5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ...... ... ... ... ... ... ... .❑yes no a 6. Electrical Inspection Form... ... ... 1 7. Two(Z) complete sets of structural drawings..... ... ... ... . ... ... ... ... . ❑yes ❑n a) floor plan;b)foundation plan;c) cross sections:d) vations e) window and door schedule �+ 8. Two(2) site plans showing location of the structure to be b ,... ... .. . Ono ❑n/a location of well or water lines,location of septic system sewer ' e. 9. Setbacks from propertylines to new structure... ...... ... ... ... . ... ❑yes ❑no [-]n/a 10. Setbacks to neighboring wells and septic systems,including onsitawell... . Eyes ❑no ❑n/a and septic systems (if applicable) 11. DrivewayPermit... ... ... ... ... ... ... ... ... ... ... ...... ......... ...... ... ... ... ... ❑yes ❑ o ❑ a n Date: Staff Initial: L:\SueHemingway\Bading.PemutFORMS\Generic Checklist.doc January28,2003 ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS , Compliance Methods:Part 5 -Acceptable Practice Method—1&2 Family Dwellings (only) 44 Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dw9 Multi-Family Dwellings(3 Stories or less) , 3 Part 4*-Design by Component Performance,Commercial Buildmgs� 1 ®��IU Rise Residential *Requires submission of worksheets APPLICANT'S NAME: PROPERTY LOCATION: DiAWL' HAyc.s /. .. C1-1er, or<r- c I-A CF PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: I. Gross Floor Area- ) square feet 2. Type of heat- Electric ✓ Oil Gas Other 3. Is building mechanically cooled? yes r/ No 4. Percentage of area of windows and doors Over 17% Under 17% 5. R-VALUES FOR IMULATION GIVEN BELOW 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 e. Floors over unheated spaces R f. Edge of slab on grade(heated building) R g. Basement/cellar walls (above grade) R 19 h. Basementicellar walls(below grade) R 10 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 EXEEDED A. licant's Sig ature Date Phone Number INSPECTOR'S REMARKS: Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection reque eceived• J Queensbury Building&Code Enforcement Arrive: a pm Dep AD alfp 7442 Bay Road,Queensbury,NY 12804 Inspector's Initi s: NAME: E PERMIT#: U LOCATION: INSPECT ON: ol S ,' TYPE OF STRUCTURE: X N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test N Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes d Water Supply Piping Copper Commercial Copper,CPVC,Pex One &Two Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Residential Final Inspection -�(! Offi4e No. (518) 761-8256 Date Inspection request received: Queensbury Building&.Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ( . NAME: -`p PERMIT#: LOCATION:. r,� DATE: O 3 TYPE OF STRUCTURE: "'"j Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof 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 Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 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 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: I / Every Bedr m: Outside every bedroom ar Inter Connected: 7.1 Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insWation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer - Garage fire roofm Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(lit.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Address visible from road Final Electrical ,f CO Site Plan /Variance required, / �6 I Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C 10(Cert.Of Occii anc Okay to issue Permanent C/O(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspecti�p request received: Queensbury Building&Code Enforcement Arrive: 10,4) am/pm Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials:�J/Y NAME: �1 CG�Y\,� 1--: ; ') PERMIT#: 03- LOCATION: _{ , INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plum ' g Vent/Vents in Place 6uugh Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper, CPVC,Pex One&Two Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: �L:\,SueHemingway\Bui]ding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No, (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: LIIA3 am/pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: _ NAME: PERMIT#: LOCATION: INSPECT ON:1 TYPE OF STRUCTURE: n� ti , Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,C pper Drain/Vent/Comm. Plu ng Vent/Vents in Place ough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents/e� �� PS� 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper, CPVC,Pex One &Two Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\SueHemingwa)lBuilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Insp do r-equest received: Queensbury Building&Code Enforcement Arrive: 'Oo am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector' Initials: / NAME: PERMIT#: wo LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A Framing COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %z w 16 gauge 8 16D nails each side ( ) g g ( ) Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour , Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall 'Windows Habitable Space/Bedrooms 24 in. (H)- 20 in. (W) 5.7 sf above/below grade . 5.0 sf grade LASucHcrningway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doe January 28,2003. Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: V ' 00 Queensbury Building&Code Enforcement Arrive: I J:Lp am/pm Depart: am/pm 742 Bay Road, Queensbuly,NY 12804 Inspectors Initials: OKI'- NAME: PERMIT#: LOCATION: INSPECT TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Y on, Copper Drain/Vent/Comm. PI bing Vent/Vents in Place ough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents �IT � 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping C pper Commercial o per, CPVC,Pex One &Two Family sulation/Residential Check/Commercial Check Proper Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:1SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No, (518) 761-8256 Date Inspectio request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: -0 LOCATION: A P INSPECT ON: a7 —L Z� TYPE OF STRUCTURE: i Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams i Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Li Li a. n rn V� -V r' O ti A. it p O 7—� o Z Tri cr Lod • 2 ci Q om. to nt in WN OKE DETECTORS ARE REQUIRED IN EDRO®M ! UI I AGENT TO BEDROOMS,AND ON EACH L00 LE 'Ek J. o In INCLUDING CELLAR OR BASEMENT. 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N 37/y �ly�L 39 3/ K�1oor J I /Z1lr. w� M GOIVZM Moa n�iM MV �O�-V- - aN4�,S Q 14:S ��1 MbZ N.77 R / 3S60H -11V O dam= • . pLZ • ----- ------------ Description 0002 Manufacturer: Pella Windows&Patio Doors Product Category: Windows Series/Profile: ProLine 450 Frame Size=2' 5"W x TY H Product : Casements RO Size=2'5 3/4"W x 3'5 3/4" H Product Configuration: Single Unit Exterior Color: White MAY 9 Interior Finish: Unfinished-ready for site r0WAf o 2003 finishing Direction: Left �U� �GgUF�NSBU Glazing: Energy Saving Low E Glass (Recommended) Tempered Glass: No Handle Hardware: Standard Champagne FoldAway Hardware Fiberglass Insect Screen: Champagne Wall Depth: 4 9/16"Applied Part Numbers: PC2WEAS2941 L PC22941 SCR(1) c/ems cy e IA/ Leadtime: 14 Days 7/7 5- -0- 36 $ 217.55 217.55 0003 Manufacturer: � - Pella Windows& Patio Doors Product Category: Windows Frame Size=2'5"W x 3' 11 H Series/Profile: ProLine 450 RO Size=2'5 3/4"W x 3' 11 314" Product : Casements H Product Configuration: Single Unit Exterior Color: White Interior Finish: Unfinished-ready for site finishing Direction: Left Glazing: Energy Saving Low E Glass it (Recommended) Tempered Glass: No Handle Hardware: Standard Champagne FoldAway Hardware Fiberglass Insect Screen: Champagne Wall Depth: 4 9/16"Applied Part Numbers: PC2WEAS2947L PC22947SCR (1) 26 Leadtime: 14 Days 236.89 236.89 2 Of 3