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2002-184 V F 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 f ILE F1 Community Development-Building&Codes (518)761.8256 CERTIFICATE OF OCCUPANCY . Permit Number: P20020184 Date Issued: Friday,June 07, 2002 This is to certify that work requested to be done as shown by Permit Number P20020184 has been completed. Tax Map Number: 523400-309-011-0002.016-000-0000 Location: 9 MAIN St Owner: RUBY HILL Applicant: RUBY HILL This structure may be occupied as a: By Order of Town Board Residential Alteration TOWN OF QUEENSBURY Director 4Buil de or TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020184 Application Number: A20020184 Tax Map No: 523400-309-011-0002-016-000-0000 Permission is hereby granted to: RUBY HILL For property located,at: 9 MAIN St 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. Tyne of Construction Value Owner Address: RUBY HILL Residential Alteration 1,800.00 9 MAIN St Total Value 1,800.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency ACTS DESIGN& CONSTRUCTION 23 WEST STATE St GLENS FALLS,NY 12801-0000 Plans &Specifications 2002-184 98 SQ FT RESIDENTIAL ALTERATION(CHANGE A SECTION OF THE EXISTING PORCH INTO A BEDROOM AS PER APPLICATION I' $40.06 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,March 21,2003 (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 own o ue burv, u day,March 21,2002 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File N c-)- No inspection will be made until applicant has received a Fee Paid valid:building permit. All applicants' spaces on this Rec.Fee Pal $ application must be compleied and must appear on the Reviewed B application form. 11 Applicant:�� .,654,✓ �6r,.Sr "014fry Owner: � !/l GL6c Address: '3 _[jerF l S�4fe 51r• Address: 9 ,rlg s✓ SriGU� (.,.•!'r'N�i F,q//s iy.3'' �J_�1s / �Grcrs-sLu.r� iL..y! /��o c� Phone#Q2$ )7yS - qg'Y Phone#(�i�)'J9 - 5%y•au Property Location: Lot Number: / House Number Subdivision Name: Tax Map Number: ❑ New Building: residence !commercial Estimated Market Value of Construction: $ ❑ Addition: residence 1 corm-nercial If an Addition,what will use of new addition be? ' '-N�igr Alteration: residence/ commercial ❑ No change to exterior size: residence!com'1 it ❑ Other work(describe ) h 3e-- Check OccupancyInformation 1"Floor v 2" Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet —•-fit Single family dwelling 9 F ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office �T ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage f011 AI OP ng dr ❑ 2 car detached garage --,._U 11-CLIN 0�Y ❑ 3 car detached garage 0 1 car attached garage a 2 car attached garage ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential '❑ Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so,for what? /-VO Type of Heating Syste of ga o',,.f-o'rce`d'nnTarc�� other: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder G1.v .G S �5-'S�-99��/ Plumber Mason --- ! Electrician 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 Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature:sr'I9o..o , owner,owner's agent,architect,contractor Tab. ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS MAC? •: 0 2002 p TC'�N OF �,.<~'ENSBURY Compliance Com Methods: PART 5 - Acceptable Practice Method '� oor- p w.. 1&2 Family Dwellings (only} ',� t!�Dlr t u; 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: TART: 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 0 1. Gross Floor Area - �d square feet 2 . Type of .Heat - 1C Electric Oil Gas 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 SIiOWN ON PLANS SUBMITTED: a. Roof R b. Exterior walls R 91 C. Glazed areas R d. Exterior doors R e. Floors 'over unheated spaces R ."_1-1_. f. Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R i.. xeatingj cool ing-ducts-piping in unheated space R 6 . Service (domestic) hat water heating device Conforms to. minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED licant' s Signatu a Datg Phone Number L� 793-1!7 2Z-` INSPECTOR',S REMARKS: I ff RESIDENTIAL FINAL INSPECTION REPORT t t✓ �� Office No.(518)761-8256 Date inspection request received: C)\x Building&Code Enforcement ,J Dept.of Community Development Arrive Depar Town of Queensbury ector's Initi s 742 Bay Road Queensbury,New York,12804 NAME U� 1 \ PL -— I g LOCATION M1 DATE tv — TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Iutake Plumb Vent through roof Roof Complete Exterior Finish Complete lnterior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in,or more Interior Handrails stairs both sides 3 or more risers E Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area FurnacetHot Water Heater operatin Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight ,- Interior Handrails BalconiestLanding 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan O As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) 0 ow GENERAL INSPECTION REPORT ( 518 ) 76i-8256 Town of Queensbury Dept of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arriveq�� Depart a spector�s Initia NAME: PERMIT 4 - -0 LOCATION: DATE t!r TYPE OF STRUCTURE: RECHECK N/A I I YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is re nsi or am free providing protection om,free for 48 hours followin the place ent of the concrete. site Materials for this purpose site Foundation/Wallpour�_ 7 Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-In Insulation IF I Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- i ci Ez-' Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers BracinglBridging_ Joist Hangers__ Jack Posts/Main Beam Air Infiltration Barrier Fire-Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_-r— Office Use GENERAL, INSPECTION R.:�PORT � � p Ins ector: Town of Queensbury 7 �'A Ready at time: Dept. of Community Development Requ st received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIY ;� Notes: (518) 761-8256 Inspector's Initia `NAME: 1 PERMIT# LOCATION: 12� ?{ �}, ram, INSPECT ON(date): L ` I c,00,) C TYPE OF STRUCTURE:_ 1 , RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo ib for providing protection f ni fre ing for 48 hours following t plat ment of the concrete. Materials for this purpose on ite Foundation/Wallpour Reinforcement in Place Foundation/Dampproof ng --y— Backfrll Approval Plumbing Under Slab__ Plumbing Vent/Vents in Pla Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or pipingin Bated spaces R- Pro r Vent, c Vent Fr 'ng Jack Studs/Headers Bracing/Bridging, Joist Hangers 1=-- Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\Suei-Iemingway\Btiilding.Codes,Inspection.PORNIS\GENERAT.,INSPECTION REPORT.doe