2000-005 BUILDING PERMIT
Town of Queensbury, 742 Day Road, Queensbury,NY 12804
County of Warren (518)761-8256
Building Permit No.
VALUE $ 2500 2000005
TAX MAP 957._1_ -
Permission is hereby granted to HARRIS, THOMAS
Owner of property located at 57 WTScn1\vqTN AVF,-
in the Town of Queensbury,to construct or place a ]RESIDENT I AL ADDTIPT079
at the above location in accordance to application together with plot plans and other hereto filed and
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
57 WISCONSIN AVE.
QUEENSBURY, NY 12804
Contractor or Builder's Name:
HARRIS, THOMAS
Contractor or Builder's Address:
Electrical Inspection Agency:
COMMONWEALTH ELECTRICAL AGENCY.
PO BOX' 706
HAGUE, NY 12836
Type of Construction:
RESIDENTIAL ADDITION .
Plans and Specifications:
100 SQ FT RESIDENTIAL ADDITION (BEDROOM) AS PER- PLOT PLAN
SPECIFICATIONS
Proposed Use:
RESIDENTIAL ADDITION-
8 PERMIT FEE PAID-THIS PERMIT EXPIRES January 12 2002
(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 T,4wn of Queensbury this 12 Day of T;;nii;;ry 2200
the r
SIGNED B >-e G-X�_ for the Town of Queensbury
ode Enforcement Officer
Town o ueensbu - Dept. o Community Development, 742 Bn Road,
f Q � P .f y P y Qtrc ertsbury, NY 12804 j761-82561
BUILDING cot . CODE ENFORCEMENT
NOTICE Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NOCJr beginning construction.construction. No inspections PERMIT FEE PAID$
will be made until applicant has received Zoning Board ActionI
a VALID BUILDING PERMIT. All .Area /Use
RECREATION FEE PAID$
applicants`' spaces on this application
MUST be completed and•the signature ED Planning .Board Action REVIEWED BY:
of the applicant must appear on the 5PIt / Subdivision /Other Buuding I,ecror
pplication form.. Recreation Fee Payment
Applicant: rt� Avener: JC g—,
Address:-.T Wl Xp^t,..�(_{� 1/ • t�
Address:
Phone # CO(, Hj_ n Phone # {_____} _ _ - ____
Property Location:,5A ( _-§t15Cjp Lim} 7� Zc. — -- 9 /
Tax Map Number , /�1
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ .2,5-c;0 co
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial X Single Familyr�--y� �]-],'erg
Residence / Commercial Two Family Dwte'� iing
no change to exterior size Family Dwelling
Office JAN Q 3 2000
Other Work (describe below) Mercantile
Manufacturin�qq' - OF Cli l 7EiI SSURy
Other B_UIL.Dli�ltz t.IdD COP
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor. . . . . . . If ADDITION, what will use
2nd .Floor. . . . . . . sq. ft.�� of new, addition be? :
Other Floors . . . sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: /0 0 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
FEET X 1) FEET Other
Foundation Type: It �iGl� t�� Will any second-hand or ungraded
' Number of Stories: lumber be used? if so, for what?
(habitable space only) CV-N
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle- all which applies)
to be installed: Electric / Oil Q / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes i s: 1 1�6t4N" Hoggi-) 7
Name J Addresss Phone
Builder: 1l it• .13X41w - A-s r
Plumber:
Mason:
Electrician:
DECLARATION• Please sign below a•f?er 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 BUIELT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature:<;
(owner, owner's agent, architect, contractor)
ENERGY CODE COMPLIANCE APPLICAT-ION
TOWN OF.,QUEENSBURY; WARREN COUNTY
9000. HEATING' DEGREE DAYS
Compliance Methods: PART 'S' -- Acceptable Practice Mdthod -.
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: PROP,.ERTY LOCATION:
/s3r3C°nY1 I/&
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 Grose., Floor Area - �.Q( square feet'• "
2 . Type of Heat Electric Oil , Gas , Other
3 . _s ' building, mechanically cooled?' Yes - No
4 . Percentage of area of windows and doors Over 17% Under 1,7"%
5 . R-V ILUES FOR INSULATION ,GIVEN, BELOW MUST CORRESPOND TO R-VALUES. AS
_ SHOW N ON PLANS SUBMITTED: .
a . Roof
b . Exterior walls . R - 1 q
c . Glazed areas _ R
d.. ..Exterior doors - R
e . Floors over -unheated spaces R -- r3 +
Edge of slab-on grade (heated building) .R:
a. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade}' R
-. . Heating/coali ng-ducts-piping .in unheated space R
6 . Service (domestic) hot water heating,' device
Co-=or-ms to minimum: efficiency per, code X -'Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140c - WILL ,NOT;BE EXCEEDED
Apr' ' cant 's Signatu e Date .-Phone Number .
! SP OR' S REMARKS:
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dcpt.of Community Development Date inspection request received:
Building;& Cade Enforcement
742 Bay Road /
Queensbury,NY 12804 Arrive ai p Djlui.tia
e
Inspector'NAME: - PERMIT#
� �.
LOCATION: L i DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers �I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo isible for
providing protection fr m freezing
for 48 hours following le placcme t
of the concrete.
Materials for this purpose n site
Foundation/Wallpour__
Reinforcement in Place
Foundation/Da m pproo fln
Back8ll Approva
Plumbing Under Slab
Plumbing Vent/Vents in PI ce
Rough Plumbing
Heating Rough-In
II lation
Foundation Walls Interio R-
Foundation Walls Exteri R-
Floors
Walls -
Ceiling
Duct work or piping in
unheated spaces
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers_
Jack Posts/Main Bcam
Air Infiltration Barrier_
Fire Separation I, 2, 31 hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Fi restopping
GENERAL, INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12964 Arrive f pX art `
nspector's Ini
NAME: G� �� PERMIT#
LOCATION: G''7tS �r, ,;•�=' — ° DATE :
TYPE OF STRIJtlrdkE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers r [
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection fro/fre ingfor 48 hours following teme tof the concrete.
Materials for this purpose
Foundation/Wallpour
Reinforcement in Place _
Fou ndation/Dampproof i
Backfill Approval
Plumbing lab
Plumbing t/Venls Ven ' Place
Rough Plumbing
Heatipg Rough-In
Allas-luo'lation
Foundation Wal s Interior R-
Foundation W, Is Exterior R-
FIoors R-
Walls R-
Ceiling R- �<�_._ V\\ 7,- 1 -o P M
Duct work o piping in
unheated paces R-
Proper Vent, ttic Vent
Framing- _.__,__
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier_
Fire Separation f, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INS'FECTION REPORT
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road r---
Queensbury,NY 12804. Arrive In Depart .
4
NAME: PERMIT#
LOCATIO DATE: l-
TYPE OF STRUCTI.T.IiE:
RECHECK
N/A YE NO COMMENTS -
F otingslPiersI � �
Monolithic Pour Form
Reinforcement in Places
The contractor is responsible r
providing protection from
for 48 hours following the Tace lent
of the concrete.
.Materials for this purpose on
Foundation/Wallpour 1 11"l- ,
Reinforcement(in Place°
Foundation/Dainpproofing
Backfill Approval
Plumbing Under Slab
Plumbing VenttVents in Ma
p_
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inte ' r R
Foundation Walls Exte or R �
Floors R-
Walls R
Ceiling
Duct work or pi pi
Wheat ces R-
o r Ven itic Ve
ng
Jack Studs/He
Bracin ridgin
Joist Ha ers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL]MVPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Quecnsbury, NY 12804 Arrive,316 am/pm Depart am/pm
Inspector's Initials
NAME:71- �N PERMIT Poe 9
LOCATION: DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is res jisiblc C
f Insible I po
o
providing protection from freying
for 48 hours following the pl-ceme
of the concrete.
IX
Materials for this purpose on i
Foundation/Wallpour
Rcinfbrceftien e
Foundation/Dampproofin,
Backfill Approval I
Plumbing Under Slab_/
Plumbing Vent[Vents i Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walfs 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/1-leaders
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
AirInfiltration Barrier
Fire Separation 1, 2, 3,hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Firestopping_—