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2002-803 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbm7,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256. ERT CIFICATE. OF C:�MPLIAN CE Permit.Number;:: P20.024803: .Date Issued; Wednesday,:November 13,2002 This is,toxertif that`wotk requestedforbe'done as shown�by Pernut Number P2002080 has been completed: Tax'Map Number: 523400-309.009-0002-001-000-0000 Locadbn: 200 LUMM Rd : Owner; HOMESTEAD VILLAGE 'L P Applicant: $ BARRY DELONG This structure may be occupied as a: , By Order of Town Board Residential Addition TOWN OF'QUEENSBURY Director of Building&Code Enforceinent . TOWN OF QUEENSBURY 742 Bay Road,Queebsbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020803 Application Number: A20020803 Tax Map No: 523400-309-009-0002-001-000-0000 Permission is hereby granted to: BARRY DFLONG For property located at: LUZERNE Rd 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: HOMESTEAD VILLAGE L P Residential Addition 1,500.00 4294 ROUTE 5 Total Value 1,500.00 CALEDONIA,NY 14423 Contractor or Builder's Name Address Electrical Inspection Agency RON DFLONG 18 DIVTSTON Rd OIJEFNSBIJRY.NY 12804 Plans&Specifications 2002-803 172 Elmhurst Drive,Homestead Village MH Park Owner of MH: Barry W. Delong Construction of a 196 sq ft residential addition onto an existing mobile home per plot plan and specifications. $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,October 09,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tow of Queen ury; ay, October 09,2002 SIGNED BY for the Town of Queensbury. Director of Building X Code Enforcement Building Permit Application Town of Queensbury Dept of Community Development,742 Bay Road, Queensbury,NY _(518)761-8256 R 0 A permit must be obtained before beginning construction. Permit File No. ZaVg' WiE q No inspection will be made until applicant has received a Pee Paid valid building permit. All applicants' spaces on this Rec, Fee Paid; Sk application must be completed and must appear on the- application form. > Reviewed B —0 Mv o, Applicant: AtA A R c/ i e 1,on �i Owner: i;;� Address: 1117 A -6 r-tv=q f rc2 it- Address: S ya rre e (Z�, r e:Pvirc-6 usaz-c4 r,.r (I Phone#(; jCt)�- �j ;f- 5-1 IS- Phone# Email Address:p,,W f2 Lq DrAj Lz, I-le-I f"n f e041-4inail Address: 5-P9 15—F VdI&%R— Property Location: Lot Number: House Number J_ Tax Map Number:__34Q,,a —ZJjII77 e u� New Building: residence /commercial ;.;`Estimated Market Value of Construction:$ x ddi on: Z::� omrnercial f E:3 Alteration: residence/ commercial If ari t -6fnew_addition-be?-— CI No change to exterior size: residence/com'l C3 Other work(describe Check Occupancylnformation I"Floor 20 Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet U Single family dwelling U Two family dwelling U Townhouse C3 Multifamily dwelling #of units 0 Office U Mercantile 0 Manufacturing 0 1 car detached garage U 2 car detached garage ED 3 car detached garage u I car attached garage 0 2 car attached garage o 3 car attached garage cf- Storage building- commercial 0 Storage building- re§identia� er C What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil / gas/wood /forced hot air I baseboard othet: a ry v'— 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 I IINI �__s Plumber Mason V 1,3 1 Electrician ell 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-atrue and complete statement of all proposed work to be done on the described premises and that all provisions,151i the c Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,wheth r specified or noted,and that such work is authorized by the owner. Further,it is understooS that I/we shall subrriit6rior to a-Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning A'dnilnistrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual V�� b'oation of all new construction. Signature, owner,owner's agent,architect,contractor ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 BEATING DEGREE DAYS Compliance Methods:Part 5 -Acceptable Practice Method—1&2 Family Dwellings (only) Part 6*-Thermal Rating-Component trade Offs 1&2 Family Dwelling; 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- -Z_7_L-1 square feet 2. Type of heat-—Electric Oil /Gas Other 3-. Is building mechanically cooled? yes No I _ 4. Percentage of area of windows and doors Over 17%.--,S,/,Under 17% 5. R-VALUES FORMULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: R a:. Roof b. Exterior walls Glazed areas R Zr- d. Exterior doors R_ � e. Floors over unheated spaces R f, Edge of slab on grade(heated building) R 9- Basement/cellar walls (above grade) R h. Basement/cellar walls(below grade) R i. Heating/cooling-ducts-piping in unheated space 6. Service (domestic)hot water heating device Conforms to minimum efficiency per code vlYes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED pplicant's . at e Date Phone Number tQ 75--1 INSPECTOR'S REMARKS: Project Name / _ G n _1 BP#' 20 `- Address: " Building Permit Submission S r i) Mukok-Dudl* & Cmmw rl P74oz Checklist All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of Queensbury Building 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 l 1. Building Permit Application Completed.. . ...... ... ..I ...... ....., yes [:]no ❑n/a 2. Energy Form or Checkmate Energy Code Compliance Forms Complete ... ❑yes ❑no ❑n/a 3. Energy Code Inspector's Report from Checkmate Program... ... ......... ❑yes ❑no ❑n/a 4. Septic application completelyfilled out(if applicable)... ... ... ... ... ...... Oyes Ono On./a 5. Electrical Inspection Form... ... ... [:]ye ❑ 6: Two (2)se -o plans wnghfowng ...... ... ... ... ... ... ... -' [:]no ❑n/a 6a. Floor plan(s)...... ... ... ............... ... ... ... ...... ... ... ... ... ... ... '❑yes ❑no Qn/a 6b. Foundation plan... ... ... ...... ......... ... ... ......... ... ...... ... ...... ..[:]yes ❑no ❑n/a 6c, Cross section(s)...... .. ... ......... ... ... ... .... ... ... .... ... ...... ... ❑yes [-]no ❑n/a 6d. Elevations ... ......... ......... ... ... ... ... ... ... ... ... ... ... ... ... . ❑yes ❑no ❑n/a 6e. Design loads including floor,snow load,and wind load... ... ❑yes [:]no ❑n/a 6f. Seismic design(required after Jan. 1,2003)......... ... ...... ...... ... C]yes [ono On/a 6g. Plans signed by registered architect or engineer,signed... ..._... ❑yes ❑no ❑n/a and sealed by registered architect or engineer 6h. Window and door schedule... ......... ... ... ...... ...... ......... ... ❑yes{.,❑no ❑n/a 7. T site showing location of the structure to be built,... ... ... no ❑n/a location of well or water lines,location of septic system or sewer line with all setbacks and separation distances shown,and all improvements to the property. 8. Solid Fuel Bunning or Gas Appliance Form(if applicable):.. ... ... ....... ❑yes ❑no Qn/a 9. DrivewayPermit... . ... ......... ... ............ ... ... ... ... .... ❑yes ❑no ❑n/a Date: Staff Initial: i � LASueHemin ud!ding.Pemut.PORMS1Cxeneric Check3ist.doc low RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement �� pin Dept.of Community Development Arrive am/pm Depar�� C Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME PERMCI'# '�� N — LOCATION 1 i v+. h 17Y. DATE /¢ C TYPE OF STRUCTURE NIA YES NO CONZ ENTS Chimney Height!'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more r/ Interior Handrails stairs both sides 3 or more risers Grade 21/o 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 Furnace/Hot Water Heater operating 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 BathrooniMtchen watertight Interior Handrails Balconies/Landing 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 s/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'.' less less �y flo/or Final Electrical Site Plan/Variance re qu, Final Survey Plot Plan 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) oftkeuse .GENERAL INSPE TION REPORT Inspector: Town of Queensbury Ready at time: .-,-,— Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbut3l, NY 12804 ARRIVE In D T 6 M Notes: (518) 761-8256 Inspectors Initial AB NAME: PERMIT# - 26 963 LOCATION: 7 tt, k,4 br, INSPECT ON(date): qj(y TYPE OF STRUCTURE: aU 14 RECHECK. N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundatiowWallpour Reinforcement in Place Foundation/Dampproofing__ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Zough Plumbing_ eating 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/Ma--in--Beam Air Infiltration Barrier Fire Separation 1,2,3,hour 'Penetration Sealed Fire,Wall 2,3,4 hour Firestopping L-\SueHemiiigway\Buildiiig.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe GENERAL INASFEt✓�'ION REPOR70 (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrivel;'-!�D-hi m epart ?n]Enr t11 ti 6PDeCtOr'S In NAME: LOCATION: DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of,the concrete. Materials for this purpose on site— Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval_ Plumbing Under Slab Plumbing Vent/Vents in Place RoughPlumbing 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 Offxe Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury J Ready at time: .Dept. of Community Development Request received. f� �/ ��-- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE a ':' EP R an p otes: (518) 761-8256 Inspector's Initws/'l NAME. %( PERMIT# LOCATION: 2 �Z w, h t x,_4 �SPECT ON(date): � 7 Q Z TYPE OF STRUCTURE: -.d,r1 '�1 ^ RECHECK - N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing �i3 for 48 hours following the placement of the concrete. Materials for this purpose on site, , FoundationlWallpour f q Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place _ Rough Plumbing Heating Rough-In Insulation 1��}y`�` ;; 7 Foundation Walls Interior R- Foundation Walls Exterior R- _ Floors R- � Walls Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent rarnin g Jack Studs/Headers BracingBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping _ L:\SueHemingway'Ouiiding.Codes.hispcction.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: 'j-d Town of Queensbury Ready at time: Dept. of Community Development Request received: 16 7 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE),',` a T am/ Notes. (518) 761-8256 Inspector's Initia NAME: PERMIT# �2-06 2- LOCATION: 1-7 2, 2Ytx II-bA4 INSPECT ON(date): TYPE OF STRUCTURE: am/ #PERM RECHECK N/A Y12E NO COMMENTS Footing ier 4A 0 .6p�orm Monolit ' our Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab tP bing Vent/Vents in Place ough Plumbing___ eating Rough-In nsulation Foundation Walls Interior R Foundation Walls Exterior R Floors R- Walls R- Ceiling R- Duct work or piping in / unheated spaces R- roper Vent,Attic Vent \jFra Jack Studs/Headers Bracing/Bridging--------, - Joist Hangers--- Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,ho Penetration Sealed Fire Wall 2,3,4 hour Firestopping L-\SueHemingway\Building.Codes.Inspection.FORrvfS\GENERAT,INSPECTION REPORTAOC Office Use GENERAL INSPECTION REPORT Inspector: J6 Town of Queensbury Ready at time: fir' .Dept. of Community Development Request received: f 61716 Zi Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE7116nittia E ART rj- am na Notes: (518) 761-8256 InspectoNAME: ERMIT# 6" r r63 LOCATION: 7 �jl � �J INSPECT ON(date): / Q 2— j TYPE OF STRUCTURE: . —l$ /Y1 . RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement GG of the concrete, Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofmg ��1� M 1 L� �� U Backfill Approval Plumbing Under Slabs, Plumbing Vent/Vents in Place Rough Plumbing Hearing 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 L:\SueHemingwaylBuilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc RICHARD BAKER & SONS 569 Schroon River Rd Warrensburg, NY 12885 Phone(518) 623-9801 Fax(S 18) 62 3-9 801 rbakersons@earthlink.net October 17, 2002 Barry DeLong 172 Elmhurst Drive Queensbury, NY 12804 Mr. Barry DeLong, I certify the eastern white pine lumber that you purchased is sound and suitable for construction use. Sincerely, Ace,/aw Leonard M Baker Owner 4 i IJ% p!l6vil Z-(�6 2,- V14-3 R CEIVE � • SEP 2 3 2002 TO 111 ar-0 iNSBt1RY Mck 25 ' i f KPAMMENT I�v3ed on our iirnited e a� ination, 4 -, compliance with our comments shalla' mot bees construed as indicating the czz Plans and specifications are in full cWjpllance+:jith the mde. add existing I I ''� �JJ tA J_ 11111t� I I 3` r I I 1 I t V V '0 arry LT TI,C T uui.LY W AE Uuisy 3 172 Elmhurst Dr Que ensbury u Y 45 ' 3 NOTICE F'RONT i { KRAFT PAPFR INRJ 11 AT1nN ,MII rpr1 COVERED BY NON-COMBUSTIBLE BARRIER _ RY NOT ��L r . ' � I REVIEWED BY FOAM INSULATION MUST E COVERED DATE *jjn-9 1 �i BY A 15 MINUTE THERMAL E L BARRIER 14'x1 6'.add on R-30 insulation 2"xV-1 6"oc rafter celing ec rme'r- Few Av3 7t 2"A"-16oc celing joist R-19 insulation " wall's &floor 2 W�-16 oc wall stud I P,s?w,,%V1 Ll IL 2"x6"-12 oc floor joist 242"" ) 03 4"A" post----A-> pier block 16" Tsai TV 7 4758"1 EJ 4 IN 13 footing plan ,TE] 413" El