2000-097 IOYYYM�
side
AC It I %A A-% C y
uertificate of Ou updli
'Town of Queensbury
Warren Gouty, New York
Date May;:: 2000
This is to certify that word regested to be done as shown by Permit No,
has been completed.
This structure raq be occupied as a EXISTING PORCH
Location 110 SHERMAN ISLAND RD a
Ofter
TAX 1R NO, 1 4 9 . w 2 w 6 By Order "town Board
OF QUEEN BURY
u✓V 1�
Director ofBuilding& Code Ellforcement
BUILD-ING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-9256
VALUE $ 4000 Building Permit No. 2000097
TAX MAP NO. 149 . -2-6
Permission is hereby granted to rOREiN, ROBIN
Owner of property located at !I@ SHERMAN !S16�T�9 RE):
in the Town of Queensbury,to construct or place a
information hereto filed and p-1I Vs,jWot; MM
at the above location in accordance to application together W
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
110 SHERMAN ISLAND RD.
QUEENSBURY, NY 12804
Contractor or Builder's Name:
DAVIS, DENNIS
Contractor or Builder's Address:'
7 ALGONQUIN DRIVE
QUEENSBURY, NY 12804
Electrical Inspection Agency:
Type of Construction:
PORCH
Plans and Specifications:
,168 SQ FT PORCH AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
EXISTING PORCH
$ 1 PERMIT FEE PAID—TFUS PERMIT EXPIRES Marrb 12 2 rn 02
(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 Town of Queensbury this_ a:pay of . Mareh 2 @ 0 0
for the Town of Queensbury
S'GNED"X-Yode Enforcement Officer
C3
TOWN OF UEt-NSUURY ..y r -'
� Ft.L Paid
• BUILDING & CODES OL•-PARTMI•:Nl
APPLICATION FOR: PORCIIES-DICKS-- Pcruii L' # g7
DOCKS & BOATHOUSES Est. Cost
A PERMIT MUST HE OBTAINED oi:FoRt: ULGINNING CONSTRUCTION. PLEASE ANSWER ALL OF IIIL•' FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will Irrr
clone in accordance with the description , plans and specifications submitted, and such npuciai
conditions as may be indicated on the per►aitt, iwo sl.:'ry IF STRUMURAL PLANS Stint.#. 1►1: S#Il►Fil'1'lia!
wI.1'll 'i'1IIS n1�i�LICn'I ION. -•---.----_-•.
Owner of Property:
P.O. Address i Phone U
Property 'Location Cy 1 1'ax MaQ l�
Subdivision Name (If applicable) _:: (ax C1��1G�
PERSON RESPONSIBLE iUR SUPERVISION OF WORK AS itEGARDS TO BUILDING CODES:
Name: C-j lCl1S C�. S Address ---i- � Lt w1C� ?ltl �c� 1'Iluiicll711�1
BUILDING SPCCIrICATIONS: -= —
Type of 'work to bb done: OrTurch 4. Deck Dock UoaLh u (Circle one)
Size of StructlSre to be but 1 t squars' footage): 2X � l Cj
Foundation Material : Width Phany
thickness
g Depth of rooting. below rade: I _tit
Size of Posts or Studs: x x Lou( �/U
Size of Floor Joists: x � x � }f Span
Decking or Flooring Material :
If Roof Will Be Installed, AlIswer rollowinti questions: �- �' Icy
Size of'''Posts or Studs: x x Long MpR
Roof Rafters: x Spac i ng Span
Roof Trusses (pre-engineered spacing) : Spanu►�raita�r .
Type of Roof: Sloped Flat Shed other (circle olio)
Material of Itoof:
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMiTTED. drawn reasonably to scale and attached
treroto. sshnwiirf'}.clonrly aril�J'islt��clRy n1"i- kit77lil'itis�s. whather exist#nt, or proposed anti
indicate all set back dimensions from property lines. Show location of water supply anti
location and configuration of septic disposal alaea.
Size of Property: ft. x ft.
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, cI stance from properly 11Ino:
Front yard ft. hear yard ft.
Side yards ft. and 'fL.
If on corner, setback from site street: 'ft.
DECLARATION
To tile' Kest of aty icnvwledge unct iaelie{ fire statements contained in this application,
tiogathQr with the. pions and stToc9Plcations subrrrit %d. ara a true and compleLa staLemu"L
of all proposad work to be dune on the described premises and that all provisions of the
Uuildinq. Coda, the Zoning Orctln.ince, and ui7 ot:har- laws pc±rtairr#»�, to Lira prulrosatl work
shall be compliad with, Ahather specl=d or nut, and Llr. rch work '!s authorized wo L#u±
owner.
DATE: S I GNATUr2-
Owner, Owner s Agency, &=Ili t ,.t, Con tractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 3 SIGNATURE t
ENERGY CODE COMPLIANCE APPLICATION L-Ur
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS MAR 13
T01011,�10, C:
Comoliance Methods: PART 5 - Acceptable Practice Me!tivod�IL=`*^—"'�—' -'�2!L
1&2 Family Dwellings (only)
• PART 6 - Therm.'al Rating - Component Trade Offs
1&2 Fdmily 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:
&I
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - square feet
2 . Tv-pe of Heat - Electric / Oil Gas Other
3 . Is building mechanidally cooled? Yes No-4 /1",
4 .
Percentage of area Of windows and doors Over 17% Under 17%
5 . 1F1'-VA_LUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SlH-OWN, 'ON PLANS SUBMITTED:
a, . Roof , R
b . Exterior walls R
C . Glazed areas R X k
d. Exterior doors R
e . Floors over unheated spaces
R
Edge of slab on grade (heated building) R
g. Basement/cellar wails _ (_ab6v_e_ grade) R,
h . Basement/cellar walls (below grade) R
Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device Yes
Conforms to minimum efficiency per code, jZ
No
TEMPERATURE CONTROL MAXIMUM SETTING. 1400 WILL NOT BE EXCEEDED
n t Sign tore Date Phone Nu e-
k,
TINS?__EC_T,-0'_R' S REMARKS:
ire wn y >
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received: 9 r
Building& Code Enforcement 4
Dept.of Community Development Arrive am/pm Departtl
Town of Queensbury inspector's Initial
742 Bay Road
Queensbury,New York 12804 7
NAME ` ij3, PERMIT �`� c: t
LOCATION DATE eL--- 5� —�
TYPE OF STR C E
Ov
N/A YES NO COMMENTS
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,la iding 18 in. or more
Interior Handrails stairs both sid s 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate I
Gas Valve shut-off exposed/reg ator 18"above grade
Gas Furnace shut-off'.within 30 eet or wi in line of site
Oil Furnace shut-off at entrance to furnac area
Furnace/Hot Water Heater operating r
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs botVides more than 3 risers
Interior privacy/him/doors/mam entrance 36"
Floor Finish f
Bathroom/Kitchen watertight
Interior Handrails Ball '/es/Landing 18 in. or more
Railing across window ' stairwells
Smoke Detectors:
every level /
every bedroom
outside every droom
inter connectedt
Bathroom fans
Plumbing fixture
Foundation insula 'on
3/4 hour fire doorl 7 closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"- es floor
Final Electrical
Site Plan/Varianc req d
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)
GENERAL INSPECTION REPORT
��--
t 518 ) 761-8256
Town of Qucensbury
Dept.of Community Develolimcnt Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arriveclw'1_60 am/pm Depart am/pm
Inspector's lnitial;VP
NAME: PERMIT#
60 - 7
LOCATION: DATE : V W
TYPE OF STRUCTURE:
RECHECK
N/A YE NO COMMENTS
e1c,Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi e
'i c providing protection from Treezi
for 48 hours following the lacem nt
of the concrete.
Materials for this purpose on Re
Foundation/Wallpour
ReinforcemefiNn Place
Foundation/Dam� o o fi n,
Backfill Approval
Plumbing Under Slab
Plumbing VcnUVents in Plac
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior JR-
Foundation Walls Exterior/R-
Floors
Walls
Ceiling
Duct work or piping in
unhealed spaces
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 Scaled
Fire Wall 2, 3, 4 hour
Firestoppin
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Office 176 Doe Run Road - Manhelm, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel
Board N06 6
`U1 10 Cut-in Card No.
i t a t4iittiit4tilii4tiii4#
4 Ilflfi I 4
owner �
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Location rJ
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Ill
Installation Consisting of,,, off }ti#i4ii#f!}fl4atitttYtf .IIIto#ifeff#ft#4ifit6.II4141 if+41�!l.RR4R4IRR•}fYffYfffilfffl iI4fI4i#I44I#IliI44f4IR4l4I4p
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i#fill of of if Ito imIIago 1$44#I1*1ait too iM1#41#044 Rot Oil wotI off of l.tf Aso I I of I}.a•41444 I I off 4.Iwo iItf4##}at061o0 f4411 feel tip Iloilo}#4a..4 64666 fit lltlllNN4f H1 Ito I ImIIoff N4t}41
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InstalledBy,,,,,, }I4f.tool 11#I 11f44I4t S.". 11011 f.4Wt414t4f.fINf4N4Htut loot 11114 0tMII4 Lice No. tiH4flf4iof ll4oll/ifgllHlfil4#iNtlf.Nloff/ti�
The conditions following governed the issuance of this certificate, and any certificate previously issued is
cancelled:
This certificate only covers the electrical equipment and' installation conditions as of date. Upon the
introduction of additional equipment or alterations, application shall be promptly made for inspection.
inspectors of this Company shall have the privilege of ma ' inspections at any time, and, if its
rules are violated, the Company shall have,,the,xighl to evok is rtifio Y
Date , "I! tltR•a !f fir l4f1!#IfNlpiilHlMl4i INSPECT f 1 4 IfiIII44f! II!lHHf#i/It11#q}}H}}}}}f4fffllitiaalfee i.i Iota
l4oNgiNlilfpf4ffttNlli
4t t 0 111 ii o f T I T'4 i
GENERAL INSPECTION REPORT oZ
( 518) 761-8256 __-
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road wry
uecusbu NY 12804 Arrive = am/ m Depart Q rye � P P p
Inspector's Initials x
NAME: ��,�" �' PERMIT# 0, J
LOCATION: //y �„ 'r �,� DATE : 27
e�� �1
TYPE OF STRUCTURE:
RECHECK '
l#
�i
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/Dampproofi ng
Backfiil Approval
Plumbing Under Slab r
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- c7
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
4
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v)cblv,\ 'co
1
1
NOTICE
KRAFT PAPER INSULATION MUST BE NOTICE a:cr p- ocl
COVERED BY NON-COMBUSTIBLE-BARRIER FOAM INSULATION MUST BE COVERE.F,r-PI f
BY A 15 MINUTE THERMAL BARRIJRR 13 2000
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a�pliancem DATE , .
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