2000-219 TOWN OF OUEENSBURY
742 Bav haul,Quecnsburv,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761.8256
IA R IF E OF OCCUPANCY
Permit Number: 2000219 Date Issued: Tuesday, May 15,2001
This is to certify that work requested to be done as shown by Permit Number 2000219
has been completed,
Tax Map Number, 523400.051.000-0001.030-000-0000 - - --
Location: 20 BEAR BROOK Rd
Owner: WALTER&MARGARET MEINECKE
Applicant: MEINECKE,WALTER
This structure may be occupied as a:
Porch By Order of Tom Board
TOWN OF QUEENSBURY
Director of Bud&ng&Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 10000 Building Permit No. 2000219
TAX MAP NO. 51 . -1-30
Permission is hereby granted to MEINECKE, WALTER
Owner of property located at 20 BEAR BROOK RD.
in the Town of Queensbury,to construct or place a RESIDENTIAL ALTERATION
at the above location in accordance to 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.
Owner's Address:
20 BEAR BROOK RD.
-LAKE GEORGE, NY 12845
Contractor or Builder's Name:
MEINECKE, WALTER
Contractor or Builder's Address:
Electrical Inspection Agency:
COMMONWEALTH ELECTRICAL AGENCY
PO BOX 706
HAGUE, NY 12836
Type of Construction: RESIDENTIAL ALTERATIONS
Plans and Specifications:
866 SQ FT RESIDENTIAL ALTERATION AS PER, APPLICATION,
Proposed Use:
RESIDENTIAL ALTERATION
.36, May,"l 2002--1
$ PERMIT FEE PAID-TIRS PERM EXPIRES
(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.)
1 , May 2000
Dated at the To Queensbury this Day of
SIGNEQ3Y___ \ _��6 for the Town of Queensbury_..I D111-2
Co db Enforcement Officer
.tunic ing- .permit Application
�,�TOWIZ ofQueenshury - Dept. of CIIlAtlitattt •UBVelo ment, 7�l2 Bet y
}' ! } Road, Queett•rbury, NY 12804 1761-82561
NOTE BUILDING _& - CODE ENFORCLAIENT
Requirements prior to issuance
A porznit must lx�obtained before
of this permit: t ERMI7'I7GE 1V0.
- -
I>c+ginnitig conrilruction. No insircc lie>nrt _
will be made until applicant Iris received U Zolttltg .Board Acnolt !'ls�t/tfl"I'!•Lli PAID$
a VALID BUILDINQ PERMIT. All, Area /Use
applicants` spaces on this application RECREATION PEE A-ID$
MUST be completed nhd•ilia signature [� PIallszltlg t3aatzl rlclioll of the applicant•must appear oaf tho REVIEWED uiI-
plieation form. 1t A,,�,4 SIM / Subdivision /Othcr ttnudt.eh L..Je fw.
Recreation Fee Payment '
Applicant: e ' e .. .
Owner:
Address:
Address: /Z--o'.
Pholle # { S'-/L} P110110 irk
Properly Location: 5`7i/-.5326 • _ `�-••-1--��___�..1 Subdivision Nante:_�Jr _e_4VX_ I'ax Map Number_
Section Block [Ail
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OE TII
New Building: CONSTRUCTION: 1SK1
residence j commercial < 5
Addition to Building:
residence / commercial OCCUPANCY INFORMATION.
A1t.evation to. Building: Primary Building -
residence / commeicial Single Family Dw�etl==1l�i��ng �f'
, es i.dence / Commercial .Two F amily Dwell �n�g�' —� -
no change, to exterior size Family Dwel i
Office 72000
Other, Work (describe below) Mercantile
Manufacturin gT`JVv Oi Gi 9S�'tlFtt/
other Etllirt}II1tU A2 'Sp-
GROSS AREA OF PROPOSED STRUCTURE:
lst floor. . . . . . . . sq. ft• If ADDITION, what will use
2nd .floor.•. . . . . . . sq. ft:. of new ,addition ion be? :
Other Floors . . . sq. ft.
(not unfinished cellar or' basentent) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR' AREA: $�C� SQ. FT. Attached Garage 1, 2 car
Private storage Building
SI-ZE OF NEW STRUCTURE: Commercial Storage Building
FEET X �F Other
"EET .
Foundation Type: 04 Will any second-hand or ungraded
. Number of Stories : 'Z lumber be ,used? If so, for what?
(habitable. space only)
height- (grade to ridge) feet TYPE OF IIEATING SYSTEM:
Number of fireplaces and/or woo shove (circle• all which lies)
to be installed: Electric / Oil / G
Forced Hot: Air / aseboard / Other
Person responsible for supervision of work as regards to building
codes is:
Builder: Nafne Addres s s Phone
Plumber:
Mason:
Electrician:
DECLARATION.- Please sigh below after you have carefully read the.statentent.
To the best of fny 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 pretises 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 Ihve shall submit prior to a
Certificate*of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor;
drawn to scale,
showing, actual location of project on premises.
Signatur (owner, owner's agent, architect, contractor)
ENERGY CODE COMPLIANCE .APPLICAT14
TOWN OF QUEENSBURY, - WARREN" COUNTY
9000 HEATING DECREE DAYS ,
Comnl iarice Methods: PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
PART 6* - Thermal Rating Component Trade Offs
1&2 Family Dwellings; Multi-Fam- ily
Dwellings (3 stories or less)
PART 4* Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Reo�uies submission of worksheets
APPLIC AUNT' S NA!XE: PROPERTY LOCATION:
PART 5 I THOD OF 'COMPLIANCE BY ACCEPTABLE P.R.�CTICE:
1 . G--oss Floor Area - S66 scn:are feet
2 . T-,,=e of Heat - Electric Oil Gas Ot-er
3 . Is building mec=anically cooled? Yes t/ No.
4 . Percentage of area of, windows and doors Ove ,i% Under. 17%
5 . R-V_ JES FOR INS i_.aTIOV GIVEN B E LO'vji MiTST CORRESPOND ^0 R-7_=_,uS AS
S_O"r+ti. ON PLAINS Sj-ZuI i_3D.
a . Foor R
b . Exterior walls R a2la-/}
C . Glazed areas R
d . .Exteri or doors R
e . Floors over u^uea�e spaces R
_ . Idge of slah on c_a- (heated building) R
C. Basement/cellar walls (above g=ade) R
?. . Basement/cellar walls (belo.%r grade) R
_ . .eating/coc__ g-cLct..-pipi g in unheated space R
6 . Se.-rice (domes.'-) hot water heat-oc device
conforms to m- -: c::n eff-eiency pe.r code Yes No
T=MP=RATURE CON-'ROL M_lAXIMUM SETTING. 1400 - WILL NCI BE EXCEEDED
An =-= ' s S.gala eD P`c-e Nu:�Wer
22-
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 12804. Arrive am/pm. Depart
Inspector's Initials
NAME: 4"'
PERMIT
K
LOCATION: DATE:
TYPE OF STRUCTURE: Pelt:
RECHECK
N/A YES NO COMMENTS
Footings/Piers tI I
Monolithic Pour Form
Pour
Form Reinforcement in Pla
The contractor is re nsible for
r tjo�f_ x0ij
providing protection from i[re
f U th ezlig
for 48 hours follo * the place ent
\t
of the concrete.
j ro e
Materials for t4hispurpo the
st
Foundation/WaIl
Reinforcement in Place
Foundation/Danipproofin
`p po I P p Backfill Approval
P"_u mbin Under Slab
llueng VenV_Vents—
in Pla
rIn A< 0 F�� eft 1A)
ting Ro gh.In t
oun tion Walls Interior R
Foundation Walls Exterio R.-
Floors
Walls ce)�)
Ceiling
Duct work or piping in
unheated spaces R-
Vent..Attic vent
Jack Studs/Headers
Bracing/Bridging
Joist Hangers /2�
Jack Posts/Main Beam E -foe 41)
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppi
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement ,
Dept.of Community Development Artive9' hai Depart m
Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury,New York•12904
NAME ` r,41l 1 PERMIT r'006— 1
LOCATION DATE
TYPE OF STMICTURE
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,I 18 in.or more
Interior Handrails stairs both sid s 3 0 ore risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regul for 18 above grade
Gas Furnace shut-off within 30 f or thin line of site
Oil Furnace shut-off at entrance to ace area
Furnace/Hot Water Heater opera
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides in re than 3 risers
Interior privacy/trim/doors/main en cc 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 8 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
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)
RESIDENTIAL FINAL INSPECTION REPORT n
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive Depart
Town of Queensbury ector's Ir►iti is
742 Bay Road
Queensbury,New York 12804
NAME PE�
LOCATION DATE -c 1
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightfV'Vent/Meet Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36'
Exterior Handrails,balconies,lan ' g 18 in.t!r more
Interior Handrails stairs both sides 3 kr moresers
Grade 2%away from foundation !
8"clearance to sill plate
Gas Valve shut-off exposed/regulator Thin
above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to
a area
Furnace/Hot Water Heater opera
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ff.4 in.
Handrail exterior stairs both sides more th 3 risers____
Interior privacy/trim/doors/main entrance 3 "
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.of more
Railing across window in stairwells Smoke Detectors:
every level 1
every bedroom {
outside every bedroom II
inter connected
Bathroom fans 1
Plumbing fixtures #
Foundation insulation
1/4 hour fire doorldoor 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
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
(518)761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive JOIJ am/pm Depart am/pm
Inspector's Initials A
NAME: PERMIT#
LOCATION:- DATE 6
A
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezi
for 48 hours following the plat
�� �
of the concrete.
Materials for this purpose on si C--
Foundatio�Mallpour v7li-
Reinfbrcen�Snt* Place
Found o proofing
Backfill Approval
Plumbing Under b
Sl,Plumbing VendT=ts in P ace
Rough Plumbin
Heating Rough-In
Insulation
Foundation Walls tenor R-
Foundation Walls
xt xtenor 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 L_
Jack Posts/Main Beam
Air hifiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC,
Main Office 176 Doe Run Road- Manheim, PA 17545 ;a6o -- Iy
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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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 trade for inspection.
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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 12804 arrive &31 am/pm Depart 'Am/pm
Initials Inspector's Initi S
NAME: PERMIT#
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 frecrin t�f! rY
for 48 hours following the place lent J
of the concrete. ,V ®'(r,
Materials for this purpose on site
Foundation/Wal 1pour_
Reinforcement in PI"Cc
Foundation/Dampproofi ng
Backfill Approval
Plumbing Under Slab
Plumbing VentlVents in Pla e
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interi r R-
Foundation Walls Extc ar R-
Floors R-
Walls -
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 I,2, 3,hour
Penetration Sealcd
Fire Wall 2,3,4 hour
Firestopping
!---- MEINECKE, WALTER .....fI T.D. 1`
20 BEAR BROOK RD. SHEET
OF
C I RESIDENTIAL
P;TSAL A;,,EtiAtION JOB k
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