1999-591 BUILDING PERMIT
VALUE $ 26000TOWN OF QUEENSBURY No. qqc91
TAX MAP NO. 121 . —8-129 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to DE MARCO,. DAVID & PAMELA
OWNER of property located at 18 CHIPPEWA CIRCLE Street,Road or Ave.
416 .S . FT. RESIDENTIAL ADDTTN
in the Town of Oueensbury,To Construct or place a Q TC)
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance.
t. OI1Eri01A CIRCLE
QUEENSBURY, NY- 12804:-
2. CONTRACTOR or BUILDERS Name
JELEN.IK..BUILDING &-...RENOVATIONS
3. CONTRACTOR or BUILDERS Address
4. ARCHITECTS Name
NYB ..OF FIREUNDERWRITERS
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by XI RESIDENTIAL ADDITION
1 1 Wood Frame 1 I Masonry ( I Steel 11
7. PLANS and Specifications
416 SQ. FT. RESIDENTIAL ADDITION AS PER PLOT PLAN AND
SPECtVICATIONS
8. Proposed Use .
416 .SQ., FT. RESIDENTIAL ADDITION
32 September 20 2001
$ PERMIT FEE PAID—THIS PERMIT EXPIRES.- 19
(If a longer period is requited an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
20_ September. 1999
Dated at the Town of Oueensbury this Day of 19
SIGNED BY for the Town of Oueensbury
Budding end Zoning Inspector
u i Mil 1 T i b:23 bid(4b44.1/ I UWN Uf- UUEENSISURY P PAGE 03
• cip� . ENERGY CODE'COMPLIANCE APPLICATION
TOWN.OF QUEENSBURY; WARREN COUNTY
900:0 HEATING DEGREE DAYS
Compliance Methods: PART 5 _ Acceptable Practice Method - "
••1&2 Family Dwellings (only) SEP 1 0
• PART, 6* - Thermal.:.Rating - Component Tih e-,Of fs ,99
.1&2 Family Dwellings; Mu1ti4al`tli Ou
• Dwellings (3 stories or less) >1''Sa,
PART 4* - Design by Component Performance• �EjOp �Y
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT'S NAME: • • PROPERTY LOCATION:
-D6Q
PART 5 METHOD.OF COMPLIANCEM 'BY ACCEPTABLE PRACTICE:
l
1 . Gross Floor Area - `I 1.. o square feet
•
2 . Type of Heat - Electric • Oil Gas Other 4—
tan trf—
•
3. Is building mechaniEaliy Cooled? • Yes No .
4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R-V LUES FOR INSULATION 'GIVEN' BELOW MUST CORRESPOND TO R-VALUES AS
S :OWN ON PLANS SUBMITTED:*
a . Roof R 3c
b _ Exterior walls R
c . Glazed areas R
d . Exterior doors • R
e . Floors over unheated spaces R
• . Edge of slab on grade (heated building) R
c. Basement/cellar wa1 is..:(above. grade) R
h Basement/cellar. walls (below. grade). R
• Heating/cooling-ducts-piping 'in unheated space•
R '
6 . Service (domestic) hot water' heating device
Conforms to minimum efficiency per code Yes No
-T MPEdtA URE C NTROL MAXIMUM SETTING:: 14.00 -• WILL NOT BE EXCEEDED
•
A - .ant S" /' �Jn� ' D. �e Phone Number
INSPECTOR'S REMARKS: /
•
Building.Permit Application 41.
Town of Queensblll y - Dept.of Cwirntattily Development,-742\BSay-Rand,Queensbury,NY 12804 (761-8256J
goiiYC� BUILDING &:.CODE 'ENFORG�EMENT '
Requirements prior to issuance,
1A permit must be obtained before Of this permit: I PERMIT FILE NO.
beginning construction No inspections t �, /
will be made until applicant has received O Zoning Board Action PERMIT FGE PllD S. p
a• VALID BUILDING PERMIT. All • - Atea /.Use RECREtT10N FEE PAID$
pp spaces on this application • .
MUST be completed and the signature . . TIYI
of the applicaoh moat oppear oa the PIQ7tnlltg Board.ACtlOn REVIEWED BY:SPR'1.Subdivision'/Othr ens ctplica4on form. rn,.cy.. pe ar
• � c �jRecr ton Fez Paymanl '
Applicant: �/`/aJ i c s. V J� atc-�
Owner ri
Address: 4� c�� \����a' �.\rCtl.• Address:.
•Phone# ( �_ )7_ l 3-�g3ZZ. Phone# j
Property Location: �� Chtiri.via, .. Circ'' . - -. S
h y�/�• � Tax Map Number_ c2d/ B / 6 Z9 ? �P 1 ® 1
Subdivision Name: �{ (J
ll Section Block Tat �G�;' O� `��
NATURE OF PROPOSED WORK: - • �U(�i'J((f �`I` �I1t ,t
New Building: ESTIMATED MARKET VALUEOF THE � �ii=Jd � �
. •• . CONSTRUCTION: $ 00a G"
residence / commercial co, =�f'
✓ Add' _. :. ding: - -A;.
residence commercial' occCY INFORMATION:
Alt- -: . Building: ' •Pr' ary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size. .. - Family Dwelling
_ Office
Other Work (describe below) . • ' Mercantile
- •• Manufacturing
•
• Other
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor • If ADDITION, what will use
1st2nd Floor sq• ft, of-�t�w addition a?:
�{1tt,' Sq.: ft. - • ►iIC_Sfe-v- S-14L.-I--
Other Floors sq. ft-
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
' i1�11, Detached Garage 1, 2�car
TOTAL FLOOR AREA: 9-f'1 t.-- .SQ. FT. —1' Attached Garage 1, 2 car
_ Private Storage Building
SIZE OF NEW STRUCTURE: _ Commercial Storage Building
. 1 W FEET X �� FEET , . Other —Foundation Type: cus�ti-N1 - :Will any second-hand or ungraded
' Number of Stories: y - lu b r be used? If so, for what?
(habitable space only) 0
Height (grade to ridge): - .. . feet " :TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woeidstove (circle'all which applies)
to be installed; -j- des-tkr-' :' / Gas / Wood
" Forced Hot Air Baseboard / Other
Person responsiblet for supervi,sion of work as regards to building
codes is: .TelP_vt►V I3Ct.t lamer 4Rel/wva+uM5.! 1tn e .
t .Namen . rases-. iI Pho
Builder: �leittU, 171,1,1 latAl t pM A thOVAJ) e,- - i�CS.Z-/1el 5
Plumber: r
. Mason: • - -• ,
Electrician: . :.
DECLARATION Please sign below after you ltmae.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 auhoriegd by the owner. Further,'it is;understood that I/we'shall submit prior to a
Certificate of Occypancy„,13r Certificate:of.CompliaAee being' sued,an AS BUILT PLOT PLAN by •
a licensed surveyor-, drawn
�ttoo/scale. owin ctual: ado f project on premises.
g
Si nature: ra/J (,, G✓V'u
owner,owner's agent,architect;contractor.) •
- 1,U5/2
1. ,37)
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'b
Inspector's Initials
NAME: �,,\ �\y��1° r C_D PERMIT#
LOCATION: � DATE :
TYPE OF STRUCTURE: C.
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from czing
for 48 hours following tl(pla ement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi i-g
Backfill Approval •
Plumbing-Under Slab
Plumbing Veal/ t ►► Place
ough Plumbing
Heati► ough-In /
9sdation V CALL- z-/2- 1 l�Ecl� ri/1/4_,out.. CO
Foundation Walls I terior R-
Foundation Walls ljxterior R-
Floors R-
Walls R- 1 CA
l1
Ceiling R- -5c7
Duct work or pipi g in
unheated space• R-
®roper Vent, Attic VI nt
✓Framing -----
Jack Studs/Headers
ylgracing/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
1 ,V
k';' —-� e / r
�b0
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 Depagt ' pm
Inspector's Initials
NAME: OCiPVAC-0 PERMIT# `—C `-5-ei I
LOCATION: ih C.N.,P k f' DATE : `i
TYPE OF STRUCTURE:
RECHECK
•
N/A YES NO COMMENTS
Footings/Piers I 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/Dampproo ing
Backfill Approval i
Plumbing Under SlabI
,Plumbing VenUVentslin/Plat
Rough Plumbing:,.4I P.IL 4- l L5
• Heating Rough-In '
/Insulation
• Foundalionn Wafs Interior R-
Foundation Wa s Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work r piping in
t
ropec r Ventunhea, tticspaces Vent R-
. Framing • V
Jack Studs/Headers
Bracing/Bridging C67i-iii9L67(L {�/Zl Pre) (IJ G g C /Lf�C
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
lire Wall 2, 3,4 hour
v'�'irestopping
E/3(L-Ly iA4
3 (ms-P_
GENERAL INSPECTION REPORT = __
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 79
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive am/pm Depart2• pm
Inspector's Initials,atiK,
NAME: a- /t't. Cr:O jrJ` t CI te,(141PERMIT#
LOCATION: Tc. c-B ; � C �.�cC-9 DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place ' J
The contractor is responsible for C/U6
/ G&/PG2 9-AI DrU T/GG
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/Dampproof i ng
Backfill Approval
Plu Bing Under Slab y
P umbing VenUVents in Place
4 ,ough Plumbing. ,y (/Jil L AM( - PC_iy `7 f nV Q
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 62t pal N�
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I,2, 3, hour
Penetration Scaled
ire Wall 2, 3,4 hour / f J -3
.(ire
. - Y /th r k r7 /.ry Si�- �y
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