1999-695 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 2500 Building Permit No. 99695
TAX MAP NO. 127 . -1-8
-P-LP
MATTI SON, JOANN
ermission is hereby granted to
Owner of property located at 53 WISCONSIN AVE.
in the Town of Queensbury,to construct or place a PORCH
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:
53 WISCONSIN AVE.
QUEENSBURY, NY 12804
•
Contractor or Builder's Name:
MATTISON, ROBERT
Contractor or Builder's Address:
• Electrical Inspection Agency:
NEW YORK BOARD
NEW YORK BOARD OF FIRE UNDERWRITERS
Type of Construction:
PORCH
Plans and Specifications:
120 SQ FT PORCH AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
PORCH
8 - November 5. 2001
$ PERMIT FEE PAID-THIS PERMIT 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.)
5 November 1999
Dated at the T67ukl,
eensbury this Day of
SIGNER BY for the Town of Queensbury
Code Enforcement Officer
•
•
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING . DEGREE -DAYS
Comol i ance Methods: PART 5 - Acceptable Practice Method -
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: PROPERTY LOCATION:
PART 5 I+ TEOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area = 1ZC) scruare feet
2 . T-ype of Heat - Electric / Oil Gas Other
3 . Ts building mechanidally cooled? Yes
4 . Percentage of area of windows and doors Over 17% -nder 17%
5 . R-V_=LUE S FOR INSUA=TION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R
b . Exterior walls
R 1
c . Glazed areas R
d . Exterior doors R 1
e . Floors over unheated spaces R
Edge of slab on grade (heated building) R
c. Basement/cellar walls (above grade) R
. Basement/cellar walls (below grade) R
Heati ng/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating 'device
Conforms to mi nimun efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140°. WILL NOT BE EXCEEDED
ADo_ =-t ' s Signat _e Date Phone Number
iNSPEC=OR' S REMARKS:
•
Building .Permit Application *Seco ` --clill°
Town of Queensbury = Dept. of Community Development, 742 Bay Road, Qiieensbury, NY 12804 1761-82561
BUILDING & . CODE ENFORCEMENT
NOTJcEJ.. Requirements prior to issuance • -
A permit must be obtained before alik
of this permit: PERMIT FILE NO. '.�
beginning construction. No inspections 45
will be nutdo until applicant has received [1 Zoning Board Action PERMIT FEE PAID$ 4 Ale
a VALID BUILDING PERMIT. All Area /Use
applicants" spaces on this application RECREATION FE .,,, ; 44,
MUST be completed and&the signature n Planning Board.ActionAMCof the applicant•must appear on the REVIEWED BY:
mlieation form. n„at yo.. SPR / Subdivision /Other Ihii./ fer
r
J Recreation Fee Payment /.lam�
Applicant: c�t \lllty� hRr i-i- Owner: _ • . V 71
. ' Address: Lea ta� �E Address:
Phone #. (EL.)3_ - l`zas Phone # ( ) -
. ' Property Location: ....
•Subdivision Name:
Tax Map Number• _ 1Z7 /�/
Section Block Tot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ "7",ijeer)
/ residence / commercial
✓ Addition to Building:
residence ./ commercial OCCUPANCY INFORMATION:
Alteration to Building: Pri ary Building -
residence / commercialD
Single Family DweLliAg
noResc toe / Cextersorlsize Two Family Dwell ` ir.
changeFamily Dwdl'"ling
Office NOV _0 4 1999
Other Work (describe below) Mercantile
. Manufacturing OWN OF ; � Di;l�3°
Other BOiLDiE�#: AND CODE
GROSS AREA OF PROPOSED STRUCTURE:
If ADDITION, what will use
•
1st Floor
`'T" sq. ft . of ne addition be? :
2nd ,Floor ' sq. ft. 1-6i247,14
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
• Detached Garage 1, 2 car
TOTAL FLOOR AREA: 171) SQ. FT. Attached Garage 1, 2 car
• Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Ci Other
FEET X tj FEET ,
Foundation Type: Will any second-hand or ungraded
• Number of Stories: - 1 lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
- to be installed: Electric 41 Gas / Wood
(Forced Hot A1r/ Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : V--OE3F.Zr M i‘506 -1°I-2)-Dikz:*
Name Addresss Phone
Builder: •
Plumber:
Mason: .
Electrician:
DECLARATION: Please sigh 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 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 I/we shall submit prior to a .
Certificate of Occupancyor Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: Al--t0-)11-
(owner, owner's agent, architect, contractor)
TOWN OF 111_4t-
BUILDING & CODE ENFORCEMENT
kPta 742 BAY ROAD
QUEENSBURY NY 12804
1 (518) 761-8256
ARRIVE: \I /,C) DEPART: \I F?JT) INS •
FINAL INSPECTION REPORT - RESIDENTIA
DATE INSPECTION REQUEST RECEIVED:
NAME,� � mO(\14 S N,-\
LOCATION 53�>\�j
DATE 3 PERMIT " LD c
TYPE OF STRUCTURE t
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH �
DECK/PORCH/STEPS/RAILI
RELIEF VALVES
FURNACE/HOT WATER OPE , ,G
INTERIOR TRIM/PRIVA :OORS
FINISH FLOORS:
BATH/KITCHEN WATERTIG T
OTHER FLOORS SWEEPABL,
OTHER FLOORS CARPETED ✓/
STAIR CLEARANCE/RAILIN
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUF,�/�I�R
Z- 1 �\ O, J .
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received: /Qg
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive `. n/ m epa =a(o_ 01"F
liispect i s Ini -t"'�j /
NAM • �� / PERMIT#
LOCAT : ' eji DAT §
TYPE F STRUCTURE: 7 /
RECHECK
1' N/A YES NO/ COMMENTS
Footings/Piers I A
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 I
Backfill Approval /
Plumbing Under Slab / 'ti
Plumbing VenUVents in Place ,I
Rough Plumbing /
Heating Rough-In /
ynsulation / r
Foundation Walls Interior/R-
Foundation Walls Exterior R- \
Floors 4i- 1 ✓ V--01'�
Walls R- i9 ✓ (7�t`%\�
Ceiling R -2;� t� 's
r,
Duct work or pipin) in 1
unheated spaces R- a,
Proper Vent, Attic V, nt t
Framing- - �7— ----- -E.' - � C 4eq F
Jack Studs/Hea(ders N5 V\ Lc) �Bracing/Bridging
Joist Hangors .
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
, ( 518 ) 761-8256 .
Town of Queensbury Dept.of Community Development Date inspection request received: /( jlN /`� f�, Qi 77
Building& Code Enforcement
742 Bay Road 2
Queensbury,NY 12804 Arrive am/pm Depa2,
Inspector's Initials ,2 /f i
qq-NAME: ✓ fi t-s iiA PERMIT# _ (5
LOCATION: `j'?j CJ;'S t�ru.4,:,- ___ DATE : n U /0 l 9
TYPE OF STRUCTURE: 7ire
RECHECK
•
N/A YE NO COMMENTS
footin""_Piers '' —I
Monolit ur Form
Reinforcement in Place
The contractor is res nsible f,r
providing protection from free.ing
for 48 hours followi g the pl• ement
of the concrete.
Materials for this pu •is .n site
FoundatiQuaallpour
Reinforcement in Plate
Foundation/Damppr o oti ng
Backfill Approval
Plumbing Under SI b
Plumbing Vent/V. its in Place
Rough Plumbing
Heating Rough-I
Insulation
Foundation ails Interior R-
Foundation , alls Exterior R-
. Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
roper Veil , ttiic Vent _
ill
ack Stu s/Headers
Bracing/Bridging
Joist Hangers .
Jack Posts/Main Beam i
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
.:..„....„ 1
- V-0 eE-vv ik•-'\91- cr-abo0 -
?--- '
- NOTICE .
KRAFT PAPER INSULATION MUST BE
COVERED BY NON-COMBUSTIBLE BARRIER
NOTICE
Iii 0 - rd
FOAM INSULATION MUST BE COVERED
--r
BY A 15 MINUTE TH '1 l' '11 1' ' " .,-- e,1
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SCALE: One Inch =20 Feet
Produced by the Town of Queensbury, NY, Planning Department
11/01/1999