97-170 y •.
•
• . ,
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•
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date A 19 c37 JlinA
•
97170
This is to certify that work requested to be done as shown by Permit No.
has been completed.
• This structure may be used as a-
GARAGE ADDITION
Location 938 WEST MT. RD .
SMITH, HAROLD & ORM!,
Owner of
By O-
rder Order of joWn Board
TAX MAP NO. 83. -1-2.2--
TOWN OF pugEN..pURY
fy
•
Director of Building & Code Enforcement
•
•
BUILDING PERMIT
VALUE $ 4900TOWN OF QUEENSBURY No 97170
TAX MAP NO. 83. -1-22 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SMITH, HAROLD & MARJORIE
OWNER of property located at 938 WEST MT. RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a GARAGE ADDITION
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 Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
938 WEST MT. RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
BOUCHER, MARK
3. CONTRACTOR or BUILDERS Address
23 PEARL STR
HUDSON FALLS , NY. 12839
4. ARCHITECTS Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ADDITION
( )Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
23 .SQ FT GARAGE ADDITION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
GARAGE ADDITION
25 May 8 19 99
$ PERMIT FEE PAID -THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
8 May 19 97
Dated at the Town of Queensbury this Day of
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
iii.
' ' Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256J
° BUILDING & . CODE ENFORCEMENT
NOTICERequirements prior to issuance.
A permit must be obtained before \ of this permit: PERMIT FILE NO.
beginning construction. No inspections PERMIT FEE PAID$ a c>0
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All • Area /Use RECREATION FEE PAID$
applicants' spaces on this application
MUST be completed and.the signature n Planting Board Action REVIEWED BY: • VI-
of the applicant must appear on the
application form. n me. SPR / Subdivision /Other Building Inspector
J Recreation Fee Payment
Applicant: 'IIR1C T.- Oue F�tZ. 14. Owner: QOL.D S.t.A111k .
Address: L3 PGAZL STP A Address: q 3F3 WEST MOu �I,k(Ki . 6U EE.1JSf'�U
. N• i2.8. 9 r 14 y-12 tt-
. Phone # ( 51 _) 7 - g080- Phone # ( : J$_) 913 - 4L S2i-
. Property Location: q&a. V1.iE5T puktro rJ kb. l iJ s tau RED 16.1 �Z
Tax Map Number_ / /
Subdivision Name: -j Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 4 goo.°°
`/ residence / commercial
x Additio to Building:
residence. commercial OCCUPANCY INFORMATION: .
Altera ion o Building: Primary Building - , q
residence / commercial Single Family Dwel`-i �
Residence / Commercial Two Family Dwelling C� . PD
no change to exterior size . Family Dwell'
Office 291997
Other Work (describe below) Mercantile ' l. uv
Manufacturing; BUtLoaN'QlIE1=tu URY
Other g41112 O�
GROSS AREA OF PROPOSED STRUCTURE: r- Ati,tiio J ib d/112Afie
1st Floor23+ s . ft..
q If ADDITION, what will use
2nd .Floor sq. ft. of new addition be? : 6N1�2i
Other Floors sq. ft. gX1 9.066 SA� e $ pn1D 1l
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
• Detached Garage 2 car
TOTAL FLOOR AREA: 4'"Z34" SQ. FT. y Attached Garag 1 . 2 car
Private Storage uilding
SIZE OF NEW STRUCTURE: Commercial Storage Building
t a Other •
/0 FEET X •23-5 FEET
Foundation Type: 6446115- Will any second-hand or ungraded
' Number of Stories : I lumber/ be used? If so, for what?
(habitable space only) /l6
Height (grade to ridge) : feet TYPE OF_ HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies).
to be installed: Electric / Oil / Gas //Wood
Forced Not Air / Baseboard / Other
v
Person reap4psible for supervision oA work as reg�e�rds . to building
codes is: ' t ikRk. 1 . vt ket2 '23 P z_ -nn�i.t,f, '147-90i10 .
Name Addy ss Phone
Builder: mike_K—•'S ice. oucd-t 'L3 e1 t_St. 1¢1-Q080
Plumber:
. Mason: ,t " " 0
Electrician:
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 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 Occupancy'.or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed survey ; drawn to scale, showing actual location of project on premises.
Signature: /� t l�
/ dry
(owner, owner's agent, architect, contractor)
ti _.. RECEIVED
' ..
•
fir- ENERGY CODE COMPLIANCE APPLIC TION
TOWN OF QUEENSBURY, WARREN CO TY APR 29.1997
• 9000 HEATING DEGREE DAYS •
TOWN Of QUEENSBURY
.BUILDING AND CODE
Comol Lance 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 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 23 •• scuare feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled? Yes / No
. 4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R.-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R
b . Exterior walls R
c _ Glazed areas R
d. Exterior doors ' R •
e . Floors over unheated spaces R
f _ Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) '. R
h. Basement/cellar walls (below grade) R
1. Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code • Yes_ No
TEMPERATURE CONTROL MAXIMUM SETTING 1400, - WILL NOT BE EXCEEDED
Ap iicant' Signature Date Phone Number
PPM_ 42,0 �7 147-908d •
INSPECTOR'S REMARKS:
..p..��1�.C:V.CJ•%,..n. ...t .4:0.,n�_C' ...1:e.0"..p_�tiw.l...�J.�4 ..:A,.a...,..nS-.,,,,,i,xna�,l JJ._C'•?_. ,1,..C7_•.IJ,�V,..C,.V.y.IJ_...l'7..A.e4,0_l•!_..,,,,.4... .>„n gk...p..,,L,...s,_...,.:0,!4..40..., �_,atp_� ��._l'A,,.0
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THE NEW YORK BOARD OF FIRE UNDERWRITERS 1,0.I11, i
•--, BUREAU OF ELECTRICITY :.-1.
111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 }
,§ 31,1la '10, 1. 97 r}.y;Ut'lk,t,97P;°1"F i-1 4�', 1. `r; }
Date Application No.on file ;),
<; THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant ed on the above application number in the premises of :Y
%
�, 17 i WEST
L y t• 7i p1 l� T 7...../ y
-' IFYiii{?l.tl.: ,:.3f' l•��1-�;. �:P.e`t_i kild��)�.I� 11'I�. 1'L�}:. I,�°C7A�iA�c.9Vo P[.Aj.l}\PL . 4'{.rbY, 03,
03,
<' in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. 1-41 � Section Block Lot r
was examined on ,II.11d;p l•)u. i'Df and found to be in compliance with the National Electrical Code. ,}
°r
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ,
ir OUTLETS RECEPTACLES SWITCHES 9.
INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. i�
�' i
e.-v DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Ir
‹ SYSTEMS•
' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS Y
''' iT
'i Y
1' LR
SERVICE DISCONNECT NO.OF S E R V I C E ,�
�' AMT. AMP. TYPE METER 1,B'2W 1.ff 3W 3,if 3W 3,9'4W NO.OPEC COND. OF C COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL '
sf' rii
ti' 0,
jC, OTHER APPARATUS:
17
-.
p
Y
.4' 'YT 1
I1-
-. _
r,
Hx`f.R .L l L:319.7`i'I'1 4 2i' r• ± L r't`rL Y
��' ,�ul'�EIJ;IiLITi 3`, t'!',?, 1. r??0 •t s'�•I� �,:� GENERAL MANAGER Y
- I� . -• _ ,- vg Per
r..
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. r
'C`�"if'i(YC;\/Y:r fY s'i(li'/'('iY'r fi(Y(Y VI C'/YY('i'(Yi'Y YY YY YY i:'r-(Y 7Y f•Y\'Y YS lYfY\'Y'lYY:i fY YY YY Y7 PYY,7 SY Ti'Y.Y :?\',Y :i FYY.Y'`fYY. Y'%Y'/\:Y Y.Y Y�'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
q a,m .
411106; TOWN OF QUEENSBURY
/1.001111 . BUILDING & CODE ENFORCEMENT
742 BAY ROAD
es, QUEENSBURY NY 12804
(! (518) 7661-82J5ry6 it
ARRIVE: { ' "') DEPART: / ' O'z INSP:
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: , 'i f 1
NAME d' 5
LOCATION %3 cT U.11 2Y +�/
DATE (1� �P —q L PERMITS 11 4 (�/�—I / � •
TYPE OF STRUCTURE 60; `-r �j Gf1Z /
FOOTINGS FOUNDATION BACKFILL 'FRAMING
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE
Nil YES NO
CHIMNEY HEIGH B VEN /H IGHT
PLUMBING VENT )1/
ROOFING
EXTERIOR FINISH •
ECK PORC TEP RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
4OKE DETECTORS
PATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION /
GARAGE FIRE PROOFING
POOR CLOSERS 'A •
C( /
FINAL ELECTRICAL ('C �4' l l�
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C%O OR .
•
1711/TA6V
I/ ? (518) 761-8256
• TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT 'r, ,
742 BAY RD., QUEENSBURY NY 12804
hh‹ /�
INSPECTOR'S REPORT: AR a'I EPA V "a INT
. REQUEST FOR.INSPECTION RECEIVED: ___Ce 7
NAME \- eO\c 1LOCATION 3 g LJ @ /�>} � ltn/ g (
DATE L - \1 PERMIT #a (Arl""+ �-C%
TYPE OF STRUCTURE: c5'cR\c , ! " i
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FORM ,
REINFORCEMENT IN PLACE .
THE CONTRAC' OR IS RE 0 FOR
PROVIDING PRaTsE TION FRO FREEZING
FOR 48 HOURS FO1LONI G T5IBLE
PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS URPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING
PL BING UNDER SLAB
FRAMING: -
JACK STUDS/HEADERS
BRACING/BRIDGING V
JOIST HANGERS
JACK POSTS/MAIN BEAM _
AIR INFILTRATION BARRIER
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-
•
(9X ) CO(//6K_ .
: t Nfr/t1
(518) 761-8256
TOWN OF QUEENSBURY
• BUILDING & CODE ENFORCEMENT 06 .;.
•
742 BAY RD., QUEENS//BURY. NY 1280J4 �j rye-.,;.P,,; 0
INSPECTOR'S REPORT: ARR(`f/ODEPART//I' $r
REQUEST FOR I S ECTION RECEIVED: �/S
NAME '� C� iK, I'Ve-
LOCAT ON5( L 3? lQ�d kid
� ljq-.7 PERMIT $ l 7- I76
TPE OF STRUCTUR : /F16YGE,(A Q •---
RECHECK APPROVED
N/A_ YES NO
FOOTINGS/PIERS ,
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR I RESPO, 'BLE FOR
PROVIDING PROTE T ON FRS FREEZING
FOR 48 HOURS FOLLOvING ;.'E PLACE-
MENT OF THE CONCRET. .
MATERIALS FOR THIS PUR•OSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUND IONAT DAMPPROOFING
CKFILL APPROVALVI
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER _
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- •
•
l'01 of 611A. -Fi.i2, Muir 6 `f ii
/leou& (.-5 P& /JV C' .,,2 "b# ,
110k142-5414\
u IT (518) 761-8256
1?
TOWN OF QUEENSBURY 1{
BUILDING & CODE ENFORCEMENT �.
742 BAY RD., QUEENSBURY NY 12804 'x i •r
. ` , :& x
C&•-
INSPECTOR'S REPORT: ARR I°//V DEPART/• INT\
REQUEST FOR INSPECTION RECEIVED: ' )
NAME \A(-k\r 0 l) c • 1
LOCATION 9-3 g Loes----ibtlti e
5---R-0
DATE "9'7 PERMIT 8 O\rl 1 7D
TYPE OF STRUCTURE: '� i�YC�CJ\ �i'►--)
R CHECK APPROVED
N/A YES NO
FOOTINGS/PIERS KICK
MONOLITHIC POUR FORM _
REINFORCEMENT IN PLACE a- -
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLONI G THE PLACE-
MENT OF THE CONCRETES
MATERIALS FOR THIS PU P SA ON SITE
FOUNDATION/WALLPOUR tj _
REINFORCEMENT IN ACE / _ _i
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
•
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
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•
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REVIEWED BY
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• • 2V4 ?T PLATE '.L' AtICf1LY• 3ci-rs
f e�� lam" 4..
'' flLECOPY ��'! JILL KCAL='
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TOWN OF QUEENSBURY BUILDING DEPARTMENT r'
Based on'our limited examination, ir- r-T.7-1. II '�Sa6t f aS
compliance with our comments shall . NOTICE 8 I \k/12 I?O\AS 4-
not be construed as indicating the {- �� -6 ' l PE=gA�
plans and specifications are in full PAPERKRAFTINSULATION MUST BE I�1'
compliance with the code. COVERED BY NON-COMBUSTIB! c. 'ARRIER
9 7V 70
APR 2 91997
TOWN Of CXJEF-NSb JRY
j
i
i
/. 223
LANDS OF
FREDERICK M. 3 SAR8ARA M. R/LEY
L. 611 P. 633
ACRES
LANDS OF
GORDON S. 8 FRANCES L. SAVILLE
L . 488 P. 256
275 07
0ee245 53
#411"'
MAP REFERENCES:
flap of survey for Clifford and June Hartman, Town of
Queensbury, dated Jan. 6, 1986 by VanDusen and Steves,
L..S.
Warren County, Town of Queensbury
Tax Map No. 83-1-22
Liber 600/Page 274
/2175'
we _ . LANDS OF
S 4-2° 37 _Q,'' yv S2/°-47�5d� MARY R CLEMENTS
LANDS_ OF \ 2954 L.655 P 1029
I _FRANCES WINSAUR
1.323 P.158 \� CERTIFICATION
LANDS OF
I hereby certify to Harold F. and Marjorie A. Smith and
PETER R. SENNETT Commonwealth Land Title Insurance Company that this map has been
L .69I P 789 L. 595 P 538 prepared in accordance with the existing code of practice for
Land Surveyors adopted by the New York State Assoc. of
Professional Land Surveyors.
10/02/87 William J. Rourke LS 49098
97-/ 0
RECEIVED AfAP OF SURVEY
APR 2 9 199' of lands to be conv6ygd to
TOWN 0A, 4JEZN,4�_�tfy
13UILOING AND CODE
IVARdOR/E A. 8 HAROLD F SMITH
L EGEND.- TOWN OF OUEENSBURY, WARREN COUNTY, /DREW YORK
• FOUND IRON MARKER SCALE: I" = 50' SEPT. 30, 1987
0 SET IRON ROD WITH CAP
W. J. ROURKE ASSOCIATES
Licensed Land Surveyors .
10264 Saratoga Road, South Glens Falls, N.Y. 12803 WILLIAM J. ROURKE LICENSED LAND SURVEYOR NO. 49098
Main Street, Salem, N.Y. 12865
M L
87 - 367 8