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98-609 BUILDING PERMIT VALUE $ 26000 TOWN OF QUEENSBURY No. 98609 TAX MAP NO . 69 . - 1 - 10 WARREN COUNTY, NEW YORK PERMISSION is hereby 9r anted to WEEKS , JEAN H . 131 MONTRAY RD . Street. Road or Ave. OWNER of property located at in the Town of +Queensbury, To Construct or place a RESIDENTIAL ALTERATION & ADDITI 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 Clueensbury Building and Zoning Ordinance, t. 0MV'JA7`�+MY RD . QUEENSBURYr NY 12804 g, CONTRACTOR or BUILDERS Name SPOEAR�L I, RR,IIC� p �.HA�RDydd QUEENSBURY , NY 12804 4. ARCHITECT'S Name NEW YORK BOARD s. 91"T R5ftdID OF FIRE UNDERWRITERS 6. TYPE of Construction — (Plots* indicate by XI RES . ALTERATION & ADDITION [ 1 Wood Frame ! I masonry [ I Steel I I 7_ PLANS and Specifiratio+u 280 SQ FT ADDITION AND 123 SQ FT ALTERATION AS PER PLOT SPEC"fFICATIONS 8 Proposed Use RESIDENTIAL ALTERATION & ADDITION 28 octolber 5 2000 $ PER MIT FEE PAID -- THIS PERMIT EXPIRES 1s [tf l or new �per k3d is requ ad a othe +iication pirs n Iofdate.)n It Ktension mum be rr+rd+ to the Building and zoning inspector of the 5 Octolber 1998 Dated at the Torun of Oueensbury this Day of 19 J��l ' for the Town of clueensbury SIGNED BY _ Building and zoning Inspector Building Permit Application, Town Of Queenshury - Dept. rrf Cram muuily De velolmnent, 742 B'rty Paiad, Queetrshury, NY I2804 f 761-S2SGf BUILDING & CODE ENFORCEMENT NOTICERequirements prior to issuance of this permit: PERMIT FILE NO. A permit must be obtained before s� beginning construction. No inspections PERMIT FEE PAID $ � -f� `" will be made until applicant has received Zoning Board Action +. — a VALED BUILDING PERMIT. All Anea / Use RECREATION FEE ID $ applicants* spaces on this application MUST be completed sad the signature Q PZwming Board .Action REVIEWEDBYAO of the applicant must appear on the SPR / Subdivision / other Building IMIv sor 6ppIicahon farm. Aa�A y . Recreation Fee Payment Applicant: J + Art ktw 4r^chi+I ee4 Owner: J cQ 11 Lj aetleA.5 Address: 55 COVArf" CZ; 9 urn err57 ir1. 1,ru Address: r�� Nd+i-f-rdy 1ZJ_ e e"5 ;ra !2Fy+ r Phone # ( ��'- "/ 3_ Phone # ( �s _) -712.. - I2Z2-0- Property Location: 0-f"r 2J! bt+ Subdivision Name: 4 Map Numbc Ito 1 Section Block Isot W. 2/ MATURE OF PROPOSED WORK O EST MA'ICE sT VALUE OF THE Ne / ,� CO STRUC'T $ 2,4GOC3GSCj residence / comet `�lt� _ Addition to 'Bui. lding : 1. er al � OCCUPANCY INFORMATION : It i tian to Building : Primary Building - res3. ence / comtnercl 7 Single Family Dwelling idence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile SEP .998 Manufacturing G'� � Other GROSS AREA OF PROPOSED STRUCTURE : "] lst Floor . . . . . . . . :4943 s ftmA If ADDITION , what will use q ' 111/ of new, addition be ? : 2nd .Floor . . . . . . . . sq . ft . t- .�.� � ,ac+ tr+ other Floors . . . . . aq . ft . ( not unfinished cellar or basement ) ACCESSORY BuzLDZNc5 : Detached Garage 1 , 2 car TOTAL FLOOR AREA. : 2LaO S T� Attached Garage 11 2 car Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building Other !�{ FEET X iz 0 FEET Foundation Type : Will any second- hand or ungraded Number of Stories : lumber be used? If so , for what ? ( habitable space only ) c� Height ( grade to ridge ) : � Je'" feet TYPE OF HEATING SYSTEM : Number of fireplaces anal/or woodstove ( circle all which applies ) to be installed : Electric / Oil / Gas / Wood Forced Hot Air / e oar / Other Person responsible for su ervision of work as regards to building codes is : JZiCGAAr4t 5`►2aeye ? q afy T3o. r l'Zd 7laf - US52 Name Address Phone Builder : /Z stFL fvrc, Plumber : 1Z4oL5 nO � 1 Mason : J e4w ,Q,auc.*-eY 1fu,r#,�+-dam hlY 4 Electrician : A ,e. ,t- 5p��1 a I,7rECLARATION,m Please sign belimv after you have carefully read the staterrteru. To the best of my knowledge the statements contained inthis 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 authorised by the owner. Further, it is understood that Uwe shall submit prior to a Certificate of Occupancy-'or Certificate of Compliance being issued, an AS BUILT PLAT PLAN by a licensed surveyor, drawn to scale, showing actual location of project on premises. Signature. G� � (owner, 4wner'S agEnt, architect, ContraCtt?r} ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSSURY , WARREN COUNTY 9000 HEATING DEGREE DAYS A Compliance 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 : r J , V r � v ay�too " , 4e;::.47i�e-rJ- f-' ?l Iki E7 "I'i^ocr �6a� , C raee+9 Y�d► +�1 PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - 2 so square feet 2 . Type of Heat - Electric Oil � Gas Other 3 . Is building mechanically cooled? _ ^A 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 . Root R 3S b . Exterior walls R ! y C . Glazed areas R •ram d . Exterior doors R S/ e . Floors over unheated spaces R f . Edge of slab on grade ( heated building ) R g . Basement / cellar walls ( above grade ) R f0 h . Basement / cellar walls ( below grade ) R is 1 . Heating/ cooling-ducts -piping in unheated space R 6 . Service ( domestic ) hot water heating device Conf orms to minimum efficiency per code _ "A Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL. NOT BE EXCEEDED App ica ' s Signature Date. Phone Number I SPECTOR ' S REMARKS : RESEDENTIAL FINAL INSPECTION REPORT 1M Office No. (518) 761-8256 bate ' Building & Code Enforcement utspection request received; Dept. of Community Development Arrive J Town of Queensbury �~ p�742 Bay Road spectrf s 1ni Queensbury, New York 12804 NAME ' JJ / •� LOCATION PERMIT # TYPE OF STR[JCMR> e DATE NIA YES No C(} NTS Chimney Heightr B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Com ete Exterior F- Complete IntenOrlExteri Railings 30 to 36" Exterior Hart balconi , landing 19 in. or more _ Interior Handrails . s sides 3 o more risers Grade 2% away from tion S" clearance to sill plate Gas Valve shut-off ex sed/regulator 18" above grade_ Gas Furnace shut-oft' thin 30 feet or within line of site Foil Furnace shut-off entrance to furnace area Furnace/Hot Water H ter operatin Relief Valves) iris ed Headroom, 6 fl. 6 in. on stairs Basement stairs, 6 ft. din. Handrail exterior stairs both, sides more than 3 risers Interior privacy/trMI/doors/main entrance 36„ Floor Finish gdrr Sitchen watertight arm rhandrails Baicomewj_.anding 18 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 Gardgc fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor- Filial Electrical Site plan/Vanance 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/Cl (Certif. of ()ccupancy) THE NEW YORK BOARD EUREAU OF ELECTRICITY UfVDER1IyRfTER $ f'r7GI' T Late �+Ef�.F:11$U 31r , 777 WASHfNGTON AVrz- TI-IIS CERTIFIES • _98 ��nr�7Gd; AL8A7VY NY THAT `1W��. 'j'o. t3748j2TO only the elecxricat e4+ripment as ddYYt'T described below and in f.E 4 r1 1 3 +(3G r TFAll IE 33; troriuced by th l K7N?J?A fix named on the above in the.followin 4?I'fEF,NSBfIR�', prl• apyFlication namber is in the S lOoar1t yOa Q Base menC Premises a.f Was examined on '�% ✓�!'� �--I 15x ►�r f23Ei? z t+. 1 K7vg ❑ 2nd Fl. OUTL RT,q RECEPTACLES and ramnd to be in com Section Block SWITCHES FIXTURES Plrance with the Natlonal 8lectrical Code. Got _ rNCAN,IiEENr FLllpgEgCENT OTHER RANGES C7 AMr. COC)KfNG oFCKS OVENS K W. AMr. DISH W DRYERS LCW, AMF, K y� ASHER5 EXHAUST FANS FlIRhIACE AMr. K.w. AMr, A ur. K.w, aItOTORffi FUTURE APPLIANCE FEEDERS SPECfAL REC"PT. M.P. R.P.H GAS H-P. A&m No, It"WE CLOCKS A. W. G. AMr. AMP SELL UNf7 (#EATERS MUITf-OflT1E7 AMi. AMPS. TRANS. AAI H.P. SYSTEMS DIMMERS SERVICE DISCONNECT NO. OF NO. CIF FEET A&I AMT- AMP. TYPE ME WI $ EQUIP. 1 g 2W L fI 3W 310 3 W 3 0 dW NO. OF CC C Nr}. R V I PER A A. W G. c E OF OTHER A CC. COND. "0. OF "I-LEG A. W G, CC- OF HI-LEG No. OF HEUrRALfi A OF NEUTRAL "R43C'FC L3GH7 ZNG : -5x R SPOERL ELEcrRIC' .PEA 555 A S f E3EG �y E,tj ._... [._. �U �uN.S39lJh'Y. NY -12804 rra csritl7cale must not be trflered In trn GENERAL ATANAGE'R Y mtrnner; return fo ` '�� HLg olllce of the 8otrrtl it Incorrect. fn Per - - .- -- COPV FOR gfJILDING DEFAR7MENT, sx3aclors mo - -- - - - - -- Tf ffS COPY OF Y be fdenflryeQ by rhefr crec Town of Queensbury / Dept- of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road . Queensbury, NY I2804 Arrive am/pm Dept:-tL - arrrn/pm Inspector's Initials NAME: �_ PERMIT # Q CO C 9 LOCATION: DATE TYPE OF STRUCTURE: RECHECK N/A 'YES NO COh4NMNTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing ion from fteez- for 48 hours ollowing the nt of the con Materials for this se on site Foundatio pour Reinfo entin Place Foundation [)ampproofin Backfill Approval Plumbing Under Slab _ Pluigbing Vent(Vents in Place ugh Plumbing Heating Rough-In .motion Foundation Walls Interior R- Foundation Walls Exterior R- Floors R, Walls R- Ceiling R_ Duct work or piping in unheated spaces R- Proper 'Vent, AAtjc Vent SttadslHeaders FR h D C�U�A.J t A.) � c : �C- c.�' '1 , � ► Bracing/Bridgin Joist Rangers PostslMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin. GENERAL LN, CTI©N REPORT Town of Queensbury Dept! of Community Development Date inspection request received: Building & Code Enforcement 742 Say Road -- Queensbury, NY 12804 Arrive ", lA �-��p �� Inspector's Q�} NAME: PERMIT # 1 LOCATION: DATE : TYPE OF STItL3"T CTURE: RECHECK N/A YES NO cONDAENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the pia t of the concrete. Materials for this purpose on Foundatiott/Wali Reinforcement in Place Foundation/Dampproof6n Backfill Approval Plumbing Under Slab Plumbing VentlVents i Place Rough Plumb in Heating Rough4n Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceilin,g R- Duct work or piping in unheated spaces R- oper Vent, Attic Ven Jack Studs/Headers � - Bracing/Bridgin Joist mangers Jack Posts/Main Beane Air Infiltration Barrier Fire Separation 1, 21 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping GENERAL IN,�4PEG"I'I(7N REFQRT /�� Town of Queensbury Dept. of Comm& Code Eae Fnfae�cemeat Development Building Code Date iuspectian recp.est received: 742 Bay Road Q'ueensbury, NY 12s04 Arrive am/pm Depart C am/pstt Inspector's Initials NAME; PERIvHT # LOCATION: DATE TYPE OF STRUCTURE: RECHECK Footings/Piers NIA YES NO COMMENTS Monolithic Pout 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 se on site Foun+dation/Wallp©ur Reinforcement in Place Foundation/Dampproo ft" Approval Plumbing under slab Plumbing Vend Vents in P Rough Plumbin Heating Rough4n Insulation Foundation is Interior R- Foundatio Walls Exterior R- — Floors R- Walls R- +Ceiling R- Duct work or piping in untreated spaces R_ Proper Vent, Attie Vent Framin Jack studs/Headers Bracing/Bridging_ .foist Hangers -' Jack Posts/Main Beam Air Infiltration Harmer Fire Separation 1, 2, 3, hour Penetration Sealed. Fire Wall 2, 31 4 hour Firestoppin GENE Z_ RAL INSPECTI(7N Town of Queensbury Dept. of Cummunity Development M1 Building & Code Enforcement Bate 'nspectron request received.- 742 Bay Road Queensbury, NY 12804 / / ] Arrive am/pmD I'Aspecter's Initials F NAME. 'fie eL LdCATIOIV; PERMIT # a/ TYPE OFS pRZIC 1 RECHECK DA v �_ oofinlP'iers r N/A COMMENTS Monolithic pour Form I Reinforcement in Place The contractor ' nsible f r providing or 'on from fteeaing for 48 hours folio ' Of the concrete the pLacem Materials for this Fauandation/Wallpo 0 Reinforcement in Lace Foun+dationlD roofin Backfill Approval Plumbing tinder Slab Plunbing Vent/Vents in PIace Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R2 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,Bridgin Joist Hangers Jack Post& A4ain Beam Air Infiltration Barrier 'n'e Separation 1, 2, 31 hour 'enetration Sealed ire Wall 2, 31 4 hour 11restoppin