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98-642 BUILDING PERMIT Ar,A7,1-fE $ 35o00TOWN OF QUEENSBURY No. r g$ 6 TAX MAP NO * 54 . - 5 - 11 . 32 WARREN COUNTY, NEW YORK BOWEN r .TAMES III & KAR IN pERMISSIoN is hereby granted to 5 BUTTERNUT 'HILL DR IN Street. Road or Ave. OWNER of property located at RESIDENTIAL ADDITION M } in the Town of Oueens#ury, To Construct or plans a ,., lot plans and other information 'hereto filed and Building at the above location in accordance to aPPIication togetherwith p approved and in compliance with the Town of Dueensbury 6uildir+q and Zoning Ordinance. FTL Ddt!' i "OT HILL DR EENSBURYr NY 12804 TRACToFt or SUILDEWS Name I -CROSS AA4"0"UlL0ER'S AddressGYLE 4. ARCH!it r k r� a Nama COMMONWEALTH ELECTRICAL AGENCY s. t r69 baress HAGUE , NY 12836 $. TYPE of Construction — IPtease {ndicateby Al RESIDENTIAL ADDITION I Wood Frame i 1 Masorwy f i Steel f 1 7. PLANS and Specifications 520 SO FT RESIDENTIAL ADDITION ( MASTER BEDROOM ) AS PER. PLOT PLAN SPECIVICATIONS -rr ...p RESIDENTIAL ADDITION ( MASTER BEDROOM ) October 27 2000 $ PERMIT FEE PAID — T iin PERMIT EXPIRES79 (if a longer period is required an application for an extOrI must be made to the 9uildleW e d 'Zoning inspector at lire town of +QUeehsbU+Y before the aspiration date. QCtsab49r 1998 Hated at the Town of Olucensbury this r f]ay of 79 for the Town of Gueensbury SIGNED BY t3uildirp and zonirp 1nspecto► Building Permit Application Town 17,f QlleC'72.5'bury - Dept. of Cwtununity Developuent, 742 ,bay Road, Queeiubun?. AT 12804 f761-82.561 BUILDING & CODE ENFORCEMENT e�JNG i ICE Requirements prior to issuance ,r A permit must be obtained before 2 , of this permit: PERMIT FILE NO. �y beginning construction. No inspections PERMIT FEE PAID $ Y will be made until applicant has received Zming Board Action a "VAI„D BUILDING PERMIT. A.11 Area / Use RECREATION LFEEX$ Applicants* spaces on this application MUST be completod Bald the signature Q Plamdng Board Action REVIEWED B of the applicant must appear cn the SPR 1 Subdivision / Other Building Inspector lieation form. n�x Y . Recreation Fee Payment r� Applicant: M � t � { S �L— i Owner: Address: t4to� 3 � 1 Address: + i tcr' •2 �` I ' / 1 Phone # ( �t , ) �, - '' z-{_z Phone # Property Location: `1 - t .�JT`c Zz� rsjc� s r ( !• � Tax Map Number Subdivision Name: _ Section Block i rn NATURE OF PROPOSED WORK * ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ t -- residence / commercial ' Addition,t.[�- lding . eo: esidence commercial OCCUPANCY INFORMATION Alterar u�. lding : Prl y Building - - - — residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family DwellirM + ,t 1 1909 office r Other Work ( describe below ) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE * If ADDITION , what will use 1st Floor . . . . . sq , fta of new siC3dition be ? : 2nd .Floor . . . . . . . sq . ft . _G7 other Floors . . . . o sq . ft . ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : Detached Garage 11 2 car TOTAL FLOOR AREA , �Z- � SQ .. FT . Attached Garage 1 r 2 car Private Storage Building SIZE OF NEW STRUCTURE • Commercial Storage Building Other FEET X FEET rr Will any second- hand or upgrade Foundation Type : r �J [ac Number of Stories : lumber be used ? I o , for what ? ( habitable space Only- ) Height ( grade to ridge ) : feet TYPE OF . HEATING STEM * Number of fireplaces and/ or dstove ( circle all which applies ) to be installed : ✓ EIec / Gas / Wood ced Baseboard / other Person re-sponsioble forupervision of woe was regards to building codes !so -Kalne --r y �S 5 s s P horLe 5 _ k-f Builder : , plumber: Mason : _ �', SrS� Electrician : DECLAR 770N. Please sign below after you have car+tyrriUy read the stext'e»rent 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 Vwe shall submit prior to a Certificate of Occupancy-'or Certificate of Compliance being issued, an AS BUILT PLOT" PLAN by a licensed stet' n to scale ing actual location of project on premises. Signature: (owner, owner's agent, architect, contractor) .."� ENERGY CODE COMPLIANCE APPLICATION � I TOWN OF QUEENSBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS 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 : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area. - '� � L3 square 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 SH{7yrN ON PLANS SUBMITTED : R a . Roo -- b . Exterior walls R 12 c . Glazed areas R d . Exterior doors R _ e . Floors over unheated spaces R Edge of slab on grade ( heated building ) R go Basement / cellar walls ( above grade ) R h . Basement / cellar walls ( below grade ) R i . 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 App1 � an � ' s Signat e Phan u er INSPY. CTOR ' S REMARKS : i TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 7422 BAY ROAD QUEENSBURY NY 12804 q%mr 4 ` c5197 761-8256 ARRIVE : o DEPART : - INS FINAL INSPECTION REPORT - RESTD9 AL DATE INSPECTION REQUEST RECEIVED : LOCAT I ON C ] ',,� DATE 7 _— '^ PERMIT R � TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHTJ,9 VENT/I{EIGHT ,^ _ i PLUMBING VENT i RQOEING I EXTERIOR FINISH DECK/P PCH/STEPS /RAILINGS RELIEF VALVES FURNACE HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS ' BATH/KITCHEN WATERTIGHT OTHER FLOOR ' S'W$E ABLE OTHER FLOORS CARPETED TAIR CLEARANC ;.LRA LING S _ s OKE D TECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION G G FIRE PROD I G DOC1_lt CIiOSERS NAL ELECTRIC SITE PLAN/VARIANCE RED , FINAL SUP VEY PLOT PLAN TO ISSUE C d d C C Co RESIDENTIAL FINAL I[NSpECTION REPORT Date inspection. request received: office No. (518) 761-8256 r Building & Code Enforcement Arrive am/Pm I?ep>u't -s1 �C� Dept. of Community Development Inspector's initials _ Town of Queensbury 742 Bay Road / Queensbury, New York M04 PERMIT # NAN - DATE ?►- LOCATION i t TYPE. of STRLICTIJRE CQMMENTS N/A YES No Chimney Height!"13" VenVoirect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Fxterior Finish Complete to ifs" ImeriorlExtenor Railings 30 1 g in. or more Exterior HandraBs> balconies, landing Inteor Iiandsails stairs both sides 3 more s ri Grade 2% away from foundation S" clearance to sill p e re ator i S" above shut-off, wi 30 t or 'within line o f site Cras Valve shut-off e te as Furnace to furnace area [7i1 Furnace shut-off at entrap Fumace fHot Water Heater o at Relief Valve(s) installed Headroom, 6 ft. 6 in, on stsi �, � �- Basement stairs, G ft_ 4 in. I Jandrail exterior stairs both sides more than 3 risers Interior privacy/trimldoors/main entrance 36 Floor Finish Baroonv'K.itchen watertight tlr l8 or more Interior Handrails Balconies/Landing Railing across window in stairwell~ Smoke DetectOrs- every level every bedroom outside every bedroom inter connected Bathroom fans plum tbwg frx o es Foundation insulation 3/4 hour fire door/door closer Garage fireproofing (israge penetrations sealed Furnace in separate room protected ( in garage) Light ventilation per room Safety glazing l8" or ess orn floor li inal Electrical [ 7 Site Plan/Variance uir Pinal Survey Plot Plan As Built Septic Svstern layout required [ L �� Q Pt �� 1t► _ f+ 7 Okay to issue C/C (Certif, of Compliance) L' Okay to issue W np- C!o (Ccrtif. of occupancy) A ent C/o (Certif, ofoccupan v. PaUUC o ^ t May to issue pennon cw r~� +CTTiiiC?.L p,VA.i, .f t � c p1Kwc Omce A Eu [yae stun L 1� M�}I•TiCIYAL mata CE[t C1iCAr E Cut in Gard S.1a. .. ......... �... .. Celt. �6 FJ /T.l ..., .. ,�,_,, � � (v jet panel Boardr rl�. ............. ....r!� x --.... •-.-.. .' F'f ...�.�. ..............., i pwner.-.-...... . / Z / ............. �— + ............... `may `f: ..-................. " ..... .......... .. v.. .. A L station ... of ....:1�",. ..R� G{.,.-�0 ...... t........... consisting i Snstalla an ...........................tissue ss ', L.ic. "30. ......-.... d any certificate prey to'u'`ly ..................................... _�--� d say of date. U :......... .. ............... this cettif�cate, an Upon the •..+�•• issuan ' Snstalled p'o ditinns followinY govemed the ui melt and instaaiit> c Promptly Mad and nd if its c.c o ttton c.tiUn 'Line xlte ei�;uical ett P hCation shall c.tions st s y _ �,nki insi' eertiFieate ally,covers ent or alterations, aPP te_ .. 'This ve the privilege °f s ce '4 additions} e9urP shall ha VC ht to yoke . . criis Company ............ .. . .. .. intmdaetion of any Shall have the g inspectors of ...............•hA�.t. C oMP - .............•ember N.F.Y-r1-. rules are violated, t'he LC�4SPF.CTiOR - .. Hate. . GENERAL INSPECTION REPORT " ]�- Town of Queeusbury / L t Dept. of Community Development Date inspection request received: +Building & Code Enforcement 42 Bay Road t Queenshury, NY 12804 Arrive an 1pm Departe am/ Inspector's Initials �" _ [ NAME: C`L UJ4. PERMIT 4 ! LOCATION: DATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingsJPiers ! Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the pAaccm7ent of the concrete. Materials for this i on Foundationf Wallpour Reinforcement in Place FoundationMampp n Backfill Approval Plumbing Under 9bb Plumbing Ven ents in Place Rough.Plumbing H g Rough-In tion Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceilin.g R- Duck work or piping in unheated spaces R- Proper Vent. Attic Vent Framin. Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Harrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin GENERAL INSPECff REPORT Town of Queensbury Dept: of Community Development Date inspection request received* ,rye Building ,& Code Enforcement 742 Bay Road Queeenabury, NY 12804 Arrive amlptaro Depart ` 15aml Inspector's Initials .•' '" NAME`r4 PE AUT # l C] LOCATION: 74 DATE : l 1 TNPEOFSTROrTURP ` RECHECK N/A 'YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing pro n from freez for 48 hours follo 'ng the p t of the concrete. Materials for this on si Foundation/Wailpour Reinforcement in Place Foundatian+'Damppraoofn Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P Ljledo Plumbin Heating Rough4n Insulation Foundation Walls Interior R- Foun+dation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, .Attic Vent Jack Studs/Readers Bracing/Bridging. Joist Hangers Jack PostslMain Beam filtration Barrier. Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 31 4 hour Firestopping ------------ GENERAL IN. PECTIQN REPQRT Town of Queensbury L Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queenahury, NY 12804 Arrive am/pm I3eparso Inspector's Initials NAME: _ PERMIT # Q LOCATION: _ { DATE TYPE OF STRUCT[]RE: RECHECK N/A YES NO CONEWENTS Footings/Piers 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 F fi olio n V,jkfftfill Approval Plumbing Under Sl Plumbing VentfVents in Rough PI in 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 Joist Hangers Jack Posts/Main Beam Air Infiltration Harrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2, 35 4 hour Firestoppin GENERAL INSPECTT©N REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Say Road r Queensbury, NY 12804 Arrive am/pm Departt +' Inspector's Initials NAME: 3 PERMIT # --�. L 3CATION: v i +�.c.av7"" [� - DATE : !C3 to TYPE OF STRUCTURE: RECHECK NIA NO COMMENTS VfAF tungs/Piers I onoiithic Pour Form Reinforcement in Place _ The contractor is responsible for providing protection from freezing for 48 hours following the placaement of the concrete. Materials for this ong8tte Foundation/Wallpour 11 Reinforcement in Place Foundation/Dampproofin Backlill Approval Plumbing Under Slab Plumbing Vent/Vents in Rough Plumbin 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- Pro»er Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour. Firestoppin GENERAL WSPECTI©N REPORT, Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ,r Queensbury, NY 12804 Arrive am/pm Depart L >Enspector's 1i,uitials NAME: PERMIT 4 LOCATION: , DATE : \\ TYPE OF STRUCTURE: RECHECK. N/A YES N COMMENTS u ootin� I 't✓Mcmn c Pour Farm Reinforcement in Place The contractor ' nsibi ar providing protecuio m g { ' R &AV for 48 hours following placemen of the concrete. Materials for this on site Foundation/Wallpaur Reinforcement in P FoundationlDaro Ftna_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Fioors R- Walls R- Ceili.ng R- Duct work or piping in unheated spaces R- _Proper V,ent,_Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour. Penetration Sealed Fire Wa11 2, 3, 4 hour. Firestoppin -- ( 5 � Z�� 5Qr FT� �bfll t u7���ru 0 � o.eo ° 1800 WELL I eo Irg EX STAr KVSF . s r - zzly r 41 got rRDM cw� OCT 1 G 1998 t BRUT 14JLL, b I�