97-584 BUILDING ; PERMIT
VALUE $ 28000 TOWN OF QUEENSBURY No 97584
TAX HAP NO. 81. —3-16 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to GALLUP-. ANNE .& KELLEHER.
OWNER of property located at 17 SHERWOOD DR. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a RESIDENTIAI_ADDITION (FAMILY. ROOM)
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
WILLIAH 17. SHERWOOD DR.
= QUEENSBURY., NY 12804
2. CONTRACTOR or BUILDER'S Name
J & J CONSTRUCTION '
3. CONTRACTOR or BUILDERS Address.
PO BOX: 2223
GLENS FALLS NY. 12801
'4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
YORK, BOARD "OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ADDITION,- ." ;
1 1 Wood Frame 1 I Masonry ( )Steel ( I
7. PLANS and Specifications
f,t RESIDENTIq,1ADDITION_AS PER PLOT PLAN SPECIFICATIONS
f I 8. Proposed Use
` 4 ta;:R�ESIDENTIAL ADDITION (FAMILYa ;ROOM i u
$ i . ' PEA MIT°FEE."PAID -THIS PERMIT"EXPIR'ES" 19
(if a longer period is requiredan application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
n i k a t' ✓ r}i'�c { - 2/� '� 3 YT a 9 : a h r:�' ,hv! -�{.'dFt r
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Dated at the Town of Queensbury thls":` Day off . 19
SIGNED BY - for the Town of Queensbury
Building and Zoning nspector
BuildingPermit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queemsbmy, NY 12804 1761-8256J
-ft) BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance
A permit must be obtained before
of this permit: PERMIT FILE NO. 9 7 S3 l
beginning construction. No inspections ++-�
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ Call
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$
applicants' spaces on this application
MUST be completed and the signature 0 Planning Board Action REVIEWED BY: TV
of the applicant must appear on the I
SPR / Subdivision /Other Building Inspector
,application form. Thank you. J Recreation Fee Payment
Applicant: T/J- Gz):.tsr: Co Owner: A N/4 ALl t-'P 171 /&Fy,/1G/'FHE)
Address: O ��X ZZ� /SF/+L4$Address: /7 5W rR Dab 4V -
,epvE6.4Saviei
Phone # (- Gt3 ) 79S, - LO2.0 Phone # ( ) 798 - -g1/4)07 f
N1t Subdivision Name:
Property Location: /7 �5i �'� i0 1D 4 1/6-1/6- • i 3 l
' /�SL /ll+i
Tax Map Number /— /7 J --
Section Block I nt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 2)0(T
residence / commercial
y Additio t-n uilding:
residence / commercial OCCUPANCY INFORMATION:
Alters • Building: Primary Building - 'y �V
residence / commercial X Single Family D e ix :'...
Residence / Commercial Two Family Dwel ing
no change to exterior size . Family Dw 11ioT 081997
Office
Other Work (describe below) Mercantile N°FClU i t°S UFO`(
Manufacturing T�UIL.DINO AND CODE
Other
GROSS AREA OF PROPOSED STRUCTURE:
If ADDITION, what will use
1st Floor 2 52- sq. ft. of new addition be? :
2nd .Floor sq. ft. FA,vr,Ly /?0oil
Other Floors sq. ft.
(not unfinished cellar or basement) .
ACCESSORY BUILDINGS:
�, Detached Garage 1, 2 car
TOTAL FLOOR AREA: 2 2.- SQ. FT. >C Attached Garage . 2 car
Private Storage`Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
VFEET X ! 0 FEET Other
Foundation Type: Will any second-hand or ungraded
Number of Stories : pk1e__ lumber be used? If so, for what?
(habitable space only) 1>
Height (grade' to ridge) : /-� feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which . ..lies)
to be installed: �ERC> Electric / Oil /4 Wood
Forced Hot Air / '.aseboar. / Other
Person responsible for supervision of work as regards to building
codes is: Eck GAP/c..,/ CoRi.177/ e0413 w.6.1=. 7411 762
Name Addresss Phone
Builder: J - T' e&tis r-. C_.o ,
Plumber: LT 7 C-6. 37 Co ,
Mason: AEiD7 P 40.44t//Liar—
Electrician
: .,tsr t,: ,
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 surveyor; d awn to scale, sho ing actual location of project on premises.
c Co,v ,4Lro eP_
Signature: - .---)
(owner, owner's gent, architect, contractor)
.4.:a%a"_Ca.'J...C}./;.1../:.dl'1%'..../J_y_l',,,g)....A\.l:,l_,,1�' ..l l��.\7ilA,:',%,.l.,,.C7..._l'J_�._.1,,,.",_tp.t ...l1/:�tC:..,,,I I'a.C.11,,1%,.,.._C.�_C I,./:._l,A:�$.,!_,..,::„..,:,..0 ._l'....-,,,,C,V/::\�J_. �%J�%:;11t1... .la�.p.7..C.\.k
THE NEW YORK BOARD OF FIRE DERWRITERS L,N.51.: I ;?
�, BUREAU OF ELECTRIC!
1, F 111 WASHINGTON AVE., SUITE 704, LBANY, NY 12 10 y-
I'ItTPCIl 1. },:€.99 " /1';1:„:,,CY''I j`:1"i l.A !.t'i
Date Application .on file
1.,!(' THIS CERTIFIES THAT Y}F;Ii191T .,`!f , 93 i -':.:14 ,r
• only the electrical equipment as described below and introduced appli ant na ed on the above application number in the premises of :r
v
Ahlil i;r11,L,31.', •S .ir SFLt RINOi)D ME. LOT I Litt, (di Mil V21,'fRY, i\s't
'1' in the following location; ❑ Basement El1st Fl. ❑ 2nd Fl. - Section? Block Lot 1 ) T
• was examined on I IsiPC-1-3 Ots,.1 t`39}: and found to be in compliance with the National Electrical Code. ;
-03' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS iii
RECEPTACLES SWITCHES �'
iio OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
O 0-
' �7, :`. 3 G
'. 1j_
' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS r
ss' SYSTEMS
1AMT. 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 :)!
i-li: :)!
Y
t SERVICE DISCONNECT NO.OF S E R V I C E ;�
Iki AMT. AMP. TYPE EQUIP.F 1 A'2W 1,if 3W 3�'3W 3,0 4W NO.OPER%COND. OF CC.COND. NO.OF HI-LEG OF HI lEG Ni):• OF NEUTRALS OF N UTRAL Y
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OTHER APPARATUS: )-
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GENERAL MANAGER 'T
i0 GLI:,Uc: !'aILS,; I'l 1.2.8cr i �� :•Y `"' 'a'�•`
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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.
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COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 • Date inspection request received:
Building& Code Enforcement Depart y �• �� �`
Dept. of Community Development Arrive
m-tor's Initials
Town of QueensburyInspec
AW
742 Bay Road
Queensbury,New York 12804
NAME C'-,AL-' >_ _ __ �_
LOCATION ._�__= •.
TYPE OF STRUCTURE , i r 6.1
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location ' 1
Fresh Air Intake •
Plumb Vent through roof \ •I . •
Roof Complete f
Exterior Finish Complete Y
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers ` / F �SF\
•
Grade away from foundation �/ <t' FRoN t E -cc VAOe .;tot
8"clearance to sill plate
tJG
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area .
Furnace/Hot Water Heater operating •
Relief Valve(s)installed f
Headroom,6 ft. 6 in.on stairs //
Basement stairs,6 ft.4 in. � � �^�E�7 !jam\���
Handrail exterior stairs both sides more than 3 risers
L.Interior privacy/trim/doors/main entrance 36" / / %APO-t N1L M �`5t_ ‘ Q I
Floor Finish / ✓
Bathroom/Kitchen watertight f
Interior Handrails Balconies/Landing 18 in. or mire
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom -
inter connected //
Bathroom fans 19
Plumbing fixtures /�� I . D lb. tt�tj�EC-\
Foundation insulation " WtiiiiiFf4
_
3/4 hour fire door/door closer z l~IJ 1-lu-P Wi 6W-E_ Ufetcavo;'
Garage fireproofing \
Garage penetrations sealed '�
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floorDCL
Final Electrical i
Site Plan/Variance required
Final Survey Plot Plan Ok
As Built Septic System layout required /
Okay to issue C/C(Certif. of Compliance) i
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
PI ,
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building& Code Enforcement tt „r
Dept. of Community Development Arrive n Inspector's Ini ' s t:'
u--4111 OPP
Town of Queensbury
742 Bay Road
Queensbury,New York 12804 �)
NAME ,) 'U- PERMIT# /' J
LOCATION 1 rI e Ub I J DATE It—1(0 Li g
TYPE OF STRUCTURE es sweet h✓, ' ' s
N/A di S NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake _ . �'<�
Plumb Vent through A `
Roof Com, ete (-.:)�
Exterior F. h Com,,lete
Interior/E • .r Ra. ings 0"to 36"
Exterior Han. :' s, 6.leo es,landing 18 in. or more
Interior Handrai`s . .irs .►th sides 3 or more risers
Grade 2%away 'vom fo dation
8"clearance to s. sla `v
Gas Valve shut off exposed/regulator 18"above grade L.
Furnaces toff within 30 feet or within line of site c.ty
V J
Oil Furnace s t-off at entrance to furnace area
Furnace/Hot ater Heater operating 61\
Relief Valves)installed
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers ..
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 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
Garage fireproofmg
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okav to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
•
•
(518) 7614256
TOWN OF QUEENSBURY x--
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
•
INSPECTOR'S REPORT:, ARR\C 2 DEPART\(V ) I
REQUEST FOR INSPECTION RECEIVED:
NAME
LOCATION V‘-'16;:caA:IkAllp Q
DATE 2-) % PERMIT 4 9:1° L)
TYPE OF STRUCTURE: � . RVQ
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM\
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON B E FO2
PROVIDING PROTE TION FROMNG
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE N SITE
FOUNDATION/WALLPOUR .
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB -
FRAMING: - 1.-.0p \!:://
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 •
-
E-)P-aj-Y(4 -1
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement d--3-
742 Bay Road
Queensbury,NY 12804 • Arrive e m/pm Depar
Inspector's Initials C�
NAME: 6e1((4) PERMIT#
LOCATION: I en,s'su<.e r r DATE :
TYPE OF STRUCTURE: e(1 T1 r>b
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responssl 1 for •
•
providing protection from ezin
for 48 hours following the pl ent
of the concrete.
Materials for this purpose on si
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough.Plumbing_
eating Rough-In
lation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- , J
Duct work or piping in
unheated spaces R- ,
Proper Vent, Attic Vent V
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
Firestopping •
(t •
8) 76l8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 tau
INSPECTOR'S REPORT: ARR c'd DEPART VA-) IN
REQUEST FOR INSPECTION RECE VED:
NAME
(111 1. \\0c �l /
LOCATION \� SS 1 f)k)r)l^Jl/
DATE '9 PERMIT
TYPE OF STRUCTURE: (Y-1 7r'y-
RECHECK APPROVED \
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR •
PROVIDING PROTE TION FROM FADE ING
FOR 48 HOURS FOLLOHING THE P •CE-
MENT OF THE CONCRETE. \
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
•
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH/ LUMBING _
PLUMBING UNDER SLAB
RAM I NG•
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION: O I
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- --- - • - -
_ CEILING - R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R •
-
v (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT J,
742 BAY RD., QUEENSBURYe NY 12804
RL
INSPECTOR'S REPORT: AR �c� )DEPAR'Ik")�b IN+
REQUEST FOR INSPECTION RECEIVED: J —�
NAM E\`L° tc.1� � �,
LOCATION \� 1��0�)C)c, r ) l `
DATE r — 1 PERMIT ! :D g
TYPE OF STRUCTURE: y`% ► \
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP NSI E FOR
PROVIDING PROTE TION FR M FREEZING
FOR 48 HOURS FOLLOWING HE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _.
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING' _
FILL 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: cS
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-10 111(((
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
wl' (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 //,,��"
INSPECTOR'S REPORT: ARR ;1'' DEPART a / NT
i ��
REQUES OR I SPECTION ECEIVED: 11 -C
NAME �rA,\\O . i l�Q . ,tl\E
LOCATION _ "�Qn, ` e 'Z.-Y-10-Q
DATE \�'") SA1 PERMIT 0\ 7 --5 X7/ s`
`j'
TYPE OF STRUCTURE: 6. '; J P 1 \I li ' --
RECHECK APPROVE
N/A YE NO
_00TINGS/PIERS /'eX'0 /
MONOLITHIC POUR FORM //�� 7.!
REINFORCEMENT IN PLACE`�4 y
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTECTION'FROM F EZI
FOR 48 HOURS FOLLOWING THE LACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE N SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL i
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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