1992-007 CERTIFICATE OF +C CJUJT ANC;Y
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
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This is to certify that work requested to be done as shown by Permit No.
has been completed. cwex I rm �tl�.fr•, owf l
This structure may be occupied as a AI� 7' �, kATTON i �' r) DWLLTNG
"E
1 « I N E, A V r, , 5 Mow r)e,. Wee
Location
Owner :N{3 `P . �a T F I' E N { BA
TF, u i lA V, NO , 3 2 n , 9 -- :; 2 By Chder Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 92_007 X
WARREN COUNTY, NEW YORK �
0
PERMISSION is hereby granted to Stephen & Barbara Seybolt
OWNER of property located at Box 278 Maine Avenue Street, Road or Dwe Ave.
t�.� n.y
in the Town of Oueensbury, To Construct or place a Alteration to l 1 i ng
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.
I - O WNE WS Address is
Same „`"}
N
+e'h
rb
2. CONTRACTOR or BUILOER'S blame
Same
as
C=
3. CONTRACTOR or BUILDERS Address y�
G
W
fiF
4. ARCHITECT'S Name
W
5. ARCHITECT'S Address
N?
V
cc
6_ TYPE of construction — (Please indicate by x)
a
fD
{ ) Wood Frame ( 1 Masonry { I 'steel ( ]
Se
to
to
7. PLANS and Specifications 4
No 96 sq ft Alteration to Dwelling as per plait plan specifications
and application :*
$. Proposed use
c
Dining Room '
W.
$ 4_ 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 10 .
(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.Y
Dated at the Town of Oueensbury this Day of janalary 199_
r i
SIGNED BY 'G for the Town of Queensbury
Bui wing and Zoni spector
TOWN or CluEENS8i lty
TOWN OF QUEEN58LORY
RECEIVED
REVIEWED BY :
FEE PAID : '4 ob ` AN 0 7 W2
PERMIT NO . : � ' Bf.DM & 00M Doyr.
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS WILL. BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT .
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application .
* * * * * * * * * * * * & * * * * * *
Owner of Property : c
P . O . Address : 22 r _.. . . _ PHONEJc S�
_��� G�-E'
Property Location : 0
Tax Map No . Jc��r/�/
Has there been any split of this property since October I , 1988? Yes No
If yes , Planning Board Review is necessary .
Subdivision Name , if applicable : Lot No .
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION : $
1 ,.- Addition to building --
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW :
( no change to exterior dimensions ) * Size of Property : � C� - ft . x S� y ft .
Other work ( describe ) * Existing Building Size :
* 55 ft . x 3 4' ft .
* rP oposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE : * property line :
*
lst Floor Sq . Ft . * Front Yard ft . Rear yard 3 5' ft .
* Side Yards ft . and 2c> ft .
2nd Floor Sq . Ft . * If on corner , setback from side street-
34f.1 ft .
Other Floors Sq . Ft .
( not cellar or basement * OCCUPANCY INFORMATION :
*
TOTAL FLOOR AREA : '1 � Sq . Ft . * Primary Building
* L.- One Family Dwelling
Size of New Structure : 8 ft . x 7, ft . * Two Family Dwelling
. ation : * Multiple Dwelling/No . of Units
fe /Slab/Crawl /Partial /Full ( Circle One ) * Business
" Industrial
In . of stories ( Habitable space ) * Other
4eight ( grade to ridge ) ft .
'f residential , no . of fam es : * If addition , what will use be?
to . of rooms ( excluding baths ) * * �j,;r„
'oo of bedroom*- : * — `' �•' .� • .�
-o . of bathrooms : �_ * Accessory Building :
rimary heating systee * Detached Garage - One/Two Car
Type of fuel : * Attached Garage - One/Two Car
Ioa of fireplaces to bo insta ed : * Private Storage Building
fill a woodstove be installed?. * Other
ventral Air Conditioning : Yes No
( OVER )
BUILDING PERMIT APPLICATION CONTINUED :
BUILDING SPECIFICATIONS :
Type of construction : wood frame , fire safe , etc .
Will any second- hand or ungraded lumber be used ? if so , for what ?
Foundation Wall Material ;
Thickness :
Depth of Foundation below grade ( to bottom of footing ) :
iJ e `
_ i � _
Will there be a cellar? �g;2 Heated or Unheated ? Floor Sq . Footage :
Will there be a basement ? --AlL, � Will any portion be used as living space ?
If so , what portion ? Sq . Ft . Type of Use ?
Type of Roof : Slope Flat/Shed/Other Material of Roof
Size , wood studs 2 to x spacing j4 5 � 5
o . c . ; length '3 ft .
Joists ( floor beams ) : 1st Floor _ x
spacing f 4 a . c . ; span g ft .
Joists ( floor beams ) : 2nd Floor x spacing o . c . ; span ft .
Overlays ( ceiling beams ) : z _ ° X � �� ; spacing ,r � o . c . ; span � ft .
Roof rafters : x t/ " ; spacin
g lee o . c . ; span g ft .
Roof trusses ( pre-engineered ) : spacing " a . c . ; span ft .
Exterior Wall Finish : � .. � of what material ?
Interior Wall Finish :
If a garage is to be attached , describe materials to be used for FIRE SEPARATION ;
Is there to be an opening between garage and dwelling? If so , will a Fire- Rated door ,
enclosure , self-closing device be provided ?
Will a flue- lined chimney be installed? Height above roof
ft .
Depth of chimney foundation below grade : ft .
Depth of fireplace hearth : ft . in .
Water supply - Municipal or private well :
SEPTIC SYSTEM : Distance from any private well ( including adjoining properties : ft ,
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS : 5 PHONE
NAME OF PLUMBER & ADDRESS :
NAME OF MASON & ADDRESS : PHONE
PHONE
NAME OF ELECTRICIAN & ADDRESS : PHONE
DECLARi4TION
To the best of my knowledge and belief the statements contained in this application ,
together with the plans and specifications submitted , are a true and complete statement of
ail proposed work to be done on the described premises and that all
3UILDING CODE , THE ZONING ORDINANCE , and all other laws pertainino the proposed work shall provisions of the
g t
be complied with , whether specified or not , and that such work is authorizer! by the owner .
Signature ,�--- �
W nn owner s a_ ent , arc Itt"ect
contractor
By.
Code n orcement fficer
A
ENERGY CODE COMPLIANCE APPLICATION
TOiN OF QUEENSBURY , WARREN COUNTY - JOQO HEATING DEGREE DAYS
Cowliance Methods:
PART 5 - Acceptable Practice Method - 1 b 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
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
SS cgae ti G L i PROPERTY
4 rc
APPL HA
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE :
1 . Gross Floor Area - ` � Sq . Ft .
24 Type of Heat - Elec . Base Board Other , . i's ' d !2 . r
3 . Is Building Mechanically Cooled ? YES ,_,- NO
4. Percentage of Area of Windows and Doors Over 17 % ✓� Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D
THE R-VALUES SHOiBI ON PLANS SUBMITMU1
Baseboard
5 . Insulation Values . Actual Shown Elec . Heat Other
A . Roof A Floors exposed to ambient temperatures R S
B . Exterior Walls R l '7
Co Glazed Area R
D . Exterior Doors R
E . Floors over unheated spaces R 3
F . Edge of Slab on Grade ( Heated Building ) R
G . Basement/Cellar walls (Above Grade ) R
H . Basement/Cellar Walls ( Below Grade ) R
i . Heating/Cooling - Ducts on Piping in Unheated Space R
G . Service (Domestic ) Hot Water Heating Device
A . Conforms to minim = efficiency per code YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140' - WILL MDT BE EXCEEDED
INS PEC TOR ' S REMARKS
,.._,rem g ;�"✓5
+TOWN OF QUEENSBURY '.
pUILDLNG & CODE ENFORCEMENT
742 SAY ROAD
OUEENSSURY NYg1?904
DEPART '
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ARRIVE : _ RES *ENT T'
F IN AS. 'INS4ECTION REPORT
PA'rE IN S1*EC.TION REQi1EST RECEIVED!
NAMEriJ'G.r--
I.ocnTlaN
DATE
TYPE OF STRUCTx.1R FRn.MING
RACKFILL
FOOTINGS FOUNDATION �- 1"sULATION ING �-
SEPTIC v- FIREPLACE
ROUGH PLUMB WOODSOVE-. OR
FINAL ELECTRICAL,�.- E6 NO
CHI N E G
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FOUN A O NS
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FINAL CT C L
SITE A VA
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SU VE
O ,r S UR c/o R
TOWN OF QUEENSSURY
BUILDING S CODE 'ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
( 518 ) 745- 4447
USE HART : a INSP
FItiAL INSPECTION REPORT - RESIDEN I
DATE INSPECTION REQUEST RECEIVED :
NAME
LOCATION f"C:) �JL. �[-T,,.?--•--- 1 y"
PERMIT fZ'
DATE TYPE OF OF ,rTED TORE P 'j :M�"
- y�
'I FOOTING'S FOUNDATION BACKFILL
ROUG11 PLUMBING SEPTIC INSULAT3PL CE W
FINAL ELECTRICAL 'WOODSTOVB OR FIRE
PI'A'C'S h E& NO
I MN HZIG T V N i IG
P U BI G EN
IN
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IL
DECK O CH ST P L NG
RELIEF VALV S
URNAC HOT WA O TI G
IN E IOR T IM PR VRCY DOORS
IN SH FLOG 5 •
BAT KIT EN W T TI
OT ER FLOORS SW EPABL
OTHER FLOORS CAR ET D
STAIR C EARAN E RA LINGS
S OKE DETE TO S
pA HROOM F S
PLUM ING FIXTURES
OUNI]ATION IN U A N
GARAGE FIRE PR F NG
DOOR CLOSERS
FINAL ELECTRRICAL
SITE PLALI VARIANCE REO
FILFAI. SURVEY PLOT PLAN
OK 'CO ISSDE CZO OR., C/�G
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