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1992-119 . . .`: . n AW CERTIFICATE +C3F` QWCCUI' �►N �'� K TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Dated'YGr!/ts � 14 This is to certify that work requested to be done as shown by Permit No. has been completed. Dining Room This structure may be occupied as a I. j4 -3 Hest Hountlin Road l ocati n Ckv1er Mr. A Mrs By Order Town Hoard TOWN OF QUEENSSURY ,r Director of Bldg. & Code Enforcement o, x BUILDING PERMIT � TOWN OF QUEENSBUR`M'' No 92_ 119 � N WARREN COUNTYr NEW YORK Y' na a w w PERMISSION is hereby granted to Mrs . Marcel IerS OWNER of property located at 374 blest Mountain Rd Street, Road or Ave. in the Town of Queensbury, To Construct or place a Addjj ti on to Dwell 7 n 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 Oueensbury Building and Zoning Ordinance. w t . OWNER'S Address is Saline , fb 2, CONTRACTOR or BUN LOEH'S Name Bernard P . Duval mom 3. CONTRACTOR or BUILDEWS Address 94 Webster Avenue �+ Glens Falls , NY 12801 rV+ 3 d 4. ARCHITECT'S Name 0 r+ J 5. ARCHITECT'S Address f3 B- TYPE of Construction — (Please indicate by XI ( XI wood. Frame I ! Masonry ( ) steel ( 3 d O 7, PLANS and Specifications No. 415 sq ft Addition to dwelling as per plot plan specifications ` ' J and application -� B_ Proposed Use Dining Roan $ PERMIT FEE PAID — THIS PERMIT EXPIRES Aori 1 7 . 19 93 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of llueensbury before the expiration date.) Dated at the Town of Queensbury this _�tf1 Day o �. -April 19 92 for the Town of Queensbury SIGNED BY ing and Zoni nspector TOWN OF QUEENSOURY ! Q VVN aF CIUEENSBUFt s REVIEWED BY : ECEIVED FEE PAID : APR 6 1992 PERMIT NO . : DC`,. a CODE Depr% 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 MAST be completed and the signature of the applicant MUST appear on the reverse side of this application . Owner of Property : _ fh0 ACi�Lw P . U . Address : , T PHONE Property Location * � Iplc {+4zs�r _ Tax Map Na .f � / 13 Has there been any split of this property since October 1 , 1988? Yes No _)(6� 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 : � ff NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE Construction of new building CONSTRUCTION : $ / c Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : ZyA1 ft . x ft . Other work ( describe ) * Existing Building Size . * ft . x ft . * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : * Ist Floor y` (�a Sq . Ft . "T" * Front Yard ft . Rear yard /7 ,� ft . * Side Yards / ft . and 045^ ft . 2nd Floor Sq . Ft . * If on corner , setback from side street- * ft . Other Floors _-- Sq . Ft . (not cellar or basement , * OCCUPANCY INFORMATION : * TOTAL FLOOR AREA : Sq . Ft . * Primary Building - * X One Family Dwelling Size of New Structure : r _ ft * x ft . * Two Family Dwelling Foundation : * Multiple Dwelling/No . of Units Pier/Slab raw Partial /Full ( Circle One ) Business * Industrial Now of stories ( Habitable space ) �_ * Other Height ( grade to ridge ) ft . If residential , no6 of families : J * If addition , what will use be ? No . of rooms ( excluding baths ) : 9B Now of bedrooms : No . of bathrooms : * Accessary Building : Primary heating system : * Detached Garage - One/Two Car Type of fuel : r Attached Garage amOne/Two Car No . of fireplaces to be installed : 0 * Private Storage Building Will a woodstove be installed? : \/ 0 * Other Central Air Conditioning : Yes i 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 Wail Material : &J& 12 -,& �RJQry Thickness : " Depth of Foundation below grade ( to bottom of footing ) : hIg • Will there be a cellar? IYc Heated or Unheated ? u�(ir/� r, Floor Sq . Footage • - Will there be a basement ? [la Will any portion be used as living space ? .Gb If so , what portion ? Sq . Ft , Type of Use ? Type of Roof : Sloped/F7at/Shed/Other _ �44=�e Material of Roof x.a Size , woad Studs 7 u x spacing it o . c . ; length ft . Joists ( floor beams ) : 1st Floor _ '{ x " ; spacing 7 to o . c . ; span �+/_ ft , Joists ( floor beams ) : 2nd Floor x spacing a . c . ; span -- ft , Overlays ( ceiling beams ) : x - " ; spacing — " a . c , ; span ft . Roof rafters : " x '" ; spacing o . c . ; span _ ft . Roof trusses ( pre-engineered ) : spacing " o . c , ; span ft . Exterior Wall Finish : �/„ YubeL ,,,, 6 of what material ? 11A Az. 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 Yft . 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 : Je JAL„rlyc_ (. Jr �1 ,. ,/� _PHONES •�' � NAME OF PLUMBER & ADDRESS : r PHONE T yd 3 NAME OF MASON & ADDRESS : P HONE_?y-,r� NAME OF ELECTRICIAN & ADDRESS : rdash l � f ,1, PHONEr, ,� DECLARATION 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 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 not , and that such work is authorized y t owner . Signature Owner , owner s agent architect contractor SPECIAL CONDITIONS Q THE PERMIT : ---'--''_-'- By : Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOM OF QUEENSBURY , WARREN CWNTY - 9000 HEATING DEGRE S r-,ECG V,F0�BUh , Cowpl iN!Se Methods: APR 6 1992 PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( ONLY ) PART 6 - Thermal Rating so Component Trade Offs - 1 6 2 Family Dwell 8 9 DG* $ CODE a EFT; Multi - Family Dwellings ( 3 Stories or Less ) PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential PART 4 b 6 - Compliance !Methods Require Submission of worksheets APPLICANT ' S MAINE PROPERTY LOCATIUN PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICES 1 . Gross Floor Area - _ / Sq . Ft . 2 . Type of Heat - Elec . Base Board Other Ox; E-a rx, 3 . Is Building Mechanically Cooled ? YES NO 4 . Percentage of Area of Windows and Doors Over 17 % r Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D THE R.VALUES SH0M1 ON PLANS SUBMITTMI Baseboard 5 . Insulation Values : Actual Shown Elec . Heat Other A . Roof & Floors exposed to ambient temperatures R 3 G _ B , Exterior Walls R. I — --- C . Glazed Area R c�3 D . Exterior floors R a_ � y E . Floors over unheated spaces R_ :j 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 - Piping in Unheated Space R •S 6 , Service ( Domestic ) Hot Water Heating Device A , Conforms to mini is efficiency per code - YES ` �40 TEIl�E1lAN C OL MAXIMUM SETTING 140"' - WILL. NOT BE EXCEEDED y_ _ - TELEP�R INSPECTOR ' S REMARKS '7TOINN OF QWEN RY pm 531 BAY ROAD QUEENSBURY , MEN PORK 12804 TELEPHONE ( 518) 745-4447 WILDING INSPEC T Olt' S Wr.PMT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVEa IIAMf=�— LOCATION DATE 'f PERMITS RU�CTURE =�- x a.L1 TYPE OF ST RECHECKS fL " - _ FIRE gA APPROVAL (CO 1+g4ERICIAL STRUCTURE) BAGKFILL _FRAMING "FOOTINGFOUNDATION SEPTIC ROUGH PLUMBINGW�.-OSTOVE/FIREPLACEL INSULATION f REMARKS A , ROV L N/&" YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING RAILINGS DECK/P RCH/S f - RELIEF VALVES FURNACEfHOT SEATER 0 ERA I INTERIOR TRIM/PRIVACY 0 R FINISH FLOORS : BATH,(KITCHEN WATER? HT OTHER FLOORS SWEEP LE OTHER FLOORS CARPLIED STAIR CLEARANCE/ NG SMOKE DETECTORS DOOR CLOSERS BATHROOM FANS ALL PLUMBING FIXTURES 0 ERATIN GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE S PA ION FIRE/DEMISE WALLS�� FINAL ELECTRICAL �- OK TO ISSUE C/0 0 �---�- COMMEN S : c ARRIVE. � DEPART„ - E R OF QUEENSSURY 531 SAY ROADNEW YO 12844 ,TELEPROMEY � 7 NJILDINS IIISPECTOR' S REPORT FINAL. INSPECTION REQU T FOR INSPECTION RECEIVED NAME ' _C LOCATION r 1 ., 7 �. PER"ITO PATE IL TYPE OF STRUCTuRE_N�fly- RECHECK FIRE MARSHAL APPROVAL ( COMMERILL FRAMINGE)FOOTING `yfOUMDATION SEPTIC ROUGH PL�U`M'$ING y{FINAL ELECTRICAL XNSULATION BOO STOVE FIREPLACE REMARKS PPROV NIA YES NO CHIMNEY HEIGHT/LOCATION� B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PO HJST JRA LING RELIEF VALVES T WA PE ING FURNACE/INTERIORHTRIMJPACY DOORS FINISH FLOORS : BATH/ KITCHEN WATERTIGHT OTHER FLOORS SW£EPABLE OTHER FLOORS CARPETED STAIR CLEARANCEJRAILING �'- SMOKE DETECTORS�� DOUR CLOSERS BATHROOM FAN G S ALL PLUMBING FI U S A N GARAGE FIRE PROOFING DOOR CLOSERSOTHER FIE --- FIREJDEMISE$WALLS I�� FINAL ELECTRICAL OK TO ISSUE CIO I COMMEN S + IE` &J C � L � �r ARRIVE 1_____ - DEPART,L(Lr'3� �SPE� N T04M Of ��ESpEPARTMENT UR'' BUILDING 5ND 3I BAY ROAD 12804 QUEENSBURY . NEW 8)YO 7 45_ 4447 TELEPHONE ( 51 811ILDIl1ts IriSPEGCPES701t` S REPORT T FOR I1iSPRE TGCTI0IM� KAME LOCATION PEF0411 #_c I f DATE? TYPE OF STRUCTURE_____ --- �-fy� APPROVE0N0 NIA YES 0 INGSfP1 S - -- � MONOLITHIC POUR �E REI R Et4E IS RESPONSIBLE PRpVIDI'� PROTEE'CTION ERQM FOL1AY11NG FOR pIf A FOR 48 N F *THECONCRET E . ° °� ° xs PURPOSE ON SITE N4ATERIALS F WALL POUR FOUNDATION/ PLACE REINFORCEN4ENT IN FOUNOAT IO APPROV PR AL F_�__ ROW,BACKF LL S IN LACE ROUGH PLUpgB1NG . �_-- PLUMBING VENTfV PLUMBING UNDER SLAB..-----~ FRYING y AO J ACYC S' � f BRACING ANGERS NG JOIST "ANGERS IN B JACK (}1lG14. 1H "fjkT 1"G R INSULATION : N ER FOUNDAT ON WALLS E.7CTERIOR FOUND FLOORS R- R- WALLS N UNHEA E CEILING PI NG DUCT WOR SPACES K ARRIVE,' l - TOR C DEPART ( ,ti TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT " / S31 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME (ff LOCATI( N., ,,=4` �,'' 7,dZ ' DATE Z� f ? PEMIT # TYPE OF STRUCTURE Odd RECHECK APPROVED N/A YESI NO FOOTINGS/PIERS MONOLITHIC POUR FOR ! REINFORCEMENT IN PLA E THE CONTRACTOR IS R SI E FOR PROVIDING PROTE ION F FREEZING FOR 48 HOU FOLLO N6 THE PLACEMENT OF TH CONCR E . MATERIALS FOR THIS PP RPOS ON SITE FOUNDATION/MALL POUR REINFORCEMENT IN PLAC FOUNDATION/DAMPROOFIN BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS I CE PLUMBING UNDER SLAB FRAMING : JACK 5 H AD BRACING/BRIDGIN JOIST HANGERS JACK POSTS/MAI BEAM -� HEATING ROUGH- I INSULATION : FOUNDATION WOILLS INTERIOR FOUNDATION VALLS EXTERIOR R- FLOORS R- WALLS R- m CEILING IR- DUCT WORKPIPING IN UNH%E E SPACES REMARKS : ARRIVE DEPART S FCTrip TOWN OF QUEENSgURY ` BUILDING AND CODES DEPARTMENT 531 SAY ROAD 4UEENSBURY NEW T'ELEPHONE, (518)0745-4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION ' DATEes�-- PERMIT # TYPE OF STRUCTURE__ APPROVED RECHECK N/A YES NO FOOTINGSfPIE S MONOLITHIC POUR FORM-� REINFORCEMENT IN PLACE BLE THE COmTRACTOR IS RESP(Nl8 FOR PROVIDING PROTECTION FROM FREEZING FOR OURS CRETE.FOLLOWING THE PLACEMENT OF MATERIALS FOR THIS PURPOSE ON SI7fE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFMG BACKFILL APPROVAL ROUGH PLUMBING PL E PLUMBING VENT/VENTS PLUMBING UNDER SLAB FRAACKGS D /HEAD RS I' BRACINGISRIDGING — JOIST HANGERS �-- JACK POSTS/MAITV SE HEATING ROUGH. IN INSULATION : LL N ERI FOUNDATION Ft- FOUNDATION WALL EXTERIO R- FLOORS WALLS R CEILING UNHEA ED DUCT WORK OR IPING SPACES REMARK : 1 // i /w fQ- 4PE ARRIVE DEPART TOWN OF QUEENSBURY o BUILDING ANd CODES DEPARTMEN7i � 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE (518 ) 745- 4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED-_�'1��-��� NAME LOCATION DATE L I PERMIT # -' TYPE OF STRUCTUR RECHECK APPROVED FOOTINGS/PIERS N/A YES NO MONOLITHIC POUR F REINFORCEMENT IN P E THE CONTRACTOR IS ON BLE FOR PROVIDING PROT FROM FREEZING FOR 48 HO LLOWING THE PLACEMENT OF TH CREfE. MATERIALS FOR THIS R SE ON SITE FOUNDATION/'WALL PO - - REINFORCEMENT IN LA FOUNDATION/DAMP OFI G - *ACKFILL APPRO L ROUGH PLUMBIN PLUMBING VEN /VENTS I F CE PLUMBING UN R SLAB FRAMING : JACK ST /HEAD RS BRACIN /BRIDGING - JOIST ANGERS JAC OSTS/MAIN BEAM - - HEATI G ROUGH- IN INS ATION : OUNDATION LL IN ER OR - FOUNDATION WALLS EXTE OR R- FLOORS R- WALLS R- CEILING R- DUCT WORK R PIPING IN UNHEATED SPACES REMARKS : i ARRIVE DEPART r+C,e�t, h ,t y'k_ . t y INSPECTOR TOWN OF QOEE.NSOURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792- 5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION INSPECTION RECEIVED NAME k) )Ll i. a2 5 LOCATION DATE 2 PERMIT # L� �- !� — TYPE OF STRUCTURE RECHECK APPROVED N /A YESI NO PIERS MONOLITHIC 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/WALL POUR + REINFORCEMENT IN PLACE )(rOUN DAT I C N/DAMPROOF I NG BACKFILL APPROVAL { ROUGH PLUMBING PLUMBING VENT/ VENTS INPLAC PLUMBING UNDER SLAB _ FRAMING : JACK STUDS /HEADERS BRACING/BRIDGING ix _ JOIST HANGERS .SACK POSTS /MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH- IN INSULATION : FOUNDATION WALLS INT IOR R- FOUNDATION WALLS EX RIOR R- FLOORS R- WA LLS R- CEILING R- DUCT WORK OR PIPI G IN UNHEATED SPACES REMARKS : �.. ' - 'vo �:vf4"G'G�3GLif f "t ARRIVE DEPART. �'a� , INS EC TOR aw,n v/ Queen .shurry BUILDING and ZONING DEPARTMENT Bay and Hawiland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPT`I'C DISPOSAL SYSTEM INSPECTI NAME _J Y LOCATION DATE � f 10PERMIT NO. Z/9 SOIL TYPE - Sand - Loam -: Clay - Percolation Test Recquire(V,s ? YES - NO Percolation rate - Min/Mich _ TYPE of SYST Absorption f eld , tot length Length of ea trenc Depth of tren hes size of gravel SEEPAGE PITS4N r of) — Size- ft. X ft. Gravel size PIPING : Size Type Bldg _ to tan Tank to dis box Dist. box field it Openings algid? S NO Partial LOCATION SEPARATIONS : Foundat on to tank ft . Founda ion to absorpti ft. Absor Lion to lot line ft. Sepa ation of pits ft. LO ION OF SYSTEM ON PR ERTY (circle one) Fro -- -near - Left side Right side - C�C]MMENT S : { c A .LL`R 1 ( ` .i 1 F1� 00- 1 rAno i 1 ( ' LA tom" SYSTEM USE APPROVED _"^a NO r Building nspector 01/86 and v1 DUVAL CONSTRUCTION _ •_.._ _ . RD 01 Box 559 GLENS FALLS. W.Y. 12801 CALCULATED nv .___. ----------.---- "le _ (518) 798-1302 RCALE .-L-�s 1 j ;RECEI ECG i. APR 6 " 1992 , F7T7 & CODE DEP F, 13LD©. Id j s s lld 'c Eito neA + E` W i �-- _ i I I TOWN i"3 E d . , G� c F Qf�l wi,SEi1lf ,Y " - . . � 2sw'try rZ.t y i . t, Zonin 111, irattir►r i . . . l3f }. . . ... . . j. s 1 , i W ] 1 )10, 10i-A0) rx girl KA:, +L irt',gge b!'.. *m 4147l. TOWN OF QUEEN5BURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE (518 ) 745- 4447 Y BUILDING INSPECTOR' S REPORT1y� REQUEST FOR INSPECTION RECEIVED ► r 1 � NAME z::) --P o LOCATION {� DATE PERMIT # TYPE OF TRU PURE Ann ''e RECHECK APPROVED N/A YES. NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN LACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 H URS FOLLd4lI THE PLACEMENT OF HE CONCRET . MATERIALS FOR THI PURPOSE N SITE FOUNDATION/WALL PO R REINFORCEMENT IN P ACE FOUNDATION/DAMPROO ING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS PLACE PLUMBING UNDER SLAB FRAMING : it JACK STUDS/HEAD BRACING/BRIDGIN JOIST HANGERS JACK POSTS/MA N BE HEATING ROUGH- INSULATION : FOUNDATION ALLS IN ERIOR R- FOUNDATION /WALLS EX ERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WO OK OR PIPING UNHEATED SPACES ' r REMARKS n ARRIVE DEPART INSPECTOR