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1992-167
f R.TIFI C.A�'T' +CE E . ' C�CCUI' A�I"� CY TOWN OF 9WEENSSURY FF WARREN COUNTY. NEW YORK Date r '�" „' 19 92 c t This is to certify that work requested to be done as shown by Pertn'st No. " 167 has been completed. This structure may be occupied as a Fami 1 Rg One Car At tached Garage Location 9 Sarbgent Street owner Timothy A Karen Housseau By Carder 'Town Board TOWN OF QUEENSBURY /rc="o lt4� Director of Bldg. & Code Enforcement I BUILDING PERMIT 00,01 a TOWN OF QUEENSBURY No. 92- 167 •' WARREN COUNTY, MEIN YOR K PERMISSION is hereby granted to Timothy & Karen _Mousseau OWNER of property located at 9 SarMnt Street Street, Road or Ave. in the Town of Queensbury, To Construct or place a Addi ti on with garage 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. CA M t. OWNER'S Address is Sam �F 2. CONTRACTOR or BUILDER 'S Name �+C S a1Fle as 3. CONTRACTOR or 'BUILDER'S Address ac 4. ARCHITECT'S Name at 4a rD S. ARCHITECT'S Address C+ e•l• 6. TYPE of Construction -- (Please indicate by X) N* d y CL R 1 wood Frame ( } Masonry ( l Steel ( ] �'• e* a7 7. PLANS and Specifications No. 390 sq ft Addition with one car attached GArage as per plot plan y specifications and application * �" S. Proposed Use Family Roam A Garage fy cro w $ 57w00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 27s 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 Queensbury before the expiration date.) Dated at the Town of Queensbury thi 7th pay of. Apri 1 79 92 SIGNED BY _7 for the Town of Queensbury Building and Zoni nsnector TOWN OF 4t]EENSBURY TOWN OF QUEENSBUk i REVIEWED BY : RECEIVED FEE PAID : _ _. '�. c7 AAPR 2 1992 PERMIT NO . : C�) 1 CJ ! SLOG. & ODE E)L=M 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 : f j_IY� n .,+.h •',q,,2r,t, P . O . Address : } �Gc� ►r T f�'�� ,N.S. , } } �l PHONE oe24!�)� Property Location : `J�.�3/r� t=, Tax Map No . fQL___/ 2 / J ) Has there been any split of this property since October 1 , 19887 Yes No � If yes , Planning Board Review is necessary . Subdivision Name , if applicable : Lot No . THE PERS. AS REGARDS TO BUILDING S : NATURE OF rrcurvaau nun " �e�-VALUi: OF THE Construction of new building * CONSTRUCTION : $ , aC� _ rt Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : ft . x ft . Other work ( d scribe ) * Existing Building Size : ft . x ft . * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : 10A J"I)v&y /26w) 1st Floor J 90 Sq . Ft . Front Yard _� ft . Rear yard y< 7 ft . Side Yards Z ft . and /0 ft . 2ndi Florsr i- , own;?:> * 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 - * �,/ _ One Family Dwelling Size of New Structure : " 6 ft . x � ft . * Two Family Dwelling Foundation ' * Multiple Dwelling/No . of Units _ Pier/Slab Crawl artial /Full ( Circle One ) * Business * Industrial No , of stories ( Habitable space ) * Other Height ( grade to ridge ) /'7 ft . If residential „ no , of families : / * If addition , what will use be ? No * of rooms ( excluding baths ) : ) * m,� y �s 01r�_, No . of bedrooms : No . of bathrooms : * Accessory Building : a�i4� Primary heating system : -5 Cz019M * Detached GarageTwo Car Type of fuel * Attaches!_ Garage No . of fireplaces to be installed : _ / * �`�'� Priva .e Storage ng ~- Will a woodstove be installed ? : * Other Central 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 ? A10 Foundation Wall Material : t'�....2' Thickness : Depth of Foundation below grade ( to bottom of footing ) : Will there be a cellar? Nt) Heated or Unheated ? Floor Sq , Footage : Will there be a basement ? Will any portion be used as living space ? If so , what portion ? Sq . Ft . Type of Use ? Type of Roof : Slop d/ Flat/ Shed/Other Material of Roof 12s4a4l r �+ S Size , wood studs , - " x 6 ^" ; spacing ,/ t. o . c . ; length _e ft . �� 7' Z � ` Joists ( floor beams ) : 1st Floor A " x / t�) it ; spacing �+ y " o . c . ; span -_/3 ft . r _ x "' ; spacing o . c . ; span ft . Overlays ( ceiling beams ) : _ " x � " ; spacing / (0 " o . c . ; span ;2,6 ft . Roof rafters : �L _ " x _ spacing o . c . ; span ft . Roof trusses ( pre-engineered ) : spacing o . c . ; span ft . Exterior Wall Finish : C' L-144*06d� 42 of what material ? � /�P/ lts Interior Wall Finish : SiFrrt�T/2c7G/S 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 ? _LXN_ If so , will a Fire- Rated door , enclosure , self- closing device be provided ? -2 Will a flue- lined chimney be installed ? Height above roof ft • Depth of chimney foundation below grade : ft - 66=94,9AIC Depth of fireplace hearth : fto in . n Water supply - Municipal or private well : c;-61- ySI*, f�/"y 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 : r _ Mal 4Crh PHONE NAME OF PLUMBER & ADDRESS : HONE NAME OF MASON & ADDRESS : �PHONE � zz � NAME OF ELECTRICIAN & ADDRESS : ; j /)'J crf,, ale''d-.4 ,i Z) PHONE ?V7 yj' Q 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 uthorized by the owner . Signature /,A w5t04 /-i Owner , ow er- s agent , ar""Ptect contractor SPECIAL C NDITIONSrOF THE PERMIT : By : Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION 1`��ENSSIIRY , MARREN COUNTY - 9000 HEATING DEGREE DAYS Caml i anise Methods: TOWN OF QUEENSBUH , PART 5 - Acceptable Practice method - 1 d. 2 Family Dwellings ( ONLY ) RECEIVED PART 5 - Thermal Rating - Component Trade Offs - 1 b 2 Family Dwellings ; APR Multi - Family Dwellings ( 3 Stories or Less ) BIMG, & CODE DEFT: PART 4 - Design By Component Performance - Commercial Buildings Hi - Rise Residential PART 4 b _6 - Compliance Methods Require Submission of Worksheets APPLICANT 0 51 NAM --,s9 PROPERTY-LOCAL ►ON PART 5 METHOD OF COMPLIANCE BY ACCEPTAIlLE PRACTICE . 1 . Gross Floor Area - J49 0 Sq . Ft . 2 . Type of Heat - Elec . Base Board Other. ,g 3 . Is Building Mechanically Cooled ? YES X NO 4 . Percentage of Area of Windows and Doors Over 17 % oC Under 17% THE R-VA[.UES GIVEN ON THIS SHEET MST CORRESPOND TO R E Q U I R E D THE R-VALUES SHOT IN ON PLANS SUBMITTMI Baseboard 5 . Insulation Values : Actual Shown Elec . Heat Other A . Roo 3 Floors exposed to ambient temperatures R 3 't B . Exterior walls R 1 t ► C . Glazed Area R .� Q;2 • , Exterior Doors R. . 1E . Floors over unheated spaces R� La F . Edge of Slab on Grade ( Heated Building ) R f G . Basement/Cellar walls (Above Grade ) R 41 H Base mrent/Ce] lar walls ( Below Grade ) R V1,4, I . Heating/Cooling on Ducts - Piping in Unheated Space R 5 . Service (Domestic ) Not water Heating device ommamom A. Conforms to minimm efficiency per code _ X YES NO TEWIMATURE CONTROL MAXIMUM SETTING 1400 - YILL MDT K EXEEDE© INSPECTOR' S RDM KS .IOW,OFlpw LKfEEtISBURY 531 SAY ROD ARK 12800. / ;/ NEW Q 447 ELEPH(1NF-M �i 518) REPGRT sull- I116 INSPECTOR" S S ` FINAL II{SPREECE YEl3 REQUEST FOR i�ISPECl�10N Af NNW LOCATI TYPE OF SlR1JCN[t6 RECHECK : COMMERCIAL STRUCTURE) FIRE MARSYIAL APPROVAL CKFILL ` IPTIC �.FjOTING FOUNDATIO�HAECTRICAL ROUGH PLI�MBINGWOODSTOVE/FIREPLACE �SULAT IOH REMARKS r PPROVAL HIPS YES HO CHIMNEY HEIGHT/LOCATION S VENT /LOCATION PLUMING YE{iT ROOFING SIDING PSfRA LIHGS DECK/P0 c" vu Sl BASEMENT iINRSIM/PRIVVAC U00 INTERIOR HT FINISH FLOORS LE BATH/KF Op 5 51dEEQT OTHER ED OTHER FLOORS CARP INGS STAIR CLEARANCEfRA HANDICAPPED ACCES OUSE pN5 SMOKE DETECTORS�H- OAS BATHROOM FIxTL OPERATI G ALL pLUMSING GARAGE FIRE PRDOFING� — r^ DOOR CLOSERS A IONS OTHER FIRE WALLS FIRE/DEMISE EN S DUMPSTER ANCE REgUI EM SITE PLAH/Y ICA A FINAL ELECTRC/o OR C/c --� OK TO ISSUE CIO CO lee DEPART��~ H TOWN OF QUEENSBURY BUILDING AND BAY ROAD CODES PARTMENT ;31QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 7 45_ 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIYEU HA1AE LOCATION � — j zol '� — DATE PERMIT # TYPE OF STRUCTURE APPROVED RECHECK. N/A YES : NO L FOOTINGS /PIERS --- r lee. MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIR E FOR PROVIDING PROTECTION FREEZING FOR 48 HOURS FOLLO IH6 fp+ PLACEMENT OF THE CONCRE Nine THE MATERIALS FOR THIS PURPOSE �. FOUNDATION/'WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING�_ SACKFILL APPROVAL + ROUGH PLUMBING PLACE PLUMBING VENT/VENTS IN PLUMBING UNDER SLAB FRAMING = JACK STUDS/ EADERS�� BRACING/BRIDGING JOIST HANGERS�_�_- --- JACK POSTS/MAIN BEAM HEATING ROUGH— IN INSULATION : ERIOR R— FOUNDATION WALLS I FOUNDATION },WALLS E TERiOR R— FLOORS WALLS R— CEILiHG DUCT VIORK OR ^IPI G IN UNHEATED SPACES REMARKS : !!}/�� 7I 0�9 V ter/ ' ] V ✓ pc, ' ARRIVE_� DEPART�2� IN PEC OR TOM OF QUEENSBURYARTMENT v t) BUILDING AND SA 5N ROAD P QUEENSBURY , NEW YORK 12804 TELEPHONE ( 51B) 7451111114447 BUILDINGa INSPECTOR' S REPORT REQUEST FOR INSPECTION R,ECE YEi�-~ t NAME LOCATION DATE_L PERMIT #�('' " Z �=-- TYPE OF STRUCTURES � APPROVED RECHECK N/A YES NO FOOTINGS/ IERS MONOLITHIC POUR FORM REINFORCEMENT IS RESPON PL BLEB~ THE CONTRACTI FOR PROVIDIR PROTECTION L�INB FREEZINGEP FENT OF THE CUNCR� ' MATERIALS FOR THIS PURPOSE �N SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING V IN LACE PLU1481MG VENT PLUMBING UNDER SLAB FRAMING : HEAD JACK S BRACING/BRIDGING JOIST HANGERS B A JACK POSTS/MA HEATING ROUGH- IN .INSULATION : N E FOUNDATION L FOUNDATION WALLS EXTERIOR �^ FLOORS R- WALLS - CEILING I ING IN UN HE E DUCT WORK O SPACES 10 RE K = ARRIVE DEPART TNSPFCTnR TOWN OF QUEENSBURY 74 BUILDING A D BAD ROAD DEPARTMENT QTELEPHONE� ( 518 )NEW ©7 45 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION �RECEIVEDD� L�k� NAME LOCATION_�� " t' DATE 9 PERKIT J � ' ---- TYPE OF STRUCTURE -- ' APPROVED RECHECK N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEKENT OF THE CONCRE E. MATERIALS FOR H PURPOSE N SITE dUNDATION/WALLPOUR FOUNDATION PROOFING SACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VEN S IN PLACE PLUMBING CINDER SLAB " FRAMING : I` JACKS D / FADE BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BE HEATING ROUGH- IN INSULATION : FOUNDATION W LL N ER R- FOUNDATION WALLS EXTERI RR- FLaaRs R- WALLS R_ CEILING DUCT WORK OR PIPING INIUNHEA ED SPACES REMARKS : od `v ARRIVE DEPART' �,�, INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12604 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME ti LOCATION - / r� DATE it PERMIT # --,o �_ 7 TYPE-OFSRUCTURE RECHECK APPROVED N/A YESI NO FOOTINGS/PIERS MONOLITHIC POUR FORK REINFORCEMENT IN PL E _ THE CONTRACTOR IS R Si E FOR PROVIDING PROTEC ION ON FREEZING FOR 48 HOU FO OWING THE PLACEMENT OF THE CO RETE_ MATERIALS FOR THIS P P SE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLA FOUNDATION/DAMPROOFI 4BACKFILL APPROVA ROUGH PLUMBING PLUMBING VENT/VENT I PLACE PLUMBING UNDER SL FRAMING : JACK-,S S/HEA RS . BRACING/BRIDGI G JOIST FOUNDAHTAINO GN ERSALf�JACK POSTS/MA BE HEATING ROUGH— " INSULATION :�IN E IOR — FOUNDATION MALLS EXTERIOR R— FLOORSI R— WALLS R— CEILING R. DUCT WORD OR PIPING Il UNHEATED SPACES REMARKS(:: ARRIVE DEPART IN E OR pm '' TOWN OF QUEEMSBURY U BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED a NAME f" LOCATION DATE PERIOIT g2 r TYPE 0 STRUd TUREIAc ter'3 d uJ�t Co. <ax C,. RECHECK APPROVED N/A YES I NO {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 i`ONCRETE_ MATERIALS FOR THIS P POSE ON S �TE FOUNDATION/WALL POUR REINFORCEMENT IN PLA E FOUNDATION/DAMPROOF G BACKFILL APPROVAL. ROUGH PLUMBING PLUMBING VENT/ NTS IN PL E PLUMBING UNDER SLA FRAMING : JACK STUDS/HEAD BRACING/BRIDGING . _W JOIST HANGERS JACK POSTS/MAIN HEATING ROUGH- IN INSULATION : FOUNDATION IN E R- FOUNDATION W L EXTERIOR R- FLOORS R- WALLS f R- CEILING f I R- DUCT WOR OR I NG IN UNHEATED SPACES REMARKSI ,4 ARRIVE 1 ` � r DEPART rk PECTOR MID DLE—DEPARTMENT .INSPECTION'-AGENCY, .INC:e National Headquarters 5 1337 Chester PJM,,,West. Ghest r, PA 1$ 2-642 ,, �r, Date: Cixy, Town or Township f 1sl, I mo...---- County Location/Address .. .._.. - ( If Leted in Rural Area - Please Attach Directions) Pole # Owner- IIZ2&# � ;_/+ j?�r r- t7 �/ Permit # .:.Occupied As , .+"r�1- � .� hr�; — Building: New i71d Occupant { Work ,At# Buildin Floor-*, etc,} : for: 4PLIN rvice or: Ready for inspecti Fee Rernli Cash ED s I ke ft :rtble To; '14t:D.l:A. Number Wiring Outibis ' Elect. Heat Sao 73p loon x so iaoo 17sa soap 22aa sspa 27aa avao Switches 4 4 - Lighting Amp. Service -:- ��rfa Unit Dish w s her Range a Rece tacles `' r' Water Heater ,Ajr Cglhditioner Dryer Nampa' . . p '= Number ofFix Oven � GaToaget.Dilsposal Wiring g and Controls for rner Amp. Receptacles H.P. Vent Fans Other Equipment: MOTORS WP, /2 1/i '1/ 1/e l/e 1/4 1/S 1/2 3/4 1 1 3 5 7�t 10 15 20 25 .30 40 50 75 100 Mark Nurint1er x. p of Each Siza - - - jr Agpi icant'1 Signature �?` �,rr .1 , f I 4 * 4r _ License # Permit # T/A Lit)H*V: :Applicant's Address t Ala r� 3;� .. ., L TI (City) + ': �* y{ Mate) -2'i-,+� '(�ip} A�t!g Service Request # P e = Electrician): ;,Q.k E:-RE."Web:. - DATE INSPECTED. Correct Location : Some as-Abov,e0 o_ r: Red Notice Label Hough WA 'Owtlets Surface Unit OveA :. b. .. Switches Ran GadMi 'Disposal. Receptacles Water Heater - Dfshwtasher .. ' Fixtures Air Conditioner Dryer. Amp. Service Equipment Burner, Wiring. &'Controls: liner Amy 4FieQeptacle Amp: Seiv�ipa Eontferctors Pumper r r r rVent Fairs MOTORS H.P. 1/20 -1]12, 1/10 1/a 1/G 1/4 7+7a: " 14 15 20 25 30 40 50 75 Mark Numof Each SI.IW .[ , Sap 110 1000 12aa 1600 1750 2a0e 225a Ssaa 27p0 10a0 Eleat;, }fear ' Y RW Progress : Inc. rT LKD Q Contractor - Q CFT Vio% lotion : Work Comp. Cl Inc. E3 CASH L/A Owner L/ Fee Q . +A _ : _ K Due Iwo •. �. IPA : , , � : : , - . . . .,, , . Municipal... .. . , IN V+# „ Other Side .. .. . .Oat?e. ;:, . .: , „� _' UtiiL#y ... .,. .car+ �`;i '�I'1 Cut in Card .. Q ` _erne` # 1 . _ . . . { , �. •-iii i i ' . _[ .,Farrel r Date .;. +t f}RS $I0NATdJi3aE A:0' CRTKSN _.. . . _ .. i. �, 10 ' . l filovw iqu sat sT _ y2' 7UVVN OF QtJ trN58URY NgY Roans Zoning A C1I t &A�¢c , 5 r gat , i. Z66E IRIV6 4 4 t �$ H 3 jo� �!a` 1 t way t 5 ►.rr �,,N,r N 011 t