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1992-166 (rl } r CERTIFICATE CDF C�CCAL AN CY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date February 1619 93 ► .ap 0 This is to certify that work requested to be done as shown by Permit No. 92- 166 has been completed. This structure may be occupied as a family room 16 Heresford Lane Location John and Sharon Nicpon k 0wner f By Order Town Board TOW 4 OF QUERNSBURY Director of Btdge & Code Enforcement BUILDING PERMIT xX TOWN OF QUEENSBURY � No. 92- yM ' WARREN COUNTY, NEW YOR K c<+ t PERMISSION is hereby granted to John A Sharon NIcpon OWNER of property located at 16 Heresford Lane street, Road or Ave_ in the Town of Queensbury, To Construct or place a Interior Alterations 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. t. OWNER'S Address is ' Same r'Y M 2. CONTRACTOR or BUI Lf]E R "a Name Same � fI7 3. CONTRACTOR or BUILC]£R 'S Address a a 4. ARCHITECT'S Name CM 5. ARCHITECT'S Address if y rD CA h O" 6. TYPE of Construction — (Please indicate by XI au {x} Wood Frame ( 1 Masonry l } Steel 7. PLANS and Specifications No. 375 Sq Ft Interior alterations as per plot plan specifications and application $. Proposed Use s F Family Room er' 16_ 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Aril 21 01993 cop (If a longer period is re uired an a '9 Pe q pexpirion for to extension must be made to the Building aril Zoning inspector of the town of Queensbury before the expiretipn date.) � t/! Dated at the Town of Queensbury t ay A ri 1 19 92 SIGNED BY - for the Town of Queensbury Building and i nsraector TOWN OF QUEENSHURY REVIEWED BY : .. ��.._ AJ ����P� 2 r . FEE PAID : l .� PERMIT NO . : � 1992 BUILDING & CODE DEPT, 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 : =)n, 5,�y S)nato N� � a 1 '? C ' 1 34gC1 ;L P . O . Address : _ � ic+ are�c. PHONE 7qa o.y)c 8 Lf Property 1 - fit''P Y Location : Q .] Tc n1S +a � IV ' -� W sree�n —C�^.+ Tax Map p N o . , wwwww�/� iias there been any split of this property since October 1 , 1988? Yes No If yes , Planning Board Review is necessary . Subdivision Name , if applicable : W ,o 0 & M w � [ , ,,I Lot No . THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : � �r"►c•.4 L C. NATURE OFPROPOSED WORK : * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION : $ 3 0 01 Addition to building N Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no charge to exterior dimensions ) * Size of Property : # ,� ft . x 13 s: ft . Other work ( describe ) * Existing Building Size : * 4QI ft . x X'$__ ft , * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : * Ist Floor � 7 jr Sq , Ft , * Front Yard ft . Rear yard ft . * Side Yards ft . and ft . 2nd Floor Sq . Ft . * If on corner , setback from side street- * ft . Other Floors-' S Ft . ( not cellar or basement ____ * OCCUPANCY INFORMATION : KTOTAL FLOOR AREA : -?,,, t 0 y Sq . Ft . * Primary Building - * X. One Family Dwelling Siz of New Structure : fto x rr ft . * Two Family Dwelling Found ion : * Multiple Dwelling/No . of Units Pier/Sia ravel /Partial /Full ( Cite One ) * Business �No . of stories bitable sp e ) * Industrial Height ( grade to r e ) ft , If residential , no . o f ilies : * If addit.�Pn , what wAll use be ? No , of rooms ( excludi aths ) : No . of bedrooms : -- No , of bathrooms : * Accessory Building : Primary heating stem : * Detached Garage - One/Two Car Type of fuel : _ * C Attached Garage - One/�o '�`a No . of firepl ces to be installed : * Private Storage Building Will a woods ove be installed ? : * Other Central Air Conditioning : Yes No ( OVER ) BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : Type of construction : od frame , . fire safe , etc - — Will any second- hand or ungra a umber be used ? If so , for what ? . v�C Foundation Wall Material : C'n ure D C ,n r4r rQ- 'v%- Thickness * $ ' Depth of Foundation below grade ( to bottom of footing ) :Will there be a cellar ? Heated or Unheated ? Floor Sq . Footage : .�T 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 : op61 fF1at/Shed /Other Material of Roof [�gghg -#' Size , wood studs " x _" ; spacing " o . c . ; length ft . t Joists ( floor beams ) : Ist Floor tz� " x `4 " ; spacing _ " o ; span - ./L�, ft . Joists floor beams ) : 2nd Floor It spacing It o . c . ; span ft . Overlays ailing beams ) : x spacing o . c . ; span ft • Roof rafters : " x " ; spacing o . c . ; span ft . Roof trusses ( pre- gineered ) : spacing It o . c . ; span ft . Exterior Wall Finish : of what material ? Interior Wall Finish : If a garage is to be attached , scribe material to be used for FIRE SEPARATION : Is there to be an opening between garag a welling ? If so , will a Fire- Rated door , enclosure , self- closing device be provided .Will a flue- lined chimney be installed ? fight above roof ft . Depth of chimney foundation below grade : t • Depth of fireplace hearth : ft . in . Water supply - Municipal or private well : SEPTIC SYSTEM : Distance from any private well { including adjoining operties : ft . ( A separate application is necessary for any repair or new installation o septic system . ) XNAME OF BUILDER & ADDRESS : PHONE "7 r�3o4� NAME OF PLUMBER & ADDRESS : ,PHONE NAME OF MASON & ADDRESS : PHONE NAME OF ELECTRICIAN & ADDRESS : i,.n.]c1_,cs:en1 C t5�1.. e ra t PHONE 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 by the owner . Signature OwWr . owner s agent , architect contractor SPECIALiCONDITION > F�THE^ PERMIT : By : 4codeE *emntOfficer ENERGY CWE COMPLIANCE APPLICATUX TMA OF QUEENSBURYy WARREN COUNTY - 9000 11EATrNG DE Cool iante Methods.& API, ' . PART 5 - Acceptable Practice Method - 2 1 !i 2 Family Dwellings ( ONL L0jJV '� `� 1 � 81 PART 6 - Thermal Rating oftComponent Trade Offs - 1 � 2 Family Dwellings ; CppE �r Multi - Family Dwellings ( 3 Stories or Less ) PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential PART 4 A 6 - Compliance Methods Re uire Submission of Worksheets APPLZCANTS RAWIRF PE L AT i PART 5 METHOD OF COMPLIANCE SY ACCCPTMII.E PRACTICE : 1 . Grass Floor Area - Ll Sq . Ft . 2 . Type of Heat - E1ec . Base Board Other 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 THE R-VALUES SHOWN ON PLANS SUBN1ITMI R E0 U I R E D 5 . Insulation Values : Baseboard Actual Shown Elec . Neat, Other A , Roof A Floors exposed to ambient temperatures R Be Exterior Walls R i q C . Glazed Area R D . Exterior Doo7Grade � - -� _ R E . Floors over ces R F . Edge of Slabeated Buildi g ) R G . Basement/Celbove Grade ) ; " R H. Basement/Cellow Grade ) R t . Heating/Cool - Piping in Unhe d Space R 6 . Service (Domestic ) Not Water Heatina Device A . Conforms to mini efficient � { HI minim efficiency Per code / &/0 TEP04MTURE COWMOL MAXIMUM SETTING i4oa - WI#.L NOT BE E=EEDED AFWI.ICA INSPECTOR 'S REMARKS TOWN OF QU£ENSBURY �31 BAYf ROAD 4 Y } NEW 0 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME LOCATION_ ! / DATE ►�a /�/ + PERHIT# TYPE OF STRUCTURE, + ` RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE ) FOOTING FOUNDATION BACKFILL _FRAMING �j`i3ROUGH NSULATIONBINGWODSTOVE/FIREPLACEL SEPTIC - REMARKS APPROVAL N/A YE5 NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT W TER OP R TI4G BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/ PRIVACY DOORS FINISH FLOORS : BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHOL HO SE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIR£ PROOFING DOOR CLOSERS OTHER FIRE SEP A ION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VAR ANCE RERLIIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS ARRIVE DEPART, IN5 TOWN OF QUEENSBURY NALl BUILDING AND CODES 'DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 745- 4447 BUILDING INSPECTOR' S REPO r REQUEST F INSPECTION RECEIVED ' �1 LD NAME LOCATION DATE � ��ERMIT TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOT NGS/PI RS MONOLITHIC FOUR FORM_____ REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSI LE FOR PROVIDING PROTECTION FRO" THEEpI��T OFNTHE CONCRETEm MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/DAMP ROOF I NG - ___�_�_ BACKFILL APPROVAL _ ROUGH PLUMBING PLUMBING VENT/ EN S IN P PLUMBING UNDER SLAB FRAMING : JACK S /HEAD BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN B HEATING ROUGH- IN NSULATUI.: R _ FOUNDATION L FOUNDATION WALLS EX ERIOR RR- FLOORS R- WALLS _ CEILIN DUCT WORK 0R PIP TN UNHEA E SPACES RE R ARRIVE DEPART. } ~ INS. T TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE (518 ) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION G DAT 5 Z. PERMIT # TYPE OF STRUCTURE RECHECK APPROVED FOOTINGS/PIERS N/A YES NO MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPOIMSIBLE 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 FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VEN S IN P A E PLUMBING UNDER SLAB FRAMING : JACK 5TU S/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEA HEATING ROUGH- IN NSULATION: FOUNDATION LL I R 0 R-- FOUNDATION WALLS E ERIO R- FLOORS I ' R- WALLS bra o c R-- CEILING R- DUCT WORK OR PI ING IN UN EATS SPACES R EhW RKS . �A �l A L. ►, ►.J�cJ C .Ias--r--c CD ,L l , pw� - C? ► -� t [ro Dram, [ { lA-GC._ S 6' LZ TV` D ARRIVE_ ' DEPARTS �, y INSP TO MI0OLE DEPARTMENTINSPECTIGN AGENCY, INC_ �srf� r National �Hy�eadquar r .. ..133Z W eW Date: j�%W q dix City, Town or Township__ yf. a,.`' _' County ' `tuti^� t w • State Location/,Addressdid (I# ted in Rural Area - Owner. Jill I lease Attach Directions) Pole # Permit " Oca+pied As Building: New OIdO Occupant • r� A In Buildin Floor #, etc.) : for: Whin :3eivl6&6 ' 'or: - Read for Inspection: l i _ . .�a, Fee Remitted - aC �h . Check M;O y . . Make Pa able To: M.D. I.A. Number of Rbugh+t+ljdngl Outlets ,,. Elect. Heat sao 750 logo x260 laoq aren 2ooe x2*o 2aoo saw agaq Switches ' Lighting Amp. Service — J. Smirface. Unit Dishwasher Range Water Receptacles �r.0 oiaditioner Dryer Pump Number-of Fixfures Oven Jd W rbage, Disposal Wiring and Controls for Burner Amp. Receptacles _ Fractional H.P. Vent Fans Other Equipment: MOTORS H.P.' . 1'J"2 1/1 iJ10 '1/8 1J6 1J4 Mark Num 1,(3 1J2 .3/a 1 ' 14x 2 8 5 '1'�7x '15 2e 25 30 ao so 75 1W iaar of Each Size -. Applicant"* t1 s 10„ , I Lpp= Signature Si74.. k>I . T/A �. License # Permit # Applicant's Address: Utility AM FFICE L . CAT! ' (City) (State) Phone..* Service Request # ElectricianId MA dillPIECTIVED; BATE INSPECTER: Correct Location : Same as.Above� or: . Rea NotiCe Label RouglrWiring Outlets Surface Unit Oven Switches Range Gar Disposal Receptacles Water Heater. .. Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wilrin AidContrals'##ar Amp: Receptacles .. Am , Service ConductQia., Pum Venta Fan" s ' MOTORS H.P. 1/ 1/12 1/1e' .1./S 1/6 1/a . lJa 112 3J4 1" 'Jill 2 a 5 7A5x: lU 18 20 9 30_ 4p 50 75 10O Mark Number of Each Size Elect. Heat wq 750 1000 12*q 1000 17l 2000 xx50 2a0q 27SO 3000 t--1 RW s Progress : Inc. 0 LKD 0 LOwivner © CFT Violation : Work Comp. [� Inc. � L/A w.1 Fee CASH CH K # IPA _... _ . f. . MO # Rill did - .. y 4l. '.9e+ f+ -3,f .alrf.. �'.`x�" 6 ; H3'33�!., , • . . _ :iQ' YaF Ida �i �.1t1�1. '!C .-n� r t �{. 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TOWN OF E NSBURi � BUILDING 1 [��► �pw TOWN OF QItEENSBUR't t;tlllDitfG -EPARTMEM m BUILDING & DEPTr Based on our mi#ed eamina"', compliance with our comment shah f REVIEW E Y not t* construed as indicating the j _ plans and speciticatiOns are hl fug F L 0 P Y DATE ' carnpliance with the code, rr , I - pIa cwek 1 IL11 VOW zz fix` Toe 19 Ito G _ ` i - - -- - I Lu�►J,P'�►a. � X x . . } It O,1ONES ! j N i E w } } 7 Z ,CQ , ~ 'Y alwX • : arvu n. � _ f iwww I , ly I I � N np PLI -- ' • I � j i j I I I I I n f 414 i I I i "49eb c' ! ' - t - : 1