1993-047 :t.•. 1i'r1..V"Jl.ti„ft{:+try+,.4, •t1_
CER, IFICTE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 13 , 19 95
3041 —H - 5
' This is to certify that work requested to be done as shown by Permit No. ' 93-O47
has been completed.
' This structure may be used as a roof over mobile home
Location /13 6' 'Cl o(- P Lot 1 Greowood Circle
Owner of Mobile Home Al & Barbara Rothermel
Owner of Property: Frank Pari l l o
By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
1 =J
•
BUILDING PERMIT
TOWN OF QUEENSBURY "
No. 93-047
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to AL & BARBARA ROTHERMEL o
OWNER of property located at Lot 1 Gregwood Circle Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Roof Over Mobile Home
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
Frank Parillo
215 Ballard Rd -�
Gansevoort NY 12831
2. CONTRACTOR or BUILDER'S Name
r—
Glenn Gregory
3. CONTRACTOR or BUILDER'S Address S2o
RD#4 Box 11 Luzerne Rd co
Queensbury NY 12804
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
I-
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6. TYPE of Construction— (Please indicate by X)
( )d Wood Frame ( ) Masonry ( )Steel ( ) tp
0
7. PLANS and Specifications 0
07
No. 12'x65' Roof over mobile home as per plot plan, specifications and -'
application.
8. Proposed Use fD
Roof over mobile home
30.00 March 10 94
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 0
0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the —h
town of Queensbury before the expiration date.) o
CD
Dated at the Town of Queensbury this 10th, y of M pch 193 -s
C 3
SIGNED BY for the Town of Queensbury o
Building and Zoning Inspecto fD
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a
CD
TOWN OP QUEENSBURY
4111116
REVIEWED BY:
NN OF QUEENSSL.
1 % FEE PAID: /,3e RECEIVED
PERMIT NO. : 93- 041 MAR 51993
-'_DO. & CODE QEPT
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: fNpyP.=G7�L-7-L
P.O. Address: Pi ( 1 L'(otvvuh ()i R c/-L-- PHONE
Property Location: fv2(?Lf5 s P N( q U hie"vs ? v my Tax Map No. /„Z5/ / /4,29./3
Has there been any split of this property since October 1, 1988? Yes No
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Forbgt51 TA lgvi1-U / /17L( ( /C Lot No. 7 /
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
;Z-Z;71111) 6 PZ'--Co ft/
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
ri o
Construction of new building * CONSTRUCTION: $ G/�DU
_Addition to building *
✓ Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: ft. x ft.
Other work (describe) * Existing Building Size:
•
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor / oZ.")4 (05 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 Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: `) Sq. Ft. * Primary uilding One Family Dwelling
Size of New Structure: / 2 ft. x t... ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) * Other
Height (grade to ridge) /5 ' ft. *
If residential , no. of families: / * If addition, what will use be?
No. of rooms (excluding baths) : *
No. of bedrooms: *
No. of bathrooms: * Accessory Building:
Primary heating system: * Detached Garage - One/Two Car
Type of fuel : * Attached Garage - One/Two Car
No. of fireplaces to be installed: * Private Storage Building
Will a woodstove be installed?: * Other
Central Air Conditioning: Yes No *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood fra;: fire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what? /v E)
Foundation Wall Material : Thickness:
Depth of Foundation below grade (to bottom of footing) :
Will there be a cellar? 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: Sloped/Flat/Shed/Other G/*oL L Material of Roof _E Rt V, Pao is/�G
Size, wood studs " x L/ " ; spacing 'y o.c. ; length ft.
Joists (floor beams) : 1st Floor " x " ; spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor " x " ; spacing " o.c. ; span ft.
Overlays (ceiling beams) : " x " ; spacing " o.c. ; span ft.
Roof rafters: `D, " x (, " ; spacing ay o.c. ; span 10 ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft.
Exterior Wall Finish: /1 i N /rL,L% S/ Q 1 /ti , 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. )
/6� �) G}�L-G'o �� ?2 // !/
NAME OF BUILDER & ADDRESS: ��-v Z[, f? 2 v PHONE75 2�t z-
V/
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: PHONE
DECLARATION
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
not, 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 drawn to ale, showing actual
location of project on premises.
/
Signature AirAIMS
"iwne • ier"s age' , ar itect
ontractor
SPECIAL CONDITIONS OF THE PERMIT:
•
By:
Code Enforcement Officer
."N OF QUEENSE€A—
RECEIVED
401111.; ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
'•''�' �'': . 9000 HEATING DEGREE DAYS MAR 51993
DG• & CODE DEPT.
Compliance Methods : PART 5 - Acceptable Practice Method -
1&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
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
gtob
1 . Gross -1-o-or Area - '7 square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled? Yes No
4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R I9
b. Exterior walls R
c . Glazed areas R
d. Exterior doors R
e. Floors over unheated spaces R
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
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
A g
icant' s Signature Date Phone Number
P
- 5 -9 3 '7 1'2—g 2--LI
INSPECTOR' S REMARKS:
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
t 531 BAY ROAD
r/ QUEENSBURY NY 12804 4
;* (518)745-4447
110
ARRIVE: V,,36— DEPART: 1=A INS, 'Alr
FINAL INSPECTION REPORT - RESIDENT AL
DATE INSPECTION REQUEST� RECEIVVEpD�-r, n A,
NAME A L P7nc ) 1-1la 1. C'7�.RI`\EL
LOCATION (-I 1 EGCTE) C dt PCi E
DATE 3--(3—915- PERMIT # C3-47
TYPE OF STRUCTURE lEil ROF \4I
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YE NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/ ILINGS
RELIEF VALVES
FURNACE/HOT WATER 1PERATING
INTERIOR TRIM/PRIV, Y DOOR
FINISH FLOORS:
BATH KITCHEN WATE'TIG•T
ir
OTHER FLOORS SWEEP' : E
OTHER FLOORS CARPE D
STAIR CLEARANCE/RAI AlGS
SMOKE DETECTORS
BATHROOM FANS I
PLUMBING FIXTUR'S
FOUNDATION IN/SULATION
GARAGE FIRE/PROOFING
DOOR CLOSERS/
FINAL ELECTRICAL
SITE PLAN/VARIANCE REp.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
1 DF CIC
TOWN OF QUEENSBURY
531 BAY ROAD
- QUEENSBURY, NEW YORK 12804
_Np— TELEPHONE (518) 745-4447
BUILDING INSPECTOR_ 'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 671:;TW)
NAME R( \HNE)?\MIalL.
LOCATION _CTEC� ")
DATE 1 --PERMIT# CY--)j-(l-\7
TYPE OF STRUCTURE cs,,c)FF6p, Mnc)1k
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
,'L
APPROV
N/A YES.NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION r
* PLUMBING VENT I
ROOFING
SIDING ,'
DECK/PORCH/STEPS/RAILINGS 1,,
RELIEF VALVES JJ
FURNACE/HOT WATER OPERATING;, .
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS`;
FINISH FLOORS:
BATH/KITCHEN WATERTIGFJT
OTHER FLOORS SWEEPABL;E'
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAIL .NGS
HANDICAPPED ACCESS
SMOKE DETECTORS 4
BATHROOM FANS/WHOLEHOUSE FANS 1
ALL PLUMBING FIXTORES OPERATING1
GARAGE FIRE PROOFING
DOOR CLOSERS I
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS A.k.
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: ss
ARRIVE �
DEPART '1p :C.6.---
INS
TOWN OF QUEENSBURY
/,A► 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED .6`
NAME ROMAe-V2NiAF _
LOCATION '
DATE )--t 1t ICH PERMIT/ c0
TYPE OF STRUCTURE Po - c N)EP. tADP LE
RECHECK,
FIRE MARSHAL APPROVAL (COMMERCIAL STRU.TURE)
FOOTING FOUNDATION BACKFILL AMING 3I31��
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A 'YES NO
CHIMNEY HEIGHT/LOCATION I
B VENT/LOCATION /
Y PLUMBING VENT STAB_ -rWu
ROOFING ‘/.I
SIDING f
DECK/PORCH/STEPS/RAILINGS
I
RELIEF VALVES /
FURNACE/HOT WATER OPERATING /
BASEMENT INSULATION/DUCTWOR
INTERIOR TRIM/PRIVACY DOOR
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABV
OTHER FLOORS CARPETED \
STAIR CLEARANCE/RAIL'NGS
HANDICAPPED ACCESS/
SMOKE DETECTORS ,� \
BATHROOM FANS/WIyOLEHOUSE FANS \
ALL PLUMBING FI5(TURES OPERATING \
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/0 OR C/C.
COMMENTS:
()
bwle c LtV Ic
ARRIVE
DEPART 3" (X
/ I PE
TOWN OF QUEENSBURY //2i
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ( p- A-1-1LetnW
LOCATION 16)- / ,/ Q (•L�
DATE 3/,3t/ PERMIT # v'/7
TYPE OF STRUCTURE �L 47t 1 1'
RECHECK ' APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM 1.
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 F.
REINFORCEMENT IN PLACE +`
FOUNDATION/DAMPROOFPFIG f"'
BACKFILL APPROVAL \
ROUGH PLUMBING
PLUMBING VENT/VENTS IN§PF'ACE
PLUMBING UNDER SLABS,.
V FRAMING: ./ r
JACK STUDS/HEADERS f
BRACING/BRIDGING /J
JOIST HANGERS ' .
JACK POSTS/MAIN BEAM ;.
HEATING ROUGH-IN I
INSULATION:
FOUNDATION WALLS INTERIOR R- 'h
FOUNDATION WALES EXTERIOR R •
-
FLOORS R-
WALLS / R-
CEILING P R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE 3:'/O 1
DEPART 6201
N ECTOR
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TOWN OF QUEEN rURY
,a7,'z' -w- "-- o(/A.)275- BUILDING CO 6S T.
� ' o vL�/T/fiY//LG REVIEWED BY ,tee i
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DATE 3 4
)� _ �? vtt �ii�S rzn/=74/
$1, Based on our limited examination, U ,_
compliance with our comments shall S.i"nv f
�� not be construed as indicating the . " �,�� �•6
plans and specifications are in full FiLE ��-�'� compliance with the code.
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