1993-058 , -
inagenVoum.O*.wpw..•••
CERTIFICATE OF COMPLIANCE
TOWN Of QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 ry-‘
This is to certify that work requested to be done as shown by Permit No. 93-058
has been completed.
This structure may be used as a porch
Location 112 Coolidge Av
Owner Mark Russell and Nancy Carney
By Order of Town Board .
TOWN OF QUEENSBURY
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7/ •
Director of Building & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93-058
WARREN COUNTY, NEW YORK I.
PERMISSION is hereby granted to MARK RUSSELL & NANCY CARNEY
OWNER of property located at 112 Coolidge Av 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.
to
1. OWNER'S Address is to
same r-
r
0)
2. CONTRACTOR or BUILDER'S Name -S
cu
David M. Harvey
tZ
c.)
3. CONTRACTOR or BUILDER'S Address
m
4. ARCHITECT'S Name ty
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
n
4( )Wood Frame ( I Masonry ( I Steel ( )
7. PLANS and Specifications
No. Interior alteration as per plot plan, specifications and
application.
8. Proposed Use
Porch
8.00
$ PERMIT FEE PAID —THIS PERMIT EXPIRES March 22 19 94 1-4
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the c'F'
town of Queensbury before the expiration date.) CD
Dated at the Town of Queensbury this 22nd Da of, March 19 93
sal
SIGNED BY for the Town of Queensbury
Building and Zoni spector to
TOWN OF QUEENSBURY
! # .,
41111116
_REVIEWED BY: : _. ,.d.
FEE PAID: a'� .,,a+ Of QUEENS .
� � •
RECEIVED
PERMIT NO. : C13-05e _ . .
. MAR 1 71993
BUILDING PERMIT APPLICATION ' rw.1' �` OODE ®EPT.
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: /0 a.,--- ic- /u ss € / / �-, A Nan g 6-4.r.,J
P.O. Address: / a\ Coo (1 A.3 Q. A U e , a e eels lour) /\-Y! PHONE 9° -e, 33q
Property Location: Tax Map. No. //4// / / a
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: Lot No.
THE PERSON RESPONSIBLE FOR SSUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
E
1 JoC✓ ; 6 V‘ ‘. , L `°k.ry i
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ / ,j, 000, o 2
Addition to building *
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: / So ft. x /54 ft.
Other work (describe) * Existing Building Size:
• * d g ft. x 6 6 ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor 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 bas ment * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: Sq. Ft. * Primary Building -
* X One Family Dwelling %X;s )-?nj
Size of New Structure: ft. x 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) 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: /, ,,-� water- * Detached Garage - One/Two Car
Type of fuel :hu'k,-Q 1 A. 5 * Attached Garage - One/Two Car
No. of fireplaces to be-IInstalled: c7 * Private Storage Building
Will a woodstove be installed?: n O * Other
Central Air Conditioning: Yes No
s
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS: EK ,5}ir.:2) "(eec.\ V 1je co."ver
Iv ., ...� e
Type of construction: wood frame, fire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what? nio
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: Cl ope)Fl at/Shed/Other Material of Roof pl.0. + rA/( root)
Size, wood studs x ; spacing /h o.c. ; length ft.
Joists (floor beams) : 1st Floor a " x • " ; spacing EIS " 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: 2 " x g " ; spacing / C o.c. ; span /a ft.
Roof trusses (pre-engineered) : spacing " o.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: �v i £ rv\ . �1�r ✓ PHONE /S- 7/0
NAME OF PLUMBER & ADDRESS: PHONE //A
NAME OF MASON & ADDRESS: PHONE /u/4
NAME OF ELECTRICIAN & ADDRESS: k PHONE %i/S 7/ v
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 scale, showing actual
location of project on premises.
Signature ��-► C
Owner, owner' s agent, ar hi ect
won ractor
•
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
,mN OF QUEENSBL..
41111V.. . ENERGY CODE COMPLIANCE APPLICATION RECEIVED
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
MAR '71993'
Compliance Methods : PART . 5 - Acceptable Practice Methoaa-& C9DEIEPT.
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:
\ovc--.1 Cool. okie, /Vier Okmer\\ -,. .) NY,
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area = a lz/0 square feet
2 . Type of Heat - Electric Oil ' X Gas Other
3. Is building mechanically cooled? Yes >G 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 o-8
b. - Exterior walls R / 9 ` .
c. Glazed areas V ' R . 3.S
d. Exterior doors - R II
e. Floors over unheated spaces R / 9
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 44e- 1
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Applicant' s Si nature . Date Phone Number
V3/ 9 / -24715- 7/
INSPECTOR' S REMARKS:
mot... MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
�* National Headquarters -
-�; 1337 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION Date: ,
City, Town or Township ' County State
Location/Address
(If Located in Rural Area -Please Attach Directions) Pole #
Owner Permit #
Occupied As • Building: New❑ Old❑
Occupant
Work Area in Building (Floor #,etc.):
App. for: Wiring Service n or: Ready for Inspection:
Fee Remitted-$ Cash n Check n M.O. ❑ Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches
Lighting Amp. Service Surface Unit Dishwasher Range
Water Heater Air Conditioner Dryer Pump
Receptacles
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans .
Other Equipment:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's -
Signature License # Permit #
T/A Utility: •
(NAME) (OFFICE LOCATION)
Applicant's Address: •
(City) (State) (Zip) Service Request #
Phone # Electrician:
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Aboven or: .
Red Notice Label n
Rough Wiring Outlets _ Surface Unit Oven
Switches Range Garbage Disposal
Receptacles - Water Heater Dishwasher
Fixtures Air Conditioner • Dryer . ;
Amp. Service Equipment Burner,Wiring &Controls for Amp. Receptacle
Amp. Service Conductors -Pump I • Vent Fans.
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
. Elect. Heat
•
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID
❑ RW Progress: Inc.-El LKD❑ Contractor
❑ CFT Violation: Work Comp.❑ Inc. ❑
n L/A Owner CASH ❑
Fee CHK #
❑ L/A - Due MO #
n IPA Municipal
I N V #
Date: Other Side❑ Utility Applicant ❑❑
Owner
Cut in Card n Temp # Date
❑ Final # Date INSPECTORS SIGNATURE
APPI IrATIrmi F( PM ,ifl 75n EL 11/89
11Lk - 1 -3
o7_2E
TOWN OF QUEENSBURY
531 BAT-ROAD_
411114''
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED \/jTp,``al
NAME
LOCATION IV?7 CCM k,(��a. WE_
DATE 4#0 PERMIT# "Ic J-las?,
TYPE OF STRUCTURE ( RC,\-\
RECHECK,
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A �FES NO
CHIMNEY HEIGHT/LOCATION t �
B VENT/LOCATION /
PLUMBING VENT I
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS i ,Av?
RELIEF VALVES
FURNACE/HOT WATER OPERAT/ /
'G NV/
BASEMENT INSULATION/DUC,;TWORK
INTERIOR TRIM/PRIVACY DOORS \
FINISH FLOORS: \ r
BATH/KITCHEN WATE IGHT
OTHER FLOORS SWE PABLE
OTHER FLOORS CA PETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS �;/
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING t //
GARAGE FIRE PROOFING ��/
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
OINT ESURI/AL
OK TOO ISSSUEE C/0 OR C/C
COMMENTS:
Vii -)\ Co C! VV
kzooD
t\ \-cC't
ARRIVE 1r
DEPART UV)
INSPE T
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
9 -3 -cisY
Permit No.
OwnerS `i—effk7
-
Occupan't
Location .44:2: Ce0& b 6 67
creb-4,1 Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by (7)1` 0/1214:1/
e/-r6
Date ...„44444—___jnspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
3 0 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
////ryryryry WIRING &CONTROLS FOR BURNER
1/�ECEPTACLES .H.P. PUMP.
FIXTURES K.W.OVEN ; •
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K.W. WATER HEATER FRAC. H.P.VENT FANS
IOTORS H.P. I/20 1/12 I/10 ' % 'A 'A % ' 1 1% 2 3 5 7%= 10 15 20 25 30 40 50 75 100
IARK NUMBER
F EACH SIZE
0PPARAT US
1
TOWN OF QUEENSBURY MI/
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 4003
NAME 1/Eat �Ll4-4?ane h'a4 2L f �il h i J y_
LOCATION /./2 1��/�l/C I Q
DATE 144/93 PERMIT # 9 -13 k
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE f
FOR PROVIDING PROTECTION FROM f
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE./.
MATERIALS FOR THIS PURPbSE ON 'SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE 1 /
FOUNDATION/DAMPROOFING 1 '
BACKFILL APPROVAL 1 /.r
ROUGH PLUMBING 1'
PLUMBING VENT/VENTS IN POACE
PLUMBING UNDER SLAB ;f1
/FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING ?i
JOIST HANGERS J i►
JACK POSTS/MAIN BEAM ,3
HEATING ROUGH-IN „'
INSULATION: ,Y
FOUNDATION WALLS7INTERIORiR-
FOUNDATION WALLS EXTERIOR`, R-
FLOORS ;1 R-
WALLS ;9' 'R-
CEILING 4
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: - f�.
,40p 0-0is1-14n-ar3�&LS� (Src .
/31.1907 7O)tiS cc) LAJ1'I13.Z4. ,.
ARRIVE /0;00
DEPART /0'23
NSP CTOR
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,/ '' r I J — _ -_-- .____ ._-----_--_____-_.-_1�__..__._ _�_____..___ TOWN OF QUEENSBURY BUILDING DEPARTMENT
a, s11ee'' .c-tc !: r
; Based on our limited examination,
r _ ._ _� ! compliance with our comments shall
X3 y j not be construed as indicating the
. t�A X ; plans and specifications are in full
•Qa t -,rIc�l 4- 1W r compliance with the code.
aX? JPIZZA'
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a, BUILDING C o T.,
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