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2000-920
TOWN OF QUE E NSB URY 742 Ba Road eensb NY 12 4- 9 y ,Qu ury, 80 5 02 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20000920 Date Issued: Friday, May 31, 2002 This is to certify that work requested to be done as shown by Permit Number P20000920 has been completed. Tax Map Number: 523400-279-018-0001-012-000-0000 Location: 1200 RIDGE Rd Owner: JACKLYN BARRETT SHUTTS LE Applicant: JACKLYN BARRETT SHUTTS This structure may be occupied as a: By Order of Town Board Residential Addition TOWN OF QUEENSBURY /f .1/ Director of Building&Co Enforcement TOWN OF QUEENSBURY ` � 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 ON Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000920 Application Number: A20000920 Tax Map No: 523400-052-000-0001-055-000-0000 Permission is hereby granted to: JACKLYN BARRETT SHUTTS For property located at: 1200 RIDGE Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: JACKLYN BARRETT SHUTTS Residential Addition 28,000.00 1200 RIDGE Rd Total Value 28,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency TAD BALCKE COMMONWEALTH ELECTRICAL IN NY Plans &Specifications BP 2000-920 224 SQ. FT. RESIDENTIAL ADDITION AS PER PLOT PLAN AND SPECIFICATIONS $20.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, December 12, 2002 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer Dated at the Town o bu )esd. D:cember 12, 2000 SIGNED BY for the Town of ensb Q� Y Director of Building &Co. Enforcement ButBuilding Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 /761-8256/ o BUILDING & CODE ENFORCEMENT NOTICE Requirements prior to issuance r m A permit must be obtained before 1 of this permit: PERMIT FILE NO. -"'L�o`r' beginning construction. No inspections ' PERMIT FEE PAID 472e will be made until applicant has received f] Zoning Board A a VAI,ID BUILDING PERMIT. All Area /Use CREA77ON FEE P DECD D$ applicants' spaces on this application 0 4 2000 MUST be completed and the signature ❑ Planning , ,/ yL" of the applicant must appear an the I Obi REVIEWED BY: lication form n.it SPR / Subdivisto `AND 3�3 �ne , Budding InspectorJ Recreation Fee Payment �OLa J Applicant: J4C,(4`'i -.. VC1r,. - I II ,5fstu - Owner: ...iacky,-, ,8cifz,el l- 58,r ' Address: 00 1'4t /.l /ova /2GK Address: Phone # ( S/,Y ) 7 1 1 _ �6. 3S Phone # S I Y Property Location: /1)0 0 /7.c.e4 /0 < � J^ Subdivision Name: Tax Map Number -- / Section Block I nt NATURE OF PROPOSED WORK: ESTIMATED MARKET VA E OF THE New Building: CONSTRUCTION: $ 24 b residence / commercial ( `� Addition to Building: 'residenc / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial ✓ Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work (describe below) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: If ADDITION, what will use 1st Floor Z 24 sq. ft. of new addition be? : 2nd .FJ. or. . ., sq. ft. fc, 0 ,4/r A'Ot�/r, Other Flouts sq. ft. O i (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: L�•t SQ. FT. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building 0 FEET X a 8- FEET Other r` Foundation Type: p f du2L6 ( ril.A Will any second-hand or ungraded Number of Stories : lumber be used? If so, for what? (habitable space onrly)Height (grade to r .dge) : ( ) feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle al -••' ch applies) to be installed:_. El eetric / Oil Gas / Wood (`orced Ilot ,it / Baseboard / Other Person respon lble tor supervision of work as regards to building codes is : //1 kr .At.cksr 3C. S lne.A„,(( S1 1- i-K1, freive, 463,0ye Name Addresss Phone Builder: S 14-- 1 Plumber: . Mason: Electrician: DECLARATION: Please sign below after you have carefully read the statement. 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 noted, and that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a Certificate of Occupancyor Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: 1 6 .1.4,, (owner, owner's agent, architect, contractor) _-= ENERGY CODE COMPLIANCE A‘111116;---' � _ APPLICATION �e TOWN OF QUEENSBURY, WARREN COUNTY �q _ 9000 HEATING DEGREE DAYS 0E0 �„J 4 2000 &O Compliance Methods : PART 5 - Acceptable Practice Met• „kph'C x, Ais 1&2 Family Dwellings (only) `'4 "I 1D 0 ✓ • 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 *Real: res submission of worksheets PPPLICPNT ' S NAM: PROPERTY LOCATION: / Lau A.4e_ L PART 5 tr•THOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: I . Gross Floor Area - square feet 2 . `Ie of Heat - Oil Gas Other 3 . _s building mecfanida11v cooled? Yes No 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-V2-",tJES FOR INSUL. T=CN GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SFOrfiN ON PLANS SUBMITTED: a . Roof R '30 b . Exterior wails R J c . Glazed areas R 1. q c . Exterior doors R -, 4 e . Floors over unheated spaces R l S Edge of slah Grade (heated building) R aft Bas event/c.".- walls (above cr ade) R b . 3ase:uent/cellar walls (below crade) R . _.eating/cool_nc-d:.c:s-piping in unheated space R 6 . Service (domestic) hot water heating device Co =o_ns to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Apt-ican= ' s Signature Date P c:e Nunber INSPECTOR' S REMARKS : AnL,.3o. COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INt. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL C,� 'ermit No. I/Cert. o h23 Cut-in Card No. )wner 19-c�/C 7 .() ,nov_iL.. ,ocation Zu 0 2f P 68 2D 1 6V4I-6,/ � dalnstallation Consisting of..,G 1,1 ) 112G,,z: , 1 zLi rgft 66 �..0U nstalled By....l ` /3 e Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is ancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the ntroduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of maki • spections at any time, and if its ules are violated,the Company shall have the right to rev ke t 's c i cat )ate ` -5i- INSPECTOR Member N.F.P.A.,I.A.E.I. GENERAL INSPECTION REPORT / ( 518 ) 761-8256 ° Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement �' 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart ka �(r, �, Inspector's Initials "J NAME: PERMIT# ©) LOCATION: J ? > _ c DATE : - TYPE OF STRUCTURE: RECHECK N/A YES_NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo i 'ble for providing protection .m freezing for 48 hours followin the placement of the concrete. Materials for this purpo, on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in ' .ce Rough Plumbing Hea g Rough-In lation Foundation Walls Irate 'or R- Foundation Walls Ext. 'or R- Floors R- /-1/ Walls R tit- Ceiling '- Duct work or piping in unheated spaces - Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping -4P` 1 Aic)11:-- GENERAL INSPECTION REPORT f ------ ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement „_-f 742 Bay Road 0• `j 47 Queensbury,NY 12804 Arrive am/pm Depa Inspector's Initials. J� NAME: - \ �� {Y PERMIT# �_� Q�0 TIN: i . DATE: � .—Z.0 C� LOCATION: v At TYPE OF STRUCTURE: t Cn- - RECHECK N/A YES NO COMMENTS Footings/Piers I. I Monolithic Pour Form Reinforcement in Place The contractor is responsibly for providing protection from ,:-zing for 48 hours followin_ the !laceme t of the concrete. Materials for this purpose , site Foundation/Walipour , Reinforcement in Place Foundation/Dampproofing Backfill Approval / Plumbing Under Slab / Plumbing Vent/Vents in ' ace f.Rough Plumbing V Heating Rough-In Insulation Foundation Walls I , -rior R- Foundation Walls :xterior R- , Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- , Pro ent,Attic Vent 0 F ng \/;,/ Jack Studs/Headers / racing/Bridging ,// ,/ oist Hangers foist Posts/Main Beam 'r Infiltration Barrier I / Fire Separation 1,2, 3,hour Penetration Sealed ;vire Wall 2, 3,4 hour Firestopping tf GENERAL INSPECTION REPORT 11 ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart 7.itiatiltimp r' Initials Inspector's �t NAME: ' . ,_ 1 PERMIT# �^%�� LOCATION: ) -o 0 G ` �J DATE : (--� TYPE OF STRUCTURE: t RECHECK N/A YES NO COMMENTS Footings/Piers l;" Monolithic Pour Form Reinforcement in Place The contractor is responsible for f' providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foun ' n/Dampproofing 11 Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors IZ- Walls R- Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road '' Queensbury,NY 12804 Arrive am/pm Depar . / m Inspector's Initials .i NAME: °G PERMIT# -6,2 LOCATION: 'c t:,67' DATE: _Z_ 'Z TYPE OF STRUCTURE: RECHECK r, N/A YES 240 COMMENTS ootings/Piers XMonolithic 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!Walipour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Seal Fire Wall 2,3,4 hour Firestopping a id pd r Q.066 �c 5 POO ei4 a i 6 mo ' ckL .e4,tat5 ,,�'� a, f ,, EIVED Tk. GEC 042000 gr TOW;.: C> QJr.� 4 b,,RY l I BUILDING AND co DE to! 30 so' • e p r e\ 412 i ao ........._.).3,- . 3111 ,EI 3a I .. $$ • NO TIC FOAM INSULATION MUST BE COVERED t BY A 15 MINUTE THERMAL BARRIER TOWN 0 QUEENSBURY BUILDING DEF RIME Ca Pa, a ed on our limited examination, NOTICE . .. beconstrued as the II ans and specificat►ons am in full KRAFT PAPER INSULATION MUST BE compliance with the code, COVERED BY NON-COMBUSTIBLE BARRIER NOTICE TOWN OF QUEENSBU 'Y SMOKE DETECTORS ARE REQUIRED IN BEDROOMS, BUILDING & t . ►- "T. ADJA ENT TO BEDROOMS,AND ON EACH FLOOR LEVEL I`rkf I CLUDING CELLAR OR BASEMENT. ALL SMOKE REVIEWED BY f DETEC s ' ' : INTERCONNECTED ON ALL LEVELS. DATE / " // /90 w a s P ."R • 4° , ge- 4go 41 , i „._.....----. ic \'J4. v �D 4. k v d N _ l Qres r S ' 4 o 1 % -Ct i ' • % 3-ib ----------=- r r aI c fb d AX,�.TW\ (,,,. 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