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99-615 BUILDING PERMIT VALUE $ 15000TOWN OF QUEENSBURY No 99615 TAX MAP NO. 48 . -3-16 & YYARREN COUNTY, NEW YORK PERMISSION is hereby granted to COONS, MILLARD & BELLE OWNER of property located at 638 MOON HILL RD. Street,Road or Ave. in the Town of Oueensbury,To Construct or place a RESIDENTIAL ADDITION 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. OWNERS Address is R. D. #1 BOX 1624 LAKE GEORGE, NY 12845 2. CONTRACTOR or BUILDERS Name COONS, DOUGLAS 3. CONTRACTOR 6 4 8C MOON BUILDERS ROAD LAKE GEORGE, NY 12845 4. ARCHITECT'S Name NEW YORK BOARD 5. ARCHITECTS Address 6. TYPE of Construction—(Please indicate by Xi RESIDENTIAL ADDITION ( i Wood Frame 11 Masonry ( 1 Steel I I 7. PLANS and Specifications 35r0 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use RESIDENTIAL ADDITION 32 September 27 2001 $ PERMIT FEE PAID -THIS PERMIT EXPIRES 19 Of a longer period Is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueensbury before the expiration date.) 27 September 1999 Dated at the Town of Queensbury this Day of 19 SIGNED BY � .�1.{' 14 for the Town of Queensbury Building and Zoning Impactor Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-8256J -o BUILDING & CODE ENFORCEMENT !NOTICE Requirements prior to issuance r of this permit: PERMIT FILE NO. �-6/S A permit must be obtained before beginning construction. No inspections PERMIT FEE PAID$ 3 Z`4' will be made until applicant has received f Zoning Board Action a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$ applicants' spaces on this application ^, MUST be completed and the signature 0 Planning Board Action REVIEWED BY: ►p ^ of the applicant must appear on the SPR / Subdivision /Other Building Inspector ,implication form. Thank,,w. _I Recreation Fee Payment J Applicant: YijIc;.s C Ccr..7S Owner: .t.t i E' Address: G�3 �•k IIr ll L (cc act.•3e Address: iz 4.S Phone # (. 1 ) 'wiz - it cam Phone # ( ) - Property Location: 4 3E-3 Ma:,-I g( it 2S Tax Map Number 14 S) / 31 �' f i Subdivision Name: — Section Block Lot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ l$,c,c=c residence / commercial ✓Addition to Building: - residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial ✓ Single Family Dwelling Residence / Commercial Two Family Dwellj.t no change to exterior size Family Dwet' Ti'g -; ' 4 , Y•", Office Other Work (describe below) Mercantile SEP 2 3 7999 Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: If ADDITION, what will use 1st Floor / sq. ft . of new additione? : 2nd .Floor sq. ft. 1176 Other Floors sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detach rage 1, 2 car TOTAL FLOOR AREA: 3 3 1 SQ. FT. Attar rage 1, 2 car Priva a rage Building SIZE OF NEW STRUCTURE: Commerci torage Building /34" FEET X 2$..0 FEET Other Foundation Type: 6.A.,...:,. Will any second-hand or ungraded Number of Stories : / 7 lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : /5 feet TYPE OF HEATING SYSTEM: Number of fireplaces d/or woodstove (circle all which applies) to be installed: Ai Electric / Oil / Gas / Wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work as ,regards to building codes is : ;; ((;c (Li'is 4347 n�, •., -i' I( i2..Q Name Addresss Phone Builder: /t::. c,..icc: j! ' Plumber: is . C& as LI(.- C :,. r� 74z--icyP, Mason: -j- ,,‘,,,,,e,,it // Electrician:- 6 k< Cl2.,�5 444(cr C;CO-Jr'- cr z irY 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 Occupancy"•or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signs . e- r.-FCr = ' (owner, owner's agent, architect, contractor) -1111kENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS SEP 1999 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: • Tvc., Pd. PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 2 51 scruare feet 2 . Type of Heat - Electric ✓ Oi 1 Gas Other 3 . Is building mechanically cooled? Yes ✓✓No / 4 . Percentage of area of windows and doors Over 17% V Under 17% 5 . R-V?.LUES FOR INSUL.?TION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R 3S b . Exterior walls R tc/ c . Glazed areas R d . Exterior doors R e . Floors over unheated spaces R . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h . Basement/cellar walls (below grade) R - w 1 . Heating/cooling-ducts-piping in unheated space R x�N 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code ✓ Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED �' natc_e Dar Phone Number cia/C .7S 2 - 47C INSPECTOR' S REMARKS: GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive Jyf am/pm Depart am/pm Inspector's Initials()fr NAME: Coo) ,,� PERMIT# LOCATION: // ,� DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in P1 The contractor is - .. ble for providing pro : I.n fro freezing S //ttYL c,<-42- for 48 hours folio -n_ e placement /� of the concrete__. _e,,h l s k �e¢e 4 r/s e�L Materials for this p ••se on site 4 K/ p J fi e c-f gei Foundation/Wallpo Reinforcement in Pl.4 - Foundation/Damppr. fing Backfill Approval Plumbing Under Sl• . Plumbing Vent/Ven . 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 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 tigalm Depart . Inspector's Initi = �� NAME: �J `r Q PERMIT# LOCATION: Z,uc;, VON. : 1 TYPE OF STRUCTURE: RECHECK ( , N/A YES NO COMMENTS Footings/Piers 1 I Monolithic Pour Form Reinforcement in Place ,' The contractor is responsible;for it providing protection from frees g for 48 hours following-the • ement of the concrete. Materials for this purpose on site Foundation/W a l l you r__ Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heat Rou In I ation C.�►" , 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 I, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping 1M CAr'- GENERA I, INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbury !� 9 Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Quecnsbury, NY 12804 Arrive? r /pm Depa rt911 m Inspector's NAME: !!L.S PERMITS 0-5 LOCATION: 3 fI/fvOn - A E : 9 TYPE OF STRUCTURE: a RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is responsible Ifor providing protection from freeing for 48 hours following the plcccment of the concrete. Materials for this purpose on sit' Foundation/Wallpour �_ ' Reinforcement in Place_ I Foundation/Dampproofi ng_ Backfill Approval I Plumbing Under Slab irtgt ents in Place _ ough Plumbin Keating Rough-In Insulation Foundation Walls Interior - Foundation Walls Exterior R Floors R- Walls R- (q �ljh�li-PrT� 'eeH1i �� t�i�.: Ceiling R- c Ff tom'S'i-i ceA Duct work or piping in 11EtJT� unheated spaces R- Proper Vent, Attic Vent • �// \ `��� t-A.V7471 , q Framing Jack Studs/Headers Bracing/Bridging Joist Hangers_ _Jack Posts/Main Beam _ Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Scaled Fire Wall 2, 3,4 hour__ Firestopping J 19i)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+rl}ai�, Depa t nspector's Initia - NAME: '.j • '/r./ (PERMIT# l LOCATION: L j Jv 10\c,' 7\T --}-i ( Nj DATE : -Ci Ci TYPE OF STRUCTURE: 1,1� �� --t Cam.--- RECHECK N/A YES NO COMMENTS Footings/Piers i Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours\following the placement of the cone* Materials for thispurpose on site Foundation/Wal l pbur___ Reinforcement in Place Foundation/Dampproofi ng Backfill Approval Plumbing Under Slab Plumbing_Vent/Yents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- \ Walls R- 4`l, Ceiling R- Duct work or piping in _,71heated s a R- Ve , flit Ven _ JE+:S� lzil� (-�p‘` � � raining 'F iNgzA Jack Studs/Headers VtZi Bracing/Bridging Joist Hangers ,_ Jack Posts/Main Beam _ Air Infiltration Barrier —,-�. ✓ {\C")Q Fes _ Crypt 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 i )'/Jam/pm Depart m/ m Inspector's Initials NAME: `; \\\ 1) C`'-( (rr `` /� PERMIT# l� LOCATION: L9 � "j\r0 0(_>-\ I 11 � DATE : ��r^ TYPE OF STRUCTURE: _c 1 \i RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection fr. eezing for 48 hours followin: the . acement of the concrete. Materials for this pur.'se on .ite Foundation/Wallpo-r Reinforceme . ' e Foundation/Dam..roofing Backfill Approva Plumbing Under .lab_ Plumbing Vent/ ents in Place Rough Plumbin- Heating Rough- n 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 / r //( ` "�° ti ; Jack Studs/Headers � Bracing/Bridging Joist Hangers f/ I/ Jack Posts/Main Beam ,, // Are/J �4 kJ Air Infiltration Barrier / Fire Separation I, 2, 3, hour le�` /Jo // Penetration Sealed Fire Wall 2, 3,4 hour Firestopping `;'2191)-) GENERAL INSPECTION REPORT ( 5.18 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive,t5am Depart Inspector's Init. �J NAME: PERMIT# -�Q 5 LOCATION: (Y\ .n .4 DATE : TYPE OF STRU TUBE: £r S1Z._.., RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours followu the placement of the concrete. Matey•Is for this pu se on site ndation/Wallpour Reinforcement in Pla _ f Foundation/Damppr Ping Backfill Approval_ Plumbing Under Slat Plumbing Vent/Venti.in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- I 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 I, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Qucensbury,NY 12804 Arrive am/pm Depa pm Inspector's Initials NAME: 0404U 6 ' � PERMIT# i� �P LOCATION: I-8 I+-kc,:n nJ (1[Lc_ kae)- DATE : gc7Il TYPE OF STRUCTURE: RECHECK N/A YE, NO COMMENTS Footings/Piers �✓/ Monolithic Pour Fo Reinforcement in lace The contractor s response,Ie for providing prot 6 ion from ' eezing for 48 hours foils ing the • acement of the concrete. Materials for this pu •k c on ite Foundation/Wal 1pour__ Reinforcement in Place Foundatia• )amppr.. g 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 I, 2, 3, hour_-_--—_---�— ---_-Penetration Sealed Fire Wall 2, 3,4 hour Firestopping c(q b / .._.__ :5 4: Coons F., r 7 r -.4 c) m i$ 32. = - z rn P-4 2 ci, = --1 VI cv _ CA Moon Hill Road — ='' r— cs rTI .... _ . c, ,t. CO ffi tuk a g 1 rn 1 r .• 8 p3 • .a. Po rn NIW t CZ, cz, •- < x ADatnew I t rn rn ›, 1 r MI 4) • 1 cp e....cr) .....4 — ...... --I N — Z C ' ' = \ .• ry, ? ,....„ , xi co i I ;.' --, , 48 -3-17 48 -3-16 i Produced by the Town of Queensbury, NY, Planning Department SCALE: One Inch Represents 50 Feet N 09/23/1999 Wog s �. .. �. ~ ~ . : * } 7,1 ƒf \> • � . - � „ 2 \ . t \\ `\ \ . qq.........(e7 (. .......6 r,717.77 t' .. ............ - . .-..-- _.„_rn ....-,"" ..........”--..-...,---,-.-.- . . , 1 1 V1- $I I)I 4(r i I ...,.... . --.............--- 1 g . r.....__, _....... _.....„---, .......____,.........................__ EA.51-- ELEVATION SO 0714 rcrvArlow _ „ .,__ /5 .. qg_ (a 5 1 ,0 _.............._ 1 _._ ___ * -- --- ---- i 1 1 GAL? .2i.), 1 1 i 1 ! 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