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98-197 BUILDING PERMIT VALUE $ 1e00eTOWN OF QUEENSBURY No. 98197 TAX MAP NO. 19.-1-4 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to SHAFER, JOHN & JUDITH OWNER of property located at 21 HANNEFORD RD. Street,Road or Ave. in the Town of Oueensbury,To Construct or place a RESIDENTIAL ADDITION (EXPANDED_DINING A 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 FEURA BUSH RD. FEURA BUSH, NY 12067 2. CONTRACTOR or BUILDER'S Name SHAFER, JOHN 3. CONTRACTOR or BUILDERS Address 4. ARCHITECTS Name 5. ARCHITECTS Address 6. TYPE of Construction—(Please indicate by X) RESIDENTIAL ADDITION 1 1 Wood Frame ( 1 Masonry ( )Steel 1 1 7. PLANS and Specifications 26'0SQ FT RESIDENTIAL ADDITION (EXPANDED DINING AREA) AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use RESIDENTIAL ADDITION (EXPANDED DINING AREA) 24 May 1 2000 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) 1 May 19 Dated at the Town of Queensbury this Day f' 19 SIGNED BY C i for the Town of Oueensbury re Buildi and Z '� aor • ENERGY CODE COMPLIANCE APPLICATION 5$ = TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS 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: 1/47:714 g # 71/dVike‘Cd d• PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - Z1ci ( scuare feet 2 . Type of Heat - X 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 3 b . Exterior walls R �g c . Glazed areas R d . Exterior doors R e . Floors over unheated spaces R [ I f . Edge of slab on grade (heated building) R c. 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 - - e Phone Number App-=c- n 1724.�T(' .c78'¢37 6//2— INSP= TOR' S REMA: v - Tr_ .L ..••..-ws,vvl ge r , Town of Queensbury - Dept. f •eo„u,ru,iity Development, 742 Bay Road, • NOTICE________________, OBUILDING & CODE ENFORCEMENTree�rshury, NY /2804 /76/ 8256/ Requirements prior to issuance _ A permit must be obtained before of this permit: PERMIT FILE.NO. (1) ?— 19 7 \ ,,,, beginning construction. No inspections will be made until applicant has received f] Zoning Board tl L. i; 7§AfwEE PAID$ a VALID BUILDING PERMIT. All Area /Use applicants' spaces on this application RECREATION FEE PAID$ MUST be completed and the signature El of the applicant must a Planning Board Action REVIEWED BY. appear an the heation form. n, SPR / Subdivision /Other ep J Building Inspector Recreation Fee Pa men Applicant:JOH N f'JUnI A . SH n R — SQ/►l e.137 Li (Qcomvi LL r_Peidt,�RA 13 Cal RO ,4 D Address: r,_P�1. ✓_ (71^Q Address: 1 �!� Y� ,Z©1L77 Phone # (51 g)4.3 I f 2 Phone # (518) tp5h 3(093 Property Location:Havine,para RO& /2,1122056(,l f, 3L f bo 19, 9• —I 7 r , Subdivision Name: Tax Map Number .—J- / Section Block Int NATURE OF PROPOSED WORK: New Buildin ESTIMATED MARKET VALUE OF THEoo g' 0 CONSTRUCTION: $ 0/ O000 i• residence / commercial X Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial x 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 OFPROPOSED STRUCTURE: / /0$ ' A!4-e^ecNk ov* - 1st Floor�s�.� , sq, ft: If ADDITION, what will use 2nd :Floor sq. ft. of new addition be? : expav�tl�etat Other Floors sq. ft. 'ck 1 nfncl,. (not unfinished cellar or basement) ACCESSORY BUILDINGS: - Detached Garage 1, 2 car TOTAL FLOOR AREA:, 1. • SQ. FT. Attached Garage 1, 2 car Qdtf''1COV) Private Storage Building SIZE OF pa< STRUCTURE: 1 Commercial Storage Building I -, FEET X �' ° ET Other N. A • Foundation Type: calCYe CR1K Will any second-hand or ungraded Number of Stories: 1 lumber used? If so, for what? (habitable space only) Height (grade to ridge) : ItO i feet T • OF HEATING SYSTEM: Number of fireplaces and/or woodstove - - 1 which applies) to be installed: 0 Oil / Gas / Wood Fo- -ot Air / Baseboard / Other Person responsible for sup rvision of work as regards to b ildi g R1 Y• izsq.k3 codes is: JO14 NJ 5. 5F3 tFER . l (Do Goedmaf)Rc�. .Jo11150• 1 - • Nair Addresss Phone 29.3232 Builder: 55 471c: Plumber: N . Mason: RNT1ON. 4 LA ROSA t72 i11CVeS-(-- ,- ctieeVASkt,tof . Electrician: C)LtWe r- i 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, of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn top scale, showing actual location of project on premises. • Signature: l '1 �i -0 • 1 NA . Scar owne i i gen hit , cont ccttor) TOWN OF QUEENSBURY 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date / - 19 Permit No. (g- APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance and/or chimney. Applicant Jolf‘is.1 k4f r APPLIANCE (check appropriate boxes) Address 7 lCi,J y cit R 4 . STOVE geWood o Coal o Pellet o Gas t� 0 FIREPLACE INSERT t � pNS v r .j IVl Zip ❑ FIREPLACE, FACTORY-BUILT: / ❑ Wood ❑ Gas Phone (Sfl') S( ' L q 3 0 FIREPLACE, MASONRY: .� �� �+c ❑ Wood ❑ Gas Owner er 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil Address -) \j %cNv I e �-€- �. �, , IF NON-MASONRY APPLIANCE: Manufacturer: al 'Fe Ora, tj�. Zip / 2e (e` ' del: Phone ( 1 ''` 2 CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction ❑ MASONRY: 0 Block 0 Brick 0 Stone FLUE: ❑ Tile ❑ Steel Size: inches CONSTRUCTION / INSTALLATION MUST FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS , f Double Wall ❑Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 (190) Public Safety A 233 2655 (230) Minor Sales Fee Collected From or Refunded to: ,\ Address: Dated: - / _ ly Town Clerk or Deputy: White: Applicant Green: Fire Marshal Yellow:Bldg. Dept. Pink & Goldenrod: Cashier's Dept. COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. , Main Office 176 Doe Run Road-Manheim,PA 17545 ,� e MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No........ .Cert. No 66733 Cut-in Card No. ° Owner......... l J .......5.r ' Location...g2,/ /S AJ , ' ;?� Installation Consisting of.e ,• {!!j f� , �r..k j /... ....f . /� --d. er,c3 !..—.. �... Installed By.••„••• , j ^ 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 an inspections at any time, and if its ules are violated,the Company y shall have the right to vo t ' 9 c of ate. )ate i--/3-9 ..................................... Member N.F.P.A.,LA E.I. RESIDENTIAL FINAL INSPECTION REPORT M1Y\ 1 1 Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement Z1 Dept. of Community Development Arrive am/pm Depart ')am/pm/ Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME 1 '{ PERMIT# ` LOCATION \ �yC,� \ DATE — TYPE OF STRUCTURE v t -}-I N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location ?' Fresh Air Intake ✓ Plumb Vent through roof Roof Complete _ 7/Exterior Finish Complete ` Interior/Exterior Railings 3."to 36" �// Exterior Handrails,balconi•s,landing 18 in. or more ;�Pf Interior Handrails stairs bo sides 3 or more risers Y Grade 2%away from founda on /7 8"clearance to sill plate _ V Gas Valve shut-off exposed/re.: ator 18"abov- -=de Gas Furnace shut-off within 30 f!. or .%. • line ,,f site Oil Furnace shut-off at entrance 'r. ace area Furnace/Hot Water Heater o► ating Relief Valve(s)installed Headroom,6 ft. 6 in. . stairs Basement stairs,6 %.4 in. 7 Handrail exterio stairs both sides more than 3 risers f Interior privacy/trim/doors/main entrance 36" ✓ / Floor Finish fvf �/ Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected (17 Bathroom fans Plumbing fixtures Foundation insulation 1 1/OC -L- P-- kc‘ j to J . 3`i ' \ 3/4 hour fire door/door closer Garage fireproofing U/ Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room / Safety glazing 18"or less from floor t/ Final Electrical AC-.-6-b. f}'L L(9: , /4"cr6(r Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif. of Compliance) Okay to issue temp. C/O(Certif of Occupancy) .1/Okay to issue permanent C/O(Certif. of Occupancy) FIRE MARSHAL � TOWN OF QUEENSBURY tj QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED \\—t F -tt PERMIT# g---) NAME-,..„V -kQl LOCATION SCHEDULE INSPECTION ON �— sg - 1 L PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS — - EXIT SIGNS _ EMERGENCY LIGHTING FIRE EXTINGU FIRE A SYSTEM FIRE PRINKLER SYSTEM -----------_-------- FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: _ CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVEfrAl FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT 1 REMARKS: OK TO THIS DATE Vet t2u o07- IA)6 • l� Jt�C Vj� VE7 INSPSLIP.PUB INSPECTOR adsLUQQA,\ GENERAL INSPECTION REPORT C) 41 °A/nr Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart/ 'am/pm Inspector's Initials - NAME: )-.\ PERMIT# — LOCATION: l . \.� t a �� DATE : — g TYPE OF STRUC TURE: ��n, RECHECK , N/A YES NO COMMENTS Footings/Piers 1 ( 1 Monolithic 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/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing H g Rough-In lion 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 Barrie Fire Separation 1, 2,/ hour Penetration Sealed` Fire Wall 2, 3, 4 hour Firestopping /7•(7) ) GENERAL INSPECTION REPORT Town of Queensbury p Dept.of Community Development Date inspection request received: / %' Building& Code Enforcement 742 Bay Road 1�.3© Queensbury,NY 12804 Arrive am/pm Depart. am/pm Inspector's Initials \JR - 7 NAME: 1/ ; > PERMIT# �� 3/ LOCATION: ? .G /:-. ,:n. /0A 14 ,, , )! .4 _,.L, DATE : //.-�;/l`;'- TYPE OF STRUCTURE: � , -1 i RECHECK // / N/A YE NO COMMENTS VFootin Y• • �_ z.,. ,5 :0. . I Monoli , 'our Form - Reinforcement in Place The contractor is responsible • providing protection from freez. : for 48 hours following the placem= t 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 Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury A Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road _ Queensbury,NY 12804 Arrive! h'" am/pm Depart," - ;,am/pm Inspector's Initials l(}- �.+ a (; N-\: PERMIT# r I l LOCATION�� Q i y ) >' DATE : !� <,' `- S TYPE OF STRUCTURE: ' , 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 following the placement of the concrete. Materials for this purpose on si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin 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- Pro oVent, Attic Vent ranung 1 , 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 11 Q1 Town of Queensbury 6 5 / 41 Dept.of Community Development Date in• l ection request received: Building& Code Enforcement 742 Bay Road Q Queensbury,NY 12804 Arri e I' am/pm Depart am/pm Inspector's Initials 42L NAME: AO --- ° PERMIT# 9 0._1 r? LOCATION: _ / ,.i 1 .� /f ' DATE : d • TYPE OF STRUCTURE: ". "' ., 1 RECHECK r ,� `? )1-- j N/A YES NO COMMENTS Footings/Piers I I I Monolithic Pour Form Reinforcement in Place The contractor is responsible f.r providing protection from fre- ''n for 48 hours following the pla i rent of the concrete. , .terials for this purpose on site j oundation/Wailpour iR nforcement in Place oundation/Dampproofing i ackfill Approval / 7( Plumbing Under Slab / Plumbing Vent/Vents in Plac Rough Plumbing_ / Heating Rough-Ir: r Insulation Foundation Walls Inte 'or R- Foundation Walls E rior R- Floors 1 R- Walls / R- Ceiling / R- Duct work or pipit g in unheated spac R- Proper Vent, Attic ent Framing ' Jack Studs/HeaLers Bracing/Bndgifng Joist Hangers Jack Post in Beam I Air Infiltration Barrier Fire Separation 1, 2, 3. hour , Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping .\]\ GENERAL INSPECTION REPORT V �� Town of Queensbury Dept. of Community Development Date inspection request received: ()Y.\ Building& Code Enforcement 742 Bay Road • //ii Queensbury,NY 12804 Arrive 1i3, am/pm Depart" u am/pm Inspector's Initials J i2 NAME: '' `N-\ ''N., 7 k � (1 � PERMIT# J ` LOCATION: I.. "11:11t..1 . DATE : c TYPE OF STRUCTURE: C2 !!t�r1l. RECHECK N/A NO COMMENTS ootings/Piers gea; Monolithic 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/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-Ir 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/Heade^s Bracing/Bridging Joist Hangers_ Jack Posts/Ma in Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping_ RESIDENTIAL FINAL INSPECTION REPORT j I , Office No. (518)761-8256 Date inspection request received: 6/0/ Building& Code Enforcement Dept. of Community Development Arrive D. , epart o a,/'.1. ..a. Town of Queensbury Inspector's Initials .. I . . 742 Bay Road ,,., �N Queensbury,New York 12804 ( 7 NAME PERMIT# / 6. -���������N� � � '� � �ATE � � ,� LOCATION J6 i4� u1` � i TYPE OF STRUCTURE pz.,i2 (:,4iixo-e - t N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Loca .on Fresh Air Intake Plumb Vent through roof . Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" `` A ��� T� QOC�L �� Exterior Handrails,balconies,landing 18 in. or ``•re`� � 1 ������ (ow Interior Handrails stairs both sides 3 or more riser• — ► ,. Grade 2%away from foundation \ .,`1 017 v -V- STAB 8"clearance to sill plate OD flF� �—Fl Gas Valve shut-off exposed/regulator 18"above grad `��� Pao1 Gas Furnace shut-off within 30 feet or within line of si \ Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft. 6 in. on stairs x/ Basement stairs,6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. or more ' \ Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans / Plumbing fixtures Foundation insulation r/ p ' �t �'� 3/a hour fire door/door closer F LSr.'C_L o im►J L., 6EI LATC�t web p - . . Garage fireproofing A �- �, �'� Garage penetrations sealed 6ATe_5 Day, Furnace in separate room protected(in garage) " N1 • 1� ,� Light ventilation per room / Ct �` �6 E c uF LPTC-\`.V ELV- Safety glazing 18"or less fy`m floor / Mo Final Electrical Y �j �C41 � � Site PlanNariance required Final Survey Plot Plan /tJ O��y \F GR1E t.J t t—L 9,E cl As Built Septic System layout required D E G� Okay to issue C/C(Certif. of Compliance) Q� '�Q Okay to issue temp. C/O(Certif. of Occupancy) �O� M�► T T�� Okay to issue permanent C/O(Certif. of Occupancy) ` r t t b -. ` , — C)F DDT , s ..„ FILE cppy c2o • Pier I N. '„ ��� 2�� A, l7 - - o /i4. s - sGP-��� 0 NOT! • OF QUEENSBURY BUILDING DEPARTMENTBE Based on our limited examination, COVERED BY I' M or f M {;: 3`�,GH compliance with our comments shall CIE not be construed as indicating the plans and specifications are in full „compliance with the codeNO1f04 ---r- nail ,r- h. ,. roAm „,,,u,A7,0„ . .. . _, '.-- 1 ION 1'1'-e (CitAl 0\1 Frew I . E I r k ACIS%1C1CSNel 0/ &)g// , � r S4o?,� t I t D r,UcGv r 1 r fl ANNc �cP Rb ��. I 1 ,--- t Cl --\ ( ___---i-- 5C I 1 \ N / zs sisso r (2- - 0C(2X5 cc, c. S - ) ( ) r ')(9 7- [344-Kiel;A'S A)e-c--bcrrb 1 I .-- .-- - - .----- 1 „.,-, 5-- 2 TT / 16%, 1 I ! 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