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2004-568 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20040568 Date Issued: . Thursday, September 02, 2004 This is to certify that work requested to be done as shown by Permit Number P20040568 has been completed. Tax Map Number: 523400-301-020-0002-024-000-0000 Location: 14 QUEEN ANN Ct Owner: WILLIAM,& GRACE HAMELIN Applicant: WILLIAM & GRACE HAMELIN This structure may be occupied as a: By Order of Town Board Residential Addition TOWN OF QUEENSBURY Director of Building&Code EMforcernInt T TOWN OF QUEENSBURY WLi 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040568 Application Number: A20040568 Tax Map No: 523400-301-020-0002-024-000-0000 Permission is hereby granted to: WILLIAM & GRACE HAMELIN For property located at: 14 QUEEN ANN Ct 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: WILLIAM & GRACE HAlV1ELIN 14 QUEEN ANN Ct Residential Addition $14,000.00 Total Value $14,000.00 ,QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency RUSSELL HOWARD 794 W MOUNTAIN Rd OUEENSBURY.NY 12804 Plans&Specifications 2004-568 144 sq ft RESIDENTIAL ADDTI0N (FAMILY ROOM) $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, July 27, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of nsbury; Tue�d�iy my 27, 2004 SIGNED BY / for the Town of Queensbury. Director of Building&Code Enforcement Project Narne: AMCUA) A&Tlolj BP# Address: Building Permit Submission SFD (Aiecklist 2-Family All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBuilding Departmn,ent. If any of the below items am lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application completed .................................... O no ❑.n/a 2. EnergyForm or(lieckMate Energy Cade Compliance Forms Complete_. . � no O n/a (2 copies) 3. Energy Code Inspector's Report from CheckMzte Program............ ... .. .0� ❑no ❑n/a (2 copies) 4. Septic application completely filed out(if applicable)... ........... •...... ... Dyes ❑no n/a 5. Solid Fuel Burning or Gas Appliance Form... ............... ...... ...... ... ... .Dyes Dnoa 6. Electrical Inspection Form.•.-... jYvtVltiO i'\v ,MOd �..... 1.2� �Cd�. .._Oies Ono On/a 7. Two(2)complete sets of structural drawing... ......... ......... ... ... yes Ono On/a a)floor plan,b)foundation plan;c)cross sections:d)elevations; e)window and door schedule 8. Two(2)site plans showing location of the structure to be built,......... ... yes Ono ❑n/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from propertylines to new structure............ ... .. yes Ono On/a 10. Setbacks to neighboring wells and septic systems,including onsite wen... . []yes Ono �a and septic systems(if applicable) X/a 11. Driveway Permit............... ... ... ...... ... .................. ... ...... ... .....• EII� Ono r ti Date: i Staff Initial: L_\SueHetningNva}\Bt@dingl'ernutl-OR Y S\Genetic dieddist.doc January Z8,2003 ENERGY CORE COMPLIANCE APPLICATION TOWN OF QIEENSBURY, WARREN COUNT 9000 BEATING DEGREE DAYS ��l-5� Compliance Methods:Part 5 -Acceptable Practice Method—1&2 Family Dwellings(only) Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings(3 Stories or less) Part 4*-Design by Component Performance,Commercial Buildings-IIi Rise Residential *Requires submission of worksheets AP LICANT'S NAME: PROPERTY LOCA N: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area.- �I'�y square feet 2. Type of heat- F;lectric Oil Gas Other 3. Is building mechanically cooled? yes ---No g 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: EL Roof R 4:_ b. Exterior walls R - Z� C. Glazed areas R 2.0 d. Exterior doors R 4 a e. Floors over unheated spaces R _ L Edge of slab on grade(heated building) R — = 15r g. BasementImllar walls(above grade) R h. Basement/cellar walls(below grade) R —~ i. Heatingkooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code Yes No .4J/ TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED App is Si nat a Date Phone Number 3 741-&-5 3 D INSPECTOR'S REMARKS: } BuiYding Permit APPUc on Town of Quaaasbury Dept of Community DeveloplMde 742 Bay Road,Qued;asbwwy,NY (51$�7G1.8256 .. ♦ construction. Permit A permit must be obtained before b0&r�ing =102ion's willbe made=tii applicant has Tweived a Pea Paid permit. An vpuomts' spaces on tYiis Roo.Fee Paid � appiioation snustbe completed acid must appear on the Roviewed By: .,. appiidntioa form. `� Owner: Lzu�m dun! Applicant. �� Address: ;!! �v Z / Address. ffV AN th�NS��nY NY �z��'f. Phone#( �.,?:L?'...z:.= Phor►o ( � 3.3'.� 3-7fe /v5 property Loostlotit LotNurnnber: / House Number / - SubdivisionName: _, ;�- � yte,—va.��K b i6tar Tait Nlap Numbar: o f= Zo s,2c' Z Ze / o New Building. residence 1 cammercial Estimated Market Value of Construction. $ O Addition: a epee commercial 1f an Addition,what will use of new addition be? O Aiteratioa: re enoo/ oorrsmeroial r_ /Ly sir 0 140 change to exterior size: rasidanoa/com'1 o Otherwbtk(descddbe Check Occupaacylnformation F Floor 2 Floor Other floor Total 5�arc Feat Blow sq.ft. sq.ft. sq.A. o Sin a Emil. dwelltn Two*=Uy dwoliin o Towahousa o Mul y dweUing #Of=its n WOO o MeMW a,* c Msaufactt 0 1 aas detached e 0 2 car detached a Cl 3 oar detached a e O i car attached o O 2 Qar coached ggg . O 3 ow attaQhrd n Storage building- _ coxz=eraial O Storage building reaidantlat ` . O 4 er What 13 the proposed height of the structure foot ,inches Will any second-hand or ungraded lumber be used? Z so,for what? Type of Heating SYSte electric oil / gas!woad /foroed hot air/ baseboard(other: Number of es to be stalled �._ Number of F_Qg&toves,to be installed _ Listbelow the person(O responsible for supervision of work as regards to building codes: Nile Address Photo Numb or Huilder 55 W7-R Pzumbor 4--- 0 I11LasOn- - -- - __ V& 128 O �loctrioian Dom: please sign below after you have carefully read the statement: To the beat of my knowledge the statements eontainod in this application,togothor with the plans and speoifieations submitted,are a tme and oomplete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance acid all other laws pertaining to the proposed work shall bo compliod with,whether specified or noted,and that such work is authorized by the owner, purther,it is understood that Vwe shall submit,prior to a CcrOoate of Occupancy or Cerecato of Compliance being issued,as requested by the Zoning Administrator or Director ofBuilding and Codes,anA Suil�t Survey by a licensed surveyor;drawn to scale,showing actual looation of act ne v ooust=Cdon. owner,owner's agent,atohitoot, tractor Job Site Address: ,> mvc Ci Date:.. Owner: DILL 4itMELlnj Application No. File No. Building Permit — Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of Req. Light Actual Req.Vent .Actual "'";"` Sq.Ft. Remarks Room Room 8%of Room Light- 4%of Room Vent Opening for in Area Square Area Square Egress Square Footage 9 Footage Feet iZ XlZ / IV il.5-1 �} S ?la s k, l L:\SueHemingway\Suilding.Permit.FORMS\Nat.Light.V entil.Calculation.Sheet.doc WINDOW SCHEDULE Job Site/Address: )y �j ANnrt (T, Date: Owner: SILL, Application No. Window Window Window Unit or Rough Rough SQ.FT. SQ.FT SQ.FT. Clear Clear Special Hardware Number or Manufaturor Model/Type Stock Openin Opening Glass/Vis Egress/Cle Opening Opening or Instructions Letter on Name Numbe g Height ible Vent ar Width In Height Plan Call Width Light Opening Inches In Inches Size -�- _ Q EVE �• `� Z*S� ;Z'.10., s'91z' = ��u `r 3�(•Z� D A�fls✓n.-Sc;os (R©c�E 2yi' �zri'' 3�,75 r�y3s' 19,35 3 Example Entry A Andersen Narroline 3062 3' 2 6'5 '/z 15.30 8.36 6.01 34 2416/35" Tempered Double 1/3" 11/16 Glazing Hun CADocuments and Settings\Sue\Local Settings\Temp\Window Schedule.doc REScheck Package Generator 7 Compliance Report RESO V Package Genemtor Location:Warren, New York Construction Type:Single Family Heating Type: Electric Code:New York State Energy Conservation Code HDD:7635 Builder Name: Russ Howard Carpentry Date:7/20/04 Builder Address: 794 West Mountain Road Building Address: 14 Queen Anne Ct. Submitted By: Builder Phone Number:792-1288 Glazing Area Glazing area is less than 16.5 %. 16.5% Maximum Glazing Area R-Value Description Comments Proposed R-Value Minimum R-Value Ceiling R-49 R-49 Wall Cavity R-21 R-21 Wall Continuous R-0 R-0 Slab on Grade heated 48 inch depth R-15 R-15 U-Factor Description Comments Proposed U-Factor Maximum U-Factor Window U-0.28 U-0.28 Door Front door exempt U-0.35 U-0.35 StateMent of Compliance:The proposed building design represented in these documents is consistent with the building plans, specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the requirem nts of the New York State Energy Conservation Code. kJ -1'Z.4-0 Builde/Designer Company Name I Date 1 REScheck Package Generator Compliance Report REScheck" 1'aykage ee°erator Location:Warren, New York Construction Type:Single Family Heating Type:Electric Code:New York State Energy Conservation Code HDD:7635 Builder Name: Russ Howard Carpentry Date:7/20/04 Builder Address: 794 West Mountain Road Building Address: 14 Queen Anne Ct. Submitted By: Builder Phone Number:792-1288 PROPOSEDe Glazing Area Glazing area is less than 16.5 %. 16.5% Maximum Glazing Area R-Value Description Comments Proposed R-Value Minimum R-Value Ceiling R-49 R-49 Wall Cavity R-21 R-21 Wall Continuous R-0 R-0 Slab on Grade heated 48 inch depth R-15 R-15 U-Factor Description Comments Proposed U-Factor Maximum U-Factor Window U-0.28 U-0.28 Door Front door exempt U-0.35 U-0.35 Statement of Compliance:The proposed building design represented in these documents is consistent with the building plans, specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the requirements of the New Y rk State Energy Conservation Code. , &55 Builder/Designer Company Name Dale 1 eCrAcQ PtAt"11016 shz, P rrut YZ osg 6 omo I"& 2-,x aooF Fvit� MATO+ D.C.i � � 1 ` CCIl.1JJG � �1'W+A���. SLIbek Ah 2-)k . ....... ........... . ..... S\Ak boost 1 y(o FA50A vv csl- v I je�2 SILL, F , . COPY RECEIVED Aj 5 OVTIN \JICW JUL 2'2 2004 1OINN OF QUEENSBURY BUILDING DEPARTMENT BUILDING & PF-r--1-. TOWN OF QUEENSIBURY Based on oUr limited examination, REVIEWED 13/c P',R� BUILDING AND CODE comEliance with our comments shall "u not e construed as indicating the DATE 2-7 /f plans and specifications are in full compliance with the Building Codes of New York State. c ""a �p�}NDY1Tt�1� PLr+�N �J�Lt-ttRrnn r1r�v+:Ct-ttJ i .40 —ice 7i�a k-I'0 i212v��(, 12—�30A R� 4 r 0y'J 12' Lf CO ACV'Ck Slut ►V L A lb C � 51T6 PLOD K t L - ' t 30' t O N jAtiTaar� t � GTX 4ST1"C2 y � . LA c f ' S��iQ,�S I 30 N TV�� QuNN a u e; rN FLOOR L4 m I ul R mm. Queensbury Building & Code Enforcement - Kpm. tial i al Inspection Office No. (518)761-8256 Arrive: D rt:Date Inspection request received: Inspector's Initial .- NAME- y - OE: IT#:LOCATION: L „ TYPE OF STRUCTURE: ,� ` Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more cb,stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %2" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in,x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. �r Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No..................... pert. 8 9 Cut-in Card No..... .............s.... ................... Owner.........../..G�...C` ,1,/f /te, ...... .................... ................... /�/�AJ .............. Location.... .............. .. . ......... t� .................................... .... ��t....::....... Installation Consisting of....2 �.`�....1j1 � .r.ZLL - ............... ................................. . ................. ... f................... ......L '.... ..�.....�.=G' ............................................................................................................... ........................................................................................................ ............................................................... InstalledBy....-�. .....................................................:...Lie.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be omptly made for inspection. Inspectors of this Company shall have the privilege of makm inspe tions at any time, and if its rules are violated,the Com any shall have the right'trreke this ertifi te. �r jr�' , , Date... .................. INSPECTOR.... . ...... ............................. ...................................... Member N.F.P.A.,I.AXI. W� Rough Plumbing / Insulation Inspection Deport 8%-/0 Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm „Depart: 1, am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: ` �"`�" PERMIT #: LOCATION: INSPECT ON: _U TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2, R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/ Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min. Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents Zl 5 PSI or 10 feet above highest connection for 15 minutes �.�L(jj I=, Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial ,-,too per, CPVC,Pex One and Two-Family Insulation/Residential Check/Commercial Check '5�rFF �25. Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: LASueHemingway\Building.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date In�:F! Queensbury Building& Code Enforcement Arrive:742 Bay Road, Queensbury, NY 12804 InspectoNAME: w C� : —5a LOCATION: INSPECT ON: TYPE OF STRUCTURk Ming Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center �✓ Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORNIS\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-82.56 Date Inspection request received: � � Queensbury Building&.Code Enforcement Arrive: anvpm�� Depart. �am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: _ ) C.), 1-i�� Cu��l _ II�TSPECT ON: Y TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab 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. _ oundation/Wallpour Reinforcement in Place Foundation Dainpproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump F ting Drain Stone: 12inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab VC/Cast/Copper Insulationote�— FoundationExterior R- _ Rough rade 6 inch drop within 10 ft. L:\SucHemingway\Building.Codes.Inspection.PORMS\foundation Inspeciion Report.doe January 28,2003 Foundation Inspection Report Office No. (51-8)761-8256 Date Inspection request received: J ® o61 iL Queensbury Building&Code Enforcement Arrive: am/p Dep rt: ?5am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: I ?.� /yam, PERMIT#: a Oo - 5b 2 LOCATION: j - j INSPECT ON: 21 U Q - ;00 TYPE OF STRUC `' ' 1 Comments Y N N/A V/- -Footings Piers Monolithic Slab 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 a Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Bacicfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Bui1ding.Codes.Inspection.FORMSTFoundation Inspection Rep6rt.doc January 28,2003