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2001-007 ' 1 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: P20010007 Date Issued: Thursday, March 15, 2001 This is to certify that work requested to be done as shown by Permit Number P20010007 has been completed. Tax Map Number: !, . 523400-119-000-0005-014-004-0000 Location: 5 WINTERGREEN Rd Owner: ANDREW &ELIZABETH TRUJILLO. Applicant: ANDREW &ELIZABETH TRUJILLO This structure may be occupied as a: By Order of Town Board Residential Alteration TOWN OF Q EENSBU'Y (D , Asa\J�',/JAJ 1 4 'ems Director of Building& Code Enforcement TOWN OF QUEENSBURY ` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010007 Application Number: A20010007 Tax Map No: 523400-119-000-0005-014-004-0000 • 't Permission is hereby granted to: ANDREW& ELIZABETH TRUJILLO For property located at: 5 WINTERGREEN 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: ANDREW&ELIZABETH TRUJILL( Residential Alteration 35,000.00 5 WINTERGREEN Rd Total Value 35,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency DJ BUILDING& CONSULTING PO BOX 2246 MALTA,NY Plans &Specifications 2001-007 • RESIDENTIAL ALTERATION DUE TO FIRE DAMAGE AS PER APPLICATION $56.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, January 17,2003 • (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tot, n of ee "-u say,January 17,2001 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Ait-Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-8256J o • BUILDING & CODE ENFORCEMENT INOTICE Requirements prior to issuance r A permit must be obtained before of this permit: PERMIT FILE N — D beginning construction. No inspections PERMIT FEE PAID$ 00 will be made until applicant has received n Zoning Board Action a VAI,ID BUILDING PERMIT. All Area /Use a licants'' RECREATION FEE P; I�$ pp spaces on this application /l MUST be completed and the signature EDplanning Board Action REVIEWED BY: of the applicant must appear on the SPR / Subdivision /Other Building Inspector lication form. nix ru. Recreatiion1Fee Payment Applicant: &Y /0 ()DM-EC al �Ue t(A1 Owner: enb .1 E. E lZ 'r , ° '' 13 Fax 2;2Yo / tJ1t A 2`' 5 t) 1 nke, -e- . '. Address: / 2 Address: � � �a Phone # ( jE_L-) 1.ZJ L - LI 1 ( Phone # (5i a )s�1 6y, Property Location: 5 (A)+n'FQ,t`c�S` _Qn g A c� Tax Map Number —J / Subdivision Name: - Section Block Tnt NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ 35— O C)O residence / commercial 2 Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial X Single Family Dwelling Residence / Commercial Two Family w no change to exterior size FamilyNED Office Other Work describe below) Mercantile J4N 03 2001 tc'e_ (2.-tS-t`c. n n, Manufacturin Other TOWN OF QUEENSBUR?' GROSS AREA OF PROPOSED STRUCTURE: STRUCTURE: BUNG AND Gt,,Ea ' 1st Floor l �Jt16 sq. ft. If ADDITION, what will use 2nd .Floor. . ., Na sq. ft, of new addition be? : Other Floors 4)(4 sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: 66 ((�� Detached Garage 1, . 2 car TOTAL FLOOR AREA: I9/t SQ. FT. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building FEET X FEET Other Foundation Type: kri..5/I4) Will any second-hand or ungraded ' Number of Stories : . lumber be used? If so, for what? (habitable space on/ly.) Height (grade to r .dge) : feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which ..lies) to be installed:_ Elec..txic / Oil /Cap Wood Forced Hot Air) / esoard / Other Person responsible for supery sion o work as regards to uilding codes is : jtMA) C000tiogr / built inc Po x �2L/(, MAN a ,iU 89 -11 l f Name ��iiQ Builder: 0�) 3Vrlr)in .0aSs (the etsOsC, PF5Y9 1/l 1 Plumber: (�ec�CS P}Jrvbn4 s /-ko}-i�� L/',Ijr)1 nick r�s t' diib -3392, . Mason: �}- J Electrician: _Pe1r-jiaLK _35-6 , DECLARATION: Please sign below after you have carefudly 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 me liance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; d.a• .Fr to scale, s owin g6tual ation of project on premises. Signature: (. : -=r, n s nt, arc itect, contractor) ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBTIRY, 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: PART 5 1w1THOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: I . Gross Floor Area - l31/6 scuare feet • 2 . T-_roe of Heat - Electric Oil Gas Other 3 . Is building mechani sally cooled? Yes X No - 4 . =er centage of area of windows and doors Over 17% Under 17% 5 . R-VA LJES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R _ Q b . Exterior walls R - j c . Glazed areas R a d . Exterior doors R /y,3- e . Floors over unheated spaces R-- 3 0 Edce of slah on grade (heated building) R c. Basement/cellar walls (above Grade) R h . Basement/c=' '_- walls (below Grade) R /' - . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device 6(r3Ffr1S Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED s c Phone Nu:Tv^e_ / //// ° ' S REM.:a_RRS. ,`� 1V J J V J 'km" V \f tiefJ V JeWV �,. V V J \, V V J Aiitrili g J� •A ( MIDDLE DEPARTMENT INSPECTION AGENCY,INC. i-. BLDG. DEPT. COPY �.oc5f—OUl. e Date Mar. 20, 2001 (7 Certifies that the electrical..wiring to the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules C Cin effect on the date noted above and is issued subject to the following conditions. Andrew Trujillo Occu anc Dwellinge Owner: P Y Same This certificate applies only to the electrical wiring to the electrical equipment listed below and the C 5 Wintergreen Rd.. installation Inspected as the above noted date based on a visual inspection. No warranty is Occupant: N.Y expressed or implied as to the mechanical safety,efficiency or fitness of the equipment for any Q u e e n s b u r y, particu far purpose.This certificate shall be valid for a period of one year from the above noted fate. 1st F l r & Basement Should the electrical system to which this certificate applies be altered in any way,including but C Applicant: plican: not limited to,the introduction of additional electrical equipment and/or the replacement of any of the components installed as of the above noted dale,this certificate shall be immediately null and SEE OVER E R void.This certificate applies only to the use,occupancy and ownership as indicated herein.Upon C ' a change in the use,occupancy or ownership of the property indicated above,this certificate shall C be immediately null and void. In the event that this certificate becomes invalid based upon the above conditions,this certificate may be revalidated upon reinspection by Middle Department In �P e t e r Clark spection Agency,Inc..An application for inspection must be submitted to Middle Department ` Inspection Agency,.Inc:to initiate the inspection and revalidation process.A fee will be charged Applicant: 200 Sixth Ave. for this service.'• • i . Troy, NY 12180 No. 14-98225 C` MEV Form No.704 7.94 200 Amp. Service Equipment 4/0 29-Switches 38-Receptacles 26- Fixtures 1-Dishwasher 1-20 Amp Washer Receptacle 2-Vent Fans 6-Smoke Detectors - _........ -_... 1 r MIDDLE DEPARTMENT INSPECTION AGENCY,INC. • BLDG. DEPT. COPY .vc�i- 061 c Ct a Date Mar.. 20, 2001 G CCertifies that the electricai,wiring to the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules C` in effect on the date noted above and is issued subject to the following conditions. • Andrew Trujiilo e Owner: Occupancy: Dwelling C r Same 5 Wintergreen Rd. ,This certificateapplies only to the electrical wiring to the electrical equipment listed below and the e 11 installation Inspected as the above noted date based on a visual inspection. No warranty is Occupant: Queens bury, N.Y. expressed or implied as to the mechanical safety,efficiency or fitness of the equipment for any particular purpose.This certificate shall be valid for a period of one year from the above noted late. 1st Fir & Basement : Should the electrical system to which this certificate applies be altered in any way,including but Location, not limited to,the introduction of additional electrical equipment and/or the replacement of any of the components instated as of the above noted date,this certificate shall be ininrodiately null and SEE OVER void.This certificate applies onyto the use,occupancy and ownership as indicated herein.Upon a-change in the use,occupancy or ownership of the property indicated above,this certificate shall C be immediately null and void. In the eventlhat this certificate becomes invalid based upon the above conditions,this certificate may be revalidated upon reinspection by Middle Department In•• !P e t e r Clark " spection Agency,Inc..An application for inspection must be submitted to Middle-Department c, • Inspection Agency,.Inc,to initiate the inspection and revalidation process.A fee will be charged Applicant: 200 Sixth Ave. for this servipe.,-- • Troy, NY 12180 14-98225 No. L J C` i • ) �Y `/ 1+t1 n n !, cwt./ark hr1 ,c� aa� yiz, rr ,� a1: an_.0 1. Form No.704 7.94 • t 200 Amp. Service Equipment 4/0 29-Switches • 38-Receptacles .' 26- Fixtures 1-Dishwasher 1-20 Amp Washer Receptacle • • 2-Vent Fans 6-Smoke Detectors //9 ,C 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 at Depart •' /pm/•f. /'!.c l'1 o spector's Initi• .s ' NAME: Lc / //�? //PERMIT#�0�1 LA—Z. LOCATION: 2 ATE : . �!,�v / TYPE OF STRUCTURE: V -� � - mid P RECHECK N/A YE NO COMMENTS Footings/Piers �, { 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-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R Duct work or piping in unheated spaces R- Pte.:._,. en' Attic Vent I Studs/Headersack vl 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 1 ' GENERAL INSPECTION REPORT �J ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive,?an Depart pm pector's Initia NAME: \ 0 PERMIT# O 7 LOCATION: \ (\ ' 0<'2Q1'3\ DATE : — — O TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is res.•nsib for providing protection om fr zing for 48 hours followin:the pla ment of the concrete. Materials for this purpos: on sit Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Un�er-SS • Plumbing Vent/Vents in Place Rout:• +iumbing H-: ing Rough-In sulation l'V'D t 1 `D \C)k Foundation Walls Interior Rf1 LC,�j Foundation Walls Exterior R- 3 C7 GE\t-t� Floors R- Walls R- Ceiling R- V Duct work or piping in unheated spaces R- Proper Vent, Attic Vent I l vk pt L Framing Jack Studs/Headers Bracing/Bridging s 20 Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping (t R 5'\ oW WW) -A (p39 )trot(sinus at�!s)i-oaz mow -.:7 I— - '- -'''''''''''''''''-- i .'z . ; : . _, , , . , . FOAM INSULATI MST E CEOt': -AVD, ,,,,,,___....,_.'''''''...............................,...._...................................tioncEtr......... . ..c..... 1 _. 1 ..- Q A 15 iV1INu iE r MAL...BR . - -_...._.... JAN 0 3 2D01....._.... r `s .....__. TOWN.OF. � --- ---- QUEENSBURY _.__..__.._......---_-._._ • :_ .. BUILDINGAND'CODE ......___...._....._.........._......_....... ................_........_ . RAFT-pApER.�NSULA lON :. • - �.__ ;- L_,,ED-.BY-NO y-001�6�1STIBL..__........__...._' NOTICE . SMOKE DETECTORS ARE REQUIRED IN BEDROOMS. — mac. ADJACENT TO BEDROOMS, AND ON-EACH r OOR t i _ - - — C.r ` INCLUDING CELLAR-OR BASEMENT.ALL-SMOKE DETECTORS SHALL BE INTERO N E TED Ot I.L LEV _.. , c . FR !RO:,PY H . -roll ]o'.=QUEENSSURY 9UILDING DEPARTMENT Ba3ed.on.our limited examination, cornpliance'wlth our comments shall not be construed'as indicating the '�- Q plans and specifications are in full p compliance with the code. x J p 1 0 (-e i il Z ' --7. I cA: : BUILDING & p ._.._ . : . S� ��, c� ._ - .._L REVIEWED BY t S— DATE : ei-Jt•t.; :: :(b ; G ..: .. c ,,O—, h/ 31VOS 31V0 i( • AEI03NO3HO ZTI1-668 (8TS) xe.i TTTT-668 0 A 1V (8T5) 7 ' i' 31V8031fO1V0 OZO � 1 )1210A M3N d11VW 30 'ON 133HS 9tiZZ X09 '0'd -411,- ((1� enJ S1NV1111SN0a swim fa rztV a3J�i,p f Li2�'J g /0 aor S „ v JOB `U��1�Jl to — 5 60%nAcr-e Pete DJ BUILDING CONSULTANTS SHEET NO. OF _Ali. P:O. Box 2246 11111 MALTA, NEW YORK 12020 CALCULATED BY DATE iiminimL (518) 899-1111 Fax (518) 899-1112 CHECKED BY ,/- ATEp SCALE �7 , r:.J- q-t,fl� - vc 0'lc0 3+� . 'P�ctGsi�SP F A (-0 ib (7.G 3Pr- --5- g rc;4Q ___. - .. -_ . P�oo►rA Slal : -. ax6 wa11 s A-4 ./ . • . . - //' 5fK ..047. . .///.. •1( : lD 1` 0. F SPA • L:::::/r...,,,,^',',.>•-::.1—•,:5_...-- 1, . jb"0,L, Cr-_ 5P PRODUCT204-1(Bavle Sleets)205-1(Paddeal - V1 11 -JC.. I11'1 L. DLLV —...11-I..I �' -- -- - -- ,, ti71 r. Di BUILDING CONSULTANTSgoo I'.."CT I U / -010/ rpfi1 ..__.__ • SHEET No. �y / ii� IN (518) Box 2246 - .� OF +��.11 a MALTA, NEW YORK 12020 CALCULATED BY — DATE (518) 899.1111 Fax (518) 899-1112 CHECKEoaY o„rr scALE — ©9 IA cr, oc ,, io. (g a P:3 x f C?9, ( r*-- i I I "1E Wa g "3 s . -, -, p Pa l) 3 O' ', $ ` t --4 ! . 0:2 co ..- 1 N Z.: COM "F - .-. • gg..,, f1'�� k � e,1 ` C:0 r CD cr 04 k: h (� -+C �J T 0 0 .. 6,,,,,,ki-ci 6.57 a ..„ . (:,:. c) ( e I eC a I 0 .-. } 4 , t - - - I f . . f N- • • , 7 PA a . e: .iaa --- p! BUILDING CONSULTANTS SHEET NO. _—•- oF:_----.. ... .V .ill. P.O. Box'2245 - - ' 111%1 MALTA, NEW YORK 12020 . CALCULATED BY—__..._ _.__. . ... ...... DATr: . . . .. . (518) 899.1111 Fax (518) 899-1112 G+GCKcv oY _.. ��- SCALE - — • H L c�et- ji7-4- VY S . .. • 1r2.icox (s • ,3�i,51, rAit5 . Px6 RAC} ry r 16 c.L. 5pF Ro ,Ir-eip.-- II , i. axb v,44 stit,L6 . . • • r a :rf /. . ;lotto S I i'.t, _ o?X14 Floor �Qst I6 sPr4•c, • 'XI,•L rt+ ----• .j . • W4i1 I r — . ......'''. I..f". '4 : • ] . , • F.q.V.r$:T.:ws-.i --- - - ..