2002-258 TOWN OF QUEENSBURY
742 Bay Road Queensbury,NY 12845902 (518)761.8201
Community Development-Building&Codes (518)761.8256
Ar
u IRA.rL I F I%rj 111TI E 0 C C U P A N C Y
Permit Number; P20020258 Date Issued: Wednesday,December 20, 2006
This is to certiif that work requested to be done as shown by Permit Number P.20020258-
has been completed,
Tax Map Number. 523400.289-008-0001.070-000-0000
Location: 16 FIELDVIEW Rd
Owner. JOHN ROSS SCHLINGER
Applicant: JOHN ROSS SCHLINGER
This structure may be occupied as a:
Residential Addition By Order of Ton Board
TOWN OF QUEENSBURY
Issuance of this Certificate.of Occupancy DOES NOT relieve the
property owner of the responsibility for complianee with Site Plan,
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY =
742 Bay Road,Queensbury,NY 12804-5902 . (518)761-K01
Community Development.- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Numbeirz P20020258 Application Number: A2.0020258
Tax Map No: 523400-289-008,0001-070-000-0000
Permission is hereby granted to: JOHN ROSS SCHLINGER
For property,located at: 16 -FIELDVIEW Rd ,
in the Town of Queensbury, to construct or place
at the abovejocation m.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: -'JOHN BOSS SCHLINGER Residential Addition 30,000.00
16 FIELDVIEW Rd;QUEENSBURY,NY 12804 Total Value . - 30,000.00
Contractor or Builder's Name f Address Electrical Inspection Agency
Y ' -
Plans &Specifications
2002-258
720 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
$86.40 PERMIT FEE.PAID- THIS PERMIT EXPIRES: Thursday,April 24,2003
(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 wn of Q ensbury. ednesday,April 24,2002
SIGNED B for the Town of Queensbury.
Director of Buil - g& ode Enforcement
Building Permit Application .
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No.
cG -
No inspection will be made until,applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec.Fee Paid
application must be completed and must appear on the Reviewed By:
application form. ,/_r_ ] p
Applican e,-l� _k.,,C,. �C�� _ d:t Owner: �'F�� �` r Lt yt. �
Address:,! fcv Address: (�
Phone#(.5/Yi},?lam/ - 6�33 Phone#
Property Location: Lot Number: / House Number
Subdivision Name: Tax Map Number: t - S, -
❑ Building: residence 1 commercial Estimated Market Value of Construction: C?.IJCiG LI
Q" Addition: residenc commercial
If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
❑ Other work(describeawl—
)
Check Oeeupancylnformation 1"Floor 2" Floor Other o - t
Below sq.ft. sq.ft. sq.ft. Square Fee
APR 1 29 200
❑ Single family dwelling 4_
❑ Two familydwellingen c�,p,.
t: SStlt�l'
❑ Townhouse -
❑ Multifamily dwelling d
#of units
❑ Office J�. `-
❑ Mercantile
❑ Manufacturing
!❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage "` 4
❑ 1 car attached garage
❑ 2 car attached garage
,o 3 car attached garage
❑ Storage building-
commercial
❑ Storage building_ -
residential
.❑ Other
I
What is the proposed height of the structure _feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric 1 of )l gas/wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed /C/(J�e_- Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number I
Builder
Plumber —Zc/
Mason
Electrician z- Afc x Iz
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 I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as,requested by the Zoning
Administrator or Director of ding and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all n c tructi
Signature: owner,owner's agent,architect,contractor
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS.
Compliance i4gthods: PART 5 - Acceptable Practice Method
1&2 Family Dwellings (only) -XI"
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
APPLICANTIS, NAME:- PROPERTY LOCATION:
AL/Z AdZI
PART : 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 33
1 . Gross Floor ,Area - square feet
2. Type of, Heat 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 30
b. Exterior walls R
C. Glazed 'areas R
d. Exterior do6rs R
e. Floors over unheated spaces R -3*
f. Edge of, slab on grade (heated building) R o-
g. Basement/cellar walls (above grade) R mow
h. Basement/cellar walls (below grade) R - m-
i. Hea,ting/coo 1 ing-ducts-piping in unheated space R
6 . Service, (domestic) hot water heating device ,
Conf orm6 to. minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED
p " cant' nature D e Phone Number
7
INSPECTOR' S;- REMARKS:
Queensbury Building & Code Enforcement - Re sid tia 'nal Inspec.tion�
kff -Na.(S 1$)761-825 6 Arrive: epart: � °!m
Date Inspection request received: Inspecto s In� r
NAME: a RMIT#:
LOCATION: t,,,7 DATE:
TYPE OF STRUCTURE: S
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
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
Attic access 30 inches-x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft,150 s . ft.vents OF
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Law water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp, 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure Of
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance re uire
Flood Plain Certificatio ,if re
Okay to issue C/C C/ emporary/ ermane
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form—revised-1 00405.doc
E TRICAL INSPECTION SERVICE, INCt
COMMONWEALTH �� �
Tin Office 176 Doe Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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The conditions following governed the issuance of this certificate, and any certificate previously issued is
cancelled; -
This certificate onlycovers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations, application shall he promptly made for inspection,
inspectors of this Company shall have the privilege of making ' ections at any time, and if its
p py
rules are violated, the Company shall have the right t rev a this ' cate
1012oots io-6
Date##&#*I fool MaAMM 164}i.f.H..#Nf/004 I `SPEC O }}4#f}#.f..1f...4.i. .f.f..f4ii!#!iN\fi.44.##t#it.44i4f ltilff.i.441Nf...#.N444f.i..#.41i.
Member NARA.,11E.J.
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIV of a. T Notes:
(518) 761-8256 Inspector's Initi s
NAM LE: -��, 1 (tlC-, PERMIT#
LOCATION: in it-DQ t C=1 INSPECT ON(date):
TYPE OF STRUCTURE: � �}
RECHECK
N/A YES 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-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Aix Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbuty, NY 12804 ARRIVE am/ m PA T a�Pm Notes:
(518) 761-8256 Inspector's Initia
NAME: — PERMIT# Z JCL L7 —
LOCATION: Uo F I — INSPECT ON(date): —�
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers _
Monolithic Pour Form
Reinforcement in Place -
The contractor is responsible for
providing protection from freezing j
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
FoundatioaVallpour
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
L:\SueHemingway\Building.Codes.Inspection.FORbIS\GENERAL INSPECTION REPORT.doe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready,at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE a in D PAR ' r am/ In Notes:
(518) 761-8256 Inspector's Initi
NAME: �/
'7 l� Ll t���F PERMIT# 7_ems C�7_- Zfi S
LOCATION: Up V-71t n k)t C— l,n AD _ INSPECT ON(date):
TYPE OF STRUCTURE: F o
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responf
providing protection frofor 48 hours following thof the concrete.
Materials for this purpose o
Foundation/Wallpoui
Reinforcement in Place
Foundation/Dampproofmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In `
*Insulation t• c� �'� � t� - QD l A
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
Framin
Jack Studs/Headers
BracingBridgmg
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
-Fire Separation 1,2,3,hour
enetration Sealed
__....
Fire WaII 2,3,4 hour
iresfOpping _
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE Notes:
(518) 761-8256 Inspector's Initial
NAME: PERMIT#
LOCATION: i LO F t INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers _
Monolithic Pour Form
Reinforcement in Place
The contractor is sponsible for
providing protects n om freezing
for 48 hours follo the placement
of the concrete.
Materials for this purp se n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo
Backfill Approval
Plumbing Under lab
Plumbing Vent/Vents in ace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interi r R-
Foundation Walls Exteri r R-
Floors R-
Walls
Ceiling -
Duct work or piping in
unheated spaces R
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Bui)ding.Codes.flispection.FORNIS\GENERAL INSPECTION REPORT-doe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at timA
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road -z'-,
Queensbury, NY 12804 ARRI17 a r T�A m Notes:
a
(518) 761-8256 Inspector's Initia !NAME: sa #
iPERMIT PERMIT
kALOCATION: 0 0 111\e-L>-� INSPECT ON(date): f (0
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respionsris ble r
providing protection fro fftre ing
for 48 hours following t e e P17 ement
of the concrete.
.t
Materials for this purpose it
Foundation/Wallpour
Reinforcement in Place
Foundation/Damppraq in
Backfill Approval
Plumbing Under Slab�_
Plum
Plumbing
Plum i gVent/VentiPlA
ugh
Hearing Rough
in
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior
x r
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
eri r JR-
enor R_
R_
R_in
unheated spaces R-
Prop$pVent,Attic Vent
F;dning_
V Jack Studs/Headers
Bracing/Bridgi
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour_
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_ vco� C—C a" cz
L:\SueHemingway\Building.Codes.l.nspection.FORMS\GENF,RAl,INSPECTION'REPORT.doc
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