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2002-381 G TOWN OF'QUEEN'SBURY 742 B.ay Road,Queensbuiy,NY 12804-5902 (518)761-8201 Community Development--Building,&Codes. (518)761.8256 CERTIFICATE CIF OCCU'PANry 1 Permit Number: P20020381 Date Issued: Wednesday,June.,26,2002 This is to certify that.work requested to be done as shown by Permit Number P20026381 has been completed. Tax Map Number: 523400-302-009-0001.031=000-0000 Location: 323 DiXON'Rd Owner: DAVID&DEOLINDA VAN WINKLE Applicant: DAVID&DEOLINDA VAN WIME This structure may be occupied as a: By.Order of Town Board Residential Alteration. TOWN of QURRNssURY 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: P20020381 Application Number:, A20020381 Tax Map No: 523400-302-009-0001-031-000=0000 Permission is hereby granted to: DAVIT)&DF,OLTNDA VAN WTNKT,F For property located at: 323 DIXON 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: DAVID &DEOLINDA VAN WINKL 323 DIXON Rd Residential Alteration 10,000.00 Total Value 10,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2002-381 RESIDENTIAL ALTERATION (RAISE WALLS,NEW ROOF)AS PER APPLICATION, $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 29,2003 (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 d wn of eensbury• Wednesday,May 29,2002 1 SIGNED BY for the Town of Queensbury. Director of B ding Code Enforcement Building Permit Application Town of Queensbury Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 y A permit must be obtained before beginning construction. Permit File No. No inspection will be made until applicant has ieceived a .Fee Paid valid building permit. All applicants' spaces on this Rec.Fee Paicy $ application must be completed and must appear on the Reviewed ' application form. Applicant: Yr a%t� a ns ks ve��n Owner: 'l .y.e� n•.�n t�1 n �l� fi ._v, cam_{; Address: � Address: Mn At �t:r iz�,ft 621.2vv5; "gills ._A7 2&DI �,ccnsbt�rci toy tzFrO�/ Phone 15t Phone#(6(k) 7 g Property Location: Lot Number: / House Number Subdivision Name: Tax Map Number: ❑ New Building: residence /commercial Estimated Market Value of Construction: $ /a .000 ao ❑ on residence/ commercial �I1t O- Alteration residence commercial If an Addition,what will use a1dxhon[beT31"i ❑ o c ange o exte esidence/com'1 ❑ Other work(describe } Check OceupancyInformation 1"Floor 2n Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ❑ Single family dwelling ❑ Two family dwelling ❑ Townhouse i ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detachedgarage ❑ 1 car attached garage ❑ 2 car attached garage ❑ 3 car attached garage ❑ Storage building- y commercial f ❑ Storage building- residential i Other F What is the proposed height of the structure jW feet /0 inches Will any second-hand or ungraded lumber be used? If so,for what? 4416, Type of Heating System: electric/ oil /`*gas/wood /forced hot air/ baseboard/other:A.)1 f4 Number of Fireplaces to be installed 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 Builder r Plumber Mason Electrician n or-e-r- - \1 k e .Sr£r-7 f,:r-a4rs59 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 Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all ne onstruction. Signature: owner,owner's agent,architect ontractor ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance 4ethods: PART 5 - Acceptable Practice Method 1&2 Family Dwellings (only) OT, 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: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE...,PRACTICE: 1 . Gross Floor Area /,q eoa square feet 2 . Type of; Heat - Electric Oil K Gas Other 3 . Is building mechanically cooled? Yes -12( NO 4 . Percentage of area of windows and doors Over 17% b( Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST 'CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R _V0 b. Exterior walls R C. Glazed areas R d. Exterior do6rs.- R e. Floors over unheated spaces R f Edge of slab on grade (heated building) R 9 g. Ba8emenit/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 Conf orins to. minimum efficiency per code Yes No t)106- TEMPERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED Aprc nt I's S ture Date Phone Number V! INSPECTOR'iS REMARKS: RESIDENTIAL FILIAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received:' Building&Code Enforcement Dept of Community Development Arriv�--�+�m Depart t;--O Town of Queensbury Insp�r's Initials 742 Bay Road Queensbury,New York 12804 NAME \i ill\) t o t 1) _ P LOCATION �`3, �Vi-Q K) �A DATE TYPE OF STRUCTURE N/A YES NO CONMEENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in,or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off expos(Wregulator 1 "abo a grade Gas Furnace shut-off within 30 feet or-i 'thin lin of site Oil Furnace shut-off at entrance to fumy a area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or mor Railing across window in stairwells / Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer l Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical 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) Okay to issue permanent C/O(Certif.of Occupancy) ��., �� � Office ff c_�- GENEIAII.r INSPECTION REPGRT-'�_ :.: I�spe or: �D Town of Queensbatry Ready at time: Dept. of Community Development Request receive& Meet: .Building& Code.Enforcement At time: 742.Bay Road Queensbury, NY 12804 .ARRIVE�A a �P�R �1s � am a Notes: (518) 761-8256 Inspector's Initi . NAME: �� ��� 1 lt�f-I PERMIT# Z -b LOCATION: 7�, � INSPECT ON(date): j9 —pZ TYPE OF STRUCTURE: RECHECK _ N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsib fo providing protection from fr zi ig for 48 hours following the pla ent 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 P ce Rough Plumbing Heating Rough-In `6hsulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- *Valls R- *,Ceiling R- Duct work or piping in unheated spaces R- _,Proper Vent,Attic Vent aming 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.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbaary Ready at time: Dept. of Community Development Request received: 3 6 Meet: Building c& Code Enforcement At time: 742 Bay Road Queensbury, .NY 12804 ARRIVE a F a Notes: (518) 761-8256 .Inspector's.Ina as f NAME: PERMIT# C�)6� v / LOCATION: c r INSPE T ON(date): TYPE OF STRUCTURE: tie 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 VentlVents 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- er nt,Attic Vent Fr Lack Studs/Headers f�jj�,� 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:tSueHemingwaylBuilding.Codes.Inspection.FORMSIGENERAL 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, AT 12804 ARRIVB%,D a PA mIpm Notes: (518) 761-8256 Inspector's Initi NAME: PERMIT# LOCATION: 2? 1 D OP Jjp INSPECT ON(date): —(5—C)Z--V- tOF — TYPE OF STRUCTURE: jAL n7EE!47�ffi� 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 purp se site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Plac Rough Plumbing-_ Heating Rough-In Place proinT , 0 f g 'Jab Vent/Vents In Plac Insulation Foundation Walls Interior Foundation Walls Exte * R I Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pp6per Vent,Attic Vent_ raining Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam___ Air Infiltration Barrier Fire Separation 1,2,3,hour FVDV\�-� Penetration Sealed Fire Wall 2,3,4 hour Firestoppffig �ODC , L:\SueHemingway\Building.Codes.Inspcction.FORMS\GENERAL INSPECTION REPORT.doc