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2000-041 ate o ccupalley Town ofQueensbury Warren County,New York Date June 8, 2000 ,�IYpgM(IM 2ii+00@41 This is to certify that work regt;ested to be done as shown by Permit No, has been completed, 'his structure;may be occupied as a RESIDENTIAL ADDITION (BEDROOM) Locatiozi 13 FOX RD s Owner . ..... I Mp , .AVIQ NENDY �.. TAX NAP NO, 2 6 0 -6-4 By Order Town Board T OF QUEEN BURY Director of wild g&Code enforcement k � r 01 W ww»M��nN4'4�ItlY BUILD-.INCH PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518)761-8256 VALUE $ 30000 2000041 TAX MAP NO. 2 6 . -5-4 Building Permit No. MATTHEWS, DAVID & WENDY Permission is hereby granted to 13 FOX RD. Owner of property located at RESIDENTIAL ADDITION (BEDROOM) in the Town of Queensbury,to construct or place 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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance. QUEENSBURY NY 12804 Contractor or Builder's Address: BOX 2315 ROUTE 9N LAKE GEORGE, NY 12845 Electrical Inspection Agency: COMMONWEALTH ELECTRICAL .AGENCY. PO BOX 706 HAGUE, NY 12836 Type of Construction: RESIDENTIAL ADDITION Plans and Specifications: 520 S } FT RESIDENTIAL ADDITION (BEDROOM) AS PER PLOT PLAN SPECIFICATIONS Proposed Use: RESIDENTIAL ADDITION (BEDROOM) 40 February 28 2002 $ PERMIT FEE PAID—THIS PERMIT EXPIRES (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.) 28 February 2000 Dated at the T&wn of Queensbury this Day of L for the Town of Queensbury SIGNED BY_ o e nforcement Officer s �.•irz1,1,"tia� [—�'r_-rrttt :f�& .JL lGtl1012 Town Of QueensbUI y Dept, of Community Developirreut, 742 Ra Road. , Qrreensbrrry, NY 12804 f761.82561 NOTICE BUILDING & . CODE ENFORCEMENT Requirements prior to issuance A perinit must be obtained before of this permit: PERMIT FILE NO.JAL))0 - beginning construction. No inspections Q will be made until applicant has received [� Zoning Board Action PERMIT FEE PAID$ a a VALID BUILDING PERMIT. All Area /Use applicants' spaces on this application RECREATION FEE PA D$ M Us'r be completed and.the signature CJ Planning Board Action of the applicant must appear on the REVIEWED BY., a pplication form. SPR / Subdivision /Other Bi�((d(ng trssperrar n,..a r.,. ` Recreation Fee Payment Applicant: �Y'Cttn:en ,' 1� 'S 7�f Owner: O'k) e. 4 -k tllod 5 Address: 1;ox `d-?t(Z'- 02ac Address: !'hullo i# ( ...._.._} 1f�S " .. d Al 111-upul'ly l.uunllont ' Subdivision Name: Tax Mal)Nun►ber `Section Block�- NATURE OF PROPOSED WORKS ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ �q oap residence / commercial Addition totuilding: residences / commercial OCCUPANCY INFORMATIONr Alteration to Building: Prijuary Building - residence / commercial single Family Dwelling Residence / Commercial Two Family Dwelling r- no change to exterior size Fattt�iy Dwk`e""fling} Office Other Work (describe below) MercantiieF B 1 2000 Manufactur ng GROSS AREA OF PROPOSED STRUCTURE: Other �:�'•;;-r£r:: "" 1st- Floor. . . . . . . . .S-�0 sq, .ft. if ADDITION, what will use 2nd .Floor. . . . . . , sq, ft. of new, addition be? : Other Floors . . . sq. ft. ��cnAn (not unfinished cellar or basement) ACCESSORY BUILDINCiS.t • Detached Garage 1, 2 car TOTAL FLOOR AREA: 1'" SQ. FT. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building (° FEET X a FEET Other Foundation Type: Will any second-hand or ungraded Number of Stories: lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : feet TYPE 00 HEATING SYSTEM: Number of fireplaces and/or w o stove (bircle al ich appli s) to be installed: Electric O-11 /�GasoodForced Ho r / Other Person responsible for supervision of work as regards to building ' . codes Is : _ J?v55e.1l :Z;h`r- Name - % n 'Address Phone Builder: tr exnn.e tz R.► t d1 a V-J1, Plumber: Mason: S,n-p'c,',,r\r%Pti2 Electrician: �rztrA (� DECY- RATION.• Please sign below gftei-you !save carefully read the statentent. 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, an AS BUILT PLOT PLAN by a licensed stuveyor�; drawn to scale, showing actual location of project on premises. Signature: (owner, owner's age IT(, architect, contractor) t ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Comr)l-iance Methods: PART 5 Acceptable Practice Method 1&2 Family Dwellings (only) PART 6*, - Thermal Rating - Component Trade Offs-, 1&2- Fdmily Dwellings; Multi-Family Dwellings (3 stories or less) PART 4 Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICA-NLT,IS NAME:. PROPERTY LOCATION: Rhasc-J Z-n14_ PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area sauare feet 2 . Type of Heat - Electric _Z__Oi 1 Gas Other 3 . Is building mechanidally cooled? Yes No 4 . Percentage of area of windows and doors Over 17% Under 17 5 . -_R-VA_1_.0ES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS S11OWN ON PLANS SUBMITTED: a . Roof R 3E3 b . Exterior walls R C . Glazed areas R d. Exterior doors R e . Floors over unheated spaces R Edge of slab on grade (heated building) R C. Basement/cellar walls (above grade) R h . Basement/cellar walls (below grade) R Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device CorLforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED App_' icant ' s Signature Date Phone Number -0 -00 1,2 6 8 —.226 7 INSPECTOR' S REMARKS : RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement t Dept,of Community Development Arrive am/pm Depart �ni Town of Queensbury Inspector's Initials , 742 Buy Road Queensbury,New York 12804 <— I t 01 / NAME M C�� 1 E ms' S PERMIT# aovD t� LOCATION DATE_(cl It'd TYPE OF STRUCTURE N/A S NO COMMENTS Chimney Heightf'B"Vent/DirrtVent ation Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"t4 36" Exterior Handrails,balconies,lAndilig 18 in.or more Interior Handrails stairs both si 3 or more risers Grade 2%away from foundati 8"clearance to sill plate Gas Valve shut-off exp 5 re ator 18"above grade Gas Furnace shut-o within 30 t or within line of site Oil Furnace,*, t-off at entrance o furnace area Furnace/Hot Water Heater opera' g Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both side more than 3 risers Interior privacy/trim/doorslmain trance 36" Floor Finish BathroomlKitchen watertight Interior Handrails Balconies/Lan ' g 18 in.or more Railing across window in stairw lls Smoke Detectors: every level every bedroom f outside every bedroom 11 inter connected k Bathroom fans Plumbing fixtures / Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18';or,,es from floo Final Electrical Site Plan/Variance ired Final Surrey 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) COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Main Office 176 Doe Run Road - Manheim, PA 17545 �0-0 e0 , MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Parcel Board Nolf+••..rl4•.Niiii4►+11+ua.f e + NO 67696 Cut-in Card Not4/tNiifiitirsrlffl Mtefl4ssstfttltt Owner,+Nri+r► l.irti kw#M1++e.111M.i•! 11/IIIi11llit.fi!•fi.ovfm# 1f11+•l++e1.tt11f1+e41+.l11ft11l+11.l.i1/HIi.•itilil IIU.1+.11.t1i.11+Ii ifillfill041f•If1+f1 Location iH1Yff•.+/l /4ir1r4+I4ri f4.fifff+11fff+/iiN++li+If/IIfl1/f•/ff+•r//frfrifr4M4111r.•+++i+rM►rN4r+r411411ti4filH+•++1•111iN1r4/4101. f••Ifflfff••+Y+fY+f•li �W/�# 94'Zo. C14 InstallationConsisting of., flit+e l.i4 lriii ii Nli.fei teltmiff fttleft t fill 14609101 its 19l610114Y 1/ilfffifliffi•i+Hiii i//+•i+f.1•eft• eiffl444iti1itf Y1M ropo kOAJ MOM•+1 1+I.tl11l4 i+l1..li 1111.+ 11NI++..... +111.1111ii 4444rfttftt lliilif MfeeifNiHtlefs!llHitteflffifitf lftftlftttttllflilfftllfiftltMiiifltil►11l..l1+H11.►IIN11•+ l++MM 1111000Mf l ii.Iltl llf+Allot1.iN1+.11N11.11++iifri4►f+i►N.1tif4r++I++.M++i4N+1.It1N1/+H+If$4111.+111111iH1..11+111.11i 11+04111446+404 iri.++++iui+i•i+N+11.1if•+i (� t Installed � J 1111fuifu+iri+ H144p44rN414rUN44i444Lie. No. i••f44144Hfiii+iil++•1i+++1•++•1++11++ffi44►Miir1 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 promptly made for inspection, Inspectors of this Company shall have the privilege of mak' nspections at any time, and if its rules are violated, the company shall have the right t ev certifica , Datem INSPECTOR If fillets f1+411 1f4Nf4iii+irr+/I.1fNf11iti1//1NfN1+ia.i1NIN.+tl.rririi4+lri/ii off UAMhar U P A 1 A F 1 GENERAL INSPECTION REPORT Town of Queensbury Depth of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road /l Queensbury,NY 12804 Arrive am/pm Depart./ v pm Inspector's Initials NAME: VII Ai k- PERMIT# tz �� t LOCATION: DATE : fjab TYPE OF STRUCTURE:' RECHECK. N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respons ble r providing protection fro feel g for 48 hours following the lace nt of the concrete. Materials for this purpose on ite Foundation/Wall, Reinforcement in Place Foundation/Dampproo r Backfxll Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing 1nesula g Rough-In �,00 �i4/2��� /fb(6 6� N Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R Ile - 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 Firestoppmg GENERAL INSPECTION REPORT Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart f In Inspector's Initials NAME: PERMIT# 0.- LOCATION: DATE : TYPE OF Sy CTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo ible for provi ' g protection m f=* g for 48 hours o owl cement of the concrete. Materials for this p se on site Foundation/Wallpo Reinforcement in P Foundation/Dam roofing Backfill Approv Plumbing Und Slab Plumbing Ve ents in Place Ro gh Plum ng Ling Ro -In lation 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 S rs Bracing/Bridgmg Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping CEll�ERAL WSPECTION REPORT Town of Queensbury. Dept.of Community Development Date inspection request received; Building& Code Enforcement /��s 742 Day Road (1 Qlueensbury,PTA' 12804 Arrive am/pm Depart ` am/p Inspector's Initials NAME: L PERMIT# 42) O 4 l LOCATION: C5 DATE : f oz> TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTSFootings/Piers � Monolithic Pour Form Reinforcement in Place The contractor is responsible fo providing protection from ing for 48 hours following the pl ment of the concrete. Materials for this purpose on to Foundationl' 1Jpour Reinforcement in Place Foundation/Dampproo�fing Backfill Approval_ Plumbing Under Slab _ Plumbing Vent/Vents in P ace Rough Plumbing Heating Rough-In- Insulation Foundation Walls In erior R- Foundation Walls E riot R- Floors R- Walls R- Ceiling R- Duct work or pip ng in unheated spa s R- r Proper Vent, Atti ent Framing Jack Stu ers Bracing/BriAgmg Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Xre Wall 2, 3, 4 hour irestopping GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Develoliment Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart/1'6 ` a Inspector's Initials c� NAME: ` �}- PERMIT#eoC��v -ll ' LOCATIO DATE : TYPE OF STRUCTURE: �� (� RECHECK N/A YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible f providing protection from f ezing for 48 hours following the lacement of the concrete. Materials for this purpose n site Foundation Wallpour Reinforcem nt in Place Foundation/ mpproof g Backfill Appro Plumbing Under Sla _ Plumbing Vent/Ven in Place F"Iumfoan. �` Heating Roug - n Insulation Foundation Walls interior R- Foundation ails Exterior R- Floors R- Wails R- Ceiling R- Duct wo or piping in untie`ted spaces R- _ Proper.. _ , A t'cant-- Jack tuds/Headers Brad Ig/Bridging__ Joist Hangcrs Jack Posts/Main Beam _ Air Infiltration Barrier Fire Separation 1,2, 3, hour Penetration Sealed ire Wall 2, 3,4 hour Q GENERAL REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: G - Building&Code_ Enforcement 742 Bay Road --- Queensbury,NY 12804. Arrive I r• pm Depart f ,Id, Inspector's Initi NAME: LLr �C��I—.S PERMIT LOCATIO : 13 DATE : TYPE OF STRUCTURE: RECHECK _N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible fo providing protection from ng for 48 hours f flowing the pla ment of the concrete. Materials for this p se on s' e Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing �ckflll Approval Plumbing Under Slab Plumbing Vent/Vents i Place Rough Plumbing Heating Rough In Insulation Foundation Wafts 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 I,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping G ` GENERAL INSPECTION REPORT (518)761-8256 Town of Queensbury _ Pio Dept.of CommunityDevelopment Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive r am/pm Depart am/pm Inspector's Initials, NAME: ��`- �I ��� � PERMIT# �C�'� 1 LOCATION: DATE : _ IL TYPE OF STRUCTURE: t RECHECK N/A YE O COMMENTS F tings/Piers `� � 1 Monolithic Pour Form Reinforcement in Place XI/ The contractor is respons' le for providing protection fro freezing for 48 hours following a placeme All- �' i of the concrete. ° V,n J Materials for this purpo on site Founor tion/Wallpour Reinforccc in P1a Foundation/Da mppr fing Backfill Approval Plumbing Under Sla Plumbing Vent/Ven in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R Foundation W s Exterior R- Floors R- Walls R- Ceiling R- Duct work or iping in unheated paces R- Proper Vent,Attic Vent Framing Jack Studs/Readers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping OBI l FEB i C 2000 PLOT PLAN I I ' - I I P�o�ost�, I I i I � N I � I I n I I I I