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
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