2000-281 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 1500- -- 2000281
TAX MAP .NO. 121 .-5-4 Building Permit No. —
big
POTTER, ROSEMARY
Permission is hereby granted to
65 BURCH RD.
Owner of property located at
RESIDENTIAL ADDITION
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 Budding Codes and the Queensbury Zoning Ordinance,
60,wTe6ANdrSS,5.
QUEENSBURY, NY 12804
W2 Mmcto uPeMfs Name:
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction: RESIDENTIAL ADDITION
iVrand Specifications:
SQ ET' ADDITION TO MOBILE HOME ,AS PER PLOT .PLANSPECIFICATIONS
Proposed Use:
RESIDENTIAL ADDITION
16, May 15 2002".
$ PERMT FEE PAID-THIS PERMIT EXPIRES
(If a longer period is required,an application for an extension must be made to the Code Enforcern6it
Officer of the Town of Queensbupr before the expiration date.)1 May 2000
Dated at the To of Queensbury this ----Pay of
SIGNED BY �t,ee.uryury for the Town of Queensbury
Code Enforcement Officer
-- 13m►ldlf'la'IbIWI ''G'i'IIl
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Mal►tifacl:uring
GROSS AREA OF 1lRo1'ASlI) S`t'ItUC Other''UItG! 4_..
1ul: ; c. .c.onr ful{c�, fL. ADDItI what:
will line2nd tloor.•. . . . . . . � Of now,
Other Floors f : ll
(itoL aq, fL
or h4neivalit:). ----
• nccl:ssatx- !)IlzLuzNt7sl
TOTAL FLOOR AREA: r+� liel:liclloi! Garage 1, 2 cur.
SQ 1 1 ALt:ttcllt�ci Gnrac�e' 1, 2 car
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Sib'lltlltire:
(owner, aw cr'' abc11l. nrcliilt.•ct, coniraclor)
ENERGY CODE -COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY � /
-
9000 HEATING DEGREE DAYS
Compliance Methods: 'PA.RT 5 - Acceptable Practice Method
1&2 Fain-ily Dwellings (only)REC
SIVED
PART 6 - Thermal .Rating- Component Trade Offs
1&2 Family Dwellings;. Miz-1 2000
Dwellings (3 -stories or 1
e()UEENSSURV,
PART 4* -' Design by Component PerfoO'l�e
Commerc; al ' Buildings-Hi Rise
*Requires submission of worksheets
AP P L I C?uNl F T I S KAUXE: PROPEIRTY LOCATION:
PART, 5 Zx---THOD OF COMPLIANCE BY ACCEPTABLE PR.:ICTIC--- :
Cross1 . Goss Floor Areas c-a a e feet
2 . !:-,j-=e of -Heat Electric 0 il
Gas Other
3 . 7S building mechanidaily cooled? Yes. No
4 . Percentage of are- of windows - and doors. Over 17% Under. 17%
5 . R-V.;;-LUES -FOR 1Nc_-_E_-ATLT_O'_-1T G7VEN 1B:-:7.OW Nf.-UST CORRESPOND TO R-V;_LUES AS
S--r0-,,JjN- O.NLT PLANS 47_-j-=M71,1T--:i):
a . -Roof
b . E,xt-e r--*o r W aI Is R
C . Glazed areas
d. :exterior doors R
-- loons over spaces
E"dae of on c.ra,-:e (heated ' ding) R
f s!a_; (heat d hu.
C. ;asement/ce_'_,a_,r wa 1 is (above trade) R
wal is (b e low grade) R
a Basement/cedar
-Z=at; atcoo' no * ,c,ts-plpang 2.-n- unheated space R
6 . Service (domes'-'ic) hot water heat-i -na device
Con-forms to e-ff:ficiency per code Yes No
=MPEERATURE COIN"ROL MAXIMUM SETTING_ 1400 - WILL NOT BE EXCEEDED
10 41;?_
S
/_REY- ARX5':
F/41
GENERAL RLSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 7
Building& Code Enforcement
742 Bay Road Queensbury,NY 12804 Arrive�'�- �r's
Depa a
Initials
NAME: PERMIT#
LOCATION: 9,�57 L DATE :
I
TYPE OF STRUCTLIRE---/ *t
RECHECK AV
YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ible fo
providing protection in freezi
for 48 hours following e placeof the concrete.
lls
ent
g Materials for this purpolsen site-,
Foundation/Wallpour_
Reinforcement in Place Jpr
Foundation/Damppro!Ang �.
Backfill,Approval
Plumbing Under Slab
Plumbing VentfVents in Pla
Rough Plumbing
Heating Rough-In
Oil
Foundation Walls
Foundation Walls=r R
Floors R- Ct
Walls R- CV
ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Fraining____V-V—,
Jack Studs/Headers
Bracing(Bridgin' g_Joist Hangers__———
Jack Postsftvlain Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
FirestoMmg_
C"'y
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 128044 Arrive :3'W am/pm Depart-- am/pmInspector's Initials r
NAME: PERMIT#,
LOCATION: DATE : Li-
TYPE OF STRDCTURE:—'
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 6(fl f I'l-re44id
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 Vcnt, Attic Vent_
Framing_
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Scaled
Fire Wall 2,3,4 hour-
Firestoppin
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F,Q
MAY 0 5 2000 W
ENSBU
Sul- cvqINa��vooa W I—
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FOR THE PURPOSE
OF AN APPLICATION TO THE:
GALE: ._ 0 SCALE:
Town cf cueensbury
CHOOSE SCALE ON LEFT 1 square = 10 feet square = feet.. �. ..•: ..0 I . f-— —i__�, r1G-('.RPATF vni IR-f)VA/Kil ...