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2000-490 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201 Community Development - Building & Codes (518) 761-8256 BUIEDING PERMIT Permit Number* P2 000490 �+ r A p cation Number: A20000484 Tax Nlap No; 52340 - -000 1 -046-000-0000 G Permission is hereby granted to; ROBERT CLARK owner of property- located at: 52 VAN DUSEN Rd in the Town of Queensbury, to construct or place a Residential Addition 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. Owner Address: ROBERT CLARK JR. 36 SANDERS Rd QUEENSBURY, NY 12804 Contractor or Builder's Marne / Address Electrical Inspection Agency FRANK LED 111 DIXON Rd OUEENSBURY, NY 12804 Type of Construction: Residential Addition Value : $ 6,000,00 Plans & Specifications $0,00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Sunday, July 21, 2002 (lfa 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 To Qu sb F, - .ijxl.� 21 . 2000 SIGNED BY ltiLrr ,C for the Town of Queensbury. Director of Building & Code Enforcement Building .Permit Applicadon Town of QI,EG'!'17,5'bury - Delx. c f Communily Develvinne nt, 742 Bav Road, Q:eeen.01euri3, NY 12804 f Tbl-82561 gt BUILDING & CODE ENFORCEMENT Requirements prior to issuance r� g A pursuit must be obtained before of this permit: PERMIT FILE NO. bug"Ung ccrostruction. No inspections _. - . PERMIT FEE PAID $ will be :Wade until applicant has received F7 a 'VALJD BUILDING PERMIT. All Area I Use RECRE477ON FEE PAID $ applicants* spauca on this application fJ MUST be completed att& " aignature 0 PlannIng Bf91sIJ 0 2000 REVIEWED BY.* of the applicant must appear an the SPR / subxli, Wed l Vthor Building inspector lication form. T�A jo. Recreation FeC- FfierJt .. . . �y Applicant: e.. # " i..'r'_�2' Owner: K � �+` Address: ' Address: Phone # ( r� } -f�I f t f Phone #Property Location.*i.acatian: - ��'-""t��` - I'ax Map Number Subdivision Name: Scction Blmk I of NATURE OF PROPOSED WORK . ESTIMATED MARKET f -~VAL,U OF T New Building : CONSTRUCTION : $ trvro esidence / commercial d�dition Building : --- res dent commercial OCCUPANCY INFORMATIONS Alter man to Building : PrImary Building - residence / commercial Single Family Dwelling Residence Commercial Two Family Dwelling no change to exterior size Family Dwelling office other Work ( describe below ) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE * rx Floor . . . . . . . . If ADDITIONt what will use 1st " � sq • ft • of neWaddition be ? : 2nd .F ] oor . . .,!$ . . sq . ft . _. cr,ttoo Other Fluuts . . . sq . ft . ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : Detached Garage 1 , 2 car TOTAL FLOOR AREA : SQ . FTe Attached Garage 1t 2 car Private _ Storage Building SIZE OF NEW STRUCTURE : commercial Storage Building other FEET X Okc3 FEET Foundation Type : � r4ck Will any second- hand or ungraded Number of Stories : lumber be used? If so , for what ? ( habitable space oryly ) i Height ( grade to ridge ) : 10t feet TYPE OF BEATING SYSTEMS Number of fireplaCe�a and/or woo :istove ( circle al hash applies ) to be installed :, � � ��`� Electric Gas / Wood Forced Hot / Baseboard / Other Person responsible for supervision of work as regards to building codes is : am Addresss �an�ez Builder : t Plumber : Mason : Electrician : DECLARA77ONo 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 ofOccupancy-'or Certi c e of Compliance being issued, an AS BUMT PLOT PLAN by a licensed surveyor; dr o seae, showing actual location of project on promises. Signature: (owner, owner's a ent, architect, contractor) ENERGY CODE COMPLMANCE APPLICATION TOWN OF QUEEN'SBURY , WARREN COUNTY _ 9000 HEATING DEGREE DAYS -- 0. ! kp 4a • .• a¢. L - Cornnllance Methods : PART 5 . Acceptable Practice Method _ JUL ] QCIO 1 & 2 Family Dwellings ( onlyjm' PART 6 * - Ther-mal Rating - Component _Tr&de. Offs . 1 & 2 Family Dwellings ; Multi-Family Dwellings ( 3 stories or less ) PERT 4^ * - Design by Component Performance Commercial Buildings -Hi Rise Residentla.l *Requires submission of worksheets Ap L 1 CA.NL " "S NAME : PROPERTY LOCATION PART 5 METHOD OF COMP141ANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - square feet. 2 . TV-oe of Heat - Electric © i l Gas Other 3 , 7 - h>u i lding mechanically cooled ? Yes No g . Percentage of area oT windows and doors Over 17 % Under 1 7 $ 5 , R -VA.LUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS ON PLANS SUBMITTED : a . Roof R �� Exterior walls R c . Glazed areas R d , Exterior doors R e , ^ loors over u :heated spaces R . _ . Edge of slab o &n tirade ( heated bu 7 lding ) R c . Basement / cellar walls ( above grade ) R n Basement / cell a= walls ( below grade ) R } Heating/ co011^g-ducts -piping in unheated space R 6 , S er-,ri ce ( domest? c ) hot water heating device Co ;l = orms to mi ^ '_. = m efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Apn _ - c slent ` s r � i�r� Da�� e PhonN3mb �� r 7 1NSP .-. v �ORF S k RKS agMg +' dL 1NSM ION REPORT ( 518 ) 761 - 8256 Torun of Queensbury Dept,. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road (Neensbury, NY 12804 Arrive atnlpn Depart Inspectoros luitiais `'*Ar[-.-�"" (J PERM T # LC)CA,"TION: r +r? C. DATE : TypE OF STRUCTURE: RECHECK N/A. YES - NO CC*ANMNTS FoatingsfPiers � Monolithic Pour Form Reinforcement in Place _ The contractor is responsible for providing protection front freezing for 48 hours following the placement of the concrete. Materials for this site F'oundatiow Wal! Reinforcernentin Foundatio BacicM Approval Plumbing Under S Plumbing Vent/Vents in Rough Plutnkun Heating Rough-In Insulation. Foundation Walls Interior R- Foundation Watts Exterior R- Floors R Walls R- C4i.ling R- l7uct work or piping in unheated spaces R- Proper Vent, Attic Vem Frarnin Jack Studs/Headcrs Bracing0ridgin Joist Hangars lack Pbstw r in Beam Air Infiltration Barrier Fire Separation I, 21 3, hour. on Sealed 7=reWalU2, 3, 4 hour `' rin GENERAL EVSSPECTION REPQRT Town of Queensbury ^� Dept. of Community Development Date inspection request received: "[ Building, & Code Enforcement 742 Bay Road Qireensbury, NY 12804 Arrive arrs/pm Depart Inspector's Ink _a19 NAME: PERMIT # WCATIO DATE : "TYPE OF STRU RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form. Reinforoement in Place The contractor is respottsib o providing protection frtxm n for 48 hours following the t of the concrete. , Materials for this purpose on ite Foundation/Wallpour Reinforcement in Place _ Founudation/Dampproofin Back iit Approval Plumbing Under Slab = Plumbing VentfVents in Place Rough ink H Rough-In n Foundation Walls Interior - 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/Header Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour_, Ercstopp_mg Li d.Lon Seale Wall 2, 3, 4 hour, L- L '�'z'TILIr1/ GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 'town of Queensbury Deptt of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ` Queenabury, NY 12804 Arrive am/pm Depart �i Inapiector's Initials NAME: �L je PERMIT # 1.00ATI47��zr3 / '-- ---- DATE : I TYPE OF STRUCTURE: RECHECK N/A YES NO CCIMNMNTS Footings/Piers _ Monolithic Pour Form _ Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placem of the concrete_ Materials for this purpose on si Foundation/Wallpour. Reinforcement in Place Foundation/Dampproofi n Sackfill al Plumbing U Slab Plumbing Ven in Rough Plumbi g Rough-In V&Ks'ulation � / ,�+ a w s + njt Foundation Walls Interi R- Foundati4n Walls Extern R. Floors - Walls - — Ceiling Duct work or piping in unheated spaces R Proper Vent, Attic Vent Framin Jack Studs/Hk aders. 13racing/I3ridgiu --- J. Joist Hangers . Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppuig. GENERA L INSPECTION REPORT , •- ( 518 ) 761 - 8256 Town of Queensbury I1ept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay (toad G� Queensbury, NY 12804 Arrive am/pm Bepart�x Inspector's Initiais NAME: [ G/ A' PERMIT i9 r� �" -- LADCATION; �.1 DATE : / / TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/F'iers �! 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 i oe Foundatio pproofi Backfall Plumbing Un r Slab Plumbing 'Yen eats in P Rough Plumbi Heating Rough- Insulation Foundation W Inte ' r R- Foundation Wall x or R- Floors R- Walls R- Ceili R- uct ng work or pi in / unheated s - 63por Vent, ALti Vent rami Jack Studs/Headers Bracmg/Bridgm Joist Hangers Jack. Posts/Main Hearn Air Infiltration 'Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Five Wall 2, 3, 4 r irestoppin � r GENERAL INSPECTION REPORT { 51 $ } 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement / 742 Bay Road OZ A]��. Queeasbury, NY 12804 Arrive am/'prn Depart Inspector's Ini11 tial- son - NAME: PERMIT # LOCATION: _ .V61 � —=rC' DATE = 'LZ - I rJ TYPE OF STRUCTURE: RECHECK. N/A YES NO COMMENTS Footings/Piers _------__- Monalitlrie Pour F rm Reinforcement in The contractor ' re� nwbsle for providing, pro on from freezing ,f for 4$ hours foil -ngi cplacement of the concrete. Materials for this Fsen site Foundation/Wallpom Reinforcement in Place FoundationfDampproo Backtitt Approval Plumbing Under S Plumbing Vent/Vents in Plc Rough Plumbi Heating Rough-In Insulation by "rl4 l �eVL61ZC=- 0 c� Foundation Walls Interior - Foundation Walls Exterior Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- r Vent, Attic Vent f �j T�'Qz �i i u , r4 .1F F k' F 3 Studs/Heaxbers racingBridgin /•. i 4 mac ! f►7C� C;t? (`7 Joist Hangers r) lrack Posts/Main Beam AtInfiltration Barrier Fire: Separation I, 2, 3, hour Pe ration Sealed Wall 2, 3, 4 hour 7 irestoppin GENERAL INSPECTJ N REPQRf ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay (toad Dept Queenshury, NY 12804 Arrive am/pm Inspector's Initials NAME: PERMIT # s -/+ ► / DATE LOCATION: .�-3 62 -- -n ra — TNW OF STRUCTURE; RECHECK N/A. YES NO COMMENTS Faotinga/Piers Monolithic Pour Form. Reinforcement. in Place The contractor is responsible for providing protection from freezing for 48 hours fallowing th eat of the concrete- Materials for this on site Foundation/Wallpour Reinforcement in Place FoundationMamp-proo *Backfill Approval Plumbing; Under Slab Plumbing Vcnt/Vents ' P Rough PlurnOn Heating Rougl'i Insulation Foundation Walls terior R- Foundation Walls xterior R- �. Floors R- walls R- Ceiling R- Duct work or pipi g in unheated R- Proper Vent, Attic ent Frami Jack Studs/Headers Bracing/Bridg'i Joist I3ax►gers Jack PostslMain Beam Air inmuation Barrier Fire Separation 1, 2, 31 hour Penetration Sealed Fire Wall 2, 3, 4 hour FirestalVing GENERAL INSI'Ec7-jON REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive Pm Depart ! r'Inspectos Initials NAME: Alm PERMIT" ## _ �'` 3 L OCATION; DATE : TYPE OF STR.UCT'CTRE; RECHECK NIA YESAi COMMENTS ..tmg. ..ers of Monolithic Pour Form Reinforcement in Place ' r The contractor is responsible far providing Protection front lremming, for 48 hours following the Placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place FoundatioWDampproofin Backfill Approval Plumbing Under Slab Plumbing 'VentfVcnts in Place Rough Plumbin Heating Rough-In, Insulation I 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 Franc Jack Stll�r fFrFAdEnC BracinVg Sridge Joist Hangcrs Jack PostslMam Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour, Firestoppin 4k JUL Z 0 2000 +23' -d00 3 NOTI ONE DETECTORS ARE REQU REID IN MROOK UpjW 70 BEDROOMS* AND N EAC FLOOR LEVEL t MI)ING CELLAR OR BAS MENT. LL SMOKE pIWORS SHALL BE INTERC9N NOTI KRAFT PAPER INSU Tl N MU T BE I I r COVERED BY NON-COMBLI LE 3ARRIERtiol � { l M# SIB 1 1 FOAM INSU�.AT�©�t � � �� 74 � BY p 15 MlNkS-TE T ILE COPY TGWw t:UEE44CBURY BUOING DEPARTMENT Baaed on our limited examination, tiff compiiancevM our cornments shall not be construed as indicating the pians and specifications are in NO � compliance with the code. TOWN OF QUEENS URY BUILDING & ob D REVIEWED BY DATE ;; / i �K�rt�� �Rc��'����.. ��d,v�r f �f� Fff Fl, 00 40 1 tl% 10 + � N - '>`ro 5r � c i�'ST C -- W fr�T77oks N \ x' 4 CJ r J pp �i yL�1�A/J//`�]//''�]�} �'tzOF'Ef� v��rr /} /�''�/'��/ .rR }��j y^ .C/} �7 �+y /-s +. V i I n, Yowo J'l/ 1L.� �.S � i 'A Y,1 �" v / � ,T' F l! 4 _ 15 FltfGl AS} IM1IlAT10N F ;i ? ! ! F T 7 = 1f 2" 6M ( TPa",) VENi�D SUFIT — — A6 FLAMING sip C!, s ft cp �T 4vc K 09 FIMR61 A551r rL4AnoN 2X IO POY FLOGV jOl5T5 tC� " e . c:, 1 / 21 1 A �• Q1 .c2M F.T, 51LL PLATE {� 6 MONOLTHIC POW F0011W6 F jjjjjjj jj • A f }