1999-300 BUILDING PERMIT
VALUE $ 4500 TOWN OF QUEENSBURY No. 99300
TAX MAP NO. 108 . -1-4 . 3 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to REGAN, MICHAEL & THERESE
OWNER of property located at ' 1 CLINE AVE. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a RESIDENTIAL ADDITION (MUD ROOM/PORCH
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in with the Town of Queensbury Building and Zoning Ordinance.
1. OWNERS Address is
1 CLINE AVE.
QUEENSBURY, NY 12804`
2. CONTRACTOR or BUILDERS Name
GIRARD, DANIEL
3. CONTRACTOR or BUILDERS Address
97 MCDONALD ST,. .
GLENS .FALLS,..NY. 12801
4. ARCHITECTS Name
COMMONWEALTH ELECTRICAL AGENCY
5. 'ARCHLTifit'SAddrress
HAGUE, NY
' 12836
6. TYPE of Construction—(Please indicate by X)
- RESIDENTIAL ADDITION
( )Wood Frame ( I Masonry ( )Steel I )
7. PLANS and Specifications
240 gQ FT. MUD ROOM AND .SCREENED . PORCH AS..PER ..PLOT.. PLAN SPECIFICATIONS
8..Proposed Use.
RESIDENTIAL ADDITION .(MUD ROOM/PORCH ..
16 June. 8 '. .. .: . . 2001
$ PERMIT FEE PAID THIS PERMIT EXPIRES 19
(If a'longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
. ,8 June.. 1999'
Dated at the Town of Queensbury this Day of . - -- 19
•
SIGNED BY for the Town of Queensbury
ding and Zoni Inspector
•
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
=_ = 9000 HEATING DEGREE DAYS
Compliance Methods: PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
• 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
APPLICANT' S NAME: PROPERTY LOCATION:
•
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 9)10 square feet
2 . 'type of Heat - Electric Oil Gas/ Other
3 . Is building mechanically cooled? Yes V No
g . Percentage of area of windows and doors Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
c?4)
a . Roof R
b . Exterior walls R /q
c . Glazed areas R
d. Exterior doors R is
e . Floors over unheated spaces R /q
f . Edge of slab on grade (heated building) R
c. Basement/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 /
Conforms to minimum efficiency per code f/ Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Aop-l_ca t-' s -Signature`, Date Phone umber
-_ - 79' g7zq
INS?E;=OR' S REMARKS:
Build. ing Permit Application .
Town of Queensbuly - Dept. of Community Development, 742 Bay Bowl, Queenrbmy, NY 12804 POI-82SG
.o. BUILDING cr< . CODE ENPORCEAIENT . 1
INOTICEJ Requirements prior to issuance
c
A pormit must bo obtained before l of this permit: PERMIT FILE NO.
bog in8 construction. No inspections • ��
will bo mado until applicant has received n Zoning Board Action PERMIT FEE PAID$ ��_
a\AI,,ID BUILDING PERMIT. All Atca /Use
applicants' spaces on this application RECREATION FEE I' $
• MUST bo completed nAd•Uto signature
Planning
of the applicant must appeari— PlanningfJoa>�i Action • REVIEWED BY:
on the
pplicntion form. 7,..�t,„.� SPR / Subdivision /Other !Building !Llpccan-
Recreation Fee Payment
. Applicant:1144/LI- .l_ 4 Cr,i,e,,l-
Owner: > g4L- �{ 4'4
. ' Address: q? d 044 o"L";) 2- Address: I d-L-,i A7 el 41/
•
Phone # (28 ) -7%'- _f?. Phone # (6, r ) 2
Property Location: I d i.., ii ,� 6•12:-E— Jf
Subdivision Names Tax Map Number / �J / 4.3
.. Sectitm mock hi:
NATURE OF PROPOSED y9RK:
4,-7—New Build C ESTIMATED MARKET V UE OF TILE
�A- esidenc • commercial CONSTRUCTION. $ j p d
b� ddition to Building:
re-is ej / commercial OCCUPANCY INFOfMATION:
Alteration to Building: Prilt&ary Building -
residence / commercial ±/ Single Family Dwe . � p
Residence / Commercial Two Family DweIl.i EI V E
no change to exterior size . Family Dwel rng
Other Work (describe below Office JUN 01 1999
Mercantile
Manufacturing TOWN OF QUEENSBURY
Other BUILDING AND CODE_
GROSS AREA OF PROPOSED STRUCTURE: .
1st• Floor q lb If ADDITION, what will use
1/46 s sq. ft.
of ne
2nd .Floor eq. ft. w addition be7 :
Other Floors sq. ft, .M0 9 � S' , /74;;D 'R),2 e 0
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: c9 4-k0 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZEZ OF NEW STRUCTURE: Commercial Storage Building
. Z FEET X 7 FEET Other
/
•
Foundation Type: CBLivcso •Z esLdce Will any second-hand or ungraded
' Number of Stories : ce-",-, .- lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : 3 �o-_•E "TIN hySTEM
Number of fireplacesyand/orfwoodsLove ,(circle. alll which xa.•lies)
to be installed: ,/l� Electric / Oil / as / Wood
Forced Hot Air / ease oar / Other
Person responsible for supervision of work as regards to building
codes is : S 0i a Z- ----,, dt?,4 , aj?In2c aim N 5- 1-el1 75ef 9 7d
11
Ntiine Address° phone
Builder: TI 4-.i 67;4 R-ie 179,f 17��ci.
Plumber: ---
Mason: --p,47, G , ,ee
Electrician: - ,,�,, l , 2r412
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, arc a true and complete slatcment 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 (Intl I/we shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOI' PLAN by
a licensed curve or; drawn to scale, showing actual location of project on premises.
Signature: ? ie2=„,) -
(owner, ower'si/ agent, architect ntractor
COMMONWEALTH ELECTRICAL INSPECTION SERVIC INC.
Main Office 176 Doe Run Road-Manheim,PA 175459q-�9/4.-:
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No Cert. N9 6 5 2 6 2 Cut-in Card No
Owner 41/ Re-6;42W
Location / eLe v / / ef2e-it'7
Installation Consisting off 17 ' 'eer-L-? 8 7 ?
P/9-4f 7-Sod S-el6 7a/51-4 6Z- -,9.Di2 r r -.e/At 6
Installed By...Z)s U1 e 6G7/-- Lie.No.
The conditions following governed the issuance of this certificate,and any certificate previously i
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. I.
introduction of additional equipment or alterations,application shall be promptly made for inspet
Inspectors of this Company shall have the privilege of maki inspections at any time, at
rules are violated,the Company shall have the right r ke thi ce ificat
Date I?` i'c) INSPECTOR. .
Member N.F.P.A.,LA E.I.
- _ /,LJt.
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury .
Dept.of Community Development Date inspection request received:
Building&Code Enforcement .
742 Bay Road r
Queensbury,NY 12804 Arrive am/pm Depart L, " itm/pm
(� • Inspector's Initialsital ,.I 0�/
NAME: ,l o( J PERMIT# 6 / - 3 co
LOCATION: C i N&� A)& , DATE : 'OAF it
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Fonn
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours followi g tlte placement
of the concrete. I
Materials for this purpo a on site ,
Foundation/Wallpour I I
Reinforcement in Place %
Foundation/Dampproofi:g
Backfill Approval ,/"
Plumbing Under Slab
Plumbing Vent/Vents ii Place
Rough Plumbing
Heating Rough-In I
Insulation
Foundation Walls I tterior R-
Foundation Walls E, terior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
i,Proper Vent, Attic Vent
Framing 7-
.
Jac Studs/Headers
acing/Bridging /
Joist Hangers
jJack Posts/Main Beam t.
Air Infiltration Barrier V
Fire Separation 1, 2, 3, hour
Penetration Sealed
ire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road /r
12)
Queensbury, NY 12804 Arrive am/pm Depart,'" am/ m
Inspector's Initials
NAME: A6-6 4-A-) PERMIT# 79-
LOCATION: AOJC DATE : / 7//'S'7?
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protcct:di Iigm freezing
for 48 hours following thie placement
of the concrete.
Materials for this p rposc on site •
Foundation/Wallpo r
Reinforcement in P ace I
Foundation/Dampp oofing
Backfill Approval
Plumbing Under S•
Plumbing Vent/Ven s in Place
Ro h
atmg Rough-PlumbingIn
nsulation
Foundation Walls nterior R-
Foundation Walls xterior 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 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
, te' - '- A . _ _
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury •
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road i
Queensbury, NV 12804 Arrive am/pm Depart 1`00M.,
• Inspector's Initials NI
NAME: 4Ce'.fiA) PERMIT# q
LOCATION: CI-mile( 46-• DATE : tt _ G'°i
TYPE OF STRUCTURE: ,loo .
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the pace ent
of the concrete.
Materials for this purpose on• ite
Foundation/Waflpour__
Reinforcement iace
Foundation/Dampprog ing
Backfill Approval
Plumbing Under Slab •
Plumbing Vent/Vents in P ace_
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls I crior R-
Foundation Walls xterior R-
Floors R-
Walls / R-
Ceiling R-
Duct work or piping in
unheated spaces R-
per Vent, Attic Vent
if,
�ractiiiig "':
Jack Studs/Headers V
Bracing/Bridging V
Joist Hangers_ / IA)7%uiGL- H nn'' 4
i06&12 S / " i
Jack Posts/Main Beam
Air Infiltration Barrier _
Fire Separation I, 2, 3, hour
penetration Sealed
ire Wall 2, 3,4 hour /
'•Firestopping •
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 12804 Arrive am/pm Depart�''1ri/ �
Inspector's Initials J ''
NAME: e fr4) PERMIT#
LOCATION: DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Fonn
Reinforcement in Place
The contractor is responsibl- for
providing protection from reeling
for 48 hours following the placement
of the concrete.
Materials for this p rposc o site
Foundation/Wallpour "
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval —
Plumbing Undcr Slab
Plumbing Vent/Vents in PI cc _
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Into for R-
Foundation Walls Exit: for 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
ist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
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 12804 Arrive am/pm Depart'!. `�"�i}�pm _
Inspector's dnitialtiV" �'L/
NAME: e?-ram cPERMIT#°1()`—a
LOCATION: lv ;�y�� +� DATE :
TYPE OF STRUCTURE: ( A
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place —.
The contractor is respo sible for\
providing protection f'om freezrn:
for 48 hours followin_ the place nt
of the concrct .
Materials for this pu o sse on site
Foundation/Wallpou
Reinforcement in P ce
Foundation/Damp roofing
Backfill Approva
Plumbing Uncle, Slab
Plumbing Ven Vents in Place
Rough Plumb' g
He 'lg Rough-In
nsulation �'\ (��
Foundation Walls Interior R-
Foundation Walls Exterior R-
t�FFletTrs 19
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 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received: 7 -91
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart/! °" am/pm,
Inspector's Initials
g9# - 30J
NAME: qiC:be��e°�-� PERMIT
LOCATION: ( 2LL DATE : 7_
TYPE OF STRUCTURE: /�� G L f� h ,�J% �"��
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from r=- ing
for 48 hours following th=placeme t
of the concreth
Materials for this p es se .n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo I: g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i 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 Vent, AXt c Vent
cO'raming 1 (�`[t4V-- 0012 6`k5 7-4w
Jack Studs/Headers
Bracing/Bridging 'f
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
4/1
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received: 7- I 9Q
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart(ii / am/npm/
Inspector's Initials .1 -�✓
NAME: M d GI,aG L Ree PERMIT# ' T 7 --c3 e
LOCATION: 1 et,.e-c eeyC-� DATE : 7-6 I,-Q 9- f (' .
TYPE OF STRUCTURE: I.e. -i QC 5(0-;
RECHECK /216,. /20Vp,e/„.__,
N/A YES_NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl for
providing protection from - g
for 48 hour ollowing thr placement
of the concrete.
Materials for this purpo • on site
Foundation/Wallpour
Reinforcement in P .
Foundation/Da . roofing
packfill-Appr _al -- / \ Q....Vc"'
Plumbing U der Slab
Plumbing ent/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 Vent, Attic Vent
Framing
Jack Studs/II.eaders
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,ri'T- Pliv -
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 i ay Road
Queensbury,NY 12804 Arrive am/pm Depart S .5 / m
Inspector's Initials
NAME: Re6P4-1`) PERMIT# 419 ` °
LOCATION: G N& A-o C . DATE : 7//& `�'/7
TYPE OF STRUCTURE: /
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible or
providing protection from ing
for 48 hours folloivin the pla ment
of the concrete.
Materials for this purpose on s
Fo dation/Wallpour
einforcement in Place
oundation/Dampproofing
IBackfill Approval V/.
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 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
Firestopping
GENERAL INSPECTION REPORT 4if(.
Town of Queensbury C/
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road I'
Queensbury,NY 12804 Arrive am/pm Depart �• am/�
Inspector's Initials
NAME: PERMIT# C
- 0
LOCATION: DATE : -
TYPE OF STRUCTURE: c \'1^o C j(64\
RECHECK •
N/A NO COMMENTS
oot ngs%Piers gse /60
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 n 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 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
Firestopping