1999-336 BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ ,17500' ` No. 99336
TAX MAP NO. 90. -4-69 . WARREN COUNTY, NEW YORK
PERMISSION is.hereby granted to .. FLORENCE, RUSSELL & SALLY
OWNER of property located at 64 HELEN DR. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a RESIDENTIAL ADDITION AND SCREENED PORCH
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNERS Address is
64 HELEN DR.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
VERHAEG BUILDING & REMODELING
3. CONTRACTOR or BUILDERS Address
9 SANDSPRING DRIVE
4. ARCHITECT'S Name
MIDDLE •DEPARTMENT
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ADDITION
( )Wood Frame ( )'Masonry ( I Steel ( )
7. PLANS and Specifications- •
200 SIFT ADDITION AND 196 SQ FT PORCH AS PER PLOT PLAN SPECIFICATION
8. .Proposed Use
RESIDENTIAL ADDITION AND SCREENED PORCH
$ 32 2001
PERMIT FEE PAID —THIS PERMIT EXPIRES June 17 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.)
17 June 1999
Dated at the Town of Queensbury this Day of 19
SIGNED BY � Je for the Town of Queensbury
Building and Zoning,Inspector .
•
• . .
BuildingPe m t� Application
•
: , , Town of Q!lC't?/ZSt'Jh'l y - Dept, c f CcinununIly Developnu'nl, 742 hay Road, Owe/ninny, NY 12804 /761-8256/
NOTICr BUILDING LF . CODE ENFORCEMEN7'
E Requirements prior to issuance /
A permit must be obtained before of this permit: PERMIT FILE NO. ,n3
beginning constriction. No inspections
will be:ado-until applicant has received El Zoning Board Action • PERMIT FEE PAID$ j t
a VAI,ID BUILDING P13RMIr. All Asca /Use
• , applicants' spaces on this application RECREATION FL %PAID$ • '
MUST be completed aid•the signature , r• LREV!E WED BY:
SPIt / Subdivision /Other . Building inspector
plicntion form. rn.,e,o,. pp Recreation Pee Payment
Applicant:'. Pt IJVI tta) £1LA) ► �a� p
Owner: k..€e 11 l�-S% t�A Edt
•
• ` Address: q .5-14t�5eNw-6 K.,
Address: fn4 �t ,tiD .
Phone # (ct ) -t• '
Property Location: #CQ V-IELEA ble GZuc Pal)� . qb
Subdivision Name:' Tax Map Number• -.— / 4 / �9
•.. Section Block I nl
NATURE OF PROPOSED WORK: • • ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION.: $ 17 SZ7EMO
residence / commercial . 1
Y. Addition to Building: . •
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial �, Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size -Family Dwelling ,
Office € EI l/
Other. Work (describe below) Mercantile /
Ant1100 -F 5(.49--eLciAA6) - Manufacturing. Other JUN 1 0 19 q
• GROSS AREA OF PROPOSED STRUCTURE: • TOWN OF CUEFNt Rii Y
• 1st Floor 'e � sq. ft. If ADDITION, what SUI IRl , O 20D
2nd .Floor. . . 00 sd, it. of new addition be? :
Other Floors sq. ft. LA-Eh-et Mit,�( -
- (not unfinished cellar or basement) •
• ACCESSORY BUILDINGS:
Detached Garage 1, 2 car .
TOTAL FLOOR AREA: L{M SQ. FT. Attached Garage 1, 2 car
Private Storage" Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
. it, FEET
X ZO FEET ime l— �O Other
9 'Poeat
/ CPS
Foundation Type: ' AL44K I1-Tr'lj Will any second-hand or ungraded
' Number of Stories : II lumber be uced?WvIf so, for what?
(habitable space only- i
Height (grade to - ridge) : 1lp feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or- woodsLove -(circle all which lies)
to be installed: ( Electric / oil / ash/ Wood
Forced Hot Air / Baseboard / Other
Person r6Sponsibiie for superv' si n of woe as regards to bui ding
codes is : -tom( VE 1 it L 514 aPKt+ *-2(qq, ` Ict z ( etL?)
Name g 40dreses ,
Builder: lw7 ,. Phone
Plumber: _tom t o�t ' 6 �� tit �tr L
Mason: 1C
. E'lectrician: ,��l.c..l * • •
-
- DECLARATION: Please signs below of er 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 statement of all proposed work to be done on
the described'premises and that all provisions of the Building Ccxle,Jim 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 surveyor; drawn to scale, showing actual location of project on premises.
•
Signature: IA t .
ow , owner's agent,.architect, contractor)
CR- 3 31 ,
•
ck,. .. _ ENERGY CODE COMPLIANCE APPLICATION
_'- TOWN OF QUEENSBURY, WARREN COUNTY (�
VED
9000 HEATING DEGREE DAYS
-- JUN 1 0 1999
Compliance Methods: PART 5 - Acceptable Practice Methgttyq�OT=QJEENv ,.RP 9'1&2 Family Dwellings (on1yjUiLDI
PART 6* - Thermal Rating - Componen�G g .
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:
gEaN 4 r E :b - P .. 44 -{ b�,
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
I . Gross Floor Area - 14C0 71°"°s _ are feet
2 . `T_vDe of Heat - Electric Oil K Gas Other
3 . Is building mechanically cooled? Yes vk No
4 . Percentage of area of windows and doors o(_ Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R ilk 'fit,
b . Exterior walls R j9
c . Glazed areas R LC,,,E
d. Exterior doors R t.454.1 e
e . Floors over unheated spaces R pi
f . 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
Conforms to minimum efficiency per code Yes No
- TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Applic`nt ' s Signature Date Phone Number
knoll 6 �I'zlq
INS?_C= F.' S REMARKS:
RESIDENTIAL FINAL INSPECTION REPORT /0
. 1.,..,,d y),
Office No. (518)761-8256 Date inspection request received: / •-0
Building& Code Enforcement /' •
Dept. of Community Development Arrive am/pm Depart _ �fi pm
Town off Queensbury Inspector's Initials K
742 Bay Road
Queensbury,New York 12804 C�
NAME `c1 ,.1.�j `c' •2JYV riZ _ PERMIT# -3 3 Cp
LOCATION o DATE
TYPE OF STRUC )y\-1•',N\
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location '
Fresh Air Intake
Plumb Vent through roof _ /
Roof Complete /,
Exterior Finish Complete I - ,/
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,\landing 18 in. or more /
Interior Handrails stairs both sides es 3 or more risers
Grade 2%away from foundation\ \
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade I; \
Gas Furnace shut-off within 30 feet ,r within line of site ✓/
Oil Furnace shut-off at entrance to ace area J
Furnace/Hot Water Heater operating
Relief Valve(s)installed \
Headroom,6 ft. 6 in. on stairs (
Basement stairs,6 ft.4 in. �
Handrail exterior stairs both sides more than risers /
Interior privacy/trim/doors/main entrance 36" J �1
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors: %.\<\\
every level
every bedroom
outside every bedroom /
inter connected X
Bathroom fans ✓/
Plumbing fixtures / V
Foundation insulation '/
3/4 hour fire door/door closer
Garage fireproofing ..—
Garage penetrations sealed j/
Furnace in separate room protected(in garage) /
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical ///) ,D r yA-6, C.C--C • t i) r C-
Site Plan/Variance required
Final Survey 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)
r-
tYSZ-k ,'' 1.
GENERAL INSPECTION REPORT :f j��•��A
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement j
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depar I5 pm
Inspector's Initials
NAME: PERMIT# YA. --33(.p
LOCATION: M 1 DATE : ___ _____D.___;\
TYPE OF STRUCTURE: \ 1 l rY, -
RECHECK
N/A YES NO COMMENTS
Footings/Piers -
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f'
providing protecti• • from , _: ing
for 48 hours following - , i ent
of the concrete. -
Materials for this purpose o' site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi 1
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
g
V do ° �410al �Vi°Q V
l ‘ s\ 17 C-(-70 ,(19\
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
- (-01°09
GENERAL INSPECTION REPORT4/4
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road r -�
Queensbury,NY 12804 Arrive am/pm Departs, - am/pm
Inspector's Initials of
NAME: O S PERMIT# �
LOCATION: y) DATE : 'l — / q—4
TYPE OF STRUCTURE: - -� �
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
of the concrete.
Materials for this purpose on site
FoundationY,Wallpour
Reinforcement in Place
Foundation/D` roofing
Bacic ll Approval _
Plumbing Under Slab
Plumbing Vent/Vents in P1
Rough Plumbing
Heatin_ Li gh-In
r . ;, �on rya
Foundation Walls Interior R-
Foundation Walls Exteri1r R-
Floors
Walls R- ✓/
Ceiling R- N./
Duct work or piping in
unheated spaces R-
per Vent Attic Vent /-
\' "a dng 0 p�G2 'b
\Jack Studs/Headers r
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
�� Wall 2, 3, 4 hour
V.Itirestopping
ppr)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 lt m Depa
corslniti
NAME:c _ 'sc f\C�` �- r PERMIT#
LOCATION: 1 P "l 9Q/tn jr)��Q` DATE : I
TYPE OF STRUCTURE: c�c);-j 0,-\* 1nfi-� I
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place I
The contractor is respons. le for
providing protection fro► freezing
for 48 hours\following t e pl ccmcnt
of the concrc e.
i
Materials for thi urpope on slte
Foundation/Wall r /
Reinforcement in Pla
Foundation/Damppro offing
Backfill Approval
Plumbing Under Slab
Plumbing VenlOents in Place
Rough Plumbing
Healing Rou h-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in •
unheated spaces R-
Pro Vent, Attic Vent (
aming P— 1E- 2 tZ W_ A
Jack Studs/Headers G ot•►�t�� I 3:7‘6W4> i
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier ,
Fire Separation 1, 2, 3, hourPenetration Sealed
Sealed
Fire Wall 2, 3,4 hour •
Firestopping
- 49Al ) 13D
GENERAlL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 ay Road
Queensbury,NY 12804 Arrive Vc aix ____--Depart
Inspector's
NAME:
\p)' ( NN,c o \l4 C�14 PERMIT# ` �
LOCATION: DATE ' — a'p
TYPE OF STRUCTURE: \ S•1\4 S?i o,1 -—
RECHECK
YES/NO COMMENTS
_ t gs/Piers` . � (-1L L1E N/A \,/ I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following placemen
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 1—
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
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road / ` / �n/p
Queensbury,NY 12804 Arrive am/pm Depart/ -/ 11 /p
Inspector's Initials --.1
NAME `c f c PERMIT#
LOCATION: (sU\ ) 1\ )n DATE :
TYPE OF STRUCTURE: ( ,�t�1' I,�
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ible for
providing protection fr m g
for 48 hou ollowin the pl ment
of the concrete.
Materials for this purpo on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo vl‘ckfill 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
GENERAL INSPECTION REPORTpm
1
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive o D• OP DepartZ: "gym
spector's Initial•
NAME: \ S Sc) c1 CSz__, PERMIT# , /I
LOCATION: 1 DATE : C i
TYPE OF STRUCTURE: v, �
RECHECK I'
• N/A 17 NO COMMENTS
tings/Piers
$onolithic Pour Form \
VReinforcement in Place
The contractor is responsible for
providing protection from . ` ing
for 48 hours following the placement
of the concrete. !
Materials for this purpose o?;if site
Foundation/Wallpour y
Reinforcement in Place
Foundation/Dampproofihig
Backfill Approval `
Plumbing Under Slab
Plumbing Vent/Ventsjin Place .
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work o 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