1999-557 BUILDING PERMIT
VALUE $ 6000 TOWN OF QUEENSBURY No 99557
TAX MAP NO. 19 . -1-47 WARREN COUNTY, NEW YORK
PERMISSION is hereby gr
anted to GURBA, JOHN A.
8.9-91 PILOT KNOB RD. Street,Road or Ave.
OWNER of. property located at
RESIDENTIAL INTERIOR ALTERATION
in the Town of Oueensbury,To Constructor 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 Town of Oueensbury Building and Zoning Ordinance.
t. O R' ,isUT KNOB RD.
KATTSKILL BAY, NY 12844 ,.
2. CONTRACTOR or BUILDERS Name
PAULIN, . S.TEVE . .
3. CONTRACTOR or BUILDER'S Addross
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of.Construction—(Please indicate by X) RESIDENTIAL .ALTERATIONS
( )Wood Frame ( I Masonry ( )Steel ( I
7. PLANS and Specifications
560 SQ FT RESIDENTIAL INTERIOR ALTERATIONS AS PER APPLICATION
No.
8. Proposed Use
RESIDENTIAL INTERIOR ALTERATION. =
24 : . , . .;. September 2 .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 Gueensbury before the expiration date.) 1999
2,..:. .. September
Dated at the Town of Oueensbury this Day of 19
SIGNED BY for the Town of Oueensbury
Building and Zoning Inspector .
'�sa TOWN OF QUEENSBURY
*fro742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518)761-8256
BUILDING PERMIT
Permit Number: 99557 Application Number. 99557
Tax Map No: 523400-227-018-0001-015-000-0000
Permission is hereby granted to: GURBA.JOHN A.
For property located at: 89 PILOT KNOB Rd
in the Town of Queensbury,to construct or place
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. Type of Construction Value
Owner Address: JOHN A GURBA Unlrnown 6,000.00
89 PILOT KNOB Rd Total Value 6,000.00
KATTSKILL BAY,NY 12844-1606
Contractor or Builder's Name/ Address Electrical Inspection Agency
PAULIN. STEVE
Plans &Specifications
RESIDENTIAL INTERIOR ALTERATION/560 SQ FT RESIDENTIAL INTERIOR ALTERATIONS AS
PER APPLICATION
•
S24.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: SEPTEMBER 0 2, 2 0 0 2
(If a bnger period is required,an application for an extension mist be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the f Qu b ; hi sda , September 02, 1999
SIGNED BY - \ for the Town of Queensbury.
Director of Building&Code Enforcement
Building Pe) t. 4pplication
Town of Queensbury - Dept. of Conniuniry: velopnte,,t 742.&ay Road, Queearbury, NI' 12804 1761.8256J
°' • BUILDING & .C:OD$ E.NF01t'CEi1fENT '2. 10
NOTICERequirements prior tc issuance
.A permit must be obtained before of this permit: . ... PERMIT FILE NO. 7
da
beginning construction. No inspections ' . . •
PERMIT PEE PAID$
will be made until applicant has received E:�lng Board.Aerlon
a VALID BUILDING PERMIT. All • Area 1 Use • '
applicants'spaces on this application RECREA7YON PEE PAID$
MUST be completed and.the signature Q pig BOgTd ACtIOn. . REVIEWED BY:
of the applicant moat appear on the .SPR"/ S�bdivisicri./othoa Building/nrredor
li�don form. nn.F,or Recreation Fee Payrumt ,/� /,,,,
Applicant:. VA) -.Owner: •V 2/1-thrbeu
Address: /�'11 RIB •J if 112 .r `Address: 9/ /?/D ' �l�2J�
Phone# (Sly)21, c871 • . Phone# (. ) _ __
Property Location: _ T!_Tr� / 1 1 r
Subdivision Name: • _Tax Map Number
• . . --Section Block Tnt
NATURE OF PROPOSED WORK: gSTiHATED MARKET VALUE OF T
New Building: • CONSTRUCTION: $ — to®
residence / commercial
A itinn to Building: •
residence / commercial OCCUPANCY INFORMATION:
Al Buiing:r Pr mary Building -
residence / coldmmecial . Single Family
41, Resi unmerCial - Tiro Family DwelW .q' p
no change to exterior size • . Family Dwelling El VED
- Office AUGOther Work (describe below) ' • . Mercantile
• :Manufacturing
�999
�_ Other 'OWN op QUEE?�{ �
'
GROSS AREA OF PROPOSED STRUCTURE: G -
1st Floor /j o sg, ft, .•
If• ADDITION, what i. --u CODE
•of new addition be?:
2nd .Floor sq:..ft•. •
Other Floors eg. ft. ' .
(not unfinished cellar or basement) :ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE Or NEW STRUCTURE: Commercial Storage Building
/0 FEET X ti//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 OF HEATING SYSTEM:
Number of fireplaces nd/or woodstove all which applies)
to-be installed: II Electric / Oil / Gas / Wood
• o : -a of Air / Baseboard / Other
Person responsp.ble fo sup ervis'ion of l�a regards to building
codes is: 'M ] Q,/.SOY • ' �1 tlT, 61� t� lo `7<")3P�
/,, Namern Addresss'• Phone
Builder: 4tt,etd, 1- uP titi /y4,2i�910
Plumber:
Mason: �" "
Electrician: Q(it rtLLra,w' • •
DECLARATION Please sign below co*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 of Occupancy'or Certificate.of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor, • :wn to scale,sh • actual lo`catiion of project on premises.
Signature: �l.F l//' ' �J �, �`,•• !,
(owner, owner's agent, architebt;contractor)
•
TO 39Vd d Aa1lBSN33fli AO NMOl LEbb9tG8T6 b9:GI 666T/LT/80
•
•
tom= ENERGY CODE COMPLIANCE APPLICATION
�3__- 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:
Jv�r- ��r�s g/ /1a1 W
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - °6 square feet
2 . T-y-oe of Heat - Electric Oil Gas Other �(iiV
3 . Is building mechanically cooled? Yes /`--No •
4 . 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:
a . Roof R 36
b . Exterior walls R )
c . Glazed areas R ,ig / 7
d . Exterior doors R a.J
e . Floors over unheated spaces R /c
. Edge of slab on grade (heated building) R /4.
c. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R
1 . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device z -
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
A c _c, _ �L" l Date Phone Number
II, P C=CR' S REMARKS :
a-3 pi)?
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 2;',D arDepart ' p ! 67
Inspector's Initi;
NAME:
PERMIT#
Lam'\M �
LOCATION: 6 , D-Ap r :� J
TYPE OF STRUC � � cc�( t�^11'G\
RECHECK
N/• ¶ S NO COMMENTS
Footings/Piers I
Monolithic Pour Form Reinforcement in Place tt0 ezik C` RI"k`kL
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 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 pk2.-V-t.-t a*N+Ft
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Tnfiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3, 4 hour
Firestopping