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1999-560 BUILDING PERMIT VALUE $ 10000 TOWN OF . QUEENSBURY 99560 No. TAX MAP NO. 91 . —5-12 WARREN COUNTY, NEW YORK • lJ / �✓ CHAPMAN, RICHARD & CHERRY PER SSIONtis hereby g ted to 387 DIXON RD Street,Road or Ave. 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 Town of Queensbury Building and Zoning Ordinance. tS/ NDTiefil-Kb. QUEENSBURY,". NY. 12804: 2. CONTRACTOR or BUILDERS Name BALOGH CONSTRUCTION G;o TOSm 1ii0ERS Address QUEENSBURY,.. NY. . 12804. 4. ARCHITECT'S Name 6. ARCHITECTS Address 6. TYPE of Construction—(Please indicate by x) RESIDENTIAL _ADDITION ( )Wood Frame 1 I Masonry ( )Steel 1 ) 7. PLANS end Specifications 220 SQ FT.- RESIDENTIAL...ADDI.TION... (PORCH/PANTRY) AS PER PLOT PLAN SPECIP`2CATIONS 8. Proposed Use RESIDENTIAL. ADDITION 16 . September 9 . 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 Oueensbury before the expiration date.)9 Sept@Tuber. 1999 Dated at the Tow Queensbur his Day • 19 SIGNED BY for the Town of Queensbury (Wadi and o Inspector qq-S76) • t__= ENERGY CODE COMPLIANCE APPLICATION TOWN OF. QUEENSBURY, WARREN COUNF'r it- 9000 HEATING DEGREE DAYS " AUG 27799g Compliance Methods: PART 5 - Acceptable PracticgOMettg 7- 0,4 1&2 Family Dwelling ) NSBURY t PART 6* - Thermal Rating - Componen tiffs 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: rGj-►pfi t"kdC �rdufziamere 3S- 1- %) xal.J ©d 62..E ��Ksuh • / PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - �-a' sa-uare feet 2 . Tv e of Heat - Electric Oil Gas Other 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 R3 ' b . Exterior walls R 4 el 6 " c . Glazed areas R d . Exterior doors R e . Floors over unheated spaces R f . Edge of slab on grade (heated building) R - g. 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 Conforms to minimum efficiency per code Yes No - TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Applicant ' s Signature Date Phone Number INSPEC=CR' S REMARKS: • • I ' Building Permit Application Town of Queensbuiy - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-82561 INOTIC BUILDING & CODE ENFORCEMENT ERequirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. beginning construction. No inspections PERMIT FEE PAID$ will be made until applicant has received n Zoning Board Action a VALID BUILDING PERMIT. All Area /Use RECREATION FE PA�IDD$ applicants' spaces on this application . ��(/ MUST be completed and•the signature Q Planning Board Action REVIEWED BY: of the applicant must appear on the SPR / Subdivision /Other Building Inspector implication form. 7hank,nu. J Recreation Fee Payment 'fir ., , m - Applicant: P2 t`d a-1,4 d-C .J,1 -e r-r y c_-k-Q/0 ulOwner: -- I u PI.I. �I11(� 2 / i sg . ' Address: 3 Xi R a u•e-e KS1u 7-Address: -S`r lit .t<<u v.- UUL EN�, � ,,., SBURY „„„idf;_.D NG AND CODE Phone # 01s-) 7y - 36.35 Phone # ( • ) I;{• `" _ Property Location: 9/ / <1 /, - Subdivision Name: Tax Map Number_ Section Block Lot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ jO,000 residence / commercial .Addition to Building: gesidencee/ commercial OCCUPANCY INFORMATION: Alterattom to Building: Primary Building - residence / commercial X 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: If ADDITION, what will use 1st Floor 20-a- sq. ft. of new addition b ? : 2nd .Floor sq. ft. pp,/-�G -/> ,v' y Other Floors sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: 2 2 0 SQ. FT. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building /0 FEET X `22_ FEET Other Foundation Type: (160PA l CO/)Cat Will any second-hand or ungraded ' Number of Stories : j lumber be used? If so, for what? (habitable space only) I X' 0 •' Height (grade to ridge) : 2 (2 - feet TYPE OF HEATING SYSTEM: /0 0 .4.) - Number of fireplaces and/or woodstove (circle all which applies) to be installed: p" Electric / Oil / Gas / Wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work as re ads- to building codes is : 0(qJ .,4'1( ¢I `' -O Alias' _ ' ow', 793—K7941 Name Addresss Phone /A Builder: /1 -L(7 /-1 c o 't-,evericou '793 _", -7git Plumber: ( Mason: P AA,6'— HOW AeD CO i ff 17 ape wog -. c)-Z.e-0'2-22 Electrician: ,fl„O g-7Z - AI/412 t- :z4 .1--K, L tJ a- it 6 q 6-- l{93- 7 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, 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 Uwe 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: g(.. a,...„cio,,,A.,,,, (owner, owners agent, architect, contractor) COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 ??. MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Sec Panel Board No ,L Cert. N2 /64887� Cut-in Card No. Owner (( Cfi�42j2 e /J/oh di off®/� Location 3 7 at-VQ� ,e 'y'-at lr�/ Installation Consisting of S ! re fC4i, `Z #z f 4/14 a Installed By 23- Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of ma ' 'nspections at any time, and if its rules are violated,the Company shall have the right to vok t s c if ate. Date to `�4 L y INSPECTOR. ne..... o♦ TACT • , • !' 3RY),0 M GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Quecnsbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive j%7Jam dr rep• 'r/� � � Inspector' • 1. C) NAME: 9\\--(VDOr � C_f Q�` r1'\O'11Y\ PERMI ►A \ �J �' LOCATION: `jR� t 1 (. DATE : — 1 TYPE OF STRUCTURE: kc 1 RECHECK N/A YES NO O COMMENTS Footings/Piers 1 I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection freezing for 48 hours followi g th placement of the concrete. Materials for this p rpose on'site Foundation/Wallp ur , Reinforcer ent in lace Foundation/amp roofing Backfill Approval Plumbing Under ab Plumbing Vent/V nts in Place Rough Plumbing Heating Rough-In L-k6ulation 091- �'�vte_ t31SH�W. iR - C Foundation Mips Interior R- e Foundation Walls Exterior R- _ Floors R- Walls R- 11 e/ f 1J _I ED VII)V_ L ���E C Ceiling R- 30 ✓ E- 6 ' m.)QE Duct work or piping in D 'F-r unheated spaces R- ' .per Vent, •'ttic Vent 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 JOooA • GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Quccnsbury Dept. of Community Development ' Date inspection request received: Building& Code Enforcement 742 Bay Road Quccnsbury,NY 12804 Arrive Ib am m Depart m • Inspector's Initia NAME: c..)1 c k C-01\G411PERMIT# (00 LOCATION . ' Ar}.,l C �� C) _ DATE : TYPE OF STRUCTURE: (�j) \ 5'r �— RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection fr,oayfreczing for 48 hours following the placement . of the concrete. 1 Materials for this purpose do site Foundation/Wallpoui i Reinforcement in Place Foundation/Dampp roofing_ Backfill Approval t Plumbing Under Slab Plumbing Vent/Vent ;iti Place Rough Plumbing Heatin 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 Vf.ering Jack Studs/Headers Bracing/Bridging Joist Hangers • Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scale Fire Wall 2, 3;4 hour Fire T p Sing • GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Quecnsbury Dept.of Community Development ' Date inspection request received: Building&Code Enforcement 742 Bay Road ]]1 Quecnsbury,NY 12804 Arrive am/pm Departllk5 m/ m Inspector's Initials - NAME: PERMIT# f\ 5LoD LOCATION: 7 N;X���\` DATE : 9 --1 ctC TYPE OF STRUCTURE: rt? S RECHECK N/A YES O COMMENTS otings/Piers r I I Monolithic Pour Form �. Reinforcement in Place .;). The contractor is responsible f�o�' providing protection from freezing for 48 hours following the placement \ of the concrete. Materials for this purpose on site /` Foundation/Wallpour t Reinforcement in Place Foundation/Dampproofing / Backlit' Approval Plumbing Under Slab 1 Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In l 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 I, 2, 3, hour Penetration Scaled Fire Wall 2, 3,4 hour Firestopping . = '..,I 1 i I I _I I-1 . 1 1-_I_ I 1 I- _i--I 1 , I ,-Y L1 i ! 1 I l I l i i l l 1 1 1 1 I I ; ! I l I i l I I I j I I i I ! j 1 I ! I _ I I -1i i ! I I I 1 /�' 11 1 ! I I I I I l i ! 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