98-235 CERTIFICATE OF C►CCUFAI*Ti CY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date
July 10 t9 98
L ^�+. .._._
98235
This is to certify that work requested to be done as shown by Permit No,
has been completed,
RESIDENTIAL ADDITION
This structure may be occupied as a
88 FOX RD .
Location
SEAMAN , . DAVID & BISTLINE ,
Owner
TAX MAP NO , 2 6 . - 5 - 2 3 By Order Town Board
TOWN OF QUEENISOURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE $ 25000 TOWN OF QUEENSBURY No. 98235
TAX MAP NO . 26 . — 5 - 23 WARREN COUNTY, NEW YORK
PERMISSION is hereby granter! to SEAMAN DAVID & BISTLINE
OWNER of property located at
$8 FOX RD . Street. Road or Ave.
in the Town of Oueensbury. To Construct or place a RESIDENTIAL ADDITION
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance.
1. OWNER'S Address is
MARYELLEN 88 FOX RD .
QUEENSHURY . NY 12804
2. CONTRACTOR or 13UILCER"S Name
HERLIHYr WILLIAM
3 CONTRACTOR2 4 ' X HOL or tLDER'S Address
L+C1W LANE
QUEENSBURI NY 12804
4, ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. AI 41W
HAGUE , NY 12836
6. TYPE of Construction — (Please indicate by x) RESIDENTIAL ADDITION
( 1 V ood Frame ( I Masonry I ) Steel ( 1
7. PLANS " Specifications
550"qSQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
8, Proposed Use
RESIDENTIAL ADDITION
4$ May 14 2000
PERMIT FEE PAID — THIS PERMIT EXPIRES 78
It It a longer period is required an ppucat ion for an eKt enrioo RWO be made to the 8wlId Ing and Z'o ning inspector of the
town of Queensbury before the aspiration dale.} g
14 May
Da 1f3
Dated at the Town of pueensburV this of�T Y
eI for the Town of 4ueensbury
SIGNED BY
ikling end Zoning er
Butiaing Permit Application
Town of Queensbury - Dept, of Communily Development, 742 Bay Road, Queenvhury, NY 12804 1761-82561
BUILDING & CODE ENFORCEMENT
NonaRequirements prior to issuance
A permit must be :obtained before of this permit: PERMIT FILE NO.
beginning construction. No inspections PERMIT FEE PAIL) $ -�
will be made until applicant has received F-1 Zo dng Board Action
a VALID BUILDING PERMIT. All Area I Use RECREA77ON FEE PAID $
applicants' spaces on this application
MUST be completed and the signature Q Phinning Board Action REVIEWED BY.-
of the applicant must appear on the SPR / Subdivision I other Building Inspector
pplication form. rat s� Recreation Fee Payment
Applicant; I P_ir ti Alt / Owner:
Address c,.y Low Pa 4 Loci-) Address;
Phone # ( --_ _� _ " _ "1 Phone # -'�
1'rt>l>e rly f .ocalitan : 1 115 1Z3
Subdivision Name: Tax Map Number _ Section Block Tnt
NATURE OF PROPOSED WORK * vSTIMATED MARKET VALUE OF THE
New Building : CQNSTRUCTIQDF : $ S, a�
residence / commercial
"3c Addition to Building :
residence / commercial OCCUPANCY INFORMATION :
Alteration to Building : Primary Building -----�_._.
residence /' commercial _fir Single Family DWe g
Residence / Commercial Two Family Dwellin
no change to exterior size Of f1Ceamily Dwell ! Why
( 7 19M
Other Work ( describe below ) Mercantile - : rAy
Manufacturing _
Other _� ; .. .,_
GROSS AREA OF PROPOSED STRUCTURE *
lst Floor . . . . . . . . F- sq . ft . If ADDITION , what will use
2nd .Floor . . . . . . . . sq . ft . `7f new addition be ? :
Other Floors . . . . sq . ft .
( not unfinished cellar or basement ) ACCESSORY st1IT.DINC;}S :
Detached Garage 1 , 2 car
TOTAL FLOOR AREA : 5 S t> S+Q o FT . Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
[ether
P. 'a.._ FEET X opL FEET
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 and/ or woo stave ( circle all which appli s )
to be installed ; Electric / Oil / Gas / Nod
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is :
Name ddresss Phone -
Builder : 9 t~ QI
Plumber : 3
Mason :
Electrician ' _
DECZARA770N:• Please sign below gfter you have care,,/ully 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 Cam liance being issued, an AS BUILT PL+dT PLAN by
AP
a licensed surveyor; dr , to scale, howltua1 location of project an premises.
Signature: v
owner, owner's agent, architec contractor)
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURYO 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 - Sig square feet
2 . Type of Heat - Electric oil —25 . Gas Other
3 . Is building mechanically cooled? Yes No
4 . Percentage of area of windows and doors Over 17 % Under 17 %
5o, R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED :
a . Roof R
b . Exterior walls R
c . Glazed areas R
d . Exterior doors R
e . Floors over unheated spaces R
f . Edge of slab on grade ( heated building ) R _ +o sZ
g . Basement / cellar walls ( above grade ) R _ A,5 (I
h . Basement/ cellar walls ( below grade ) R A.;o v
i . Heating/cooling-ducts -piping in unheated space R /U
6 . Service ( domestic ) hot water heating device
Conforms to minimum efficiency per code �& _ Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400o-. WILL NOT BE EXCEEDED
App l is Si to 0 + q Cam- Phone Number
INSPECTOR ' S REMARKS :
�_ RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 Date inspection request received: ' /O-W1.
Building & Code Enforcement (d ` Y
Dept. of Community Development Arriveamlpm Depart
Town of Queensbury Depart
Initials f
742 Bay Road
Queensbury, New York 12804
NAME 74 AM A i�) PERNUT #
LOCATION DATE O -Cly
ram!
TYPE OF STRUCTURE
Nf YES NO CO !11��
Chimney Height/"B" Venvfli cct Ven +on Rif
Fresh Air intake
Plumb 'Went through roof.
Roof Complete
Exterior Finish plete
IntenorfExterior Ra s 30" t
Exterior Handrails, balconies, ding 18 in. or more
Interior Handrails stairs both 'des 3 or more risers_ r
Grade 2% away from foun on
8" clearance to sill plate
Gas Valve shut-off expo regulator 18" above grade —.
Gas Furnace shut-off wi 30 feet or within line of site
Oil Furnace shut-off at trance to furnace area
Furnacell-Iot Water Hen operating
Relief Valve(s) install
Headroom, 6 it. 6 in. stairs
Basement stairs, 6 ft. 4 in.
I landrail exterior stairs both sides more than 3 risers
interior privacylnimldoors/main entrance 36" ��
Floor Finish
Bathroorn/Kitchen watertight
interior Handrails Balconiesfl_anding 18 in. or more
Railing across window in stairwells
Smoke Detectors: Q r _ RAW*.
� , n
every level ° �
every bedroom
outside every bedroom
inter connected —70
Bathroom fans
Plumbing fixtures
Foundation insulation
1/a hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected {in garage)
Light ventilation per
Safety glazing 18" o le s om floor
Final Electrical �
Site Plan/Varian r uired
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue CIC (Certif of Compliance) —
Okay to issue temp. C/O (Certif. of (occupancy)
Okay to issue permanent CIO (Certif, of Occupancy)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Office 357 Elwyn Terrace — Martheim, PA 17545 67
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No- ....-•....... .. .. Cert. 59154 Cut-in Card No. ,. .. ... . . .. . .
OwnerDAIi r.p. . . ... ..4, ? ..1/ . .. . .... .. . ................... .. . . ... . . . ... .. ... ..........
Occupant .. . ........ .... ............ . Y . . . . ., . . __ _........., ...... ...., . .. . ., . . . . ., .
Location .-5. ... . .,_I2.I. ...-.......... ... ....... .. ..... .._ ... . .
S'r
Installation Consisting of - ---------------------------_ . . . . . .y. . . . .. .-.. .. .......... . . . . .�. . -. . --. . . . ..
...�....d� Ie, "._ [7a9I .T� 4d4 ddd . . . --
.. . . . .. . . . . . . . . . . .....
Installed By . •.! .,.3,. 1j'Gi.ri4 (D #+112 E . ... . . . . .. . . .. .. . ...... Lie. #-. .. . . . . . ---. . . .. . . . ------------- ----
The conditions following governed the isxuance of this certificate, and any Uertirwite prcviouQy
issued is ca nee lie d: —
This certificate only covers the electrical equipment and installation conditions a% of [laic. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of (his Company shall have the privilege of making ins e o at inyyyy time, and it' its
rules are vii"olalated. tthe CCompany shall have the right to revo t certi d Jl
Da to . ....,.5.. .G[..7�5/ ..?� -...... .. INSPECT - ...
.. -^- ./�. . . ... .E.....I . ... . . . . . .
.. ..Member 14-F.P.A. I.A.. .
GENERAL INSPECTION REPORT
Town of Queensbury /
Dept. of Community Development Date inspection request received: fG' f7
Building & Code Enforcement
742 Say Road
Queensbury, NY 12804 Arriv ° a pa
Inspector's Initial
NAME: L. P^Av^ # P` �
LOCATION: 2 DA
TYPE OF STRUCTURE:
RECHECK
NIA. YES NO COMMENTS
Foonngs/Piers
Monolithic four Form
Reinforcement in Place
The contractor is responsible for
providing protewtion from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vznts in Place
Rough Plumbing,
Heating Rough-lr
insulation
Foundation Wails Interior R-
Foundation Walls Exterior R-
Fioors R-
Walls R- 1�
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent. Attic Vent
Framing_
Jack Studs/Headers
Bracing/Bridging
Joist Hangers,
Jack Posts/Ma in Beam
Air Infiltration Barrier
Fire Separation 1 , 2, 3 . hour
Penetration Sealed
Fire Wall 2. 3 . 4 hour
l:i restopping
kENEREIL INSPECTION REPORT
Town of Q►u+eensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Qu+eensbury, NY 12804 Arri o o am4 i Depart, : -, a m
Inspector's In* '
NAME: d�v'1 PERMIT #
LOCATION: DATE
TYPE OF STRUCI`URE: .
RECHECK
NIA YES NO COMMENTS
Foatings/Piers� I
Monolithic Pour Form
Reinforcement in Place
The contractor is respon 6le for
providing protcrtian fro Freezing
For 48 hours following the acement
of the concrete_
Materials for this purpose on si
Foundation/Wallpour
Reinforcement in Place
Foundati on/Darrtppr o ofi n
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vmnts in Pla
Rough Plumbing
Heating Rough-it
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
yak raming
CC Jack Studs/Headers
Bracing/Bridging
Joist Hangers_
Jack Posts/Ma in Beam
Air Infiltration Barrier C � � t `"�G
Fire Separation 1 . 2. 3. hour
Penetration Seated
Fire Wall 2. 3, 4 hour
Firestopping � L- � fir1+pU '1F j cc>Kv C\ &,;PV7T l
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761 -8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 6
I
NAME
LOCATION ` 'Q`ti,„+�
DATE PERMIT # _ rW L3�
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIG G
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO, SPRINKLER SYSTEM
ALARM SYSTEM
i INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS _
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
• ''CHIMNEY
WOODSTOV E
FIREPLACE - MASONRY
FIREPLACE _ FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
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INSPSUP.PUB INSPECTOR
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