HomeMy WebLinkAbout844_1_001_165.50-1-59_171_CHURCH_NA I r7
Permit Records For Saratoga Springs Building Department PERMIT NO.
Applicant Phone No. Date
Owner r/
•^ f l -�''-`��C;tE`-'f�-,�,, � Phone No. Date C. O. is Issued
COMMENT ON PLANS:
Address
Architectj' '� Phone No.
Date Plans & Specs Received & No. of Copies
Name of Person Submitting Plans
Name of Person Receiving Plans
Proposed Location
Type of Plans Reviewed By
—One Family —School
—Two Family —Church
—Apt. House —Commercial
—Pre Fab —Addition
Review of Plans: Date Sent To Whom
Date Plans Returned to: Owner Arch. Other
Plans Resubmitted: By Date
Plans Rechecked By: Date
Check Following Items Before Permit is Issued:
—Certificate of Insurance —Engineer's Letter —Supt's Approval
—Board of Health Approval —State Labor Dept. Review L Truss Certification
—Sewer Permit —NYS Code Review —Water Dept.
—Planning Board Approval —Zoning Classification —Highway Dept.
—Board of Appeals Variance —Approval Stamp on Plans —Site Inspection
—Fire Department
CITY OF SARATOGA SPRINGS
BUILDING DEPARTMENT (518)587-3550
INSPECTOR REPORT
Job Site I 1 1 c%NL,ttxatessT. Permit# 2-0-1`f25 File# ct�f`fi
Footings Foundation Insulation
before before Rough Rough before Septic Other OD
Concrete Backfill Framing Plumbing Sheetrock
I
F )--t 1 l F i M 5+.4 Pen- Prw P iii ctzo P 1Zc-
Passed) Reinspection Failed
Required , Stop Work
Inspection Date 1-12.4-41c),-L.- Inspector tZB gict -"lr
File No. 14 '--�
APPLICATION FOR BUILDING PERMIT -- CITY OF SARATOGA SPRINGS
Building Department, Department of Public Safety •
City Hall, Saratoga Springs, New York 12866 -- [518] 587-3550
Application is hereby made to the Building Department for the issuance of a Building
Permit pursuant to the N.Y. State Uniform Fire Prevention and Bulding Code for the
construction of buildings, additions or alterations, or for removal or demolition, as
herein described. The applicant or owner agrees to comply with all applicable laws,
ordinances, regulations and'all conditions .expressed on this application which are part of
these requirements, and also will allow all Inspectors to enter the premises for the
required inspections. The following regulations shall apply:
A. Application must be filled in completely and submitted to the Building Department.
B. Application must be accompanied by:
1 . Plot plan showing lot dimensions; buildings on the lot and their distances to one
another and to the lot lines; and a detailed description of' the layout of the
property.
2. Complete set of plans showing proposed ,construction and a complete set of
specifications. . ; ,
3. Appropriate permit fee.
{
C. Work covered by this application shall not commence prior to permit issuance.
D. Occupancy of a building or premises to which this application applies shall not occur •
prior to the issuance of a Certificate of Occupancy by this Department.
E. Any deviation from approved plans 'must be'authorized by the approval of revised plans
subject to the same procedure established for the examination of the original plans.
F. Building Department shall' be notified [minimum notice - 24 hours in advance] according
to the required schedule of inspections, which shall include but not limited to: -
1 . Foundation footing before. pouring concrete
2. Foundation before -backfill
3. Secure surveyor's location of foundation and submit to Building Department
4. Plumbing, heating; framing, electrical "and'insulation before closing in of work.
5. Prior to occupancy, final inspection..for Certificate of. Occupancy.
G. All electrical work needs inspections by and a certificate, of compliance from an
approved inspection agency.
. : _'
H. The building permit is effective for one year from the date of issuance unless
conditioned for a lesser period of time. , .
For office use Zoning Information
Application No. il'8qS Zoning Districte 45.5 -['q
Permit No. 2 +ZA - Sect-Blk-Lot :(?�aA/ •
Date Applied O In �1 P-111.
Lot Width Lot Area 4!9
issue/day date Z, (B e t No. of Bedrooms -=,----=-`
Permit t Yp e 1st "='------'-'
14-0›. 320
Permit fee -�, ,g No. of Stories ---7-----t s-----12nd. Floor Area s1
Bldg, Height •-7------t' Basement Area --------r
•
Job Site /7`C /eCj da(ea-.r— Yard Dimensions for Principal Building
Front 1.45 Rear Akio Left 470 Right 115
+ Owner 1A S k-`1 fmn.4t° Accessory Building _ Distance To
Address rn C}10461.( 4or Principal building ] Left lot line.
A Part44%,
Rear lot line Right lot line `
14Q 'Y 1 r
Phone sn 406230
+ Applicant 1.1- S
*Pib� Is job site in a floodplain? yes_ no
C �, Is job site in a historic district? yes X no
Address
' A %y Nif
Phone Construction Costs �,C
+ Contractor e---. "r �`
Basic Improvement0141010 :
$ \
Address Electrical
Plumbing
Heating .
Phone ,--- Other -6910Siigeo of
90 a Oi'
\ Comp. Carrier TOTAL COST $ /SOD.00
Policy No •
%
If
?AGE2
SPECIFICATIONS. & MATERIALS CHART----,---
GENERAL SIZE MATERIAL SPECIFICATIONS OTHER
FOOTINGS ^.�.
.� ��� psi
DRAIN - --- ,going to:
SLAB �—
w.' psi
FOUNDATION WALL a
• WATERPROOFING .. .. , ems..
VENT —
COLUMNS, PIERS y,
e--fi --,
psi
GIRDERS
EXTERIOR WALL STUD zik
4 - . vrer : ' Aiwehe 0.c.
INTERIOR WALL STUD
FLOOR JOIST, 1st FLOOR
FLOOR JOIST, 2nd FLOOR
CEILING JOIST
ROOF RAFTER • ZS -
COLLAR TIES
2)44 5icop ofmcit, 0.c.
RIDGE 4 ._ si
FLOOR SHEATHING ' . ' I'
r. s iq yi
WALL SHEATHING
. )r.,_ _. ) , ,,,v, ./.41? . -
ROOF SHEATHING ...
—. , r..,..,,,.„,,,,,,. op • ,
INSULATION i 4f
SIZE MATERIAL VAPOR BARRIER R–F ,'
FOUNDATION —OUTSIDE
FOUNDATION =INSIDE
UNDER SLAB •
EXTERIOR WALLS
CEILING/ROOF
i
FINISH WORK . SIZE MATERIAL
mmomm. `' UNDERLAY OTHER
EXTERIOR'WALLS
INTERIOR WALLS '
'+':•s ?r
FLOOR .F iC >
•
CEILING
ROOF r- . •._- `,.,_
MISCELLANEOUS ''
• SIZE --- MATER.,'-_-
1 „,/////72.."7/
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Page 3
HEATING SYSTEM PLUMBING - # UNITS & VENT SIZE
TYP FUEL SINKS LAVORAT EI S
VENT-MATER SIZE _ TOILETS /SHOWER
SEWER - TYPE - CITY PRIVATE
DESCRIBE (DRAW ON SITE • AN)
WATER SUPPLY - CITY , PRIVATE
CHIMNEY AND/OR FIREPLACE : MAT AL
FLUE SIZE
GARAGE TYPE : ATTACH.: DETACHED " `- UNDER — ,O. CARS '—
GARAGE/DWELL SEPARATION : Door Type Hr. Fire Ra ng
aterials: Hr. Fire Rating
'ORCH: FOOTING FOUNDATION
ADDITIONAL INFORMATION: 77/43 4F(7 UC.47 c / . /d'T7w()ED
:�� �� 8`x ,g' �` o .._
e-trame,-----dicatraammE,' Al111111111N% M14 401 -1 ....1
STATE OF NEW YORK
ss:
•- .t of
being duly sworn deposes - -a e is
the applicant previously named. He _ e _° of said owner or owners,
and is duly authorized to perform or have . - 'oriu he said work and to make and
file this application; that all st. -ments contained in this ication are true
to the best of his knowledg- -nd belief, and that the work will be per • -.d in the
manner set forth in t. - application and in the plans and specifications filed t -
with. ti
Swor o before me
This day of 19
Signature of Owner
Notary Public County
Signature of Applicant
. .
PAGE #4
Date Location .e Permit/Filo No.
* LOCATE MAIN BUILDING, ACCESSORY BUILDINGS, AND ANY ADDITIONS,
GIVING ALL PERTINENT YARD DIMENSIONS.
144 REAR LOT LINE 55 ft 3. 1
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LIBERTYGUARD DELUXE HOMEOWNERS POLICY DECLARATIONS 77RENEWAL A
LIBERTY MUTUAL FIRE: INSURANCE COMPANY (s L-1
BOSTON, MASSACHUSETTS
POLICY NUMBER
I H32 -221—635756-001 0 THESE DECLARATIONS EFFECTIVE 02/26/01
NAMED INSURED AND MAILING ADDRESS
JAMES J FRANCO RESIDENCE PREMISES INSURED:
EMILY EVERETT FRANCO SAME AS MAIL ADDRESS
171 CHURCH ST
SARATOGA SPRINGS NY 12866-1224
POLICY PERIOD: 02/26/01 To 02/26/02 FOR SERVICE CALL OR WRITE:
12 : 01AM STANDARD TIME AT THE 3258 ROUTE. 9
RESIDENCE PREMISES SARATOGA SPRINGS NY 12866
518-583 -1600
CLAIMS: 800-252 -5730
SECTION I AND II: COVERAGES AND LIMITS UNDER YOUR LIBERTYGUARD HOMEOWNERS POLICY
I:COVERAGE A — YOUR DWELLING $160, 000
COVERAGE B — OTHER STRUCTURES ON RESIDENCE PREMISES $16, 000
COVERAGE C — PERSONAL PROPERTY WITH REPLACEMENT COST $112, 000
COVERAGE D — LOSS OF USE OF YOUR RESIDENCE PREMISES $32, 0.0:0.
II:COVERAGE E — PERSONAL LIABILITY (EACH OCCURRENCE) $300, 0;0!0
COVERAGE F — MEDICAL PAYMENTS TO OTHERS (EACH PERSON) $1,000
DEDUCTIBLE: LOSSES COVERED UNDER SECTION I ARE SUBJECT TO A DEDUCTIBLE OF $500
PREMIUM SUMMARY: FORMS AND ENDORSEMENTS SHOWN ARE MADE PART OF YOUR POLICY
HO 00 03 04 91 BASE COST FOR THE COVERAGES AND LIMITS SHOWN ABOVE $ 457
HO 0453 04 91 CREDIT CARD, FUND TRANSFER CARD,
FORGERY AND COUNTERFEIT MONEY $1, 000 $ 0
FMHO-752 09/87 PERSONAL PROPERTY REPLACEMENT COST $ 25
SECTION II COVERAGES EXTENDED:
HO 24 70 04 91 SECTION II EXTENDED TO A LOCATION AT: $ 23
LOCATION 1:
739 ROGERS AVE APT 2R BROOKLYN NY 11226
1 FAMILY RENTED ($ 23)
HO 24 93 04 91 WORKERS COMPENSATION $ 3
COVERAGE E INCREASED LIMIT $ 15
PROTECTIVE DEVICE CREDITS: 6 .0% -$ 31
2% SMOKE DETECTOR 4% FIRE EXTINGUISHERS & DEAD BOLT
MULTIPLE POLICY DISCOUNT 5% —$ 26
NET PREMIUM $ 466
OTHER ENDORSEMENTS MADE PART OF YOUR POLICY:
HO 01 31 12 95 SPECIAL PROVISIONS HO 04 16 04 91 PROTECTIVE DEVICES
HO 23 43 04 91 NO COVG-HOME DAYCARE BUS FMHO-949 09/91 SEXUAL MOLESTATION EXCL
2330 CHNG FACSIMILE SIGNATURE 2323 ANNUAL MEETING DATE
FMI-10 775 R3 COUNTERSIGNED 01/08/01
. RA..(YETAIT IflSID T \ j 1.4„
AUTHORIZED REPRESENTATIVE
•
•
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JAMES J FRA CQ .� 3 S E+
EMILY E FRANCO:
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1 -a. s�.s ar c — z,ri-�G�t� cp-cnA
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11/16/01 FRI 16:23 FAX L 002
11''°' ' ty
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Certificate of Property Insurance
This is to certify that << J-]Fra�iC &- mi lt'Everett Fr Cnd o is insured for the coverage and
Name of Policyholder(s)
$_500;000 l at l tiy�
provisions of a 1Hotnm:owner policy under H32-221-635756-00 for $160,000 dwelling
(type of policy) (policy number) (Amount)
subject to a deductible of _-$500 for a period of one year,from 02/26/2001 to 02/26/2002
(Amount) Date Date
for property located at _�- 171 Church St.Saratoga Springs NY 12866 ,
h'urricaue deductible where applicable
Annual Premium 5489.00 Paid in Full YES
Replacement Cost Coverage Yes E No Endorsement Effective Date _
Expanded Replacement H Functional Replacement Li
LISERT'Y MUTUAL FIRE INSURANCE COMPANY
This certification or verification of insurance is not an insurance policy and does
not amend,extend or alter the coverage afforded by the policies listed herein,
Mail address if different from Notwithstanding any requirement,term or condition of any contract or other
property address. document with respect to which this certificate or verification of insurance may
be issued or may pertain,the insurance afforded by the policies described
herein is subject to all the terms,exclusions and conditions of such policies.
DA t 111 ZthON.4.p.0(
_ - SECRETARY
Loss,if any,payable to the insured and the"loss payee"
shown below as their interest may appear: fry:^
Countrywide Home Loans Inc Countersigned by:
It's Successors and/or Assigns A.TIMA
"' Authorized Representative
Po Box 10212
Van Nuys CA91410 Local Liberty Mutual
Office 3258 Rt 9
Second"loss payee" if app.li.cable. Address Saratoga Springs NY 12866
Date 11/16/01
•
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Affidavit of Exemption to Show Sp c Proof of !orkers' Compensation.Insurance
• Coverage fora 1,2,3 or 4 Fa wily 'Ovv er-occupied..Residence
Under penalty of perjury,I certify that I am the owner of the 1,2,3or 4`family,owner-occupied residence
(mcluding condominiums) listed on the building permit that I am applying for, and I am not required to show
specific proof of workers' compensation insurance coverage for such residence because (please check the
appropriate box):
Al I am performing all the work for which the building permit was issued.
❑ I am not hiring,paying or compensating in any way,the individual(s)that is(are)performing all the work
for which the building permit was issued or helping me perform such work.
❑ I have a homeowners insurance policy that is currently in effect and covers the property listed on the
attached building permit AND am hiring or paying individuals a total of less than 40 hours per week
(aggregate-hours for all paid individuals on the jobsite)for which the building permit was issued.
I also agree to either:
+ acquire appropriate workers'compensation coverage and provide appropriate proof of that coverage on
forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing
the building permit if I need to hire or pay individuals a total of 40 hours or more per week(aggregate hours
for all paid mndividunls,on the jobsite)for work indicated on the building permit;OR
+ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence
(ncluding condominiums)listed on th building permit that I am applying for,provide appropriate proof
of workers' compensation coverage ` _
pe or proof of exemption_fromthat coverage on foams approved by the
Chair of the NYS Workers'Compensation Board to the government entity issuing the building permit if the
project takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)
apermit
for work . I • on the-buil .
\ c— 4000! /
(Sims . of Homeowner) (Date Signed)
Home Telephone Number Sig S$? -D
(Homeowner's Name Printed)
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Sworn to before me this i day of
Property Address that requires the building permit: —1/41,- CX •
4.
•
(County ClerVorlNw•ry Public)
PAMELA L.WIGGINS
/24 NOTARY PUBLIC,State of New York
No.01W16060441
Qualified fn Saratoga countts
My Commission Expires -a.5
BP-1 (3/99) o- • -o
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�CPTOG4 SA
x : DESIGN REVIEW COMMISSION
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CITY OF SARATOGA SPRINGS
7 :::�►�,' City Haft,474 BroaOwaN
Saratoga Springs)New York 12866
/4CbRPOR A TED �9h
518-587-3550
518-587-6512 Fax
www.saratoga-springs.org
NOTICE OF DECISION •
In the matter of the application of
James Franco
171 Church Street
Saratoga Springs, NY 12866
involving the premises at 171 Church Street in the City of Saratoga Springs, on an
application for Architectural Review and the Design Review Commission met on November
1, 2001, and made the following decision:
Nz Approved as submitted or shown on the attached plans
❑ Disapproved as submitted.
❑ Approved with the following conditions:
The application for an accessory building is approved noting that the
finish materials will be wood siding and not plywood, the siding is not
to project beyond the corner boards and there will be trim and framing
around the door. It was further noted that two new renderings would be
submitted.
As a result of this decision the applicant:
aix may proceed with the required permit approval.process
❑ may not proceed with the required permit approval process
The applicant is required to contact the Building Inspector to obtain a:
❑ Sign Permit )o Building Permit ❑ Demolition Permit
// i 4-7
Date• /
Chir
Attachment
cc: Building Inspector
Applicant
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Iments: Skip Carlson felt that this amendment
wntown businesses. He noted that the other
could be adequately addressed during site plan
ience wished to comment on the proposed
•
erce, stated that he supports the arena and
ty. He said that the Chamber has taken no ,
ing Board take this review seriously.
atoga Visitors and Convention Bureau, stated
position regarding the hotel.
Center, stated that they had a meeting this
enter authority dated April 4, 2001. The letter
ding the arena. They ask that the original
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CITY OF SARATOGA SPRINGS
BUILDING DEPARTMENT (518)587-3550
INSPECTOR REPORT
Job Site /7 f C i}-,-17._C11 s .(. �j Permit# File# 7271C/
Footings Foundation Insulation
before before Rough Rough before Septic Other Final
Concrete. Backfill Framing Plumbing Sheetrock
5 f-ft�v 9TH -- NV 0 i RZ\J-1()-1..._ i .rro P 1.4
Passed Reinspection Failed ,
Required Stop Work
Inspection Date 5i 3o 0 Z) Inspector ,,e,_ Pit
ri
/7/ C,/,-at St,
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THE NEW YORK BOARD OF FIRE UNDERWRITERS c
• BUREAU OF ELECTRICITY <
•
I.. , 41 STATE STREET,ALBANY,NEW YORK 12207 . C
Date :7,..:.:IG'sd ,.,)n 1N1:7^ Application/Vo.on file I O 512 A 3 5 8 6 6 9 C
THIS CERTIFIES THAT �J C
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of C
i C
0C
ic, in the following location; C Basement ❑ 1st FL. ❑ 2nd Fl. Ota':%u'.t'.:.2 Section Block - Lot
C
was examined on 'i)"2.1‘,:"73 and found to be in compliance with the'requirem.ents of this Board. C
•
• FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS c
OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY
VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. <
i C
C C
SI DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS C
• AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS iC
�'
IX NO.OF FEET
f C
i C
SERVICE DISCONNECT NO.OF S E R V I C E C
f AMT. AMP. TYPE METER EQUIP. 1 2W 1 0 3W 3 2 3W 32 4W NO.OF .COND.
OF CA.C.WIND. NO.OF HI-LEG A.W.G NO.OF NEUTRALS A.W.G. C
PECCR.0- OF HI-LEG OF NEUTRAL
14 / 2 / C
icc OTHER APPARATUS: C
C
4_11 G
C
C
el <
• C
•
C
• r VVAi•I-VvV•)'V V.
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• 1r,-l.ir..r Ir. !i
.i , T, -3 C..-";•t,*> ,OG
ar BRANCH MANAGER C
I Per
C
- ,r ,YYYYYYWY6YYaGrsoiNlYatretrerYA'`GYirYiY6Yd/6YiYVIVlYmfY6YY6YY6YWY6YYtGYeY6YYarraYorrwr AiYY�fIreCYYYYYYWWiWbUiYYfYYiYYnt1,
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.