CC-000005-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
— Community Development-Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CC-000005-2016 Date Issued: Monday, June 20, 2016
This is to certify that work requested to be done as shown by Permit Number CC-000005-2016
has been completed.
Tax Map Number: 309.11-2-24
Location: 13 1/2 Luzerne RD
Owner: WILLIAM EHLERT
Applicant: WILLIAM EHLERT
This structure may be occupied as a: Commercial Alterations 1404 s.f.
Commercial Additions 780 s.f. (roof) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, ,y(/ �d
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
OL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000005-2016 Zone; -1 (P L
Tax Map No: 309.11-2-24 R EV IS
Permission is hereby granted to: WILLIAM EHLERT �D
For property located at: 13 1/2 Luzerne 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
Tvce of Construction
Owner Name: WILLIAM EHLERT Retail-Mercantile-Alteration $75,000.00
Owner Address: 443 West WEST MOUNTAIN RD Total Value $75,000.00
Queensbury,NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
WILLIAM EHLERT
443 West WEST MOUNTAIN RD
Queensbury,NY 12804
Plans&Specifications
Commercial Alterations 1404 s.f.
Commercial Additions 780 s.f.(mot)
PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,May 31,2016
pfa longer period is required,an application for an extension most be made to the code Enforcement Officer
of the Town of Queensbury before a expiiratiAy,
Dated at the To of Qu bury /June 1,2015
SIGNED BY: r� ,a for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATIONOffice Jse Only
DATE 13 MAl 20 C C G
MAY 1 C Taos AtMap ID
TAX MAP ID •1/-2 MA 1 3 2015 Per_$N).
L Permit Fee ILO 2 � 5 iet\\t
ZONING 5•"" P17)4/ 5 ow •F QU- Flee Fee
BUILDING& CO' Site Plan# 3 0
HISTORIC SITE Yes V7No Subdivision #
UBDIVISION NAME
S A//'d Lot#
TOWN BD.RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLINGS,DUPLEXES
OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED &
MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.
APPLICANT tUa1Ai1T t !/Otr OWNER Lleflii
ADDRESS la" 1.1€Z A G i 14e2 ADDRESS
AGS' fit
PHONE/E-MAIL g-" X9? =Cos PHONE/E-MAIL
CONTRACTOR 1:740/W50. /5 6.G. COST OF CONSTRUCTION(ESTIMATED): $ 15�000
ADDRESS: BUILDING ADDRESS: AO
/- .
Qli 'sButitf /2704
PHONE/E-MAIL �7�,/,��Y� C Q
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: gaelkS 1 )14.- Meg PHONE ✓l[J--
ray p 9.
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 1st floor sq. ft. 2nd floor sq. ft. Total sq.ft. Height
Single Family
Two-Family
Multi-Family
(# of units )
Townhouse
Business Office (14841? AtAlaPellOhl6
Retail - Mercantile ✓ �/ le0117 [ 1- i i& 11-0
Factory- Industrialot ,
Attached Garage
(#of )
Other
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business
[1:13.P. 8Y DuN8e—
Proposed use of building or addition /T111A0-007-/
Source of heat (circle one) as Oil Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances &
ChimneysSe/Ab
Are there structures not shown on plot plan?
Are there easements on the property? 14011e -U.31
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot? No
c. Will the grade be changed as a result of construction Yes v No
d. Public water or Private well Pucbu G.
e. Sewer or Private Septic System IuPyu �• _
Value of all work to be performed (labor or materials) $ '�,COO�
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed,subject to fees and department
approval.
3. I certify that the application, plans and supporting materials are a true and complete statement I description of
the work proposed,that all work will be performed in accordance with the NY State Building Codes, local building
laws and ordinances, and in conformance with local zoning regulations.
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy.
5. I also understand that I /we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above: PRINT NAME: 6 GC. • ' DATE 15/IVY 2-045
SIGNATURE: �� DATE /3 Moerte 4:1#45
FOR OFFICE USE ONLY
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building&Codes Principal Structure Application July 2014
Town of Queensbury Building & Code Enforcement `D
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received: 1-7:Y\-\
Name: Inspected on: •
Location: \ 2- UL Arrive: Agingr Ajr •'. 'p.m.
Permit No.: 15--'1(522 Inspector's Initials:
TYPE OF STRUCTURE: Cx t kt\o R\)� RLQ
Y N NIA COMMENTS:
Framing c,4
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing /Firestopping Inspection Report ��`
F
Rough Plumbing I Insulation Inspection Report JO
Inspection request received 9 - 2 '-k-\ 5 1
Name E-AALE-RA--- Inspected on 9_2s_ 1 -Location ` , Z LO e c-t•W-. ib. Arrive Aolle - , anti-Pm
- ill. F
Permit No. ,,� 'tiZ Inspector's Initials
Type of Structure C p M 0 KDD)cACT
CO MENTS
Y N NA
Plumbing under slab `
Rou h Plumbing / Nail Plates
9
Plumbing Vent /Vents in Place
1 V2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Vain /Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
0 / Head
LZ550 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent �•v2 �Oc
Door/ Window Sealed (No Insulation) 43
Duct / Hot Water Piping Insulation /. -77 _ ` Q�\ � i14If required unheated spacesU�>�l
Combustion Air Supply for Furnace N4- rjv--\1J\�� . `)----
Duct work sealed properly /No duct tape t J _
Blower Door Test21
`�C CSL l
Air Sealing
Town of Queensbury Building Si Code Enforcement Office No. (518) 761-8256 4 1
i
V\I
Rough Plumbing / Insulation Inspection Report
Inspection request received ,I2S\2c 5
Name \ Inspected on $ 1Z(4,1 ,s IS
Location 1?j1/Z ( , ted on _Itig%. e.,, .
Permit No. -2-b l D- RQ 1,—, Inspector's Initials 11 Ta*
Type of Structure CprwVie-LcA AA-t
`! �`'c> COMMENTS
Y N NA
VP
g under slab \*."-- 7 J tlumbing/ Nail Plates 1
Plumbing Vent /Vents in Place 2_Os — I -&cofo
1 Y inch minimum Drain Size I
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction /
Pressure Test Yf/ Li�
Z.:7(V-
6 \lt \'\ent �/
ff ead ��
5 P.S.I. or 10 ft. above highest connection for 15 minutes
9
Pressure Test
1, Water Supply Piping
// ..c...„,,,
Air/ Head
50 P.S.I for 15 minutes
Insulation / Residential Check / Commercial Check
( ,ek
i ow Sealing
or Similar Exterior Sealant \�,
Y Proper Vent,Attic Vent 6. 1r-\� -�C� �iF�l
Door/Window Sealed (No Insulation)
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly /No duct tape
Blower Door Test
Air Sealing
('- ‘./
Town of Queensbury Building & Code Enforcement Office No. (518)761-8256
I
Rough Plumbing 1 Insulation Inspection Reort Q ,�
Inspection request received $
Name Inspected on 8 k_o I yo l�
Location t L 1 l .— 1--VtLe_firlrop Arrive _i P aeliii!
Permit No. 1— Inspector's Initials .410P
Type of StructureN
C;Q)/v1,rvl
' •MMENTS
Y N /NA
kt Plumbing under slab /f/ d 1 yv11 1 20 _G't �� 6CI to®/
Rough Plumbing /Nail Plates �J
Plumbing Vent /Vents in Place
1 V2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction 01--- ` M\ f=
Pressure Test L-
Drain /Vent T
Air/ Head • \
"o7e0_,F4,
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation /Residential Check/ Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly /No duct tape
Blower Door Test
Air Sealing
Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256 VOD
Framing I Firestopping Inspection Report
Inspection request received:
Name: t1\EF Inspected on: i _ �+=,
Location: l3 '12 L ' z_vztJE_ Arrive: .m.
Permit No.: %s)? Inspector's Initials: -�
TYPE OF STRUCTURE: C_bt-M'- 'RDC)) Rt` -2___
\---)(7- R , NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing/Bridging
Joistk hangPosts/ � —"—� � —�V 7 'k1R-_
Jack Posts/Main Beams
Exterior sheeting nailed properly fs?--E)137-
12"0.C.
Headroom 6 ft.8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
P
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing / Firestopping Inspection Report
Town of Queensbury Building&Code Enforcement
Office No. (518)761-8256
Rough Plumbing / Insulation Inspection Report
Inspection request received:
Name: E.Q_T Inspected on: —
Location: l ''I Z l—\ Z_ 3 E PA) Arrive:
Permit No.: 15— 1 Inspector's Initials:
Type of Structure:
COMMENTS
Y N NA
Plumbing under slab
Rough Plumbing/ Nail Plates 7 \31L_\��
Plumbing Vent/Vents in Place
1 1/2 inch minimum Drain Size Pt-
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction aNY---G 0
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation/ Residential Check/ Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
Rough Plumbing/Insulation Inspection Report
Town of Queensbury Building &Code Enforcement
Office No. (518)761-8256 \c, -36--\\-_ c
Rough Plumbing I Insulation Inspection Report -E)-\\t C',
Inspection request received:
Name: �.\--\\,-,'E CC c.)(A Inspected on: 0 — -r'7
Location: \ 3'\.. \ Z_\ gCF ) Arrive: \o--Lr� '-
1 . •.m.
r I
Permit No.: 1.�1 —`(c ? Inspector's Initials:
Type of Structure:
COMMENTS
Y N NA
Plumbing under slab ll
Rough Plumbing/ Nail Plates \-,A`(GO-r0T\CT, t/
Plumbing Vent/Vents in Place v.�- k._ --- 0 ?-..___.
1 1/2 inch minimum Drain Size 1
�� I Jia
Washing Machine Drain 2 inch minimum `
Cleanout every 100 feet/change of direction
Pressure Test t \Q) V--C-- EivCZnI 7�
Drain /Vent 1---\-\ 6 i \—\--4.\'9--C
—Air/ Head
._ _.:,1\� "`"5 P.S.I. or 10 f . above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation/ Residential Check/Commercial Check 1
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
Rough Plumbing/Insulation Inspection Report
I -3
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: l (
Queensbury Building&Code Enforcement Arrive: am/pm Depart- _ pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: �I '�
NAME: PERMIT#:
LOCATION: f�7 �� �V Z INSPECT ON: 7/3 // S
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
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.
/Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
'IA,Q-
b- 651
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection r-• est , • �' '2,2- 15T
Queensbury Building&Code Enforcement Arrive: ►a "" ' P epart: p`, • •
742 Bay Rd., Queensbury,NY 12804 Inspector's I tials: i•-
NAME: ' • ' IT#: t w--- ILO 2--
LOCATION:
LOCATION: l I It--. L *tt•{ Zi . INSPECT ON: 1-12.SVg".1 5
TYPE OF STRUCTURE: 6[LNA,vN'L.
e r k - : • valor Comments
Y N N/A &'11 3131- 031
Footings `1
Piers
Monolithic Slab
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.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
Ali. mil •of for wet areas under slab
Plumbing Under Slab
PVC/Cast/Copper
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
o -,,o) -
`2
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection re• - -•' -7t2e
Queensbury Building&Code Enforcement Arrive: CS;r !�• • Depart: 1)."-I-410: • • •
742 Bay Rd., Queensbury,NY 12804 Inspector's Initia"17-
NAME: 1� \ / 'ERMIT#:
LOCATION: tl 3 l/?, 4,z"el�%'J �o INSPECT ON: / 1//c
TYPE OF STRUCTURE: / ///
Comments
Y N/A
Footings
Piers �A..-0p7
Monolithic Slab
Reinforcement in Place V/
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
,oundation/Wallpour
Reinforcement in Place
IV/
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
N\
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection re * ed: 161 2,0AS
Queensbury Building&Code Enforcement Arrive: r; i,,� 'IE u j Depart: \V
742 Bay Rd., Queensbury,NY 12804 Inspector's Initia s•
NAME: Gert.ox-- RMIT#: 2
(I
LOCATION: l b 1 li- L-unit INSPECT ON: 4'17.0 I m 1s
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
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.
Foundation/Wallpour
///'
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 7/i -3 //Queensbury Building&Code Enforcement Arrive: am/pm Depa -, pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials• t
NAME: 1✓ \(\ l L/ PERMIT
LOCATION: 13 `/Z INSPECT ON: 7/1 Off-
TYPE
OF STRUCTURE:
Comments
Footings __(17 Y/ N N/A 4e7,
Piers { ✓e� �Ja�
Monolithic Slab
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.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place /
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone: !ZA-AkA-
12 inch width
6 inches above footing tit �►Q.,,,k—k/'LY
6 mil poly for wet areas under slab Jam"
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
WI \ DOW SCHEDULE
ROOM NAME TOTAL SQ. FT. WINDOW MODEL # REVD. LIGHT ACTUAL REVD. VENT ACTUAL EGRESS WINDOW
& QUANTITY AREA (MIN.) LIGHT AREA AREA (MIN.) VENT AREA OR DOOR
SEATING/RETAIL 748 (10) 244DH3046 CD 59.84 92.9 29.92 54.2 YES
KITCHEN 359 (1) 244DH3046 CD 28.72 28.77 14.36 27.51 YES
(1) 244DH2846 n
KITCHEN 73 (1) 244DH2446 CD 5.84 27.08 2.92 16.36 YES