2005-400 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE (DAFE7 OCCUPANCY
Penmit Number. P20050400 Date Issued: Tuesday, July 05, 2005
This is to certify that work requested to be done as shown by Permit Number P20050400
has been completed.
Tax Map Number. 523400-309-005-0001-014-000-0000
Location: 440 SHERMAN Ave
Owner. FRANK SEARS
Applicant: FRANK SEARS
This structure maybe occupied as a:
Residential Alteration 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,
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 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050400 Application Number: A20050400
Tax Map No: 523400-309-005-0001-014-000-0000
Permission is hereby granted to: FRANK SEARS
For property located at: 440 SHERMAN Ave
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. Tyne of Construction Value
Owner Address: FRANK SEARS
KAREN NEEDHAM Residential Alteration $1,500.00
Total Value $1,500.00
440 UPPER SHERMAN Ave 440
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-400
RESIDENTIAL ALTERATION
CONVERT ATTACHED GARAGE INTO STORAGE AREA
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, June 15, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the wn o uee s urn ne ay, June 15, 2005
SIGNED BY �Vf for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No.
Building&Codes Office-Department of Community Development-Town of Queensbury
Fee Paid � `'
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codes@gyeensburv.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subiect to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Il {
Applicant/Builder _ �' &(An)1,C � Owner: �rra�1�$ _t�,a�o(? tqe,
Address: r ,e Address: Tl�0 ( .I-An aj �
L
Home Phone: Home Phone:
Email Address: Email Address:
Cell Phone: S/ 3(a j �7 3 Cell Phone: :rz 973
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: v �/ 2��G Address: e v eea Phone�_
/ ,
Location of proposed construction: Lot No. Legal Address: g411) �%PI-JA"O4Ie
Tax Map Number: l . v 41 Subdivision Name:
to
Estimated Cost of Construction: $ t S-00
Proposed construction is for: Residential Use ,Commercial Use TOWN OF QUEENSBURY
Name of Business: BU LDING A CODE ¢-
C,Qrn�, f\ �
If proposed construction is an addition, what will use of new addition be? � �
New Addition Alteration Proposed Construction lei Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq.Ft. sq.ft. Sq. Ft. Square feet Height
Ft.&in.
Sin-le-Family Dwelling
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Gara a 1, 2, 3
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other:
If a fireplace and/or woodstove are being installed, please refer to a separate application.
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the 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 Codes, 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, as requested by the Zoning Administrator or Director of Building and es, an As-Built Survey by a
licensed surveyor, drawn
—ttoo`scale, showing actual location of:1�1�onstru tion
Date:s�-.�i� .J Applicant/Builder Signature:
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature:
L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
Queensbury Building & Code Enforcement Residential Final Inspection
Office No.(518)761-8256 Arrive: am/ Depart: tn/pIn
Date Inspection request received: Inspector's Initials:
NAME:
S PERMIT#:
LOCATION: DATE: d
TYPE OF STRUCTURE: L�
Comments
_ Y N N/A _
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake V
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing_/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Los in Sealed or GIass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s .ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C 10 Temporary/Permanent
L:\PamW\Buildinq&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
From the desk ofTwnk Sears
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53 BOULEVARD-QUEENSBURY,NY 12604
518-793-0804
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BUILDING & CODES TOM(-)F QUEENSIB
REVIEWED By used on our limited examination,
con fiance with our comments shall
DATE not e mnstrued as indicating the
0
pi,—ns ao�,, specifications are in full
I -()mpliance with the Building Codes
of Mw (ork State.
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