2003-685 .'TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building.&Codes (518)761.8256
C ERTI F I CATE OF -OCCUPANCY
Permit Number: P20030685 Date Issued: Monday,August 29,2005
This is to certify that work requested to be'done as shown by Permit Number P20030685
has been completed.
Tax Map Number: 523400-301-017-0002-047-000-0000
Location: 861 SHERMAN Ave.
Owner: MICHAEL DUGGAN
Applicant: MICHAEL DUGGAN
This structure may be occupied as a:
Residential Alteration By order of gown 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 Enfo cemen
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURV
t;
742 Bay-Road,Queensbury,NY.12804-5902 _ (518)761.8201
Community Development;Building 8i Codes '(518) 761-8256
'BUILDING PERMIT
Permit Number: P20030685 '- Application-Nurnber: A20030685
Tax Map No: 523400-301-017-0002-047-000-0000
Permission is hereby granted to: WCHAF,L,DI MICrAN
For property located at: 861 SH$RMAN. 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. Tyke of Construction Value
Owner Address- ` NHCIIAEL DUGGAN
195B SHERMAN Ave Residential Alteration $1,000,00
Total Value $1,000.00
-QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical-Inspection Agency
Plans&Specifications
2003=685
CONVERSION OP GARAGE INTO STORAGE SPACE ONLY AS PER APPLICATION;
$40.00 PERMIT-PEE.PAID-THIS PERMIT,EXPIRES:. - Friday,'August 27,2004
(If a longer period'is required,an application for an extension zriust be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tofnof eens d ,August 27; 2003
SIGNED'BY . for the Town of Queensbury..
Director of Building$i,Code Enforcement
Building Permit"Application
Town of Queensbury-Dept of Community Development,742.Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File Na
llo inspection will be made until applicant has received a Fee Paid
valid building permit. All applicants' spaces on this Rec.Fee Paid
application must be completed and must appear on the Reviewed B
application form. rr
Applicant: TGYt `J� Owner: -G
Address: -(..o �.-� Address
Phone# Phone#(j1 ) -�Z-
Property Location: Lot Number: / House Number 1
Subdivision Name: Tax Map Number:
o New Building: residence /commercial 'Estimated Market Value of Construction: $ ` 00
o Addition: residence/ commercial If an Addition,what will use of new addition be?
Alteration: residenca ommer •
Q No change to ext or s e: residence/com'l
o Other work(describe ) -
mac _
Check OccupaucyWormation -1' Floor 2"Floor pthe r_ -;TUrotal
Below sq.ft. sq.ft
sq.ft. Square Feet
TOWN OF QUE=N&f3(jRy
o Single family dwelling._p L.4 a-j a;� E
o Two famil dwellin
ci Townhouse
o Multifamily dwelling
#of units
o . Office
t3 Mercantile
a Manufaotutin
I car detached garage
fl 2 car detached garage
0 3 car detached garage
a I car attached garage
0 2 car attached garage
0 3 car attached garage
0 Storage building-
commercial
o Storage building-
residential
o Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Pleating System: electric/ oil J gas/wood /forced hot air/ baseboard/other:
Number of.�'tre�to be installed Number of Weodstoves to be installed
List below the person(s)responsible for supervision of work as regards.to building codes:
Builder Name Address Phone Number
Plumber
Mason
Electrician
De2lM3fMU-' 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 an 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 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 Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new eoustcu 'on.
Signature; ll'� to owner,owner's agent,architect,contractor-
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: 2 'G am/ Depart: am/pm
Date Inspection reques received: Inspector's Initials: jV,
NAME: �c �--- A PERMIT#f: ��6�
LOCATION: w G DATE:
TYPE OF STRUCTURE:
' C�`fitrt°ta�v� S f` CnM rents
-- Y lei N/A e-C.
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more ct)stairs,decks,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railing,;34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/z"
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 Fumace.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 Tern 110
Interior privacy/trim/.doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safeglazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Intcr 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 Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I 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 C , if required
Okay to is e C/C C/O Temporary/Permanent
L:\PamW\Building&Codesllnspection ForznslRes. Final Insp. form 2.docLast printed 2/12/04
-VT
CF,
114J
c,I x
ter. C� Ld
used On air i limited eradnal'' i
cam iiahce�uifi i our ccmmMs shall
not�e cCnsfiieu as,indica'n ,
Places and skihcabs a � �
rc e Euildin es i
� -I eo of ety York St fie.
0�j
i
TOM, G Q'E'N'
D ` 'DATE