2002-315 +` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
CER"IFI1 %r IwiTE OF. OCCUPANCY
Permit Number: P20020315 Date Issued: Monday, September 09,2002
;This is-to certify that work requested to be done as shown.by Permit Number P20020315
has been completed,
Tax Map Number:. 523400-309-010-0001-054.000-0000
Location: 65 MAIN St
Owner: AFFORDABLE HOUSING ENTERPRISES,INC.
Applicant:
pp AFFORDABLE HOUSING ENTERPRISES,INC.
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742.Bay Road,Queensbury,NY 12804-5962 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020315 Application Number: A20020315
Tax Map No: 523400-309-010-0001-054-000-0000
Permission is hereby granted to: AFFORDABLE HOUSING ENTERPRISES,INC.
For property located at: 65 MAIN St
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. Type of Construction Value
Owner Address: AFFORDABLE HOUSING ENTERPI Residential Alteration 2,000.00
D/B/A REHAB AMERICA 629 PLANK Rd Total Value 2,000.00
CLIFTON PARK,NY 12065
Contractor or Builder's Name Address Electrical Inspection Agency
i
Plans &Specifications
BP.2002-315 Affordable Housing Ent.
Residential;Interior Alterations for a two-family dwelling as-per plot plan and specifications.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May OS,2003
(Ifa longer period is required,an application for an extension most be'made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at die Town ueensb ; Wedn sday,May 08,2002
SIGNED BY for the Town of Queensbury.
f
Director of Building& ode forcement -
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 No. ` �''�'�— �
No inspection will be made until applicant has received a Fee Paid $_ O.. fie'.
valid building permit. All applicants' spaces on this Rec.Fee Paid - $
application must be completed'and must appear on the Reviewed By:
application form.
Applicant. C Cs�4 _ \ Owner:
Address. �Z - �- Address: Co cam_ (�✓ G��� +�
Phone#(�) - 3 Phone#(�1u)$�e
Property Location: Lot Number: / House Number
Subdivision Name: Tax Map Number:
❑ New Building: residence /commercial Estimated Market Value of Construction: $ C3(7
❑ Addition: residence/ commercial if an Addition,what will use of new addition be?
Alteration: residence commercial
No change to ex enor size residene /com'1
❑ Other work(describe. )
Check OccupancyInformation 1"Floor 2" Floor Other floor Total
Below sq.ft. sq.ft. sq:ft. Square Feet i
❑ Single family dwelling I
,ItT, Two family dwelling
❑ Townhouse I
❑ Multifamily dwelling
#of units
❑ Office I
❑ Mercantile
❑ Manufacturin
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage _ +,_=,IQ50k s _
❑ 1 car attached garage eras is, nihin Dna C-ODE I
❑ 2 car attached garage ._-
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other'
What is the pro posed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what? I\f 0
cedd ho�
Type of Heating System: electric/ oil _gas wood /foraseboard/other:
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
• I
Name Address Phone Number
Builder a� - w1
Plumber
Mason
Electrician
Declaration:• 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 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 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
n'e�w construction.
Signature: owner,owner's agent,architect,contractor
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: 44 -
Building&Code Enforcement
Dept.of Community Development Arrive l0 am/pm Depart—pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME 44 tf— , PERMIT#/
LOCATION YY�Av+ , DATE1 Y/ 6
TYPE OF STRUCTURE OH
N/A YES NO COMMENTS
Chimney Heightt"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to f imace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/him/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
%hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy).
Okay to issue permanent C/O(Certif.of Occupancy)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart_ain/pra
Town of Queenshury Inspector's Initials
742 Bay Road
Queensbury,New York*12804
NAME PERMIT#
LOCATION DATE 6/Z-11Z Z-
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stair-,both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
OilFurnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doorstmain entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 19 in.or more
Railing across window in stairwells
Smoke Detectors.
every level
every bedroom
outside every bedroom
inter connected ou I-P
Bathroom fans
Plumbing fixtures T� 0�wtch-'
Foundation insulation
'/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required._
Okay to issue C/C(Certif.of Compliance)__
Okay to issue temp.C/O(Certif of Occupancy)_Okay to issue permanent C/O(Certif.of Occupancy)__j
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REVIEWED BY
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