2001-353 TOWN OF QUEENSBURY
f 3IN 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010353 Application Number: A20010353
Tax Map No: 523400-125-000-0009-118-000-0000
Permission is hereby granted to: WALTER&RENEE NELLIS
For property located at: 38 NICOLE Dr
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: WALTER&RENEE NELLIS Shed/Storage Sheds 1,500.00
38 NICOLE Dr Total Value 1,500.00
QUEENSBURY,NY 12804
I
Contractor or Builder's Name/.Address Electrical Inspection Agency
Plans & Specifications
2001-353
200 SQ FT STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID THIS PERMIT EXPIRES: Sunday,June 01,2003
(If a longer period is requited,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 To of ueen F s. 'a /June 01,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
'town of Quccnsbury-Dept of Community Development, 742 Bay Road, Queensbury,NY •
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. b
No inspection will be made until applicant has received a Fee Paid $ ialg
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: G{ obhieK M//s Owner: Ut,Ini+2 . = 't. , ,h, „
Address: 3 8 N,co Address: •
RECE
Qt.APet,slauvy NY logo,/
Phone# (S), ) 793 - h/95-4/ Phone#c -5) 9 - I/ MAY 3 1 7121
orb 1 4 0-
Property Location: Lot Number: 1 113 / House Number 3 l ivicok Dr�v� �ullatjli`�i nar� ,ODE
Subdivision Name: -otro/c( Tax Map Number:
❑ New Building: residence /commercial Estimated Market Value of Construction: $ /,S Ov•°O
o Addition: residence/ commercial If an Addition, what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
Other work(describe 51-e,d )
•
Check Occupaticylllfoimatioll 1`1 tt1 or 2" Floor Other floor 'Total
Below sq. ft. sq. ft. sq. H. Square Feel
❑ Single family dwelling
o Two family dwelling
❑ Townhouse
o Multifamily dwelling
#of units
- - ❑- .Of-rce- - - -- — -_ _—
o Mercantile
o Manufacturing
❑ I car detached garage
❑ 2 car detached garage
❑ 3 car detached garage •
❑ 1 car attached garage
0 2 car attached garage •
❑ 3 car attached garage -- -- -- —
u Storage building-
commercial
XStorage building- •----- ------------�._.—._.-- _-- - ,
residential Zoo 5i 200 Sri.
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what? No
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: No i e
Number ofFireplaces to be installed 0 Number of Woodstoves to be installed - 0
List below the person(s) responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder Wet,/feKjle/// 3S OV•cole Or. I Q*uvy (519)293-v9S4i
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 or all proposed work to be clone on the described premises and that all
provisions of the i3uilding 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 construction.
Signature: (�--- owner,owner's agent,architect,contractor
�j Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time: ll
Dept. of Community Development Request received: Ck i 7d? Meet:
Building& Code Enforcement At time:
742 Bay Road l �(�
`"
Queensbury, NY 12804 ARRIVE am/pm: DEPART , am/pm Notes:
(518) 761-8256 Inspector's Initials 12--e..-----"
NAME: (A/6.Q& /441(S PERMIT# a f7 3
LOCATION: 3 At i C [-e- Jar, INSPECT ON(date): ‘SI/i
TYPE OF STRUCTURE: S kJ.
RECHECK
N/A YES NO COMMENTS .
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete. j
Materials for this purpose on site r' •
Foundation/W allpour — ;
Reinforcement in Place %
Foundation/Dampproofmg cs
Backfill Approval \
Plumbing Under Slab \
Plumbing Vent/Vents in Place \\
Rough Plumbing
Heating Rough-In
Insulation ,,
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
roper Vent,Attic Vent //17
Framing
Jack Studs/Headers
1/ .
Bracing/Bridging `//
Joist Hangers /
Jack Posts/Main Beam i/
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
•
Fire Wall 2,3,4 hour
Firestopping ,
L:\SueHemingway\Suilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
A
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement t Dept.of Community Development Arrive am/pm Depart .la pm ✓" "''
Town of Queensbury Inspector's Initialt
742 Bay Road
Queensbury,New York 12804
NAME WCatiti\i/ � \� 3 PERMIT# )
LOCATION q f\.) { DATE - 07✓
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location a .
Fresh Air Intake , a.,TM.. '
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36''
Exterior Handrails,balconies,land g 18 in. r more
Interior Handrails stairs both sides 3 or mor risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regul for 18" bove grade
Gas Furnace shut-off within 30 feel or line of site
Oil Furnace shut-off at entrance to ace area
Furnace/Hot Water Heater operat'
Relief Valve(s)installed •
Headroom,6 ft.6 in.on stairs/
Basement stairs,6 ft.4 in.
•
Handrail exterior stairs both sides ore than 3 risers
Interior privacy/trim/doors/main en ce 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landin 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
3/4 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 requiredei
Okay to issue C/C(Certif.of Compliance) 4 a� 0(G/
Okay to issue temp.C/O(Certif of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)