2001-633 " TOWN OF QUEENSBURY
*ow 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010633 Application Number: A20010633
Tax Map No: 523400-308-018-0002-004-000-0000
Permission is hereby granted to: PAUL & CONNIE GERARDE
For property located at: 26 BRICKOVEN 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. Type of Construction Value
Owner Address: PAUL & CONNIE GERARDE Residential Alteration 20,000.00.
26 BRICKOVEN Rd Total Value 20,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
BARLOW, JIM
798-3922
NY 12804
Plans &Specifications
2001-633
(4) DORMERS AS PER APPLICATION
$40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,August 29,2002
(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 th ow of Q.
ns ury• dnesday,August 29,2001
SIGNED BY - for the Town of Queensbury.
Director of Building& 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 No. O/' 63
No inspection will be made until applicant has received a Fee Paid $ 40.08
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.( Owner: AUL- CoNNrt: 6rr44 -
Address: i3/.'!c KV),grl ' Address: .-cr i3814"V"N 4I '
,
CtttigLAISj .7 1% / NY i ,Sdei Quk�-';✓ij3�`/� y, .�/u�/ i 3'e
Phone#(5/ ) 79j - .74.5Thr Phone# (�I i� ) 7;y - we5Y
Property Location: Lot Number: / House Number /
Subdivision Name: 23.ed�C% sue. Tax Map Number: I .5=$= �''S'
❑ New Building: residence /commercial Estimated Market Value of Construction: $
0/ 0C'O
❑ Addition: residence/ commercial If an Addition, what will use of new addition be?
-❑ Alteration: residence/ commercial V p r flf,1 A 4 /r/o nJ
❑ No change to exterior size: esidence/com'l
' Other work(describe D o R rri EiR 5 )
Check Occupancylnformation 15`Floor 2nd Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
A Single family dwelling
❑ Two family dwelling _
❑ Townhouse V
❑ Multifamily dwelling
#of units AUG 2 0 2001
❑ Office
❑ Mercantile TOWN 01 QUhl NStIUf4�r
❑ Manufacturing BUILDING'. AND.CODE
❑ 1 car detached garage
o 2 car detached garage
o 3 car detached garage
o 1 car attached garage
o 2 car attached garage
3 car attached garage -
❑ Storage building-
commercial
o Storage building-
residenti
D:4___Other j i,,,erS (4) I' 0 1 Ik d
What is the proposed height of the structure feet d inches
Will any second-hand or ungraded lumber be used? If so, for what? NO
Type of Heating System: electric./ oil Ovgasood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed 0 Number of Woodstoves to be installed C)
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder S t/\ 1361A-•o -7 sr--' 3 9 0,DN
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 I/we shall
submit,prior tp-a-Certifica of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Dire r f tiilding and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location o all cons c ' n
Signatur . ✓ owner,o er's agent, architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: ( l , am/pm
Date Inspection request received: Inspector's Initials: ( `
NAME: I1}tyl. L.oKINt2 PERMIT#:
LOCATION: `ZC,� �`��-Utrvl,�ti R,S) DATE: r •
TYPE OF STRUCTURE: c-K)
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet ` `a � •��
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight /� �— S
Safety glazing/Window in stairwells safety glazing `� ��� VZe ��~ }�
Interior Smoke Detectors:
Every level: Every Bedroom: ' �' `'j c 1A44`"
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector h�
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area_
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet 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 Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum
Basement stairs closed rise>4 inches _
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure /
Final Electrical i 1 1 4\ l l/
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker /
_Site Plan /Variance required /
_Flood Plain Certification,if required /
Okay to issue C/C or C/0 [Temporary/Permanent] V
L:\Building&Codes Forms\Building&Codes\Inspection Forms'Residential Final Inspection Form revised_100405.doc
GENES INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement •
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depar _ 7/
�,..,, Inspector's Initial
NAME: (9� f2d.' PERMIT#
LOCATION: M[DLO UcC DATE : /6 . 17O/
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Pl. e
The contractor i respons .le for
providing prote. ion fro freezing
for 48 hours following the placement
of the concrete.
Materials for this p t rpose .,n site
Foundation/Wallpo
Reinforcement in P1 e
Foundation/Damppron ng
Backfill A,• •
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inte or R-
Foundation Walls Exte or R-
Floors I'-
Walls '-
Ceiling I'-
Duct work or piping in
unheated spaces R-
groper Vent,Attic Vent
/Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
7:1�
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart/ `"af
1u/
Inspector's Initials J
NAME: e o�� PERMIT# 0 1 r6 3 >
LOCATION: RNct,� ( G�''3 P-S0 DATE : a 6 (
TYPE OF STRUCTURE:
RECHECK
(( ,
, N/A YES NO COMMENTS
Footings/Piers 1 F I
Monolithic Pour Form
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 itc
Foundation/Wallpoi
Reinforcement in Place 1 1
Foundation/Dampproofi ng
Backfill Approval
Plumbing Under Slab
Plumbing VenUVents in Plac
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior) R-
Foundation Walls Exterior R-
Floors 4-
Walls iIt-
Ceiling / R-
• Duct work or piping j-n
unheated spaces R- _ _
Pr %Proper Vent, Attic V 1
Framing . O Li ' R511. :,-
Jack Studs/Headers
Bracing/Bridging
Joist Hangers 1.7 .
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
ReA}\\
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road '
Queensbury,NY 12804 Arrive am/pm Depart'''.
Inspector's Initials /
NAME: F'� VC(A.)---Q PERMIT# 0 l `9 3(Ss. 3
LOCATI : DATE : J P l
TYPE OF STRU TURF:
RECHECK
N/A YES NO CONEMENTS
Footings/Piers Imo--I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo i sible '$r
providing protection&s n free.'ng
for 48 hours following t e pla =nent
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Damppoofing
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-
Duc work or piping in
nheated spaces R-
Pr r Vent, Attic Vent /
F aming ( 0 QC k_10�
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
Riy֥-faJ 24We- 3/Pi)1 '
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart 1:qat/p-
Inspector's Initials J /
NAME: Ya PERMIT# a/ — '3 3
LOCATION:3 Le r` )?3-PJr DATE :
TYPE OF STRUCTURE: �
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respon ible r
providing protection froi freez g
for 48 hours following th placei ent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampprofing
Backfill Approval
Plumbing Under Slab
Plumbing VentNents in Place
Rou lambing
H ing Rough-In
sulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors p
Walls R t t
Ceiling R 50
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
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