2000-229 'A TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING- PERMIT
Permit Number: 2000229 Application Number: 2000229
Tax Map No: 523400-278-000-0001-021-000-0000
Permission is hereby granted to: BURNELL.ERNEST&
For property located at: 419 STATE ROUTE 149
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 Consttuction Value
Owner Address: ERNEST&BURNELL Unknown 8,000.00
CHARMAINE,LYNNE Total Value 8,000.00
419 STATE RTE 149 ,
LAKE GEORGE,NY 12845-2862
Contractor or Builder's Name f Address Electtical Inspection Agency
BURNELL. ERNEST COMMONWEALTH ELECTRICAL A(
Plans &Specifications
RESIDENTIAL ADDITION (BATHROOM)/80 sq ft RESIDENTIAL ADDITION AS PER PLOT PLAN
SPECIFICATIONS
$8.00 PERMIT FEE PAID -"THIS PERMIT EXPIRES: Thursday, � )—
(If a longer period is required,an application for an extension must be made to the code Enforcement Office
of the Town of Queensbury before the expiration date.)
Dated at the T Quee ebury- esday,May 02,2000SIGNED BY '� for the Town of Queensbury.Director f ode Enforcement "'�
.,ramuwai tg _ver'nia
11 Application
L' Tomm Of QIleellsbiuy - Dept. tfColij,1ltlltity Dewlopmettt, 712 Ih{p RvaJl, Qttectubitty, NY 12W4 1761-8250]
NOTit.iLl BUILDING tee - CODE ENFOItCEA1EN7'
Requirements prior to issuance
A iwrmil stutst tJa ownined Imforo of (his perittit: P RM17'r1LC NO. 9COL
Ixigiuning countritellon. No i»ftimullunn .�
Will lw nutclo turiil nppllcitot hits ru:civcd U 7w111lig Dtrard ilctlon PHRA41T I.7fI3!•AfU$_
a VAI,Ip BUILDING PERM11% All Aicn /Usa
npplicnnls" apnaes an this application 1?ECREA770N FGL•"RAID$
MUST't)o cotnptelect atid•ttae signnitiro [� I'latitiing 1Jcxttcl Action `ttt
of lho al'Olcnstt•must npitcitr cut tho RliYlt;IS?iU BY..
for
St'K / 31thdivislou /gilmr JJult.ffng buJ rrfn,•
i ilication m. 7s.di y Recresiliou Fee I'ayincnl
Applicant: _�P.lr/e�ST �ref</� // �. ...._..
Owner: �3s�es7— .9tP/17g�ry� dcyRy�/1
' Address: `�'/9' .5Z17 J 7 /W .1, _ x�_ Address: "IWP '7_67`if 1'hano # # (s!lii-L) Z3 - 7
Property Loon tioll:
Suhdivision Nnnto:_ /1/e�o7/t_ Tax M:ip Nninber 30
Section lllo'x:k Itit
NATURE OF PROPOSED WORI{:den ESTIMATED MARKET VALUE OF THE
Building: CONSTRUCTION:
residence / commercial -+
_ Addition to 13ulld1tig:
reeldonce / coininorcia]_ OCCUPANCY ItIFOI RATION:
AltevaLlon to Dullding: 1-1711%lary Ltet.i..l.ding -
residence / coitimeraial X SS_itgl.e Fantil.y Dwelling
Residence / Commerclal Two F am.l.ly i3woll�i ncr- -"-� �, Pi=6 1
do cltango tLo oxtorlor u.i.•r.o Palli.l.ly Dworl.litic .' {
OLLice
Other Work (describe below) Mercantile APRn 9
Manufacturing
GROSS AREA OF PROPOSED STRUCTURE: Other -BUILDING
Ui_DINGQ iI l'�4 0 00E�Y
1st Floor. . . . . . . ' ' ge) sq. ft. If ADDI`1'ION, what: will use
2nd .Floor.•. . . . . . bg. ft. Of new addition be7 :
Other Floors. . . s g. f t.
(nOt- unfinished cellar or baseittenL)
ACCESSORY 13UILDINGS:
X Detencived Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. Attachbd Garage 1, 2 car.
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
' �_ OLltesr UFO /�asi?.t i
F)✓L'1 X /L'J FI.G't'
Foundation Type: G-t='"7cfA/?` Will any second-hand or ungraded
Number of Stories : < lumber be used? II so, for what?
(hab_is-abler spaco oul.y)Ilel.c)hL (c�rado tic) rldgo) : '/�/� feet TYP O=* Iii 111TtICy SY:S'lt?:M:
NumL,>ov oL• fireplaces and/or woodstove (circlo' al _Lett applies) .
Lo be installed: •-- Electric / Oi j Gas d
Forced ttot .lr j Baseboar / Other
Person responsible for supervision of work as regards to building
codes i s : ,EFf sy1i' // �//rl S7 A, _l L/ff
Naive Addreses Phone
Builder:
- -P l u ttlb e r: ---:E",���c� �ra,�+.•t.>�•-�/
Mason: Cdit/S71Wx ic7;O'u
Electrician:
.DLCLARAHO1Y' Please sign beloly afle.'r you have cateftdly mad the stalernent. G Y.
'I'o the best of my knowledge the s(ateniecits con(ained it, (his application, together with lire 14mis
.hill sl:ecificalions slibinitteet, area It-tic slid complete slatctncnt of till prolwsccl work to be clone on
tile: elcscribe(l premises mncl that atl provisions of the lttiil<linl, Cole, file /oning Urelirt:uice mill .tii
other Laws pert.aiiung to the proposeel work shall be conipliecl with, whether spccir3cel or noted, and
thrtt such work is authorize(! by tilt: owner, f"atrlller, it is unclerslocxl that J/wc shall submit prior tun
Certificate of Occup.uu.y'or Certilicaw of Compliance being" issued, :lit AS IIUIIII' L1.07' PI-AN by
n licensed surveyor; .Ir,,wit to sc.tic, %ilowing .tetual locatieurt of project on Iirentiscs.
Signature: f�3 ,y�
(owner, owner's agent, arcttitcct, contractor)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive �) prri Depart am/pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York*12804
NAME gcq-ndl — PERMIT#
LOCATION q LL" A, - V4- I Vq DATE /-7 A;;?
TYPE OF STRUCTUREI—
N/A YES NO COMMENTS
Chimney Height/"H'Vent/Direct Vent Location �Z
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 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/ftim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight Z
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
niter connected
Bathroom fans
Plumbing fixtures PIA
Foundation insulation
3/4 hour fire door/door closer
Garage frreproafmg
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room Qf
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)_ I
Okay to issue permanent C/O(Certif.of Occupancy)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Office 176 Doe Ran Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
eU0.0jz9
Permit No,f1111ii}ii##t4##iiffifftiiiliiif111Mi# eft, N 0 8 2 18 2 Cut-in Card No,if#lf#4l4114fif1MiMn###ift#!4#ii
Omer, 0 6000 44.14f110#18 f&offt #ifff lit;,,fill II1#911Rf{H4ff f;f if fee I1#1itttlti li Ito 114f1641*##0114$44f##911 ffiif tf l441 1414fif NIffI IRf#Mf4#4f 11
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Locatl0n}Mif{#i#4#li{Nmotto{filtfyt}ifyf1Ryfllii#Ni{4#IffM{R{{ I!##f#{#fii!•if#4fff##{#f#####t#!i#i#l1Mii ;ifffiflM#o;}}}fy};iN;;##ffl# 4#i!#!f####i{i{iN{i#f
1 r
Installation Consistingof i#M i#ii##Iq##iHi##IN#Ii#H#i#i1 41#14406l}ft4fittltyytlyffyff #fry�
i i!#!#ii##lf#i#!#1!l#{N
Riot# iHi# l###;} f## {#Mf#i#1t #i#Nf ft/ fi#lH11#IMliff## 10001#00411##1#016#16914#M4#41f11#1#1f#!if.# ft}{{i/y/4tlf####t#ii#ittf#It111!!1#fff#iNINM#i!!f###fM#
of#l#INi41f}i1MNI#tti##M##ifHii##Ifi##!#4f41(jlftlif/i♦!1#M tfifgttf ti t;f#•f!t##iiif}ilif ii#{#l1;4#Rl4i#1#1#iilflfif#1f###/!!f#;#f!i#!{#t4#qf#!!♦tiff f f tlN#f•IHM#f###fff#R
InstalledBy, #0 040#0940 00 0,, ,,,t/#ifffififoff#fff##f#Lic. No, lfff#N111};l;;ltt41M!#!!!#!ff#fiif##i!#!tf#fRi
The conditions following governed the issuance of this certificate, and any certificate previously issued i,
cancelled; -
This certificate only covers the electrical equipment and installation conditions as of date, Upon thi
introduction of additional equipment or alterations, application shall be promptly made for inspection#
Inspectors of this Company shall have the privilege of maki inspections at any time, and if it
rules are violated, the Company shall have the right to revoke thi ce tifica !
1 `A'
Datemi)#{flif{#44R{#RRiMIlff4flfi#fiifttRilM}Iii1!## INSPECTOR Rlt IMNM mig too l4R••oi4!•##4i4Niil#!###4{#fi##!###oil 1111#4RRIRIf11 Mfli###iM#####
Member N.F.P.A., I.A.F.I.
Z- Office Use
GENERAL INSPECTION REPORT Lector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received.- Meet:
Building& Code E nforcem 6nt At time:
742 Bay Road
9
Queensbuiy, AT 12804 ARRIVE R7
EP N72 ,m Notes:
(518) 761-8256 Inspector's Initial
- - ----------
NAME: PERMIT#r--�o
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE:
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.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place 01
Rough Plumbing
n,"R -In
at'1on
su VrFoundation Walls Interior
Foundation Walls Exterior R-
Floors R-
Walls R-
ceiling R-
Duct work or piping in
unheated spaces R-
er Vent,Attic Vent
� aming Vl lack Studs/Headers
Bracing/Bridgmg-
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppin
L:\SueHemingway\Building.Codes.Inspection.FORPvIS\GENF,RAI,INSPECTION REPORT.doc
Office Use
VO s ector:
GENERAL INSPECTION-R-E RT--:-'- -tc
ea t tune.Town of Queensbury E
Dept. of Community.Development Request received. Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am1p T j am/pm Notes: ice Us
e
e
(518) 761-8256 Inspector'slniti
NAME: PERMIT#
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE: 0 0- L�
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Plac
The contractor is res onsible fo
providing protection -om freezi g
for 48 hours followin the places ent
site
of the concrete.
Materials for this purpose site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproa,ng_A_
Backfill.Approval
Plumbing Under Slab
lumb'llg Vent/Vents in Place
u Pl
umbing
ti
A r'7 o
Rou Plumbing_ k-,Q LA-�-
He ng Rough-In—
�u�lation
Foundation Walls Interior R- 0,
Foundation Walls Exterior R-
Floors R- k
Walls R- k.CA
Ceiling R-
>
Duct work or piping in
unheated spaces R- Pr 00
roper Vent,Attic Vent
Framing
Jack Studs/Headers -
Bracing/Bridgig
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Poetration Sealed
e Wall2,3,4 hour
ire
L:\SueHemingway\Building.Codes.Inspecdon.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL I SP 1�V :, r lJk 1 Inspector:
V P Ready at time:
To-win of Queensbury V
.Dept. of Community.Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRITJEZ= a a P RT * p am �rr , Notes:
(518) 761-8256 Inspector's InitiaXs�'� �' v
NAME: �}'� u x —T `n�,Q� PERMIT#
LOCATION: "l� - I INSPECT ON(date):
TYPE OF STRUCTURE: }
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 placeme it
of the concrete.
Materials for this purpose on site
Foundation/W allpour
Reinforcement in Place
Foundation/D ampproofing
Backfill Approval
Plumbing Under Slab \
Plur
pbdig VentlVents in P�acle
__j
ugh Plumbing 1�
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-
Iroper Vent,Attic Vent
Framing I
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
li enetration Sealed
ire aIl2,3,4 hour
res o
pPm g
L:\SueHemingway\Building,Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
67,r 7 ,.
GENERAL INSPECTION
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 10104101
Building&Code Enforcement .
742 Bay Road
Queensbury,NY 12804 Arrive am/pm IDepaw t
l�
Inspector's Initials
NAME: U a?.� .Qr PERMIT 4 l � 0
LOCATION:` qe,- , !4q DATE :
TYPE OF STRUCTURE: l (tom
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.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
P1uaoing Under Slab
P robing VentlVents in Pl ce
—° Plumbing
Heating Rough-In
Insulation.
Foundation Walls Inte
r
Foundation Walls Ext rior -
Floors -
Walls -
Ceiling R-
Duct work or pi ' g i
u eat aces R-
Proper Vent,Attic Vent
J S Meaders
Bracing/Bridging
Joist Hangers
Jacl osts. ain Bea
*i1re
Izftl#taiueir Separation 1,2,3, iour
Penetration Sealed i
F're Wall 21 3,4 hour
irestoppin
--- �
. 1 V
GENERAL INSFECHONREPORT
(518) 761-8256 tw/c�
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road �—
Queensbury,N'l' 12$04. Arrive ' p De
is Initials
NAME: , PERMIT P %
LOCATION: DATE: C")
TYPE OF STRUCTURE:
RECHECK
NIA YES NO COMMENTS
gs/Piers
onolithic Pour Form
Reinforcement in Place
The contractor is res nsible fo
providing protection om fceezi g
for 48 hours followin the place ent
of the concrete.
Materials for this purpo on site
Foundation/Wallabur
Reinforcement in lace
Foundation/Damppp
Backf ll Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pi........
ce
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interi r R-
Foundation Walls Exteri r R-
Floors
Walls -
coiling -
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing i
_r
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
Firestoppmg
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
1 q
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive -' D p Depart A
or's Initi
NAME: PERMIT#
LOCATION: DATE :
TYPE OF STRUCTURE:
RECHECK
_ N/A YES,,NO COMMENTS ` /( _/. LV
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi le for �� � 5
providing protection fro freeA g /1
for 48 hours following t plac ment d� �J W
of the concrete.
Materials for this purpose n s' e v�91ptL` f
Foundation/Wallpour p r,.voIn
Reinforcement in Place 1 Pl I
Foundalion/Dampproo
Ba. r -
Plumbing Under Slab LL
Plumbing Vend 'ents i Placc � �`�--��4,
Rough Plumbing
Heating Rough-In {�C5'�"
Insulation
Foundation Walls Intcrior R-
Foundation Wall Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or p ping in
unheated s •ces R-
Proper Vent, Atti Vent
Framing
Jack Studs/H ders
Bracing/Br i ging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier _
Fire Separation 1,2, 3, hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Firestopping
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