RC-000199-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000199-2016 RENEWED
Tax Map No: 301.5-1-36 REVISED
Permission is hereby granted to: MATTHEW BELISLE
For property located at: 16 QUEENS LN
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
Tvce of Construction
Owner Name: MATTHEW BELISLE Single Family-Alteration 50.00
Owner Address: 16 Queens LN Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Alteration due to fire
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 11,2017
(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 the Town ofeensb J / ursd Ju 1
SIGNED BY: C� for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
D
TAX MAP NO. qU1 4.__� .. .. __.., PERMIT NO _._. _ .__ _. __......._ _. JUL Q 6 Z 11
FEES: PERMIT_ _ RECREATION. ENGINEERING____..____.____
(If applicable) ;TQWN OF QUEENSBURY:
"80fLUINGB CODES"
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION :S SUBJECT TO REVIEW
BEFORE ISSUANCE OF AgVA�LLIID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: G• jgsh:�;4- OWNER: Sz/ye-
ADDRESS: /g� &¢eb s J'" ADDRESS:
PHONE NOS. S/9Y PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PHONE:
LOCATION OF PROPERTY: /C 64( n lane / Q.-0 9/ &Z 1-2-
HAS
.zHAS THERE BEEN A SITE PLAN REVIEW: VARIANCE OR SUBDIVISION APPROVAL? 0 YES ❑ NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR 0 Q o LL
PROJECT � rz OO H O F J p F w
Lu oul LL LL uJLu LLQ 0U0 F-
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a6
SINGLE FAMILY
V e
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS_)
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: _ FUEL TYPE:
HEAT TYPE: *ROPERTY?
S): AND/OR WOODSTOVES(S):
ZONING CATEGORY: LANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING
ARE THERE STRUCTURES N
ARE THERE EASEMENTS ON
'Pease co.rpleie a separate Apply tion for'FUei Burning A;;pliances&Chimneys' available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities.proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above.
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above ; ; This application / proposed action described ;
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said ; zoning Laws of the Town of Queensbury.
Application: ;
;
;
BUILDWIG, CO S PROVAL ; ZONING APPROVAL
DAT
DATE
QUESTIONS 7 CALL 761.8256 OR EMAIL
codesrcpg uee ns bu rv.net
Office Use Only_ VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Y s No www.gueensbury.net
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury Community Development Office ' 742 Bay Road, Queensbury NY 12804
Matthew Belisle
16 Queens Lane
Queensbury, NY 12804
July 6, 2011
David Hatin
Director of Building&Code Enforcement
742 Bay Road
Queensbury, NY 12804
Mr. Hatin,
In response to our recent conversation,this is my list of items that may need to be included on the
building permit repairs on my home. The only change from the original building plan is that I am not
going to replace the fireplace and chimney at the front of the house and I might add a ceiling fan in
master bedroom. Thank you. Matt
Living Room
Remove fireplace, place studs in opening
Replace R-19 insulation-front wall (96 SF)
Replace drywall—front wall (96 SF) TOWN
BUILD -,'. _ X
Foyer Reviewt,�c
Replace drywall(16 SF) Cate: � _7 )-ILI—
Master
Bedroom TOWN OF QUEENIzeURy
Replace 48"x48" double casement window9U4AIN0 DEP4n*,A�NT
Based on our limited exam"I'l1n,cnmpliance
w
Replace R-19 insulation—front wall (89 SF) with our commer.Ie ahbll nw he cunrtrued as
indicating the Mahe and eW"' 'It ahnns are in
Replace drywall—front wall (89SF) Ne mj� M -51k,409 a Gf
Replace R-20 insulation—ceiling(203 SF)
Replace drywall—ceiling(80-203 SF)
Outside front of house/siding/porch
Remove chimney ' ,
Attach to house the portion of porch that was attached to chimney l EC?1
fY
Repair roof and truss where cut by demolition crew(fire dept.)
Replace OSB and front siding—maybe whole house with vinyl siding
Residential Final Inspection
Inspection request received
Namecz x k1 Inspected on
Location Y- (tib Arrive am p
Permit No. ` 'C t_ ( Inspector's Initials
Type of Structure R455 444K- 1
Yes No N/A Bathroom Fans, If no window
4" Building Number Address visible from road Plumbing fixtures
Chimney Height/"B"Vent/Direct Vent Foundation Insulation to floor/ Sticker on Panel
Location
Duct work sealed properly/Blower Door Test
Fresh Air Intake Certification
3" Plumbing Vent through roof minimum 18" Floor truss,draft stopping finished basement
Roof Complete/Exterior Finish Complete 1,000 sq.ft.
Platform at all exterior doors Emergency egress below grade
Handrail 4 or more risers Gas Furnace shut-off within 30 ft.or within line
Guards at stairs,decks, patios more than 30 " of site
above grade Oil Furnace shut-off at entrance to furnace area
Guard at stairwell at 34"or more Furnace/Hot Water Heater operating
Guard at deck, porches 36"or more Low water shut-off boiler
Handrail Termination at Newell Post or Wall Relief Valve(s)installed /Heat Trap/Water
Interior/Exterior Railings 34"to 38 " Temp 110
Deck Bracing/ Handicapped Ramp Compliant Enclosed Stairs Sheetrock Underside minimum
/:' Gypsum
Grade away from foundation 6 " with 10 feet Basement stairs closed rise 4 4 Inches
6" clearance to sill plate Garage Floor Pitched
Gas Valve shut-off exposed/regulator 18"above Garage fireproofing/%hour fire door/door
grade closer
Interior privacy/trim /doors/ main entrance Gas Logs in Sealed or Glass Enclosure
36"
Bathroom/Kitchen watertight Final Electrical;Energy Saving Light Bulbs 50%
Safety glazing/Window in stairwells safety Final Survey Plot Plan
glazing Arc Fault Breaker Habitable Spaces/Tamper
Interior Smoke Detectors/Carbon Monoxide Proof Receptacles
Detectors Flex Gas Pipe Bonding
Every level: _____ Every Bedroom: _____ As Built Septic System/Sewer Dept.Inspection
Outside every bedroom area: _____ Sticker
Inter Connected: _____ Site Plan /Variance required
Battery backup: _____ Flood Plain Certification, if required
Attic access 30"x 22"x 30"(height) In Okay to Issue Temporary/Permanent
accessible area Certificate of Occupancy OR
Crawl Spaces 18"x 24" access,l sq.ft.-150 sq. Certificate of Compliance
ft.vents
Yes No N/A
Comments: � � g ��(�( 6/11 — C—r�d91J�M"" vtiP�+iL��
Town of Queensbury Building & Code Enforcement Office No. (518)761-8256