RC-0162-2018TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-0162-2018 Date Issued: Tuesday, April 2, 2019
This is to certify that work requested to be done as shown by Permit Number
has been completed.
RC-0162-2018
Tax Map Number:
Location:
Owner:
301.6-2-15
8 WILLOW RD
Natasha Nesbitt, Kevin Nesbitt
Kevin NesbittApplicant:
This structure may be occupied as a: Egress Window in basement
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the
Planning Board or Zoning Board of Appeals.
Director of Building & Code Enforcement
TOWN OF QUEENSBURY
r 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0162-2018
Tax Map No: 301.6-2-15
Permission is hereby granted to: Revolutionary Construction LLC
For property located at: 8 WILLOW 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
Owner Name: Natasha Nesbitt Single Family-Alteration $0.00
Owner Address: 8 WILLOW RD Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Revolutionary Construction LLC
19A Smith RD
Mechanicville,NY 12118
Plans&Specifications
Egress Window in basement
$ 200.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,April 25,2019
(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 expiratio at )
Dated at the To of Que ��p
4W ay,April 25,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ADDITION/ALTERATION PERMIT Permit#: (?-G-01 Zo vB
V ME ` APPLICATION Permit Fee:$ 200
Town of Queensbury
742 Bay Road,Queensbury,NY 12804 Invoice#: O Lbli
P:518-761-8256 www.queensburv.net
Project Location: �V �l^� \I11A
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Tax Map ID#: 301,6 0) -/-5, Subdivision Name: ,Vv
CONTACT INFORMATION:
• Applicant:
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Cell Phone: Land Line: ( 'S(M )
Email:
• Primary Owners
Name(s):
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Cell Phone: (PSI Land Line: ( �� ) `L2 ��1
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• Contractor(s): Agi/o i
Business Name: '�_ 61AG��
Contact Name(s):
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Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
A
PROJECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
—Single-Family —Two-Family — Multi-Family(#of units )
_Townhouse _ Business Office _ Retail
Industrial/Warehouse Garage #of cars >190ther (describe, !!�.iW51S hG�
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:,
1st floor: 1st floor:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement (habitable space):
Total square feet: Total square feet:
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 5
2. If Commercial project, what is the proposed use:
3. Source of Heat (circle one): Gas Oil Propane Solar Other
Fireplaces need a separate Fuel Burning Appliances&Chimney Application
4. Are there any structures not shown on the plot plan? YES NO Explain:
5. Are there any easements on the property? YES NO
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel?
b. Is this a corner lot? YES NO
c. Will the grade be changed as a result of the construction? YES NO
d. What is the water source? PUBLIC PRIVATE WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system?
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
DECLARATION:
1. 1 acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to
fees and department approval.
3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or
description of the work proposed, that all work will be performed in accordance with the NYS Building
Codes, local building laws and ordinances, and in conformance with local zoning regulations.
4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy,
5. 1 also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all
newly constructed facilities priorto issuance of acertificate of occupancy.
I have read and.agree to the above:
PRINT NAME:
' ��'`' DATE:
SIGNATURE:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March.2018
INSPECTION WORKSHEET (001752-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0162-2018 Case Module:Permit
Inspection Date:Tue Apr 2, 2019 Inspection Status:Passed
Inspector:Mark Smith Inspection Type:Residential Final Inspection
Job Address:Parcel Number:8 WILLOW RD
Queensbury, NY 12804
301.6-2-15
Contact Type Company Name Name
Primary Owner Nesbitt, Natasha
Primary Owner Nesbitt, Kevin
Applicant Nesbitt, Kevin
Contractor Revolutionary Construction LLC
Granted Permission Revolutionary Construction LLC
Checklist Item Passed Comments
General Comments NO For basement egress window
Roof Complete / Exterior Finish Complete YES Se
Foundation insulation to floor NO
Emergency egress below grade NO
OK to Issue Temporary C/O NO
Apr 02, 2019 Page (1)
Smith, Mark (Inspector)