2009-053 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090053 Application Number. A20090053
Tax Map No: 523400-304-017-0001-025-000-0000
Permission is hereby granted to: CECILE ALLEN
For property located at: 81 BOULEVARD
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: CECILE ALLEN
81 BOULEVARD Certificate of Occupancy(RES) $19,000.00
QUEENSBURY,NY 12804-0000 Total value $19,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
HILLTOP CONSTRUCTION
51 CROWLEY Rd
HUDSON FALLS, NY 12839-0000
Plans &Specifications
2009-053
residential rehab
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, February 27, 2010
(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 wn Quee u r' ay, February 27,2009
SIGNED BY + for the Town of ensb
Q� ury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,QueensbuM NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE " OCCUPANCY
Permit Number. P20090053 Date Issued: Thursday, March 05, 2009
This is to certify that work requested to be done as shown by Permit Number P20090053
has been completed.
Location: 81 BOULEVARD
Tax Map Number. 523400-304-017-0001-025-000-0000
Owner. CECILE ALLEN
Applicant: CECILE ALLEN
This structure maybe occupied as a: j
Certificate of Occupancy(RES) 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, y
Variance,or other issues and conditions as a result of approvals by the ctor of Building 8 e P11forcement
Planning Board or Zoning Board of Appeals.
OFFICE USE ONLY i
TAX MAP NO. PEPNIIT NO ;
�
FEF_S: PERMIT RECRF nTI�>N k N(;INF FPIFJC: ,
(If applicable) ;
------------------ - -- -- --- - - -- - --- . . . . .. . .�
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUA14CE OF A VA ID PERMIT FOR CONSTRUCTION. Men
APPLICANT/BUILDER: 1 II OV1MER.:
ADDRESS rIeVU�-(�I j�J ADDRESS: + iJe t/a rc _
PHONE NOS. !l ` �1�,'S a 5 PHONE NOS. � yi l ,
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: IQyy\ kl�C2Ckr PHONE: q
LOCATION OF PROPERTY: O(.�J (Z 01
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR 0w j o
PROJECT p ~ p 0 U) (n LL`�
0 J OHW
J =
LL o LL ={{--.. F 0 0 Z
Z Q Q '-V7 NU) Oil.. �LLL d=etf
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY(NO.�
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
Folkm of Qurrr►shury • Comillimill/ I)rcel,'linrrlll ()flier • "-1.' 1"aI/ 16,10, ( 1lirrrF�lv11 v. 1 I ',;U 1
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRU ION�COST: 0 FUEL TYPE: 'Os
HEAT TYPE? *HOW MANY FIREPLACES) D U n C=AND/OR WOODSTOVES(S): t)0r1_e—
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? h
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: tZC1L✓Y
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY? n o
*Please complete a separate Application for"Fuel Burning Appliances&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 nd agree to the abov'1e.
�,
Signed
Director of Building & Codes: 761-8256 (for questions 'QUESTIONS? CALL 761 8256 OR EMAIL \
regarding Building Permits, construction codes or septic codes a�queensbury.net
systems)
VISIT OUR WESSITE FOR MORE INFORMATION
Zoning Administrator: 761-8218 (for questions regarding _` '�—aue(jnsbury^net
required permits, the permit process, application requirements or to
schedule an appointment)
This application/proposed action described Permission is hereby granted to the above ;
herein is found to be in accordance with the - Applicant to erect or alter the building described
zoning Laws of the Town of Queensbury. herein in accordance with said Application:
ZONING APPROVAL DATE BUILDING&CODES APPROVAL DATE.
---- --- ----- --
-��iltl n��1n�•�•ttshlitt/ • lInr�nr�lifi/ (��•z�•1�,( Iliruf t )�lir • , !' I,ui� I.'. ,��1 ! ?ir,�-n�1Euu `. 1 I ',till
Queensbury Building & Code Enforcement - Reside Zil F' I ection
Office No. (518)761-8256 Arrive: >CD .�� tZ /pm
Date Inspection reque received: Inspector's Initials.
NAME: IT#:
LOCATION: ATE:
TYPE OF STRUCTURE:
Comments:
Y No MIA ,
4" Building Number Address visible from road J r C
ek,
Chimney Height/'B"Vent/Direct Vent Location
Fresh Air Intake ���i v
3 inch PlumbingVent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs deckspatios 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
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
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 orate ' ht
Safety glazing/Wind in stairwells safety glaong
Interior Smoke Der ors/Ca Mcg6xideeOetectors
Every level: Eve ed .
Outside every bedroom a a:
Inter Connected: Battery bad k:u;.:_
Attic access 30 inches x 22 inches x 30 irdtes hei ht in accessible area
Cram Spaces 18 inch x 24 inch access, 1 sq.ft.-150sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency ress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-of at entrance to furnace area
FumaceMot Water Heater operating
Low water shut-off boiler —74
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'A'Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fire roofi /%hour fire door/door doser
Dud work Sealed Properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pie Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection FormsWesidential Final inspection Forrn_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
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Main OfTct 176 dot Run Raad-Manfitim,PA t 7S4S
MUNICIPAL CERTIFICATE - ELECTRICAL APPRON Al-
Pcrma No.,..........__ _.. ......Cert. NO 3821 bit-in Curd Ntt..............
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lttstailedbv....... r..t ............................Lit- No .................................. ..........
Ilia con,litiona following govetrvt the if�var Ut of this crrtificatc,and any certtticate prev ioacly-issued:s
-an;;tlted.
This crAlftcalc only corns the el"twicul equipment and iwtallai on conditions is of:.late. Upon the
introduction ai additional equipment or alterations.appiveatior,shall be promptly tvua.e for inspectu,n
insptclors of ihis Company shall have the privilege of making, inspections at env :In.c. and if its
rules are tiiulated, the Company shall have the right to revoke this zcrtifMktc,
Date......r ..~.,.. ..:._. INSPECTOR - �G/ "-,P-7. Fe
Member KFP.A..i.A.E..t
TO 3EtVd O-iliw lw Nod F@'y I�"6 L T' T 6 a 0 ,'°iG i,;,_