2004-038 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CER'T'IFICA'I'E OF OCCUPANCY
Permit Number: P20040038 Date Issued: Thursday, February 17, 2005
- This is to certify that work requested to.be<,done as shown by Permit Number= P20040038
has been completed.
Tax Map Number: 523400-301-008-0001-013-000-0000
Location: 453 DIXON RD Bldg 2
Owner: PATRICK J ESMOND
Applicant: PATRICK ESMOND D.D.S.
This structure may be occupied as a:
By Order of Town Board
Commercial Alteration TOWN OF QUEENSBURY
Director of Building&Code Enforcement
P--r- TOWN OF QUEENSBURY
742 Bay Road,Queensbuly,NY'12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040038 Application Number: A20040038
Tax Map No: 523400-301-008-0001-013-000-0000
Permission is hereby granted to: PATRTC;K ESMOND D.D.S. .
For property located at: 453 DIXON RD Bldg 2
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: PATRICK J ESMOND
453 DIXON Rd Commercial Alteration $8,200.00
Total Value $8,200.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
GALARNEAU BUILDERS_ INC
506 MAPLE Ave
SARATOGA SPRINGS_ NY 12866
Plans&Specifications
2004-0038 DR. PATRICK ESMOND
416 SQ FT COMMERCIAL INTERIOR ALTERATION AS PER APPLICATION
$50.00. PERMIT FEE PAID -THIS PERMIT EXPIRES: Sunday, February 06, 2005
(If a longer period is required,an application for an extension n'lust be made to the code Enforcement Officer
of the Town of Queensbury before t e expiration d.te.)
Dated at the To n of een AAA Februa 06, 2004
1'Y
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
I
Building-Permit Application
Town of Quemsbury—Dept of Community Development,742 Bay Road,Quoensbury,NY
(518)761.8.256
A permit must be obtained before beginning construction. Permit File No. S'
No inspection will be made until applicant has received a Fee Paid. _
valid building permit. All applicants' spaces on this Roc.Fee Paid $
application must be,completed and must appear on the Reviewed By:
application form.
Applicant: 1 A!_4Lk Wrl
Address', ;�6'yi'�A�l r Al%E ' -Address: �/SS b)V0;_4 R,n, 5u
xw s rzu try M
Phone#:( ) Ss 191 . Phone#�4c �j U.
Property Location: .Lot Numben- / House Number /
Subdivision Name: ' Tax Map Number:
a New Building:. residence I commercial Ests Market Value of Construe • -
a Ad�tiorr residence/ commercial ` " use of new addition Ve?
a -No change to axterior size: r sidende=!-ovaL I'
a Other work-(describe )
Check OecupancyInformation 1'.Floor r Floor Other floor Total -
Below sq.tt sq.ft. sq.St. Square Feet
o 5in o&Wily dwellin -
a Two A! U1 dwellin
a Townhouse
a Multifamily dwelling -
#of units
a Office
a Mercantile ,
Cl mmuftttaing
L -
0 1 oar detached samse
0 2 car detached gEae
a 3 car detached pmge
a, 1 oar attached pmgo .
a 2 oar attached!Mgt
a 3 car.attached go .
A Storage building- -
coMmercial
a Storage building-
re identlal
What is the proposed height of the structure feet; „ inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil I gas I wood.I forced hot air/ baseboard I other: . -_`
Number of Ekeplagg to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder C,at2 E n — A �v� 5K — 7
Plumber
Mason
Blectrician '�i i(��C7 W+�t "Tal
Decleradon: 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 Uwe shall
submit,prior to a Certificate of Occupancy or.Certificate.of Compliance being issued,as requosted by the Zoning
Administrator or Director of Building and Codes,-and Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature. ?off abet,contractor .
'V Commercial Final Inspection Report
Office No.: (518)761-8256 Date Inspection re est re e' ed:
Queensbury Building&Code Enforcement Arrive: pm Depart: fl
742 Bay Road,Queensbury,NY 12804 Inspector's Initi `NAME: �) PERMIT 0 - 03
LOCATION: DATE:
COMMENTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish Grade Complete 6"in 10' or Equivalent
Interior/Exterior Guardrails 42 in.Platform/Decks Y
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 s . ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36 (w)x 44" (1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Oka
Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum f
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers '
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/2 doors
> 10%> 1000 sq. ft. /
3/4 Hour Corridor Doors&Closers /
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire %
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq.. ft. Wood Frame j
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 247
Smoke Vents Or Fan, if required
Elevator Operation and Si a e/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e
Public Toilet Room Handicapped Accessible `
Handicapped Service Counters, 34 in., Checkouf 36"
Handicapped Ramp/Handrails Continuous/12"in.Beyond
Active Listening System and Signage Asseiaibly Space
Final Electrical
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20'wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: .U' am/p Depart: am/pm
Date Inspection request received: _ Inspector's Initials: (�
NAME: PERMIT#: �-
LOCATION: a DATE: j
TYPE OF STRUCTUR RN
` (T
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Co m lete
Guard 30 in.or more cry,stairs, decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside tninimum ''/z"
Gypsum
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. 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 Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safet lazin /Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector _
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below arade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/1/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s .ft. vents
Building No./Address visible from road !' /
Final Electrical A/e , r-l"I
Site Plan /Variance re uired
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O [Temporary/Permanent]
L:\PamW\Building&CodesUnspection Forms\Res. Final Insi). form 2.docLast printed 2/12/04
Framing/Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection reque r cei
Queensbury Building&Code Enforcement Arrive: ai p e rt:
742 Bay Road, Queensbury,NY 12804 Inspector's Initial
NAME: C'�u�� - (,i, d/�'/ ,.PERMIT#: v 04 &
LOCATION: r C jC INSPECT ON: (3�
TYP OF STRUCTURE:
Of y N/A Framing C®NMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft, floor trusses
Anchor Bolts 6 ft, or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\,SueHemingway\Building.Codes.Inspection.FORNIS\Framing Firestopping Inspection Report.doe January 28,2003
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