2003-935 TOWN OF QUEENSBURY
1
g 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
'.r
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20030935 Date Issued: Tuesday, April 20,2004
This is to certify that work requested to be done as shown by Permit Number P20030935
has been completed.
Tax Map Number: 523400-303-020-0002-026-000-0000
Location: 35 BOULEVARD
Owner: MELISSA VAN ORDEN
Applicant: JAMES M ZAPPONE
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
4
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)-761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030935 Appheatioix Number: A20030935
Tax Map No: 523400-303-020-0002-013-000-0000
Permission is Hereby granted to: •:TAMI?S M 7,APPON•F
For property located at: 65 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 Queensbu-'Zoning
Ordinance. Type of Construction' Value
Owner Address: GILBERT &RITA DE LISLE
65 BOULEVARD Residential-Alteration $45,000.00
Total Value $45-000.00
QUEENSBURY;NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2003-935
1355 SQ FT RESIDENTIAL INTERIOR ALTERATION AS PER APPLICATION
$135.50 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 18, 2004
(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 Tow eensb T` d y,November 18,.2003
SIGNET}BY /° for the Town of Queensbury.
Director of Building& • ode Code
Building Permit'Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Quecnsbury,NY
(518)161-8256
A permit must be obtained before beginning construction. Permit File No.
No inspection will be made until applicant has received a Fee paid $ �`
valid building permit. An applicants' spaces on this Rec.Fee Paid
application must be completed and must appear on the
application form. Reviewed By:
Applicant: Owner: TRmsr E
Address: T _ Address:=&- 72, /
Phone#(52&'j�6/_ Phone#
•Property Looation: Lot Number: / House Number 6 —.1 8/,.,c,j � NOV 0 4 -2003z
Subdivision Name: Tax Map Number:_ Qi" 'QUEENSSuRy
AND CODE
C
0 New Building. residence I commercial 'Estimated'Market Value of Construction:$ Z/.5 000•
ocl Ada- residence/ commereia2 if an Addition,what will use of new addition be?
commercial
Cl No change to exterior size: residence/com'1
ci Other work(describe )
Check OCCuipanaylnformation 1 Floor 2n Floor Other floor Total
Below sq.ft. sq.ft. Feet
—single t'arzsii dwollin ��-
o .Two-fartlily dwelling
cI Townhouse
CI NLuI y dwelling
#of units - •
n Office
a Mercantile
o Manufactuft
Ci 1 car detached e ,
O 2 car detached ggrage .
a 3-car detached ge
0 1 car attached garage
Ct 2 oar attached pnga
O. 3 car.attached garage
0 Storage building-
eommercial -
o Storage building /
residential
a Other
What is the proposed height of the structure feet inches--
my second-hand or ungraded lumber be used? If so,for what? ,•✓ram
Type of Heating System: electric/ oil ./ gas wood /forced hot air I baseboard/other:
Number of Ftrentaces to be installed Number of Voodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder
Plumber
Mason
Electrician
Declaration: please sign below after you have carefblly 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 7/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or ector of Building and Codes,an Aa,$ultt Survey by a licensed surveyor,drawn to scale,showing actual
location of all n oonstruedon.
Signature: owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Re i e lal F' 1 Inspection
Office No. (518)761-8256 Arrive: am/pi a
Date Inspection request received: Inspector's Init als-
NAME: .w_. C,4 'RMIT#: 3
LOCATION: ATE:
TYPE OF STRUCTURE:
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 Com lete
Guard 30 in.or more @ 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 minimum '/"
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 I Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors;
Every level: ✓ / EvefYBed�oom: it
Outside every bedroom ar;d: +/
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 grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3f4 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 . fl:.150 s .ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final SurveyPlot Plan
As Built Septic System/Sewer Dept,Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0 Temporary/Permanent
L:\PamW\Building&Codesllnspection FormslRes. Final Insp.form 2.docLast printed 2/12/04
36
ueensbu Building & Code Enforcement - Residential Final Inspection
�'"`7 `�.� Q rY � p
Office No.(518)761-8256 Arrive: Al,10 am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: (2k �
s
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCT
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location r ,
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Co m lete
Guard 30 in.or more @ 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 minimum %"
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 Tern 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area: f// -j /),/', GT2 �� "j� "1 4 r '�
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 grade
Basement stairs closed rise>4 inches
Garage Floor Pitched _
Garage fireproofing/3/4 hour fire door/door closer
Duct work Seated 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
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer De t.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Tem orary/Permanent
L:\PamW\Building&Codesllnsvection Forms\Res.Final Insn. form 2.docLast minted 2/12/04
A, Gde- A _DC A-V-ee
Queensbury Building & Code Enforcement - Residential Final Inspection
� ,�
Office No. (518)761-8256 Arrive: _ff,4L' am/pm .Depart:
Date Inspection request,received: Inspector's Initials: Zk
NAME: G PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Corn lete
Guard 30 in.or more @ 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 minimum V2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate V11
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 JF, rzl� Ile_
Relief Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety lazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: ✓ Every Be 00m:
Outside every bedroorn
Inter Connected: V// Satter 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 grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/1/4 hour fire door/door closer LL
Duct work Sealed properly
k�i 'PC le,— 44
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, I sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0 [Temporary/Permanent
L:\PamW\Building&CodesUnspection Forms\Res.Final Insp.form 2.docLast vrinted 2/12/04
'2"'of1P.I�R j RECOVED
. 13ED: CIDNOV 0 4 2003
TOWN OF QUEENSBURY
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not ire cs fris �uec !rk.ifcatin� the
plans an i s' c'if+r,:f,,o 6 are in full
compl€an,e mAth tt,.c, &i€iding Codes
of k--Y� .`,.,state.
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BU rLD11N1'CG & E
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-- - _ REVIEWED BY
ROOK &QV 65 'I9001'il.4 DATE
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