2000-159 TOWN OF OUEENSBURY
742 Bay Road,QueensburV,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518)761.8256
C EIL)V T1 I F I C A"'I"E 0 F 0 C C U PAN r%dV.L
Permit Number: 2000159 Date Issued: Thursday,May 17,2001
This is to cerrtiif that work requested to be done as shown by Permit Number 2000159
has been completed.
Tax Map Number: 523400-128-000-0009-016-000-0000
Location: NEW HAWISHIRE Ave
Owner: ERNEST&JO ANN HICKS
,Applicant: HICKS,ERNEST&J0 ANN
This structure may be occupied as a:
RESIDENTIAL ALTERATION By Order of Town Board
TOWN OF QUEENSBURY
Director of Building&Code Enforcement
Lsuitaing Perinit Application
TOmm-of Q11ce/1sb1il y - Dept. ffCotJltNttnity Det,elopment, 7,12 B(01 Road, Queensbilly, N1' 12804 1761-82.561
IN
OtIr1mri 11 BUILDING & . CODE ENFORCEAIENT
Requirements prior to issuance -(5
Lit taunt bo aUlnincd Uoforo Of this permit; I>ERAlIT'F/LE NO.
tg conr,truction. No inupcclious O
mule until upplicunl tuts raceived U ZUrtlrtR Ilocxrcl ACfiort /'Ii/iAl/% I•Li/d I'A/U$1> nU1LDING PERMIT'. Altts, spaces ou this rtPpliccttion RECREAT70N FEE A/D$
be completed emd•(Ito sigmatiroQ I'lnrtrtlitg I3oaacl Actiorsplicant must appear cat lho ItEV1L IlI:on form. 7n.r�, SPR / Subdivisiort /other n,dGter,g Lu,rrro,
Recreatioti Fee- Pnyntcat
Applicant: C_.K-'s Owncr: a�tlt''�Y - r) tZf� �`C_
Address: oV-( . rtl T� �- Adtl ess: •L+o
��ii r � 1
Pllollc # ( �b ) - �q,_ Phone # (151 )�-� - Oct.
Property Location: t=t�� 4— ('t r�� Q �— ^- --
Subdivisiott Name:' TIM Map IVttmber � 4
Section Block i.ot
NATURE OF PROPOSED WORK- ESTIMATED MARKET Val UE OF TIIE'
New Building: CONSTRUCTION: $
residence / commercial
Addition to Building:
residence / comillerclal OCCUPANCY'"_INFORMATION:
ALteration to Building:
gs Prit�tla-ry Building -
dence / commercial L/'Si_ng.l.e P'ainily Dwe 1,11k
Residence Commercial Two Family Dwell - gF"
no change t-o exterior size Family Dwo7li.n(j.
Office APR 02000
Other; Work (desc lbe below) Mercantile
)V\-kf ZY, }�vrs Manufacturing ry®b C3 ct i d` Oi�Y
GROSS AREA OF PROPOSED STRUCTURE: Other BUILDING d_,KID COOS_
1st- floor. . . . . . . . I. sq. ft. If ADDI`1'ION, what will use
2nd .Floor. . . . > . . j 3�y sq. f.t6 of new addition be7 :
Other Floors . . . sq. f t,
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. Attaclled Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
FEET X FEET
Other
A'
Foundation Type: 8)0c_lam. Will any second-hand or ungraded
Number of stories : lumber be used? if so, for what?
(Habitable space on1.y)
1101glit (grado to ridge) teat `1'XI>t oar [ii A1ING SYSTEM:
Number of fireplaces and/or woods Love (circle' all lick applies)
to be installed: Electric / Oil / Gas / Wood
Forced lIot it / Baseboard / Other
Person responsible for supervision of work as regards to building '
codes it. : :�EL a e c-l- 1 -l+;e k s Ua [ "V-9 Ax1 GF= 7151W0 Tq"5
Nattte Addres sls' Phone
Builder: '��q
Plumber: !1l ) Ll
Mason: N} ' ----
Electrician: 1A
DECLARATION' Please sign below aflei you have carefully read the statement.
To the best of my knowledge the statenlents contained in Ibis application, together with the plans
and specifications submitted, area true and complete siatelatent of all proposed work to be done on
the described prcmises attd that all provisions of the Building Ccxle, tale zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or notecl, and
that such work is authori-r_ecl by the owner. Further, it is understoexl that 1/wo shall submit prior to a
Certificate of Occtipancy'or Certificate of Compliance being isstcccl, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, sho/wing�actual locatioti of project on premises.
Signature:
owner, wner.'s agent, architect, contractor)
BUILDING PERMIT
Town of Queensbury, 742 Day Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 4000 Building Permit No. 2000159
TAX MAP NO. 128 . -9-1.6
HICKS , ERNEST & JO ANN
Permission is hereby granted to
Owner of property located at NEW HAMP SHIRE AVE.
in the Town of Queensbury,to constructor place a RESIDENTIAL ALTERATION
at the above location in accordance to 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.
Owner's Address:
40 GROVE AVE.
GLENS FALLS, NY 12801
Contractor or Builder's Name:
HICKS., ERNST.
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction: RESIDENTIAL ALTERATIONS
Plans and Specifications:
942 SQ FT RESIDENTIAL ALTERATION. AS PER APPLICATION
Proposed Use:
RESIDENTIAL ALTERATION
36 April 4 , 2002 ,
$ PERMIT FEE PAID—TMS'PERMff ENPMES
(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 TOWD of Queensbury this 4, Day of April 2000
SIGNED B 1 for the Town of Queensbury
Code EnforcemeAt Officer
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive pm pa
Town of Queensbury Ixuspector's Initi
742 Bay Road
Queensbury,New York 12804
NAME t PERMIT# 7�Q�—` ✓ ,
LOCATION DATE =
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Heightl"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30' to 36"
Exterior Handrails,balcani s,landin 18 in.or more
Interior Handrails stairs bo sides 3�or more risers
Grade 2%away from four tion
8"clearance to sill plate
Gas Valve shut-off expV�'030
tar 18"above grade
Gas Furnace shut-off wi or within line of sits
. Furnace shut-ofl at fiirnace area
urnace/Hot Water Heag
slief Valves)installe
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sid s mare than 3 risers
Interior privacyltrimidocrs/main trance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconiss/Lan ' 18 in.or more
Railing across window in stairwell
Smoke Detectors.
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/d hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)
' kay to issue permanent C/O(Certif:of Occupancy)
6
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement ", 1
Dept,of Community Development Arrive /p6i% i*a'rt�ai
Town of Queensbury Inspector's
742 Bay Road
Queensbury,New York,12804
NAME Z c t PERMIT#..- —
LOCATION DATE —
TYPE OF STRUCTURE FID E 0- Wk 00
N/A YES NO COMMENTS
Chimney Height PT"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish41.11plate
Interior/Exterio "to 36"
Exterior Handrs,landing 8 in.or more
Interior Handra sides 3 o more risers
Grade 2%awation
8"clearance to
Gas Valve shut-off expose regula r 18"above grade
Gasf;nrushut-off i a a a ntr 0 to or within furnace area
of site.
OilF .._......,__. ...__...... _.
j Furnace/Hot Water Heater
o
-, ,1>"Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both side more than 3 risers
Interior privacy/trim/doors/main trance 36"
Floor Finish Finish
Bathroom/Kitchen watertight
Interior Handrails BalconieslLandin 18 in.or more
till-
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif,of Occupancy)_
Okay to issue permanent C/O(Certif of Occupancy)
COMMONWEALTH ELECTRICAL I NSPECTION SERVICE, INCo
Main Office 176 Doe Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE w ELECTRICAL APPR SAL
70671Panei hoard �oM Cer�! hard No,
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Z�catton#Y.Y .41YY#Mia#nu#4#M4 nlM1..M.44..MM1iM#fMfMMY#YMY1..l.+MItYYr.M4Y#YYfYYNY4MHYiY#f.Yf1MY1YlMM{Mf##YfYfff###Y#{YYuff{auulffff# YY1Y#YYYY#!YY##Yf#M#Y#
Installation Consistin of i####111l11#f1Yf#####•##/�#YYI#1MMii«it{IYY♦
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#1�!♦f�1��1i1Y#IIIf�i111{f#liYf##{4iHlN#I4#it{f1/f!i{H1/l Hiff!!llii{#1f11##1!##l111i#11#{1f#{{11##H11##11{ii#!!#1i1f{f if M111pY##i#t►IN�Hl14##lM�M#N4t�#Mtif#1M1111#!#f#f#;
InstalledBy,,,,,,,,, V11klooM ,Y No. ►####►llltifi!#b#H#♦,it#♦i##liifN##fM##!##Ia
The conditions following'governed the issuance of this certificate, and any certificate previously issued i�
cancelled:
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations, application shall be promptly made for inspection,
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated, the Company shall have the right to revok t s c ifi te# `�..
ie
Date ' INSPECTOR
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GENERAL&SPECTIOIN REPORT
(518)761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive a p eiy p
spector's Ini
NAME: PERMIT# «" f J 0-1
LOCATION: l z 'af'�r�: .L �� DATE:
TYPE OF STRUCTURE'
RECBECK w
N/A YES NO COMMENTS
Footings/Piers _
Monolithic Pour Farm
Reinforcement in Place —
The contractor is re nsible for
providing pro tio from ftezin
for 48 hours follo g the place nt
of the concrete.
Materials for thi rpose on
Foundation/Wall ur
- — — —Reinforcement.i Place-. _
Foundation/Da pproofing - --
Backfill Appro al
Plumbing Und r Slab
Plumbing Ve I eats in Place
Rough Plum ,ng
Heating Rough In
anon
Foundation Walls Interior R <-h
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppin
f W
GENERAL.INSPECTION REPORT
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive rGd am/pm Depart am/pm
Inspector's Initials.
NAME: S PERMIT#
LOCATION: DATE:
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form.
Reinforcement in Place
The contractor is responsible.for
providing protection m freezing
for 48 hours follo g e placement
of the concrete.
Materials for this p rpose on site Crdss Se ejoc ur �! p
Rei orcement in lace Cc
Foun tion/D p fing
Backfill ro al
Plumbing Un r Slab
Plumbing Ve t/Vents in Place
Rough Plum g
Heating Ron -In
Insulation
Founda ' a Walls Interior R
Founds on Walls Exterior R-
Floors R
Walls R
Ceiling R
Duct w rk or piping in
unh ted spaces R
Proper V nt, Attic Vent
Framing
Jack Studs/Readers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestoppin
SA
K -.
_ 4—REC;APR 0-
E
-3 2000
u DIN
l- ODE
(PWLJV�V%
13 va u3ve�%L
o �
AZ
FY NOTME
KRAR PAPER INSULATION MUST
00, 100 COVERED BY NON-COMBUSTIBLE BARRig,
F11F ri ,09y
TOWN OF QUEENSaURY BUILDING DEPARTMENT
Based on qur�pfted examination,
compliari6a�our comments still
not be constrgd,,3s ipftft the Nova
plans and,speciraftons are in full T'ON MMT BE COVERED
compliance with the code. A NUTS THEAL
NA BARRIER
TOWN OF QUEE 4:z)4-,W
B U I L D i N 4 Q�201:�_fsp
REVIEWED GY
DATE
7�
1 C'