2000-820 TOWN OF OUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761=8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20000820 pate Issued: Thursday, Mare 28, 2002
This is to certify that work requested to be done as shown by Permit Number P20000820
has been completed.
Tax Map Number: 523440-3O2wOl4=OOOl-Ol3=000-0000
Location: 25 PERSHING Rd
Owner: THOMAS & SARAH HOY
Applicant: THOMAS & SARAH HOY
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
17 j W 1421 1
Director of Building & ode farcement
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000820 Application Number: A20000820
Tax Map No: 523400- 1 14-000-0002-030-000-0000
Permission is hereby granted to: THOMAS & SAR.A.H HOY
For property located at- 25 PERSHIN+G 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 Value
Owner Address; THOMAS & SARAH HOY Residential Alteration 5,800.00
25 PERSHING Rd Total value 59800,00
QUEENSBURY, NY 12804
Contractor or Builder's Name / Address Electrical Inspection Agency
RIST CONSTRUCTION CO.. INC
SANDY RIST 798- 1881
1368 BAY Rd
QUEENSBURY. NY 12804
Plans & Specifications
2000-820
40 SQ FT BATHROOM REMODEL AS PER PLOT PLAN SPECIFICATIONS
$4,00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, October 31 , 2002
(If a longer period is required, an application for an extension must be made to the code Enforcement Officer
. . of the 'Town of Queensbu oreyeanon date.Dated at the Town ue ues c#'osier 31, 2000
SIGNED BY for the Town of Queensbury.
Director of Building & Code Enforcement
Bu"alntg .Permit Application
Town of Q+ueellsb,uly - Delu. of c...srr,rrrii{y 742 8( v Rawl, Queendpa y, NY 1281J4 17 1-82.561
BUILDING & CODE ENFORCEMEN7'
Requirements prior to issuance
A permit must be obtained before of this permit: PERA11 ' FILE NO.
beginning construction. No inspections
will be made tiriril applicant has received Zearalntg Board fLCtleia PERMIT FEE PAID $
a VAI,II3 BUIL [7ING7 PERMIT. All Area I Use
applicants" aces on this application RECREA770N PE A $
MUST be completed add. the signature
of the applicant must a Planning Bard Acdorl
appear otr the RE VIE wf::D UY,•
plication form, ra,,,.t y� SPR / Subdivision / Other
Recreation Fee Payment
Applicant: R ; dMt-_ e• r. s , � a s r Snc Owner: M/M Thomas
Address: 1368 Bay Rea , Labe George , N'Y 25 Pershing Rd , ury ,
Address: 'g Queensbury , NY
I'Ilonc # ( 518 - 798- -� 1881 ` pllollc # ( 518 } 793 _ 3520
Vrolier(y Location: 25 Pershing Rd . , Queensbury
Subdivision Nanie: - Tax Map ,Number
Scction Block lot
NATURE OF PROPOSED WORK :
New Building : ESTIMATED MARKET VALUE OF THE
residence commercial CONSTRUCTION : $ �" f90
/
Addition to Building :
residence /" commercial OCCUPANCY INFORMATION :
X Alt. eration to Building : Primary Building --
residen� / commercial X Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dw ] � � �
Office
Other Work ( describe below ) Mercantile
?z �,e�cfi / Manufacturing OCT 2 3 2000
GROSS AREA OF PROPOSED STRUCTURE * other TOWN OF QUEENSBUP°Y
sq . ft . If ADDITION , what wxJL1 tise
2nd .Floor . . . . . . . . sq , ft * of new addition be ? :
Other Floors . . . . . sq , ft .
( not unfinished cellar or basement )
ACCESSORY svI >4Dxrlcs r
Detached Garage 1 , 2 car
TOTAL FLOOR AREA : SQ . FT . Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
FEET X FEET Other
Foundation Type : will any second-- hand or ungraded
Number of Stories : lumber be used ? if so , for what ?
t( habiable space only ) 0
Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM@ _
Number of fireplaces and/or woo stove ( circle all which applies )
to be installed : Electric / oil / Gas / wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : Rist Constr-us ion Coo ttir Z � I R! �• f
Natne flddresse Phone
Suilder : Rist Constr . Co , Inc r
Plumber ; R '
Mason •.
t ,
Electrician • i Lnc
�4
DECl.,4RA7TUIV* Please sign below after' you leave curefally read the statenient.
To [lie best of my knowledge the statements contained in Ibis 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 witli, wlietkrer specified or noted , and
that sneli work is authorized by the owner. Vurtlier, it is unders(otA that Mwe sliali submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUIL'I` PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature:
o Jr, w nt, architec ontrac c)rr
Office No. (St$) 761-8256 RRSiCIlENTIAI., FiNA)t, INSPECTION REPORT
Building & Code Enforcement late inspection request received:
Dept. of Community Development .Arrive
Town of Queensbury Uepa
742 Bay Road tor's lni
Queensbury, New York 12804
NAME A PEPaVOU ' #
LOC 10 I7A TE
TYPE OF STRUCTURE
N/A 'YES NO COMMENTS
Cliinwey HeightPM" VentlDirect Vent Location
Fresh Air Intake
Plumb Vent through roof
AW Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30" to 36"
Exterior I3andrails, balconies landing 18 in. or more
Interior handrails stairs si 3 or more risers
Grade 2*40 away frarn fo tion
8" Clearance to sill plate
Gas Valve shut-off expo 18" above grade
Gas Furore shut-off wi 30 feet within litre of site _
Oil Furnace shut-off at en ce to area
FiunacelHot Water Heater
Relief Valves) installed
headroom, 6 fi, 6 in. on s
Basement stairs, 6 ft- 4 in.
handrail exterior stairs s es more than. 3 risers
Interior privacy entrance W,
Floor Finish
BatluoornllCitchen watertight
Interior Handrails Balconi 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
3/4 hour fire door/door closer
Garage fireproofing_._._
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation per r oorn
Safety glazing I8" 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/C) (Celli£ of Occupancy)_�
Okay to issue permanent C/O (Certif. of Occupancy) --
C>;ENERAL INNSPECTIQ)V REPCIRT
( SI $ ) 76L — $ 256
Town of Qucensbury
Dept. of Community Development Date ins
Building & Code Enforcement inspection request received:
742 Bay Road
Queensbu ry, NV 128404 Arrive ,�
�epart a
nspeetor's Initials
NAME: PERMIT #
TYPE OF STRUCTURE: DATE : - X =A -CKC)
H RECECK
Foolings/Ficrs
NIA YES No COMMENTS
-----�-�
Monolithic Pour Form
Reinforcement it, Place
The contractor is res isible for
providing; protection f m freezing,
for 48 hours followin the placement
of the concrete-
Materials for (his purpo, on site
F dation/Wallpour
Rcinfore t in Place � -
Foundation/Dampproo nb
Backlill Approval _
Plumbing Under Slab — -"-� -- —
P ambing Vent/vents n Placc__y� -
ough Plumbing__
Healing; Rough-1n_
Insulation
Foundation Wall interior R-
Foundation Wal s Exterior R-
Fioors R-
Wails R-
Ceiling R --
Duct work or iping in --- — -- -
unheated s ces R-
Proper Vent. A( c Vent -- - - --
Framing ---
Jack Studs/Ilcadcrs - --- — - — - -
Bracing/Bridg,ing_ - --- -- — —
Joist Hangers
Jack PosWMain Beam -
Air Infiltration Barrier — -- - -
Fire Scpafation I , 2- 3, hour_ - -- -- --
Pene(ra(ion Scaled
Fire Wall 2, 3, 4 hour
Firestopping ��— --
RIST CONSTR. We INC. M/M THOMAS HOY
1368BWRoad
CSC ~~// 25 Pershing Road
UM George, NY 12845 � Queensbury , NY
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Rist Construction Co., Inc. Page 1 of 2 Contract Proposal
1368 Bay Road
Lake George, NY 12845
(518)798-1881 (F)798-9941 October 21 , 2000
We herewith submit materials and labor to be supplied at the sole request of;
MIM Thomas Noy 25 Pershing Road Queensbury, NY 12804
DIATHROOMy KITCHEN AND FAMILY R M RENOVATIONS
SECOND FLOOR BATHROOM
REMOVALS
Remove bathroom door including frame opening (salvage door, hardware, jambs, casings and
base moldings for re-use), tub/shower unit, vanity cabinet (salvage for re- use) and top, lavatory,
wall cabinet (salvage for re-use), well exhaust vent, lights, toilet, towel bars, toilet paper holder,
ceramic file wainscot and flooring, the underlayment, wall and ceiling gypsum 'board_
IMPROVEMENTS
Showe - bask: Taylor industries #3660: color -Sierra Storm,
- walls; Taylor Ind. Tere-Stone wall panel system with one #SS-15N shower seat, one
#SN 2-SS shampoo holder and one #SH-1 -SS soap holder; color - Sierra Storm_
- enclosure: Basco pol, chrome with "Antique" glass and Center hinged door.
- faucet: Kohler "Coralais" K T15872-4K: color - vrfiite porcelain with K-15701 -K
mixing valve, K-15855-4P handle insert and adjustable spray shower head.
Toil et - Kohler "Portrait" K-3491 with elongated bowl and K-4652 seat-
Vanity Cabinet - install salvaged cabinet with new Counter and lavatory.
Vanity counter and iavatork - 25" x 22" Taylor Industries Tore-Stone "Sierra Storm" with white,
under-mount, integral bowl.
L,avatofy faucet - Kohler "Coralais° K-15885-K-CP 4" traditional lavatory faucet and K-15850-
4P-CP handle kit. white ceramicichrome,
Medicine cabinet - install salvaged wall cabinet.
Electrical - install one (1 ) new GFCI receptacle, new vanity light and ceiling vent/light
ZO ' d ZtafS6 -86L - f3i5 as � � uo a/C b6b : 80 OC? - L - ACT
i
MIM Thomas Hoy Page 2 of 2 October 21 , 2000
Bathroom walls - %" moisture resistant gypsum board on all walls.
Hall wall - lnfill void at former opening with '," gypsum board. Fill, tape, sand, prime and
finish "in film area with wall paper. WALL PAPER TO BE PROVIDED BY OWNER,
Ceill - ''W moisture resistant gypsum board. Fill, tape, sand, prime and finish with two (2)
coats of white, latex, "egg shell' celift paint.
FLoc?r - 'A" concrete board underlayment with ceramic the finish.
Wr.Qd work - install salvaged door and hardware and new "colonial-style" door casing (2 4W)
and base molding (3 W) in bath room. Install salvaged casing and base molding in hall. Prime
and finish with two (2) coats of white, latex, semigloss paint.
Misc_ - in fill exterior of wall exhaust fan void with siding and finish to match adjacent surfaces.
KITCHEN
Electrical Install seven (7) new recessed lights controlled by two (2) single pole and one (1 )
three-way switch combination.
Ceiling fn-fill voids with IAA gypsum board, Fill, tape, sand and finish with white, latex, "flat"
ceiling paint: two (2) coats on new and one ( 1 ) coat on balance of kitchen ceiling.
FAMILY f?f3+d,N1
Electrical Change ceiling fan doran rod to 6" long unit.
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