95-532 -BUILDING-- PERMIT -
VALUE $ _0 �,TOWN OF QU_EfNSBURY = §5532 _
TAX--MAP NO. _23. -1-29:,1 No:
WARREN COUNTY, NEW YOR.K
GILLIS, L':_ RAE.
-.PERMISSION is hereby granted to
LOCKHART RD.
OWNER of property located at _ Street; Road or Ave.
REPLACE EXISTING ROOF,
in the Town of Queensbury,To Construct or place a"
at the above location in accordance to application together with plot plans and other,information hereto filed and
;approved and'in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
R.D. 1
LAKE GEORGE_, N.Y'. 12845`
2. CONTRACTOR or BUI LDER'S Name
GILLIS FAMILY
3. CONTRACTOR or BUILDER'S Address. -
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL_ _ALTERA_TIONS
( }Wood Frame ( ) Masonry ( }Steel
7. PLANS and Specifications
REPLACffddG EXISTING ROOF TO BE USED AS SHOP AND STORAGE AS PER
PLOT PLAN SPECIFICATIONS
8. Proposed Use "
REPLACE EXISTING "ROOF
0 = ` September- 12' 97..
$ PERMIT FEE PAID THIS PERMIT EXPIRES— '19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
13 Sep tei<nber - - 95
Dated-at the Town of Queensbury this Day of = 19
SIGNED BY for the of,Queensbury
ilding and Zoning Inspector
Depart;; '/it of Conununity Development Reviewed By:
Bui�Fding & Code En forcemeni 13uilding Inspector
Town of Queensbury Perinit No. -S-�3',
742 Bay Road. 0 C�
Queensbury, New York 12804 Fee Paid $ -� � "
(Sls) 745-4447 Building .Permit Application
A PERMIT MUST BE OB`1'AIN1 D ,BEFORE _BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT IIAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on' this application MUST be completed and the
signature of the aIpplicanL- MUST appear on the application form.
flpplic. rtl: •Z . �✓r Owucr: �4/yJ
Address: � e/�d � r r Zg` ddress:
I'11one # ( )��$ - �7-9 1'lroue #�
- - - - - ---- ----- -------
Properly Location;Z'r
Tax Map Number _.-
Subdivision Name: g�c .p r'°.13 ck Lot
NATURE OF PROPOSED WORK: ESTIMATED MARK T °VALUE OF THE
New Building: CONSTRUCTION:
residence / commercial
ddition to Building: - UEENSSU
residence / commercial OCCUPANCY INFO 731f1�t�RFQANDCODE
Alteration to Building: Primary Bui i.din $U11-p1NG
residence / commercial Single Family Dwelling
esidence / Commercial Two Family Dwelling
no change to exterior size Fpml.ly Dwelling
Office
Ot er 'Work (describe below) ercantile If
p ' S '.� ✓t'Od Manufacturi-ng�L,
Other , r� // d
. . GROSS AREA OF PROPOSED STRUCTURE: Pi i S 5/ d'
let Floor. . . . . . . . s ft . If ADDITION, what will use
q• . of new, additiori • be? :
2nd .Floor. . . . . . . sq. ft .
Other Floors . . . . — sq . 'f_L .
(not unfinished cellar or basement- ) ACCESSORY BUILDINGS :
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
Other
FEE"i' X FEET
Foundation Type : — Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE Ot HEATING SYSTEM:
Number of fireplaces arid/or woodstove ( circle all which applies )
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards t.o building
codes is : S% )�IAJ e,
Name Addrea,s Phone
Builder: '15 �f-'� I?� e'ro �i , � - Z_
Plumber:
Mason:
Electrician':
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, together with -the plans arid 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 I/we shall submit prior ' to a Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual ocation of project on premises .
Signature:
(owner, owner s agent, architect, contractor)
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive ann/pm Depart am/pm
Inspector's Initials_�_Z
NAME: PERMIT# c _
LOCATION: DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place ,,
The contractor is responsible for Coda- �/�S�
providing protection from freezing
for 48 hours following the placement
of the concrete. y
Materials for this purpose on site /
Foundation/Wallpour
Reinforcement in lace
Foundation/Dampp fin ell,
Backfill Approval -
Plumbing Under Slab
Plumbing Vent[Vents ' Place
Rough Plumbing
Heating Rou - n
Insulati
Foundation Walls Interior R-
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
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed .
Fire Wall 2, 3, 4 hour 7-1
Firestopping
(518) 761-8256
TOWN OF QUEENSBURY -T
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12604
INSPECTOR'S REPORT: ARR !W DEPART INT2/
REQUEST FOR INSPECT N RECEIVED:,,
NAME
LOCATION
DATE PERMIT
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FO
PROVIDING PROTE TION FROI FREEZ G
FOR 48 HOURS FOLLOWING THE PLAC -
MENT OF THE CONCRETE. I
MATERIALS FOR THIS PURPO E ON SIT&'
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION•
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-iy
CEILING R
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
��(�t' X h�I�2c= iu/�z/�f
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210
Date O'i-TOi-ER 01,199-1 Application No.on file 4 2511969 r!97 H 445141
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
PAY GILLIS, 1386 10('.d{liART k9j . RK). , tjJEFNS13wy, 13.y.
in the following location; ❑ Basement ❑ Ist FL ❑ 2nd Fl. 1 J_ Z Section Block Lot
was examined on SE5P"i'LUBER '5 199 7 and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT1.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT.' K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H:P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS
NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE METER 1.0 YW 1 a 3W 3 0 3W 3,0.4W NO.OF CC.COND. A.W.G. NO.OF HI•LEG A.W G. NO.OF NEUTRALS A•W G.
EOUIP. PER Z OF CC.COND, OF HI-LEG OF NEUTRAL
1 1 410 1 'A)
OTHER APPARATUS:
P.EPLAC' SEP'VI,P, DROP HETEP SOCKET-1
21
l�T`.l l'JE F�1EC'P�TC L L
T3RAMT J_AA Et NY, 128.15 GENERAL MANAGER
239
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
(518)761-8256
TOWN OF QUEENSBURY -'
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR1016 DEPART INT�
REQUEST FOR INSPE ON RECE ,VED:
NAME
LOCATION �/ _ ��G�/ �� ✓��
DATE 7 PERMIT
TYPE OF STRUCTUR
RECHECK APPROVED
ES I N
FOOTINGS PIERS
MONOLITHIC POUR FO
REINFORCEMENT IN PACE
THE CONTRACTOR IS R PONSIHLE F
PROVIDING PROTE TIO FROM FREEZ NO
FOR 48 HOURS FOLLOWI G THE PLA -
MENT OF THE CONCRETE
MATERIALS FOR THIS PU POSE ON SITE
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT VENTS IN PUCE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING•
•JACK STUDS HEA ERS
-BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BAR IER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALL4 INTERIOR R-
FOUNDATION WAL16S EXTERIOR R-
FLOORS R- 1
TWALLS R-
CEILING R-
DUCT WORK OR IPING IN
UNHEATED SPA ES R-
1
lell-
ZZ6
/I
TOWN OF QUEENSBURY U
BUILDING & CODE ENFORCEMENT
(aw 742 BAY ROAD
QUEENSBURY NY 12804 Qyct
(518) 761-8256 •
ARRIVE: �/� DEPART: INSP:
FINAL INSPECTION REPORT
COMMERCIAL ---- MULTIPLE DWELLING.
(hotel, motel. a t. comp x
DATE IN ECTION RE EST RECEIVED:
NAME
LOCATION Aj
DATE -Q PERMIT #
n
TYPE OF STRUCTURE �
FOOTINGS -_BACKFILL_ FRAMING_ PLUMBING_
INSULATION O
N/A YES--NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES/
ROOFING
EXTERIOR FINISH
HEATING 110T WATE
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM ELEVATOR
HANDICAPPED ACCESS °
HANDICAPPED BATHS
HANDICAPPED PARKING-
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN IF RE
OK TO ISSUE C/O OR C C
,
f ✓
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR V5 d) DEPART INZ
REQUEST FOR INSPE O RECE ED: /
NAME % e l
LOCATION
DATE PERMIT #
TYPE OF STRUC RE:
RECHECK 4PPROVED
YES NO
FOOTINGS PIERS
MONOLITHIC POUR FO
REINFORCEMENT IN PL CE
THE CONTRACTOR IS RE PONSIBLE FO
PROVIDING PROTE TION FROM FREEZI G
FOR 48 HOURS FOLLOWIN THE PLAC -
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURP SE ON LE
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT VENTS IN PL E
ROUGE{ PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS HEAD RS
BRACING BRIDGIN
JOIST HANGERS
JACK POSTS MAI BEAM
AIR INFILTRATION BARRIIR
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS I TERIOR R-
FOUNDATION WALLS E TERIOR R-
FLOORS R-
WALLS R-
CEILING _ R-
DUCT WORK OR PIPIN IN
UNHEATED SPACES R-
Udr� - , s
t
GENERAL INSPECTION REPORT
Town of Queensbury
Dept of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive !a am/v fi'' Depart am/pm
spector's Initials Ol t
NAME: PERMIT# - �-
LOCATION: DI ;
TYPE OF STRUCTURE:
RECHECK
N/A S NO COMMENTS
Footings/Piers
Monolithic Pour Form 1
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing 1
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation'
Foundation Walls Interior R-
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 )POW Aall v
ilep
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2.. 3, 4 hour
Firestopping