2011-601 .4111.1hi TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110601 Date Issued: Tuesday, April 03, 2012
This is to certify that work requested to be done as shown by Permit Number P20110601
has been completed.
Location: 400 CLEVERDALE Rd
Tax Map Number: 523400-226-008-0001-004-000-0000
Owner: TIMOTHY& BARBARA HEENAN
Applicant: TIMOTHY& BARBARA HEENAN
This structure may be occupied as a:
Demolition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property ( 42viaW /
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code! orc ent
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
Fore 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110601 Application Number: A20110601
Tax Map No: 523400-226-008-0001-004-000-0000
Permission is hereby granted to: TIMOTHY& BARBARA HEENAN
For property located at: 400 CLEVERDALE 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: TIMOTHY&BARBARA HEENAN Demolition
HEENAN FAMILY TRUST Total Value
19 RIVERCREST Dr
REXFORD,NY 12148-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
DOCK DOCTORS, THE
19 LITTLE OTTER LANE
FERRISBURG, VT
Plans&Specifications
2011-601
DEMOLITION OF DOCK WITH ROOFDECK
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, December 13, 2012
(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 Town of Queensbury; Tuesday,December 13, 2011
d� I ,,t/
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SIGNED BY ( for the Town of Queensbury.
Director of Building&Code Enforcement
•
r TAXO.-.r PERMITOFFICE UOSE O I Y (1 �) / FEE
•
PAID ,- C L.� p V E
i
Permission is hereby granted to the above named Applicant to demolish the building(sI
described herein as set forth in the Application below. DEC 12 2011
i •
•
Director of Building&Codes Date TbWN OF QUEENSBURY
BUILDING.&CODES_____, _
APPLICATION FOR DEMOLITION PERMIT:
Fill in applicable spaces and submit two(2) plot plans, drawn to scale, showing lot boundaries with
dimensions and adjacent roads/streets. Show all existing structures on the property and indicate which
are to be demolished. Indicate on the plot plan the location of all utilities.
APPLICANT/BUILDER: ,Voce PO 4 rL S OWNER: / ,7 /9 ,1/,4 /
ADDRESS: /9-77,4-CH-C19 ADDRESS: /4777}-G/1 2
PHONE NOS. BOO - `5-70 C 7 PHONE: aO 3 - SJ 2 - R) S-9
PERSON RESPONSIBLE FOR WORK: 1W,ke. Sq vi o.r+ PHONE: 3 0 2 S9 g - 3 2-17'
LOCATION OF DEMOLITION: 1/00 /7-64 !VSlf✓'vy
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? /" 2Oc£SS/o^//)-v C-,/4-1/17-7"-A/
ASBESTOS INFORMATION:
6-4-55e.G L.,* w reA./4.----7?'
✓ Is there any asbestos within the building to be demolished? YES NO
✓ If YES, our office needs the following information:
o Name of firm removing the asbestos:
o License number of firm:
o Indicate where the asbestos material will be disposed:
NOTE: A copy of Asbestos Removal Report must be filed with our office before demolition begins.
STRUCTURE INFORMATION:
✓ Indicate which structure(s)will be demolished: RESIDENCE GARAGE BUSINESS
2. 2 / STORAGE BLDG. OTHER ><
✓ Size of structure: ✓ X
✓ Number of stories: I ( V DOCK W/ j /20o-gc/P,c,K)
✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB it//ot
✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED 1.16/.
✓ StrUCtUreS(S): WILL BE REPLACED ?< WILL NOT BE REPLACED
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS ELECTRIC PROPANE PUBLIC WATER
ONSITE WELL-WATER PUMP PUBLIC SEWER
Have you notified the Town Water Dept. for public water and public sewer disconnect? YES NO
Have all utilities been disconn-cted: YES NO
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a)queensburv.net
E OF APPLICANT VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
4111 Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart
Date Inspection request received:
� 11 Inspector's Initials:
NAME ( ;�►t/ PERMIT#:
LOCATION: �i.�z� (1 (AY) DATE:
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney_Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs, decks, patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed prk perly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet 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 Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs.Sheetrock Underside minimum%"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door I door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan _
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Pian /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C 0 0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
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