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2006-615 TOWN OF QUEENSBURY .� F1311 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 i Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20060615 Date Issued: Friday, March 21, 2014 This is to certify that work requested to be done as shown by Permit Number P20060615 has been completed. Location: 323 CLEVERDALE Rd Tax Map Number: 523400-226-012-0001-036-000-0000 Owner: MARY BETH DOPP Applicant: This structure may be occupied as a: Residential Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property 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 Enforcement or Zoning Board of Appeals. Aek` TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 43, Community Development- Building&Codes (518) 761-8256 . BUILDING PERMIT Permit Number: P20060615 Application Number. A20060615 Tax Map No: 523400-226-012-0001-036-0C 10000 Permission is hereby granted to: For property located at: 323 CLEVERDALE Re in the Town of Queensbury,to construct or place at the above location in accordance with application togeth-r plot plans and other information hereto filed and approved and in compliance with the NYS Uniform B .' g Codes and the Queens bury Zoning Ordinance. Type o Construction Value Owner Address: MARY BETH DOPP Resid-ntial Alteration $0.00 ROBERT SAMMLER 16 SOMERSET Ln Tota Value $0.00 SCOTIA, NY 12302 Contractor or Builder's Name/Address Ele rical Inspection Agency BBB CONSTRUCTION 14 MOUNTAIN Dr LAKE GEORGE, NY 12: Plans &Specifications 2006-615 REPLACEMENT OF CONCRETE $40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Monday, September 08, 2008 (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 tl-ro of nry; +rid,y, September 08, 2006 4 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY .41111h. 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060615 Application Number: A20060615 Tax Map No: 523400-226-012-0001-036-000-0000 Permission is hereby granted to: For property located at: 323 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: MARY BETH DOPP ROBERT SAMMLER Residential Alteration $0.00 16 SOMERSET Ln Total Value $0.00 SCOTIA, NY 12302 Contractor or Builder's Name/Address Electrical Inspection Agency BBB CONSTRUCTION 14 MOUNTAIN Dr LAKE GEORGE, NY 12845 Plans &Specifications 2006-615 REPLACEMENT OF CONCRETE $40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, September 08,2007 (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 rirSiZbury f�Frid , , ptember 08, 2006 SIGNED BY ®� Aa for the Town of Queensbury. Director of Building&Coat Enforcement 2 / 1 OFFICE USE ONLY p TAX MAP NO. 2 6 4. 12 - f 34PERMIT NO,___C_ _61_S-- R ElaviEtYE L) FEES: PERMIT RECREATION ENGINEERING (If applicable) *WITH TOWN ui' ,. _ _....;v i IRY PRINCIPAL STRUCTURE: BUILDING AND CODE APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUACE OFA VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: .66 Cc, 7 74/C, OWNER: (2.4=3e-12.7 cra"--,-,7-(6----2,p ADDRESS: c 0 (...4) Pec J 7 g 0 ADDRESS: PHONE NOS. PHONE NOS. CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: LOCATION OF PROPERTY: -3 Z 3 /.. (/r e.2. 0 A 6 R. 0 v1 UCr�+t/S'P!/ SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z 0 ct IX C1 0 I- LL)PROJECT p g o O CO w W _I -� W < O = _ W 1:) J -,-.1.- Ci o = la- II a a :- cn N ° Ou io- u. a. = SINGLE FAMILY oes (LC(it-pcia� •C_.ci Elf C.- TWO-FAMILY TWO-FAMILY r MULTI-FAMILY (NO.of UNITS ) \___.7 TOWNHOUSE BUSINESS OFFICE -... z,- -9/1i--' (h. RETAIL- 7 MERCANTILE / a f\c/I FACTORY OR ( i , I • INDUSTRIAL ATTACHED ,!/ GARAGE(1,2,3) i . OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: FUEL TYPE: HEAT TYPE: *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION: *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05 Ms Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above. Signed ' r7bu--gl —'�l_J, ° C et_rS'? ( i / C° Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: 1A-' _<_ --,- ,52-------' BUI DING &CODES APPROVAL ZONING APPROVAL uA E DATE QUESTIONS? CALL 761-8256 OR EMAIL codesAqueensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 Queensbury Building & Code Enforcement - Residential Fi - Inspect Office No. (518) 761-8256 Arrive: ' X.)a re ,A1- part: am/pm Date Inspection request received: Inspector's Initials- " - NAME: pp.i,� ,rc�i\i\��° 9 RMIT#: C� LOCATION: \ 44 3 OA e 3 tor- caa Q DATE: �j—Z --/9 TYPE OF STRUCTURE: Comments: Yes No NIA 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location c_ Dq cg"b y 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 properly/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 V"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/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 I Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C I 0[Temporary/Permanent] L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11 Foundation Inspection Report Office No.(518)761-8256 Date Inspectio eque: re e' -,,: Queensbury Building&Code Enforcement Arrive: 7,..!,cam/t m Depart:7.ID am/ 116.2.,,,,,,- 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ,, „ L// NAME: ,.4 I t_t.,\ LF PE's. I T#: O[©— b l�� LOCATION: (3 3) CL-Ev E2 RL5__ Rn INS'ECT ON: ci-z 7—n7 TYPE OF STRUCTURE: ►JeuJ Pte FtJ)i3 0 Comments Yi N N/A Footings [) Piers Z' T l€V-- VDD-T‘) D t3 nolithic Slab / ��� \ 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 Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM ( 0--( - Foundation Inspection Report Office No. (518)761-8256 Date Inspection r-• st re.eiv=• Queensbury Building&Code Enforcement Arrive: o:Zt� : �!• epart: li' A 742 Bay Rd., Queensbury,NY 12804 Inspector's Initia s: NAME: t313Ctik.dmi, 46)7 I . P i T#: (." - LOCATION: 9 ( �_ Q( 2 6. SPECT ON: ] TYPE OF STRUCTURE: Comments k"1--11A, -e YN N/A YY Footings �1A` Piers �J Z VEe Monolithic Slab Reinforcement in Place C OS\-\ 8 a r)E 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 Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Fonns\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Aig 4j41 Foundation Inspection Report IA)6:211: Office No. (518)761-8256 Date Inspection request received: 411 Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: , 440 NAME: Sk3PERMIT#: 10(P LOCATION: T 2) ( I e ' r INSPECT ON: cl I D I6� TYPE OF STRUCTURE: •0 _ _4.: • 7 9 c9'-"`3-43 f Comments Y _ N/A Footings Piers ) S — Monolithic Slab 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/W allpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518)761-8256 Date Inspectjon equest received: "1/44:+/7 /C -/ Queensbury Building&Code Enforcement Arrive: D' un/p epart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect 's Initials: NAME: Gi_►"�'‘Y'"` le s PERMIT#: l LOCATION: � -� GJc-k .. 14.4R INSPECT ON: • Miro TYPE OF STRUCTURE: Opk \. Comments Y N N/A Footixs Piers Monolithic Slab 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 Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Founder Inspection Report.doc Last printed 12/20/2005 9:24:00 AM