2010-470 TOWN OFQ UEENSBURY
742 Bay y R oad,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100470 Date Issued: Friday, November 19, 2010
This is to certify that work requested to be done as shown by Permit Number P20100470
has been completed.
Location: 73 BOULEVARD
Tax Map Number. 523400-304-017-0001-031-000-0000
Owner. WILLIAM DORNAN
Applicant WILLIAM DORNAN
This structure may be occupied as a:
Certificate of Occupancy(RES)
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the t. / /
property owner of the responsibility for compliance with Site Plan, �� 'V
Variance, or other issues and conditions as a result of approvals by the Director of Building& *de E .rcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201_ �
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100470 Application Number. A20100470
Tax Map No: 523400-304-017-0001-031-000-0000
Permission is hereby granted to: WILLIAM DORNAN
For property located at: 73 BOULEVARD
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: WILLIAM DORNAN
73 BOULEVARD Certificate of Occupancy(RES) $20,000.00
QUEENSBURY,NY 12804 Total Value $20,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-470
Residential Rehab - HUD
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, September 28, 2011
(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 To 7u;:pury,4 u/ a • September 28, 2010
SIGNED BY ' , for the Town of Queensbury.
Director of Building&Code Enforcement
-3C11w/? —/._ _� OFFICE USE ONLY i D E. C E '0 e V E_
TAX MAP NO.
PERMIT NO. 17�. I )
FEES: PERMIT RECREATION - IP 2 MU ;, 1
(If applicable
TOW OF CO -F- '
: . : CO.
PRINCIPAL STRUCTURE: APPLICATION FOR ZONIN•. : I G
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: )�.e 9 ,e s hi7dI/ecd41/C OWNER: /till/i 6-1 iii' tJ , 42„4-,42„4-,�
�J o
ADDRESS: // ,i�/ ,QC kJ G� ADDRESS: 73 ,&>CZ 4C.-, Ar c/
PHONE NOS. -c/f- 7 l `3 T. c' 2 Z PHONE NOS. 3 /- a6 7'
71
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: J fec.z Me/(/ PHONE: G S- cr a--
LOCATION OF PROPERTY: 7g /l, c, u l e i.--, 'q
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
I
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z CC
O f_-_-.
O CO
PROJECT Oi-- OJt • O = =
o Q , U
UJ
0 < '- � c•I O) O LI- F LI- O 2 ots
SINGLE FAMILY \J
TWO-FAMILY
MULTI-FAMILY j
(NO.of UNITS ) C „L.., 1 c V 4 t //
TOWNHOUSE - fe h7
BUSINESS OFFICE
•
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST ) '/G GCS FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S): AND/ OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
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 facilitie prior to issuance of a certificate of occupancy.
I have read and ag,-- to e above. 11
Signed _
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:
77.7
/di/ -
BUIL► &CODES AP'" AVAL ZONING APPROVAL
1 •
SATE DATE
•
QUESTIONS? CALL 761-8256 OR EMAIL
codes(Nqueensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
Operating Permit Issued: Yes No
Occupancy Type: D (14�A:). Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart/�2. 6/pm
Date Inspection request received: _ Inspector's Initials:
NAME: -De5t2_1. • `- ERMIT#: 0 AID
LOCATION: }-�jL7-1tEvgii.5101‘..(74 . ATE: KM 7
TYPE OF STRUCTU
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing V-it thro :-:'t urn 6 inches7
Roof Complete terior finis• .••: -
Platform at all exterior doors
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
Interior Handrails @ stairs 2 or more risers
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/W. ow in stairwells safety g ing
Interior Smoke D ectors: ---7 -4114/Cr WiTa4S-
Every level: Every Bedr om:
Outside every bedroom area: l
Inter Connected: Battery backup:
Vi
Carbon Monoxide Detector
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
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 Y2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched _
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required 7\<..ii
Okay to issue C/C or C/0[Temporary/Permanent] �T
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No: Cert. N2 / 2 6 3 Cut-in Card No
Owner Do/4 VI/4.ft-
Location .a.u�s.►r .t? (..ti1..C..Q,a.$...47.''
Installation Consisting of..e.4, c:, !4,F.s t./ <-)7 c.-,S = /0 .47
Installed By ��,yL:,l.tc. ,j..�..�Lec�a..t.C � Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
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 revoke this certificate.
Date LC) INSPECTOR.. ✓;Z,%L c ;,-rf`i/r�
Member N.F.P.A.,I.A.E.I.