2008-066 #1118"4
TOWN OF QUE E NSBURY
'^ 742 Ba
y Road,Queensbmy,NY 12804-5902 (518)761-8201
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Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. F20080066 Date Issued: Monday, February 01, 2010
This is to certify that work requested to be done as shown by Permit Number P20080066
has been completed.
Location: 303 CLEVERDALE Rd
Tax Map Number: 523400-226-012-0001-007-000-0000
Owner: DOUGLAS & SUSAN LIVINGSTON
Applicant: DOUGLAS & SUSAN LIVINGSTON
This structure may be occupied as a:
Residential Alteration By Order of Town Baaixi
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the t,N5 " ,1 ,
property owner of the responsibility for compliance with Site Plan, 4 , "
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
F4ris 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080066 Application Number: A20080066
Tax Map No: 523400-226-012-0001-007-000-0000
Permission is hereby granted to: DOUGLAS & SUSAN LIVINGSTON
For property located at: 303 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: DOUGLAS & SUSAN LIVINGSTO Residential Alteration $10,000.00
5340 BALFOR Dr Total Value $10,000.00
VIRGINIA BEACH, VA 23464
Contractor or Builder's Name/Address Electrical Inspection Agency
JOSEPH ROULIER
PO BOX 301
CLEVERDALE,NY 12820-0000
Plans &Specifications
$100.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, March 20, 2009
(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 T Quee ury; h sday,March 20,2008
SIGNED BY 4telY for the Town of Queensbury.
Director of Building Code nforcement
F '7 OFFICE USE ONLY
TAX MAP NO. PERMIT NO. 1JiL!I`/-1(-a
``/,ffApE7 ,
FEES: PERMIT /kV RECREATION ENGINEERING S ' U K� I it
(If applicable)
TOWNI
VILOING& CODE
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
4.,
�•,� OWNER: ,ale v9 "- -<`� /-11A�APPLICANT/BUILDER:v� ; ^7 c
-4:3 4'o /g 4 4 r' - 0,
ADDRESS: . 730 K 3 v / ADDRESS: " A ( C
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�4�..e•.q&c, /r/ Y.
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PHONE NOS. _cif - G.s''G - .3-1"Y PHONE NOS. 7-.)--7- 'WY- 7c V4
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CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: ' ) y 6 PHONE:_3Z.I -3e2 7/
LOCATION OF PROPERTY: .3C.3/�// Z ,•- 46t. A c
C< e-„ QOA e, / /17. '/ /.2 8-2 0
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT 0 IY U w LL
APPLY TO YOUR z I= p cn 0 CO w
PROJECT Im O H OJ I-' w ¢ a = U
0 w U. LL L.L. �- i I- O W Z
F- o
Z a < is a NCO Ou I- U- Cl. = 0
,
SINGLE FAMILY /
TWO-FAMILY p/e/lvi%_C„ 'y 1 5 o NA 74 s ' .E-c c i
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /l/o
ARE THERE EASEMENTS ON PROPERTY? lib
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.
l have read and agree to the above.
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)
0
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:
BCtt DING & CODES APPROVAL ZONING APPROVAL
DA E DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesa,q ueens bu rv.n et
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
)perating Permit issued: Yes __ __No
)CCunancv Ttmw• S
•
w • Community Development Office Community Development Office
Town of Qucensbury • 742 Bay Rd. Town of Queensbury • 742 Bay Rd.
Queenshury, New York •128(14 PLOT . Queettsbtery, Nets York •12804 PLOT PLAN
Show all existing and proposed structures. Indicates Show all existing and proposed structures. Indicate the setbacks of all structures and bu
SIDE PRO SIDE PROPERTY LINE
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Queensbury =uiiding & Code Enforcement - Residential Final Inspection
Pr
0
ffice No. (518) 761-8256 Arrive: am/pm Depart: i am/pm
Date Inspection request received: _„- Inspector's Initials:
NAME: L.v 1 �s'' PER #' O. — 0 ( .0
LOCATION: , l,_ DATE: . 11' �
TYPE OF STRUCT RE:
Commen L
N• NI 4° Building Number Address visible from road :2 -i —�e
Chimney Height/'B"Vent/Direct Vent LocationINN ,,
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches 111111
Roof Complete/Exterior Finish Corn• ete ?3,
0 — °1:L
Platform at all exterior doors r��� f1P
Handrail 4 or more risers IIIIIIIIIIIIIIIIII pt.
Guards at stairs,decks,patios more than 30 inches above ,rade illr ___-----)
Guard at stairwell at 34 inches or more
111 -1) K:41/44/V
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wail
interior/Exterior Railings 34 inches to 38 inches 1111111111111r
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 8 inches with 10 feet IIIIIII■ Ce
6 inch clearance to sill plate ��� D`b '31
Gas Valve shut-off exposed/re.ulator 18 inches above •rade ��
Interior privacy/trim/doors/main entrance 36 inches �■�
-
Bathroom/Kitchen watertight .-`'"�—
Safety glazing/Window in stairwells safety glazing ,--------
Interior Smoke Detectors I 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 (IAA"
Foundation insulation/Insulation Certification
Floor truss,draft sto y•i • finished basement 1,000 s•.ft. 4
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
Fumace/Hot Water Heater operating
Low water shut-off boiler �" O
Relief Valve(s)installed/Heat Trap/Water Temp 110 '��
✓ i�
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum ,
Basement stairs dosed rise a 4 inches
Garage Floor Pitched =��
Garage fireproofing 1%hour fire door/door closer
Duct work Sealed property 111111
Gas Logs in Sealed or Glass Enclosure ...
Final Electrical INII
Final Survey Plot Plan A ium_
Arc Fault Breaker in Bedrooms —
Flex i/_i �
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required 111
Okay to issue C I C or C I Ol Temporary/Permanent] IF
L:\Building&Codes Forms\Building&Codes\lnspection Forms\Residential Final Inspection Forrrr revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
(it-2 'OC c:/)- 7/7 ---/TL,:r, Z.7.-
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io
Foundation Inspection Report
Office No.(518)761-8256 Date Inssotim request received:
Queensbury Building&Code Enforcement Arrive: l U am/Rtn,, Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ()
NAME: _.'.....izzr.;,�• �; __ ,'
o - . LIV/ 3 j PERMIT#:
LOCATION: ` 3 CIe�o�'re�� INSPECT ON:
TYPE OF STRUCTURE:
Comments
y Y/N/A
Footings / l'(A
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 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 In do equest received: /?/O '
Queensbury Building&Code Enforcement Arriv am/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspe 's itials:
NAME: -+t.y ,' ,� S a4 PERMIT#: 0 3
LOCATION: "3 G C ev-c-ct, 1 - INSPECT ON: (///U/C) S
TYPE OF STRUCTURE: ! 1
Comments.
Y N N/A
„.tangs i\u 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 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\Buitdiing&Codes\inspection Fortes\Foundation Inspection Peport.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspecti.oc� equest received:
Queensbury Building&Code Enforcement Arrive: Q.! ipm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspectof�'s Initials: \J
NAME: --1 L Ab6✓' /(1A pp PERMIT#:
LOCATION: hi&i<_D � Y`� INSPECT ON: (0 /9/()CP
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
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 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
-- /nop\v/02_,
Framing 1 Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:•
NAME: Z., I/ - S for; PERMIT#:
LOCATION: 's O 3 t�*r� c %.-1 ` ��' INSPECT ON:
TYPE OF STRUCTURE: c(---C-‘--(1
Y N N/A , COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing I Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 ' (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
hour
5estng
sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side¶4 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. ON)
5.7 sf above/below grade
5.0 sf grade
L:1Build'rng&Codes Forms-OLD\Buiiding&Codes\inspedian Fwmsv raming Fwestopping Inspection Reportdoc Revised January 7,2008
Rough PlumbingI Insulation Insp tion Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: /g / "a m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: e,,„4::).
NAME: `1 :1 ` i� PERMIT#:
LOCATION: � ;" �� �° INSPECT ON:
TYPEOF STRUCTURE:
Y N N/A
Rough Plumbi /Nail Plates f;
ent/Vents in Place
1 36 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door I Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
'4EUC2-4(:`-'4"S----109-2(
'1(
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008