2002-105 TOWN OF QUEENSBURY
742 BayQueensbury, 12804-5902 (518) 761-8201
� � Road,QueensbrV,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20020105 Date Issued: Tuesday, March 05, 2002
This is to certify that work requested to be done as shown by Permit Number P20020105
has been completed.
Tax Map Number: 523400-226-012-0001-084-000-0000
Location: 302 CLEVERDALE Rd
Owner: DOUGLAS & SUSAN LIVINGSTON
Applicant: DOUGLAS & SUSAN LIVINGSTON
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
(DJ441t----
Director of Building&Code Enforcement
" TOWNOF QUEENSBURY
FoN 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020105 Application Number: A20020105
Tax Map No: 523400-226-012-0001-084-000-0000
Permission is hereby granted to: DOUGLAS & SUSAN LIVINGSTON
For property located at: 302 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 LIVINGSTON Residential Alteration 8,500.00
5340 BALFOR Dr Total Value 8,500.00
VIRGINIA BEACH, FL 23464
Contractor or Builder's Name / Address Electrical Inspection Agency
ROULIER, JOE
BOX 301
CLEVERDALE, NY
Plans &Specifications
2002-105
REPLACE GARAGE FLOOR AND FOOTING AS PER APPLICATION
$79.50 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday, February 15, 2003
(If a longer period is required, an application for an extension must be made to the code Enforcement
Officer
Dated at the Town f Qu sb ,/rid , ` . : y 15, 2002
SIGNED BY ! \ for the Town of Queensbury.
Director of Building &Code Enforcement
Building Permit Application
Town of Queensbury-Dept of Community Development,74 a Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. itY4�,TTo.•. ...
No inspection will be made until applicant has received aT0 4 , Fee Paid- 2 $ ii is
valid building permit. All applicants' spaces on this „AO,l`/ t` .;4Fe e p aid $
application must be completed and must appear on the �,, ,�"
application form. '
Applican X /co..‘,„ Owner:4.4.., 4/.j . <.....,a'4+0
Address: /' 'o, /3. , 3a( Address: .,.'' 90 / 43el,. 4,
C<<,...14 •.". Y. 4,4"2e 1 .:,,,4..ro eraic do. .1.310er
Phone#(4-ea-) 6.4.' - s.'ry Phone# .'7a."h V.t y- X Ye
Property Location: Lot Number: / House Number .36-4 / GCe.,c.✓<e 4' ......%c�a/vr
Subdivision Name: Tax Map Number:l.?C. i t-/-ey
a New Building: residence /commercial Estimated Market Value Of Construction: $ J1.4 1 e.
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
a No change to exterior size: residence/com'l
Qf Other work(describe �q.,rafe. �.4 « "C."„f r
Check Occupancylnformaation 1"Floor , 2°d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
❑ Single family dwelling
a Two family dwelling •
a Townhouse
a Multifamily dwelling
#of units
a Office
a Mercantile
—Manufacturing -
ached
\� a 1 carcar det detached garagegarage ,,,3 97 4 297 4' 79.3'_ E.
a 3 car detached garage
O 1 car attached garage
a 2 car attached garage
a 3 car attached garage
❑ Storage building-
commercial
a Storage building-
residential
What is the proposed height of the stru ure J / feet inches a 0'4' -
Will any second-hand or ungraded lumber be used? If so,for what? 44.
Type of Heating System: electric/ oil / gas/wood• /forced hot air/ baseboard/other: ""/'O
Number of Fireplaces to be installed'/ Number of Woodstoves to be installed .11aa.
List below the person(s)responsible for supervision of work as regards to building codes:
.Name Address Phone Number
Builder �_-./� we.. /?o. X w�6 j ��i...n./.4.,./ Gam?-341.y Mc..S,YC
Plumber
Mason _..:z if:*1.:. /fo. ,., 3.., CC.....eifls,...)1, 1st.1.trYACc•.s'dyC.
Electrician
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and 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,as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signatur owner,owner's agent,architect,contractor
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
of 742 BAY ROAD
/-^� QUEENSBURY NY 12804
(518) 761-8256 `7
ARRIVE: ',* DEPART: }'VIN
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: 7
NAME k‘•)\'.?(--t1TI
LOCATION =mil i1 - - Q t� �--
DATE ) \Li,_ PERMIT # '�QL2 �Ct j
TYPE OF STRUC'URE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE-
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
• FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS _
PLUMBING FIXTURES i
FOUNDATION INSULATION -_
GARAGE FIRE PROOFING _.
DOOR CLOSERS _.._._
FINAL ELECTRICAL _.
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT P ,#
OK TO ISSUE C/O OR i rllf
so
GENERAL INSPECTION REPORT
( 518 ) 761-826
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 / Arrive ,k h' • ;P Depart
it 'V2• S�� ii spector's In' .c
NAME: I-' �_ L-�f # - /OS
�� PERMIT
LOCATION: �- 4111r�
TYPE OF STRI C ' • : A •!ec,�
RECHECK . ,_ >cC,•-�
N/A 0 COMMENTS
'ootin limb � / I
Mono i i 1 •our Form
Reinforce -nt in Place 7 —
The con :ctor is responsible for
providing • otection from freezing
for 48 hours < lowing the placement
of the concrete.
Materials for this pu .•se on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
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
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
� "'"a �JQS
Joe Rooker
E �GG� (518)656-3544
"I":::" Isis �icyK� s i TOWN OF Fax(518)656-9901
Q E.914.c: verdale,NY 12820
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TOWN OF QUEENSSUFfi 3U!'L))1NG DEPARTMENT
na.ied on our limited examination,
compliance with oar comments shall
not be construed ab indicating the
plans and specifications are in full
compliance w►tt e curia
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TOWN OF QUEE " :URY
BUILDING : • ,.•,� PT.
s�
REVIEWED BY i� all `
DATE asf
-stwr oA 2 1 12"114- aaft, T 0F41- ftEtl� WAU, AS JAB! 7 2001 _
of ,, kN� i� t2. . 0 M�1tj-rAI� POWN O� '�—
� T BUILDING AND CODEY
PARADOX
DESIGNS
ARCHITECTURE
}
Charles Johnson, AIA
3 Eight Phila'Sk"t
Saratoga, NY 12866
x 518.583.0027
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TOWN O'GUEENSBURY BUILDING DEPARTMENT
Bard on our limited examination, TOWN OF QUEEN RY
VA
7rV � compliance with our can shall
0 � 6 � � �G � not be construed as atiindicatingsthe BUILDING plans and specifcat'ons are i qua G 8c T.
1/ `= � � V¢"- (:Cj' REVIEWED BY
compliancP With thP,rode.
DATE � �IOs 2�00
i '�'' °�
NOTICEn ,Ns;
KRAFT PAPER INSULATION MUST BE
CorY
COVEREDNON-COMBUSTIBLE
BY NON COMBUSTIBLE BARRIER
'100 /— 0
RECEIVED
JAN 17 2001
TOWN OF QUEENSBURY
BUILDING AND CODE
NOTICE ' '
FOAM INSULATION MUST BE COVERED
BY A 15 MINUTE THERMAL BARRIER