2007-213TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development -Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070213
Application Number. A20070213
Tax Map No: 523400-227-013-0002-006-000-0000
Permission is hereby granted to: JEFFREY HOLDEN
For property located at:
256 CLEVERDALE Rd
in the Town of Queensbtuy, 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: JEFFREY HOLDEN
PO BOX 262 Dock $2,000.00
CLEVERDALE, NY 12820-0000 Total value $2,000.00
Contractor or Builder's Name /Address
Plans & Specifications
Electrical Inspection Agency
2007-213
1008 sq ft dock
$30.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, May 24, 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 dam.)
Dated at the Town eensbu Thursday, May 24, 2007
SIGNED BY ~"°°®"' for the Town of Queensbury.
Director of Building & e orcement
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development -Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070213
Application Number. A20070213
Tax Map No: 523400-227-013-0002-006-000-0000
Permission is hereby granted to: JEFFREY HOLDEN
For property located at:
256 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 inf tion hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensb Zoning
Ordinance. ... ..
Owner Address: JEFFREY HOLDEN
PO BOX 262 Dock
CLEVERDALE, NY 12820-0000 Totat Value
Contractor or Builder's
Plans & Specifications
2007-213
1008 sq ft dock
Value
$2,000.00
$2,000.00
$30.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday, May 24, 2009
(If a longer period is required, an application for an extension must be made to tiie code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To o eensb ~ r a May 24, 2007
SIGNED BY for the Town of Queensbury.
Director of Building & Code Enforcement
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ACCESSORY STRUC ---------------~ ,___.~~,~.~ ~ Y~
T'~-ARE Bi.IILDING PERMIT APPLICATION ~~I
Use this application for any structure other than the Principal Structure (Mouse to i
not limited to: garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brocude, but
entitled Accessory Structures-Sheds/fences. hure No. 3
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS
RECEIV~D~-A- VALID BUILDIMIO PERMR.
OWNER: _ ./r~ ~ ~~,cr~
INSTALLERB111LDER: ~~~~~ y,,
ADDRESS: SSG ~l{:/crr~~ ~ ~~(
C/tvtro(~ l-~. /V y ADDRESS:
PHONE NOS. r.S~G - ~ l ~, q
PHONE NOS.
LOCATION OF PROPERTY: _ ZS'G ~,~~,~~ ~i
SUBDIVISION NAME;
LOCATION OF PROPOSED CONSTRUCTION ANDfOR INSTALLATION: ZS" ~ .v~r 1~,,
ESTIMATED COST OF CONSTRUCTION: $ ' 00 "'~q~ OTHER ACCESSARY STRUCTURES ON PROPERTY? _!Ji/D
IF YES, PLEASE LIST:
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:
PHONE•
....~..........~......w.w~....~...~....._.__......~..._.....M......... ....................~.,
~..... PROPOSED CONSTRUCTIONN~~ N
OPEN PORCH
DECK
3 SEASON, COVERED OR ENCLOSED PORCH•
......._....... W .................._.....~..~._.
pp~~ BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
SHED
POLE BARN
DETACHED GARAt3E (NO.OF CARS:__)
_....W ~...».........»....~...~ ..................~.....~....»....__~.......•.•.............
OTHER ACCESSORY STRUCTURE:
1°T FLOOR 2ND FLOOR ..._....TOTAL
SQ. FT. SG. FT. SQ. FT.
/00~~~
HEIGHT
FT. & IN.
*CONSLpERED FLOOR AREA & MUST COMPLY WITH FAR [FLOOR AREA RATIO] REQUIREMENTS IF THE
STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the application, together with the plans
Ind specifications submitted, are a true and complete statement of all proposed work to be done
on the described premises and that ail provisions of the Building Codes, 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 Qr Director of Building and Codes, an As-Built Survey by a licensed
surveyor, drawn to scale, showing actual location of all new
construction.
QUESTIONS ? CALL 761-8256 OR EMAIL
I have read and agree to the above. ~ ' s 4 e ~- ~ ~ Ir .net
C(,7 / VISIT OJJ~i wEBSri`'!» FOR MORE FNFORMATION
Signed ~~('~~. Dated: a G o 7 y+'q>ws~a~ net
~.~.y/ Tn~lnt n~F fhiowe.eh~Ir~ i . r'.,,..,.1..,.. ,,,.;i. , r~ ___ _T _ ... _ , .. ~.~. ~ ... „ ..,
~~~.~~s .
Queensbury Building & Code Enforcement -Residential Final Inspection
Otfce No. (518) 761-8256 Arrive: am/pm Dapart:2`~ ~ am/pm
Date Inspection request received: Inspector's Initials:
NAME: ~P/t'~- PERMIT #:
LOCATION: DATE:
TYPE OF STRUCTURE:
~~~-
4' Buildl Number Address visible from road
Chimne Hei ht i "B" Vent/Din3ct Vent Location
Fresh Air Intake
3 inch Plumbin VeM throu h roof minimum 8 inches
Roof Co late /Exterior Finish Com ate
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs decks ios more than 30 inches above reds
Guard at stairwell at 34 ind~es or more
Guard at deck rches 38 inches or more
Handrail Termination at Newell Post or Wail
tnterbNExterEor Railin s 34 inches to 38 inches
Deck Bnadn / Handica d Ram Com pant
Grade awe from foundation 8 inches with 10 feet
6 inch clearance to sill late
Gas Valve shut-off e / re ulator 18 inches above rode
Interior /trim /doors /main entrance 38 inches
Bathroom /Kitchen waterti ht
Sa lzin /Window in stairwells safe lazin
Interior Smoke Detectors / Cafion Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Batt badtu
Attic access 30 Indies x 22 inches x 30 inches i ht in acxessible area
Crawl S aces 18 inch x 24 inch access 1 . it: 150 . ft. vents
Bati~room Fans if no window
Plumbin >bdures
Foundation insulation !Insulation Certification
Floor truss draft ato in finished basement 1,000 . ft.
E n ress below reds
Gas Furnace shut-off within 30 feet or within line of site
Oit Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater o rati
Low water shut-off boiler
Relief Valves installed /Heat Tra Water Tem 110
Enclosed Stairs Sheetrock Underside minimum'.4" G sum
Basement stairs dosed rise > 4 inches
Gera a Floor Pitched
Gars a fire roofs /'/. hour fire door /door closer
o~ra rf
led or Glass Enclosure
i Electrical
of Plan
Arc fault Breaker in Bedrooms
Flex Gas Pi Bondin
As Built is S stem /Sewer De .Ins 'on Sticker
Site Plan /Variance aired
Flood Plain Certfication if r aired
Oka to issue C / C or C ! O Tem ra J Permanent
Commence:
e,~ s-z~-off ,
why -2~+~P
L:\Building ~ Codes Forma\Building ~ Codes\Inspedian FormslResidential Final Inspection Forrn_revised_100405.doc; Revised
January 7, 2008; Revised B/28/08
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