2003-004 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20030004 Date Issued: Wednesday, March 12, 2003
This is to certify that work requested to be done as shown by Permit Number P20030004
has been completed.
Tax Map Number: 523400-295-010-0002-008-000-0000
Location: 13 BONNER Dr
Owner: THOMAS &LACKAVANE CLANCY
Applicant: THOMAS &LACKAVANE CLANCY
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030004 Application Number: A20030004
Tax Map No: 523400-295-010-0002-008-000-0000
Permission is hereby granted to: THOMAS &I.ACKAVANF, CLANCY
For property located at: 13 BONNER Dr
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: THOMAS & LACKAVANE CLAN
LACKAVANE Residential Alteration 20,000.00
Total Value 20,000.00
13 BONNER Dr
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
BRUCF WILSON
280 CLAY HILL Rd
FORT ANN_NY 12827-0000
Plans&Specifications
20003-0004
240 sq ft RESIDENTIAL ALTERATION DUE TO FIRE DAMAGE AS PER APPLICATION
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,January 13,2004
(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 t1I o of Qu nsbury; ' onday,January 13,2003
SIGNED BY for the Town of Queensbury.
Director of BuXg& de Enforcement
Building Permit Application
Town of Queensbury Department of Community Development,742 Bay Rd., Queensbury,NY 12804
(518)761-825-6
A permit must be obtained before beginning construction. Permit No.: OODL)
No inspection will be made until applicant has received a Fee Paid: 440 . 0
valid building permit. Form must be completed. Rec.Fee Paid:--
Reviewed By:
Applicant: C Owner: UQ C`C
Address: Address: Y�►` !'
i3 I�oYl��u- I � h o Q
Phone#: Z,yU 5 Phone#:
Tax Map Number: _
Subdivision Name:
(if applicable)
Lot Number: /House Number: /Street Name nv1e�j� W_ U 03
OR TOWN OF OI)EENSBURY
Property Location:
BUILDING AND CODE
❑ New Building: Residential/Commercial Estimated Market Value of Construction: o
o Addition: al/Commercial If an Addition,what will use of addition be?
Alteration: Residenti /Commercial
❑ No change to
Exterior size: Residential/Commercial
❑ Other work: (describe )
Check Below Occupancy Info V floor sq.ft. 2° floor sq.ft. Other floor sq.ft. Total Sq.Ft.
Single Family Dwelling
Two Family Dwelling
Townhouse
Multifamily Dwelling
#of units
Office
Mercantile
Manufacturing
1 car detached garage
2 car detached garage
3 car detached garage
1 car attached garage
2 car attached garage
3 car attached garage
Storage Bldg.,Comm.
Storage Bldg.,Res.
Other
What is the proposed height of the structure: feet inches
Will any second-hand or ungraded lumber be used? If so, for what?
No. of Fireplaces to be installed:
No. of Woodstoves to be installed:
List below the person(s)responsible for supervision of work in regards to Building Codes:
Name Address Phone No.
Builder 11�;f J 0 rvL
Plumber 0
Mason
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'6at all provisions of the Building.Code, the Zoning Ordinance and all other laws pertaining to
the proposed w.k rk shall be complied with, whether specified or noted, and that such work is authorized by
the owner. FurfEer, 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.
Signature: U (circle one: owner,owner's agent,architect,contractor) .�
101
Septic Inspection Report 1
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m (Pe part: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: \ 4� PERMIT NO.: J
LOCATION: —` ,v.� INSPECT ON:
RECHECK:
!^' Comments and/or diagram
Soil jy& Sa / lay
Type of ater: unici al Well Water
Waterline senarat—io—n7distance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone t�
Seepage Pits: Number
Size: x
Stone Size:
Piping S'z T e
Building to tank c r
Tank to Distribution Box u �
Distribution Box to Field/Pit tl tr
Opening Sealed: Y/N/Partial
Location/Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan N >u
Location of Sys! 7 on Property:
Front 'Re Left Side Right Side
Middle Front Middle Rear
System Use S tus:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
�oull
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RESIDENTIAL FINAL INSPECTION REPORT �V n
' u
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement L�
Dept.of Community Development Arrive am/pm Depa "fi�
s► r p j
Tow of Queensbury Inspector's Initials—'
742 Bay Road
Queensbury,New York 12804 0oll
NAME IT PERM # U9--()O
LOCATION DATE 7=
TYPE OF STR C
N/A YES NO COMIv11i"NTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
hiterior/Exterior Railings 30"to 6�'
Exterior Handrails,balconies,Ian . g 18 in.or more
Interior Handrails stairs both sides/ or more risers
Grade 2%away from foundation I
8"clearance to sill plate
Gas Valve shut-off exposed/regulator'118"above grade
Gas Furnace shut-off within�30 feet ornthin line of site
Oil Furnace shut-off at entrance to furn�ce area
Furnace/Hot Water Heater operating
Relief Valve(*)installred 1
Headroom,6 ft.6 in.on stairs 1.
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers C1'
Interior privacy/trim/doors/main entrance 36" � �� J�
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupanc))
t
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement q
Dept.of Community Development Arrive am/pm Depart C •1 pm
Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury,New York'12804 z
NAME PERMIT
LOCATION DATE — 3
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above 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 operatin
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitclien watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in sepa4r000mrotected(in garage)
Light ventilatio
Safety glazing o (fo
Final Electrical ��77
Site Plan/Varia
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL a
Permit No........................................Cert. N' 79557 Cut-in Card No.....................y........
Owner... f..> �`'l............�......... ... ............................................................. ..............
Location.......... ..................` ....................................... ....................��... .............
Installation Consisting of....... j...$............. . .
f.... ..... . ...r.....ti .... ... .
....................................................................................................................................................................................
Installed By....... '.../ILU 2�iv3H%............................................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 maki nspections at any time, and if its
rules are violated,the Company shall have the right to r ke�thcifica .
Date..�.�.....�... .................... INSPECTOR................... .................................................................
M.,...l-N DDA I ART
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: Gym G1 Ole)
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: l3 ! -��_ INSPECT ON: /5
TYPE OF STRUCTURE: `
Y N N/A
PVC: R-1, R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Ven •n Place
Rough Plumbing/N it Pates
Head or Air Supply. st
Drain and Vents
5 PSI or 10 ft. abo a ighest
Connection for 1 minutes
Water Supply Piping
Copper Commercial
C er, CPVC,Pex One&Two Family
Sulat2on `Res -nt 41 Check/Commercial Check • 22
`Proper Vent,A c Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:\PamW\Whiting\Rough Plumbing Insulation Report.doc
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspectign request received:
Queensbury Building&Code Enforcement Arrive: 02j 2J am/p epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: i/
NAME: PERMIT#: OW3~Q V
LOCATION: INSPECT ON: --/
TYPE OF STRUCTURE:
Y N N/A COMMENTS
raming
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Mai eams ,(C.)ry h=L 3
Exterior sheeting tiled properly J
12"O.C.
Headroom 6 ft. 8 i .
Stairwells 36 in. or ore
Headroom 6 ft. 8 in.
Notches/Holes/Beari` g Walls
Metal Strapping for Not hes Top Plate
1 %z(w) 16 gauge $) It D nails each side
Draft stopping 1,0001 sq. t.floor trusses
Anchor Bolts 6 ft"or less on center
Ice and snow shield 24 ir ches from wall
Fire separation 1,2,3 ho ir
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation i avity min.
Garage Fire Separation
House side %Z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement ],
Dept.of Community Development Arrive - ly am/pm Depart am/pm
Town of Queensbury Inspector's Initials V
742 Bay Road
Queensbury,New York 12804
NAME PERMIT# 6 3— L j
LOCATION I j DATE
TYPE OF STRUCTNE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36
Exterior Handrails,balconies,Ian ' 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate /
Gas Valve shut-off-exposed/iegulato 18"above grade
Gas Furnace shut-off within 30 feet o -within line of site
Oil Furnace shut-off at entrance to ace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides mor than 3 risers
over
Interior privacy/trim/doors/main entran e 36" /
Floor Finish U�" Jj �✓ 7 l`
Bathroom/Kitchen watertight /,, 6�l'Z
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors: �'6 G/►� R'
every level
every bedroom A-K
outside every bedroom l/ �� ✓✓✓
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif:of Occupancy)
_ FILE COTY
Bruce A. Wilson
GENERAL CONTRACTOR
280 Clay Hill Road
Fort Ann,NY 12827
(518) 639-4214 A/ 0 9 200
BU L®OF QUE'6jVS
fVG All®C6D�Y
QUOTE FOR: Clancy
13 Bonner Drive
Queensbury,NY 12804
f
1.) Ceiling-Reinsulate.
2.) Build fire wall between house and garage. Install fire doors w/coat of compound on walls.
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KITCHEN- New sheetrock. 2 new windows w/trim.
New closet doors.
New cabinets and countertop and paint.
New faucet and sink.
OTHER: Electrical has to be checked and repaired.
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MASTER BED- New carpet.
Bin Primer sheetrock.
Repaint ceilings and walls,trim,doors and windows.
MASTER BATH-Bin Primer sheetrock.
Repaint ceilings and walls,trim,doors and windows.
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BED#2- New carpet.
New sheetrock.
New trim.
Prime and paint new walls and ceiling.
Paint trim and doors.
FOYER- Replace carpet.
New sheetrock.
New trim.
Prime and paint new sheetrock.
Prime and paint exterior doors.
BATHROOM- Bin Primer sheetrock.
Paint walls and ceilings,trim„doors and windows.
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LIVING ROOM-New carpet.
New sheetrock.
New trim.
New chair rail in dining area.
Prime and paint ceilings and walls,trim,door and windows.
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FAMILY ROOM-Re-polyurethane tongue and groove pine boards- 1 coat.
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MUD ROOM- New carpet.
New tongue and groove boards and trim.
New door and knob.
Polyurethane tongue and groove pine.
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CELLARWAY- New sheetrock for ceilings and walls.(First 8'down)
New door.
Prime and paint new sheetrock.
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NOTE: Electrician will have to estimate lights needed and work to be done.
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