2011-373 Oak TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
too
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110373 Date Issued: Tuesday, September 20, 2011
This is to certify that work requested to be done as shown by Permit Number P20110373
has been completed.
Location: 510 LUZERNE Rd
Tax Map Number: 523400-308-010-0002-001-000-0000
Owner: STEPHANIE GILMAN
Applicant: STEPHANIE GILMAN
This structure may be occupied as a:
Certificate of Occupancy (RES) By Order of Town Board
TOWN OF QL,F,EIySBUY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
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
FIM 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110373 Application Number: A20110373
Tax Map No: 523400-308-010-0002-001-000-0000
Permission is hereby granted to: STEPHANIE GILMAN
For property located at: 510 LUZERNE 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: STEPHANIE GILMAN
510 LUZERNE Rd Certificate of Occupancy(RES) $21,000.00
QUEENSBURY,NY 12804-0000 Total Value $21,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
RUSSELL LEKOISKY
338-6950
76 DEAN Rd
HUDSON FALLS NY 12839-0000
Plans&Specifications
2011-373
residential rehab- HUD
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,July 29,2012
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T bju
Queenryq /prjatuly 29,2011
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
,i 30Y- i0--Z -1 OFFICE USE ONLY
1 --- g-E -ceow, E --10TAX MAP NO._.___. PFRP�IT NO. „_ _.�.-._--
73
�_ ... JUL. 28 2011
Ui
FEES: PERMIT# (,1___ RECREATION-.-____--_______.__ENGINEERING ,
Ui7 (If app[icablej___..._ TOWN OF QUEENSI3URY
&UILDING&CODES
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALIDrrPERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: 3e't ttLe,3kt1
� j /� 1 OWNER: C•�'�f��'�'lr c_i'LL„
ADDRESS: 747 Dt/ sc- cE 4 NI `2 ADDRESS: S / 0 L"2 -e l 4" .4itAr.
61
PHONE NO3'( .. 33 F--'6.5s—c) PHONE NOS. (5t 79.2 _S-- -o 3
siatCONTACT PERSON FOR BUILDING &CODES COMPLIANCE: c.55e-Lk � ‘ 673PHONE: 33K-(c crZ)
LOCATION OF PROPERTY: 5/6 6 Lsi4 2-ea-Ave- 4 ( ,ee2 iu, /61X /2-s-0 y
r
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR z 0 rx ce C 0 t—
PROJECT 0 < 0 0 w
o w —J U— LLU w ¢ oS2z
Z Q '- COQz CJ I- � OF= � wZ
NCO OLL. I— LL CI- 1o2$
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
•
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME
ME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:/1 11OO — FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTO RIr, ITP')
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.
I have rea re ove ,
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:
BUILDING & COD APPROVAL ZONING APPROVAL
DA DATE
QUESTIONS? CALL 761.8256 OR EMAIL
codes(a•queensbury.net
Office Use Only • VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No www.queensbury.net
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: (U am/pm
Date Inspection request received: Inspector's Initials:
NAME: C9 L PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
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
Deck Bracing/Handicapped Ramp Compliant
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/Win.• in stairwells safe ing
Interior Smoke D- - ors/Carbon Detectors
Every level: Eve Bedr m:
Outside every bedroom ea:
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
Foundation insulation/Insulation Certification/Sticker on Panel
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'/"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
(1.0
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10