2010-070 TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
� � Q rY,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100070 Date Issued: Thursday, October 06, 2011
This is to certify that work requested to be done as shown by Permit Number P20100070
has been completed.
Location: 321 CLEVERDALE Rd
Tax Map Number: 523400-226-012-0001-034-000-0000
Owner: DONNA WILT
Applicant: EDWARD HOLOHAN
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
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
cow 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100070 Application Number: A20100070
Tax Map No: 523400-226-012-0001-034-000-0000
Permission is hereby granted to: EDWARD HOLOHAN
For property located at: 321 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: EDWARD HOLOHAN Residential Alteration $9,200.00
50 CENTRURY HILL Dr Total Value $9,200.00
LATHAM,NY 12110-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-070
RESIDENTIAL ALTERATION - ONE BASEMENT WALL
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,March 05, 2011
(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 To iieensb , , F i .,•, March 05, 2010
�; \� pJ
for the Town of Queensbury.
SIGNED BY moi . � ur1'•
Director of Building&Code Enforcement
---^i� ����KL vt�NDUSTRIAL— NAME OF BUSINESS: /I/4
ESTIMATED CONSTRUCTION COST: 41- 'CC)'0V f
/ FUEL TYPE:
VC A T T�i1�e /I //.
I acknowledge no.construction activities shallte commenced prior to issuance of a valid
permit. I certify that the.application, plans,, snd supporting materials are a true and
complete statement/description of the work proposed, that all work will pe 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 purvey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above.
Signed .4:: 6\1\/ "I'Lis-4-4 a 4114)(---- ,
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:
/ i,.
A,,/
BUIL► t= : CODES "'-OVAL ZONING APPROVAL
A,
r t1
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a?queensburv.net
Office Use Only . , VISIT OUR WEBSITE FOR MORE INFORMATION
www.aueensburv.net
Operating Permit Issued: Yes _TNo
Occupancy Type: Rb Construction Classification: Y
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
Queensbury Building & Code Enforcement - Residential Final Inspection
k.
Office No. (518)761-8256 Arrive: �J am/ppn, Depart: — am/pm
Date Inspection request receiveq: spector's Initials: '
NAME: lV l 1 f L k� 4%L, „4
" — / PERMIT#: ��-
LOCATION: ;.ter/ / (� c : 4-" CC _ ) ( . DATE: "6 /
TYPE OF STRUCTURE: ) , )
>( 4; i J J . ��� l omments: 1
4" Building Number Address visible from road ^ :*``' 'r' `:
Chimney Height I"B'Vent/Direct Vent Location `�: x
Fresh Air Intake -,
3 inch Plumbing Vent through roof minimum 6 inches
Roof C C. .. /Exterior Finish Corn. ete all�
Platform at all exterior doors MIll�
Handrail 4 or more risers IllIl�
Guards at stairs decks = los more than 30 inches above ,rade MIN�
Guard at stairwell at 34 inches or more ■III.
Guard at deck,porches 38 inches or more
Handrail Termination at Newell Post or Wall rNil�
Interfor/Exterior Railings 34 inches to 38 inches all�
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 .rade Nilr
Interior privacy I trim I doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Batts backu.:
Attic access 30 inches x 22 Inches x 30 inches = •ht in accessible area all�
Crawl Spaces 18 inch x 24 inch access, l soft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
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 ■■■
Fumace/Hot Water Heater operating
Low water shut-off boiler CMN
Relief Valve(s)installed/Heat Trap/Water Temp 110 MIME
Enclosed Stairs Sheetrock Underside minimum 1A"Gypsum
Basement stairs dosed rise>4 inches 111111111111
Garage Floor Pitched
Garage fireproofing 1%hour fire door/door closer
Duct work Sealed property
Gas Logs in Sealed or Glass Enclosure PI/// CO
Final Electrical
Final Survey Plot Plan II
. // �,!
Arc Fault Breaker in Bedrooms / Pt), P0, !(� J
Flex Gas Pipe Bonding ' 7'
As Built Septic System/Sewer Dept. Inspection Sticker /
Site Plan /Variance required Clei�L4 ie—
Flood
` .Flood Plain Certification,if required
Okay to issue C I C or C/O[Temporary/Permanent
L:\Bui ding&Codes Forms\Building&Codes\lnspection FormslResidential Final inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
OTOWN OF QUEENSBURY
j! 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
fi 5 Community Development-Building&Codes (518) 761-8256
Inspections per Permit
Permit# P20100070
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
04/23/2010 Foundation Dampproofmg Residential Alteration JOEL CLUGSTONE Staff
Approved 2010-070
04/23/2010 Backfill Residential Alteration JOEL CLUGSTONE Staff
Approved 2010-070
09/30/2011 Status Inspection Residential Alteration JENNIFER HENDERSON Staff
Misc 2010-070
made out status inspection slip
/ / ai
Foundation Inspection Report
Office No.(518)761-8256 Date $ ;:, '•guest ceiv :
Queensbury Building&Code Enforcement Arriv % am/ part: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector' Initials:
NAME: PERMIT#: / _ vOP
LOCATION: 757_ C �a�,,r INSPECT ON: 41 2'" O
TYPE OF STRUCTURE:
Comments
Y N N/A
'iers
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 Dampproofing
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:\Buliding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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Town of Queensbury . 742 Bay Rd.
. . Queensbury, New York .12804 PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
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