RC-000229-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000229-2015 Date Issued: Friday, May 6, 2016
This is to certify that work requested to be done as shown by Permit Number RC-000229-2015
has been completed.
Tax Map Number: 315.7-2-78
Location: 202 HUDSON POINTE BLVD
Owner: WILLIAM FIELDING
Applicant: Gauthier Skilled Craftsman
This structure may be occupied as a: Res.Add.224 s.f.,Deck 140 s.f.
By Order of Town Board
TOWN OF QUEENSSBUR�YJ
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, (GGwwwkkk" V
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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
OL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000229-2015 t59 2915 OS
Tax Map No: 315.7-2-78 REVISED
Permission is hereby granted to: Gauthier Skilled Craftsman
For property located at: 202 HUDSON POINTE BLVD
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
Owner Address: 202 Hudson Pointe BLVD Townhouse-Addition $42,000.00
Queensbury,NY 12804 Total Value $42,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Gauthier Skilled Craftsman
30 Delaware AVE
Hudson Falls,NY 12839
Plans&Specifications
Res.Add.224 s.f.,Deck 140 s.f.
PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,September 5,2016
(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 Town Queens 4; 4 Th ember 10,2015
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
CommunityDevelopment- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150405 Application Number: A20150405
Tax Map No: 523400-315-007-0002-078-000-0000
Permission is hereby granted to: WILLIAM & PATRICIA FIELDING
For property located at: 202 HUDSON POINTE Blvd
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: WILLIAM& PATRICIA FIELDING
202 HUDSON POINTE Blvd Deck
Residential Addition $42,000.00
QUEENSBURY,NY 12804 Total value $42,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-405
Residential Addition 224 s.f.
Deck 140 s.f.
$150.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 10, 2016
(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 ueens u ' , September 10,2015
SIGNED BY ' \ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION
Received
DATE Se aUIS EcEa V [ ID
TAX MAP ID D o. 2,015-6S
ZONING SU) v G ZU15 Re a ee 1 S (J. �)P�
HISTORIC SITE Yes K No
a{,111j1 OF QUEENSB rov Is
T
SUBDIVISION NAME Q LDING & COD=S
APPLICANT 6 C:c d k\g J >k c I I�� et'c,, "t1/1IF,-+ OWNER �, .p n. F.t id R�
ADDRESS 30 Oekocre j4- Q. ADDRESS 2n`) tTC1S0^ Pole Pci,
►+vdvso, SI S r I2' ueeASLc.f , nr I2a?0 4-
PHONE (g&) 1 4 Al - O Lv —1 PHONE (Si?) 22 17 a 3
p
CONTRACTOR ��� M f t-�d e_ COST OF CONSTRUCTION(ESTIMATED): $ 4 DO
ADDRESS: BUILDING ADDRESS: ),0-1 w n ("O.tike
PHONE:
CONTACT PERSON FOR BUILDING& CODES COMPLIANCEgRA 6' U !\ PHONE SI? 93D -1s-6_6`
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 1st floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck 1 1-0 I dr 0 Q -P4
Detached Garage(#of cars )
Dock
Pole Barn
Porch-open
**Porch-3 season,Covered, Enclosed
Shed
Other Accessory Structure(s) c), !a 1 T, cd. '1- aa 4-
**Considered floor area&must comply with FAR(floor area ratio)requirements if located in the WR zone
DECLARATION: 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 & 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. tt R( C\.JN
,71t'I have read and agree to the above: Print Name: e lDate: 9/
Signature: I Date: 9/I/
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
I?.(ki�
Foundation Inspection Report (youth/3m
26D)
Office No. (518) 761-8256 Date Inspection request received: 01 '415
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/ m
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials• 6 1 -�
NAME: - f.dt PERMIT#: 2D vs-
LOCATION:
s-LOCATION: 2c72 kk6S ROA
1 INSPECT ON: 10 1512Q4s
TYPE OF STRUCTURE: '"0
Comments
N N/A S1 1-44 — Zr}
Footings
Piers
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/WallpourN7/
Reinforcement in Place V
Footing Dowels or Keyway in place 4S ��Vt.
\i/
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:\Building&Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
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Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 9 2-QA5
Queensbury Building&Code Enforcement Arrive: am/pm Depart: �m
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials• c—
NAME: ✓� PERMIT#: 7-015 -1.+03
LOCATION: 202- PG v�t�, INSPECT ON: `f I ?(2-015
TYPE OF STRUCTURE: 2 .
Comments
Y N N/A SV j 4 2-b(c1
IFootings
Piers
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:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
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BUILDIT3 DEPARTMENT
Based on our lim tE d examination,compliance I 0 s\,pe tac
with our commertf. shall not be construed as
indicating the plank ano s ecifications are in -t
4 full compliance with the Building Codes of t n g J (� `�
New York State.
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PERMIT, EW--j.LPIAN'
I HAVE PERSONALLY IIAEHZUs�.[l �FlriE DI'DTANDF
FROM THE PROPERIFY LANES TO -1-1-1HE
PROPOSED 3-1RUCTURE-H(S) OR SGI(S)
A W - 011 P, � �vn1�5
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Steves
Land Surveyors, LLC
169 Haviland Road Queensbury, New York 12801
'518) 792-8474 New York Lie. No. 50135
"UNAUTHORIZED ALTERATION OR ADDITION 10 A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.'
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE CCPIES.*
*CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS A"TED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
To THE PERSON FOR MOM TI SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTITUFITON LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION.'
MAP REFERENCE:
HUDSON POINTE P.U.D. PHASE II
BY
VAN DUSEN & STEVES
DATED MAY 1994
LAST
REVISED MARCH 7, 1996
FILED
IN THE WARREN COUNTY
CLERK'S
OFFICE ON APRIL 16, 1996
AS
INSTRUMENT NO. 44
PLAT CABINET B SLIDE 64
PERMIT, EW--j.LPIAN'
I HAVE PERSONALLY IIAEHZUs�.[l �FlriE DI'DTANDF
FROM THE PROPERIFY LANES TO -1-1-1HE
PROPOSED 3-1RUCTURE-H(S) OR SGI(S)
A W - 011 P, � �vn1�5
-W--%
-U Us
Steves
Land Surveyors, LLC
169 Haviland Road Queensbury, New York 12801
'518) 792-8474 New York Lie. No. 50135
"UNAUTHORIZED ALTERATION OR ADDITION 10 A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.'
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE CCPIES.*
*CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS A"TED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
To THE PERSON FOR MOM TI SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTITUFITON LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION.'
Map of a -Survey made for
WILLIAM R. & PATRICIA M. FIELDIN
Town of Queens'bury, Warren County, New York I
NO. I DA TE
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0 00
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I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY
THIS CERTIFICATION SHALL RUN SURVEY.
TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: William R. & Patricia M. Fielding
Chicago Title Insurance Company
Trustco Bank, National-6bsociation, its
,,, ukfv .
successors oWPr-atsIgnq�b
KxNffwxmw
MATTHEW �C. V\STE.- -- LLS ,N 60135
IES;��'
DATED: June 21, 2000 tAND S�
1"=30'
SHEET I OF 1
FIELDING
DESCRIPTION DWG. NO. 91247-78
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Map of a -Survey made for
WILLIAM R. & PATRICIA M. FIELDIN
Town of Queens'bury, Warren County, New York I
NO. I DA TE
Ln
0
LO
V- 0
CD
04
01. -6
CD Z
CO C)
cn
CL -
0 00
"� Q N
Cn
(n LO
co
U.
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY
THIS CERTIFICATION SHALL RUN SURVEY.
TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: William R. & Patricia M. Fielding
Chicago Title Insurance Company
Trustco Bank, National-6bsociation, its
,,, ukfv .
successors oWPr-atsIgnq�b
KxNffwxmw
MATTHEW �C. V\STE.- -- LLS ,N 60135
IES;��'
DATED: June 21, 2000 tAND S�
1"=30'
SHEET I OF 1
FIELDING
DESCRIPTION DWG. NO. 91247-78
Certificate of Electrical Compliance
t
New York Atlantic-Inland, Inc.
997 McLean Road Ext.
Cortland, NY 13045
Certificate No.: 604511
Building Permit No.:
Issue Date: 1/19/2016 Building Permit Date:
Inspected By: Devin Pratt Occupancy: R-3
OWNER SITE ELECTRICIAN
William and Patricia Fielding 202 Hudson Point Blvd Gauthier Skilled Craftsman LLC
202 Hudson Point Blvd Queensbury, NY 12804 30 Delaware Ave
Queensbury, NY 12804 Town of Queensbury Hudson Falls, NY 12839
SCOPE:
Addition to Existing Single Family Home
INSPECTION INFORMATION: D
Fans: 1 Paddle Fan
Luminaires: 5 Luminaires
Outlets: 3 Switches, 8 Receptacles
x
O
This certifies that the process noted above was complete as specified at the time of inspection and any conditions not within the
scope of the inspection are excluded. Because there exists a multitude of proprietary specifications,the adherence to the relevant
Building Code of New York State is applicable to the electrical requirements on the above noted date and valid for one year
forward. In connection with areas at the time of inspection and does not constitute areas that are enclosed,concealed or
inaccessible. Should the electrical system be altered in any way, including,but not limited to,the introduction of new electrical
equipment,this certificate shall be null and void.This certificate only applies to the occupancy use as stated.Changes in use,or
occupancy as indicated above,negates this certificate in its entirety.