2012-465 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: P20120465 Date Issued: Wednesday, November 28, 2012
This is to certify that work requested to be done as shown by Permit Number P20120465
has been completed.
Location: 2940 STATE ROUTE 9L
Tax Map Number: 523400-239-020-0001-015-000-0000
Owner: ROBERT R CLEMONS
Applicant: ROBERT R CLEMONS
This structure may be occupied as a:
Garage Detached By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property /J
owner of the responsibility for compliance with Site Plan, Variance, or ft1
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
12t 742 Bay Koad„Qm-eaasbury,;v7' 12804.,902 (;3 1)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number P20120465 Application Number: A20120465
Tax '.\1a a No: 523400-239-020-0001-015-000-0000
]'crtxaissic,tn us hcrclay ranted i:ca: ROBE.:R`1" R C LF MONS
For property locatedat: 2940 STATE ROUFF.' 9L
in dice Town of Qumnshury, to construct or place
at the above location in accarr:dmice withapplication together with plot jalaps anti other information hereto filed
,and alalarcaae,d.atacl ita conalali<rnc:a a%ith the Tti5'ti C.inilcarna l aaildiaa?t.:Gr<lcw and, tlac C�arecnslauraI i'aarsain
C-DrdirralaCC, '1,, ate of Construction / Value
C)\,vtactr.lddress: ROBERT R C LEMONS Garage Detached $30,000.00
PO BOX 244
Tll�l. SON,NY 12486-0244 Total Value $30,000.00
Contractor or BujJder's Name / Wdress F"lect,ric-al Inspection Ageracl
GARDEN TME
E
DAN NLZt LEK 518-733-8555 EXT 404
25 GORDON Lil
WILTON NY 12831-0000
Plans &Specifications
2012-465
(jai-age Detached 24' x 24'
$86.40 PERMIT FEE PAID -THIS PERMIT EXPIRES. Wednesday,October 02,2 01
(If a looger period is required,an application for:aa)extension aaaaast be rrusupa.,to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Tuesday,October 02, 2012
SIC NI,1)BY for the`I'mvra of Q ucensbury,
Director of Buildhig&Code 1^,nforcement
R
,
�} OFFICE USE ONLY
TAX MAP NO. p� 3'f. l-1 .
PERMIT N0. af ; ; x • L x
FEE PAID �" BLDG. &CODES APPROVA SP
0.2
ACCESSORY STRUCTURE B LDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences. • •
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 RECEIVED
A VALID BUILDING PERMIT.
OWNER: G ��j C-�2� t e_L i-l.0 iV 5 INSTALLER/BUILDER: �p �l-hl ttr-
ADDRESS: ).00-1-0 Ri-�i L� P,0,13604-3/114C- E i RESS: 0-5 G i)o,V ,�r�+�',Lc L�1 o N. N Y t 3 t
PHONE NOS, ,T t( 61-56-?)06 PHONE NOS. Sk 1(13-8s X 404 DAR \i12-oL:V
LOCATION OF PROPERTY: I.ci 4 b Rig G L SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: igc 4+0 {-T. t1 L
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑YES NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $Z(D nnO ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? l ES
IF YES,PLEASE LIST: lb X 1(n IAG ?\LD 1 N f3-
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
ST ND PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH"
BOATHOUSE
•
BOATHOUSE WITH SUNDECK
DOCK
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS: ) a19 ,5% 5176 Ia r
OTHER ACCESSORY STRUCTURE:
*CONSIDERED 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
and specifications submitted, are a true and complete statement of all proposed work to be done
on the described premises and that all 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 or 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
codesaqueensburv.net
I have re ad_ nd agree to the above,
VISIT OUR WEBSITE FOR MORE INFORMATION FORMATION
Waueensburv.netSI ned Q =L rZintAA•c"-"-.• Dated: ����. c�ap0.
•
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Town of Queensbury-Department of Community Development 4
Public Inquiry STAFF INITIALS
Tax Map
Date: c , t Number:
Inquiry By: ' {cJ e(e,,,,c, s Current Zoning: CD
Phone Number: Parcel Area:
Owner: ress in �%
A ��
'� aew,vpisquestion: r �C �C"
Request for YES NO Mail to:
determination?
INQUIRY (include notes and/or sketch):
-(24
r- .
RESPONSE:
Pre-Application YES NO If, YES, please call 761-8220 to schedule meeting
Meeting required?
Zoning Administrator Date
This form must be signed by the Zoning Administrator in order to be considered a valid determination. If the
Zoning Administrator signature does not appear on this form, the information hereon shall be considered
informational only.
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Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/ mDepart: P3 am/pm
Date Inspection request received: Inspector's Initials:
NAME: ns PERMIT#:
LOCATION: U S L. _ DATE: / I `a)-1
TYPE OF STRUCTUR : eck 1)2—
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh inArt _ 1
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 rc2\A-c\AN) —.
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/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
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 to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test 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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%i"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
_Garage fireproofing/'/,hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure / I
Final Electrical; Energy Saving Light Bulbs 50% �f /
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/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codesllnspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6126/08; Revised 12/22/10,Revised 04/13/11
/,ce:Spct:;t1Fig±ietA, (-1
Foundation Inspection
Office No.(518)761-8256 Date Inspection request received: t t /(.ti// 2--
Queensbury Building&Code Enforcement Arrive: am/pm Depart: t –1m/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:64)
"' J
NAME: C L o" PERMIT#: --
LOCATION: k--/C i I_ INSPECT ON:
TYPE OF STRUCTURE:
Comments
F0 AT o\-\ -c7c c,__
Y N N/A
Footings (0'
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 � 2
Footing Dowels or Keyway in place _ —
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mail 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 12/20/2005 9:24:00 AM
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