2008-173 TOWN OF QUEENSBURY
4101-A 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
low Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20080173 Date Issued: Wednesday, June 09, 2010
This is to certify that work requested to be done as shown by Permit Number P20080173
has been completed.
Tax Map Number. 523400-297-013-0001-031-000-0000
Location: 240 CRONIN Rd
Owner. MARWAN KOZAK
Applicant: SUSAN KOZAK
This structure maybe occupied as a:
Shed/ Storage Sheds
By Oder of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the X
property owner of the responsibility for compliance with Site Plan, ` ! J /
ij ,t-
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,Queensbuq,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080173 Application Number. A20080173
Tax Map No: 523400-297-013-0001-03 1-000-0000
Permission is hereby granted to: SUSAN KOZAK
For property located at: 240 CRONIN 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. Tyne of Construction Value
Owner Address: SUSAN KOZAK
240 CRONIN Rd Shed/Storage Sheds $1,400.00
QUEENSBURY, NY 12804 Total Value $1,400.00
Contractor or Builders Name/ Address Electrical Inspection Agency
Plans &Specifications
2008-173
140 SQ FT SHED
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, May 15, 2009
(If a longerperiod is required,an application for an extension mustbe made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To o eensb r ay,May 15, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
----
OFFICE USE ONLY
TAX MAP NO �L3"I-3� PERMIT NO. ,0 ` O , Q�
t FEE PAID BLDG.&CODES APPROVAL RY
----------------------------------- ' TQWN 9R4G.- DES '
ACCESSORY STRUCTURE BUILDING PERMI PPLICATION
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'1�//� INSTALLER/BUILDER:
ADDRESS: `� .� j�t,cJj�/ j2� ADDRESS:
PHONE NOS.__ _:�2 PHONE NOS. Tom/
LOCATION OF PROPERTY: � f�j �� SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:
ESTIMATED COST OF CONSTRUCTION: $-74� ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? ID
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
PROPOSED CONSTRUCTION 18r FLOOR 2No PROPOSED FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH'
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
SHED O
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
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 D for 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
I have read and agree to the above. codesCaaaueensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Signed Dated: www.queensburv.net
T0711n of Queensbury• Community Development Office- 742 Bay Road, Queensbury, NY'12304
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Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials:
PERMIT#: '
NAME: —
LOCATION: C, DATE:
TYPE OF STRUCTURE:
Comments:
Yes No WA
,V Builcling Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof /Exterior Finish Com
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade `'�,`�Guard at deck,
at 34 inches or more �,� t `'�
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/E)derior Railings 34 inches to 38 inches \ l
Deck Brae /Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate ,
Gas Valve shut-off e /regulator 18 inches above grade
Interior privacy I trim/doors I main entrance 36 inches I
Bathroom/i /W watertight
Safety 'y/Window in stairwells safe "
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery badu :
Attic access 30 inches x 22 inches x 30 inches in acoessible area
Crawl Spews 18 inch x 24 inch access, 1 sq.ft:150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fbdures
Foundation insulation l/
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Fumace shut-off within 30 feet or within One of site
Oil Furnace shut-off at entrance to furnace area
Fumac&+W Water Heater 2p2EgrV _
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Tern 110 76 Zol
Enclosed Stairs Sheetrodk Urxierside minimum'A"Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitdred
Garage fireproofing/%hour fire door/door closer
Dud work Sealed property
Gas L in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
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 10 f Temporary/Permanent
L\Building&Codes Forms\Budding&Codesllnspedion FormslResidential Final Inspection Form_revised_100405.doc:Revised
January 7,2008
a
Code Compliance and Informational Sheet for ParMit Use
Queensbury Dept. of Community
Project for.• 1 N. P '2008
Applicant Name: ko
Alt
Tax Map No. a —�7- 13 4-31
Application
Lot# House # h En AY 2008
road, street.
Lot Size:
Zoning Administrator
Mobile Home Park: TOWN QF QUEENs8URY
Business Plaza:
Planned Unit Dev.
Subdivision: Phase/Section
Effective Year Zoning Designation
Zoning Ordinance
Prior to 1967, July 10 Subject to current setback requirements at time of development.
Section 179-20-10,B
Subsequent to Development of lots within subdivisions subsequent to July 10, 1967
July 10, 1967 shall use the setback requirements in place at the time of the
approval of the subdivision.
1967
1982, June 11
1988,September 19
Corner lot rule or to Nov.23, 1992 approved subdivisions* see note on back of form
2002, April 9 -
Road Name Setbacks Existing Required Proposed Difference
Front 1
Front 2
Side 1
Side 2 4
Rear 1 -
Rear 2
Shoreline
Travel
Cooridor
Overlay Zone
Buffer
Yes No
meets depth,width, &square footage requirements
preexisting,nonconforming lot with proper setbacks
required frontage on public road
has required off-street parking
— permeable area is adequate (Requirement is %J
building does not exceed maximum height (Max. ft.)
Is lot in a Flood Zone?
Floor Area Ratio worksheet required?Zone: WR-1.A
Town of Queensbury
Code Compliance and Informational Sheet for Permit Use
>C
Queensbury Dept. of Community Development
vs
WIN-
0
; : *Corner Lot Information for Subdivisions ARProved Prior to November 23, 1992
Section 179-30.1 which requires front yard setbacks on both roads for a corner lot was not enacted
until November 23,1992. Therefore,prior to November 23, 1992 parcels within approved
subdivisions have one (1) front yard,two (2)side yards,and one (1) rear yard setback.
/ Review Type File No. Action Resolution Date
E Zoning Board of Appeals
Planning Board
Town Board
I
Check List Yes No
Recreation Fee Paid
Engineering Engineeripg Fee Paid
Site Plan Maps on File
Subdivision Mylar Signed and
Filed with Count
Application appears to conform to the requirements of Section(s) of the local
Town Code:
Application requires additional review for the following:
Zoning Board of Appeals
Planning Board
Town Board of Health
Town Board for Mobile Home Outside of a Mobile Home Park
Other
Revi d Staff DateO Notes
Town of Queensbury