2005-541 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
)W Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20050541 Date Issued: Thursday, March 31, 2011
This is to certify that work requested to be done as shown by Permit Number P20050541
has been completed.
Tax Map Number: 523400-303-019-0001-034-000-0000
Location: 9 GREEN Ave
Owner: ANTHONY DE LISLE II
Applicant: ANTHONY DE LISLE II
This structure may be occupied as a:
Shed/ Storage Sheds
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
owner of the responsibility for compliance with Site Plan
property P tY P
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 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050541 Application Number: A20050541
Tax Map No: 523400-303-019-0001-034-000-0000
Permission is hereby granted to: ANTHONY DE LISLE II
For property located at: 9 GREEN Ave
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. T_Ve of Construction Value
Owner Address: ANTHONY DE LISLE H Shed/Storage Sheds $2,000.00
VERNA CAPONE Total value $2,000.00
9 GREEN Ave
QUEENSBURY,NY 12804-0000
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
2005-541
208 sq ft shed
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 31, 2012
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the wn o uee �ut / 4hr964, March 31,2011
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Permit NO. <31200.
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes@aueensburv.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Accessory Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction
Any structure other than the principal structure (i.e., house), typically a garage, shed, greenhouse, dock, deck,
etc. (not necessarily limited to the list below). Refer to attached Informational Brochure No. 3
Instructions: A permit must be obtained before beginning construction. No inspections, will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed amd
must appear on the application form. n/�
Applicant/Builder _ c?� / tf J'S.I� Owner: 4 -40k
Address: —1 e, Address:
Home Phone: Home Phone:
Email Address: Email Address:
Cell Phone: Cell Phone:
FAX Phone: FAX Phone: i
'erson responsible for supervision of work with respect to building and codes compliance:
Name: TvY'by RY
Address: Phones$ i
-ovation of proposed construction: Lot No. Legal Address: 1 L
fax Map Number: 3 G 3, 1 9-/�5 Subdivision Name:
d'
stimated Cost of Construction: $.)�t,Y�D
Does an accessory structure currently exist on the property? _Yes / _No (A
If YES, list all existing accessory structures:
Proposed Construction 110 floor 2nd floor Total Proposed Height
sq.ff. sq.ft. S ,ff. ft.&in.
Open Porch
Covered or Enclosed Porch
(considered floor area&must comply to FAR [Floor Area Ratio]
requirements if the structure is located in the Waterfront
Residential zone.
3-season porch is considered an enclosed porch.
Deck
Boathouse
Boathouse with sundeck
DOCK
Shed x ' j3 Fl S
Pole Barn
Detached Garage 1, 2, 3 car
Other Accessory Structure:
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
the Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
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.
Date: Applicant/Builder Signature:
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature:
LASue Hemingway\Building.Permit.FORMS\Accessory Structure Permit Application.doc V:12/28/04
Queensbury Building & Code Enforcemen - Residential Finlnspection
Office No. (518)761-8256 Arrive: am/pm part: am/pm
Date Inspection request received: Inspector's initials: , ;
NAME: PERMIT#: , `Y
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments:
4" Bulding Number Address visible from road
Chimney Height/"B"Vent/Direct Vent location
Fresh Air Intake
3 Inch Plumbing Vent through roof minimum 8 inches
Roof Co /Exterior Finish Complete v
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs deckspatios more than 30 inches above grade k
Guard at stairwell at 34 inches or more
Guard at deck aches 36 inches or more I. , jci G
Handrail Termination at Newell Post or Wall
Interior/Exterlor Railings 34 inches to 38 inches
Deck Bra /Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearanoe to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privaq I trim/doors/main entrance 36 inches
Bathroom/Kitchen vote ht
Safetv alazing/Window in stairwells saftty alazina
Interior Smoke Detectors I 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/Insulation Certification
Floor truss draft stopping finished basement 1,000 .ft.
Emervency earess 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
Relief Valves Installed/Heat 7 Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Ganw Floor Pitched
Garam fireproofingI%hair fire door/door closer
Duct work Sear proPedY
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final S Plot Plan
Arc Fault Brooker in Bedrooms
Flex Gas Pipj Baud
As Built System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certifleadon if reauired
Okay to issue C/C or C 10 f Temporary/Permanent
LABuilding&Codes FormslBuilding&CodeMinspedion FormsNResidentisi Final inspection Fonn_revised_100405.doc;Revised
January 7,2008;Revised 6126/08
FIL
4EPW TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 518-761-8201
July 21, 2005
Anthony Delisle
7 Green Avenue
Queensbury, NY 12804
Re: Building Permit No. 2005-541, Delisle
Shed, 208 sq. ft.
Dear Mr. Delisle:
I am writing to you with regards to the above-reference building permit
application that was submitted to us on your behalf.
I have reviewed your application materials and find that your proposed project
does not comply with the requirements of the Town of Queensbury Zoning
Ordinance. Therefore, your plans will need to be revised or you will need to
pursue an Area Variance application with the Town of Queensbury Zoning Board
of Appeals before we can issue a permit for you.
Specifically, your application does not include a plot plan depicting the areas of
construction. Additionally, per our discussions removal and reconstruction may
require an Area Variance if minimum setbacks are not maintained.
Your application materials cannot be further reviewed until these matters have
been resolved. Revised plans can be submitted at the Building Department desk
at any time, Monday through Friday, 8:00 am -4:30 pm.
Should you have any questions, comments or additional information that might
alter this determination, please do not hesitate to contact this office.
Sincerely,
IT f Queensbury
r r
Zoning Administrator
CB/sh
cc: Bruce Frank, Code Compliance Officer
Dave Hatin, Director of Bldg. & Codes
L:\Craig Brown\2005 letters\Delisle 7_21_05.doc
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