2004-343 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 518 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040343 Date Issued: Thursday, October 06, 2005
This is to certify that work requested to be done as shown by Permit Number P20040343
has been completed.
Tax Map Number: 523400-239-007-0001-035-000-0000
Location: 179 ASSEMBLY PT. Rd
Owner: JEFFREY THOMAS TRUST
Applicant: JEFFREY THOMAS TRUST
This structure may be occupied as a:
Boathouse
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance 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 E s.orcem4:t
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: P20040343 Application Number: A20040343
Tax Map No: 523400-239-007-0001-035-000-0000
Permission is hereby granted to: JEFFREY THOMAS TRUST
For property located at: 179 ASSEMBLY PT. 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: JEFFREY THOMAS TRUST
PETER&MARY THOMAS TRUSTI Boathouse $20,000.00
179 ASSEMBLY PT. Rd Total Value $20,000.00
LAKE GEORGE, NY 12845
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-343
PERMIT TO BE ISSUED FOR DOCK ONLY. WAITING FOR SITE PLAN APPROVAL FOR
BOATHOUSE. PAID FOR DOCK W/BOATHOUSE
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thu ay, June 08, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcetrietzt-OffteeL= ._�
of the Town of Queensbury before the expiration date.)
Dated at the own o uee ury uesday, June 08, 2004
SIGNED BY d , for the Town of Queensbury.
Director of Building&Co Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
1W1
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040343 Application Number: A20040343
Tax Map No: 523400-239-007-0001-035-000-0000
Permission is hereby granted to: JEFFREY THOMAS TRI TST
For property located at: 179 ASSEMBLY PT. 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: JEFFREY THOMAS TRUST
Boathouse000
PETER&MARY THOMAS TRUSTI Value $20,$20,000. 0
Total 00
179 ASSEMBLY PT. Rd
LAKE GEORGE, NY 12845
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-343
PERMIT TO BE ISSUED FOR DOCK ONLY. WAITING FOR SITE PLAN APPROVAL FOR
BOATHOUSE. PAID FOR DOCK W/BOATHOUSE
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 08, 2005
(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 Queensb ; s P;y, June 08, 2004
4 SIGNED BY for the Town of Queensbury.
Director of Building& ode Enforcement
Porch, Deck, Dock, or Boathouse Permit Application
Town of Queensbuuy—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
® (1—3 !
A permit must be obtained before beginning construction. No Permit File No.�,
3
inspection will be made until applicant has received a valid Fee Paid $50 c2t_
building permit. All applicants' spaces on this application must be Reviewed By:
completed and must appear on the application form.
Applicant: pe 74e v r}r��e{�<��i/ o der:
Address: j j4Sse rt! S/ tut, 4 Address:
- P/z5"-YS
Phone#(car) _A 112, ,, //� Phone#( )
7.TT -
Email Address: m,"4 4_s t7j 40X i mail Address:
C
/I,
Person Responsible for Supervision of Work as Regards to Building Codes:
Name Pest e /A z; sPyl a_5 Address: _ $ a Phone 54 p.t
Property Location: Lot Number: ,j.5 / House Number i�/ l .23%' -0 r7 S ,
Subdivision Name: Tax Map Number:
Estimated Market Value of Construction: $20, moo
❑ Porch k CA,
:a
LAVED
Dock
❑ Deck C 1
❑ (�,
Jiff Boathouse TOWN Or t,uF NSBURY
[� Other work(describe ; , t , r;GUE
Size of structure to be built squ
are D' e r`‘'i' yeeFi 6-6
6CI5 {
0 ` ae
Submit along with this application: N S I e_
1. Two plot plans drawn to scale,preferably using a survey map."Indicate proposed lilt' t`f t_t,1
structure showing setback dimensions from all property lines. Show location of
water supply and location and configuration of septic disposal area.
2. Two sets of structural drawings. Indicate size of posts or studs, floor joists,
decking or flooring material to be used. Show how the porch or deck will be
fastened to the building. If a roof will be constructed, indicate the size of posts or
studs,roof rafter spacing and span. Indicate type of roof: sloped,flat, shed, or
other. Indicate the type of material being used for the roof.
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this 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 Code,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.
Applicant's signature: Jai Date: ./ rO y
.- __ •., .. ., ..-r.*+. on......ti u......u.•..,.G .i.,. R/17/M r,vice ncr DH
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/p D part: /19_ pm
Date Inspection req eceived: — Inspector's Initials: `C
NAME: PERMIT#: CJ
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake C-C t&C C-
14
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios \\/".
,•
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more CL0466 R -5 �- 6(Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum 'A"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.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
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: i Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
^Okay to issue C/C or C/0[Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
CU ueens ury uilding & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 am/pm D art: am/pm
Date Inspection request received: Inspector's Initials: _ � ,
NAME: _ PERMIT : 3
LOCATION: r f?W1 —r, (2ci DATE:
TYPE OF STRUCTURyiR
�_
Comments
N N/A 4**,0
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
ci?
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more stairs,decks,patios W
Guard at stairwell at 34 in, or more
t/r
Guard at deck,porches 36 in. or more
Exterior Finish Complete ('�
Interior/Exterior Railings 34 in.to 38 in. ` `i'5 ' `�� A- l
Platform at all exterior doors - �C
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade ra
Gas Furnace shut-off within 30 ft.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
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/<hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\PamW\Buildint:&Codes\Inspection Forms\Res. Final Insn. form 2.docLast printed 2/12/04
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