2003-877 . ` TOWN OF QUEENSBURY
Ba 742 Queensbury,y Road,Qu NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20030877 Date Issued: Tuesday, December 11, 2007
This is to certify that work requested to be done as shown by Permit Number P20030877
has been completed.
Tax Map Number. 523400-226-012-0001-014-000-0000
Location: 65 MASON Rd
Owner. DR LAWRENCE & CHRISTINE BUSINO
Applicant: DR LAWRENCE & CHRISTINE BUSINO
This structure may be occupied as a:
Dock
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the 4 f/
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
"F.fte.:0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
4
BUILDING PERMIT
Permit Number: P20030877 Application Number: A20030877
Tax Map No: 523400-226-012-0001-014-000-0000
Permission is hereby granted to: DR TAWRENCE& CHRTSTTNF,FIT JSINO
For property located at: 65 MASON 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: DR LAWRENCE& CHRISTINE BU
950 ST. DAVIDS Ln Dock $s,000.00
Total Value - $5,000.00
SCHENECTADY,NY 12309
Contractor or Builder's Name/Address Electrical Inspection Agency
TAMES MOONEY
CLEVERDALE_ NY 12820-0000
•
Plans&Specifications
2003-877
520 SQ FT DOCK REPLACEMENT AS PER PLOT PLAN SPECIFICATIONS
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 30,2004
(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 o of Q guy;, Li__..,day, October 30,2003
SIGNED BYV. , for the Town of Queensbury.
Director of Building&Code Enforcement
Porch, Deck, Dock, or Boathouse Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road, Queensbury,NY
(518)761-8256
•
A permit must be obtained before beginning construction. No Permit File No. (D1,3 -2 7 7
inspection will be made until applicant has received a valid Fee Paid $
building permit. All applicants' spaces on this application must be Reviewed By:
completed and must appear on the application form.
Applicant: 1W(2 ,T /✓ Z) Owner: s ,ca..
Address: j rb S i 0 n7s ► Address:
Phone#(37 ,?"7?- 7(��,S` Phone#( ) - , rr D
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
1. 4CZUF3
Name .Z'r4,,,,�, . ( rVicn E'DAddress• _ F _ liorie-6,S-L� S;;y2�__
/ 2
Property Location: Lot Number; / / House Number C-S" / __�r -4� mAgoiu
Subdivision Name: L , ca- iU., Z$�Tax Map Number: 22C, /2,—/—/ L
Estimated Market Value of Construction:$ ,S /j, oo
❑ Porch
• ❑ ,Deck
wo Dock 62,-eAcjAct_e_Qpry\juvA___
❑ Boathouse
❑ Other work(describe
Size of structure to be built ,.240 square feet
Submit along with this application:
1. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed
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,whe specified or noted,and that such work is
authorized by the owner.
Applicant's signature: Date: /o f
i.?SueHemingway\Building.Permit.FO orch.Porch.PermiLdoc 8/13/02 revised per DH
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: ?i'5 5am/pm 1 gg am/pm
Date Inspection request received: Inspector's Initials: -J Cart:�
NAME: j3 0,5 i 11Cj r PERMIT#: �) 7
LOCATION: S friC� in. Rc.�+ , DATE:
TYPE OF STRUCTURE:
beck Comments
Yes No N/A
Building 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 Complete/Exterior Finish Complete
Platform at all exterior doors
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
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
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:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
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
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
Fumace/Hot Water Heater operating / (AC16/7---Low water shut-off boiler zki
Relief Valve(s)installed/Heat Trap/Water Temp 110 I k(
Enclosed Stairs Sheetrock Underside minimum%2"Gypsum
Basement stairs closed rise>4 inches o
Garage Floor Pitched V
Garage fireproofing/V4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure / 6 6 7
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\lnspection Forms\Residential Final Inspection Form revised 100405.doc
a � e
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: -� I5 am/ D art: am/pm
Date Inspection request received: Inspector's Initials: A<
NAME: /jl /h,f7 _ PERMIT#: 7(
LOCATION: S M' DATE:
TYPE OF STRUCTURE:
Comments ep ltl/%
Yes No N/A '
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
•Itrateaiviste/Exterior Finish Complete Platform at all exterior doors 2_
h0'l C£-
Guards at stairs,decks,patios more than 30 inches above grade /f /�I�
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more {_ / ,f•
Handrail Termination at Newell Post or Wall <L t t,' -,
Interior/Exterior Railings 34 inches to 38 inches `�
Interior Handrails @ stairs 2 or more risers ;/r .,+ 'ya
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: 1---fizytt
Every level: Every Bedroom: = `' ���
Outside every bedroom area: - —
Inter Connected: Battery backup:
Carbon Monoxide Detector
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
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/a hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /V. • e required `
Flood Plain er 1fi ation,if required
Okay to iss+=C/ or C/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
•
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