2011-329 TOWN OF QUEENSBURY
742 Ba Road ueensbu NY 12804-5902 518 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110329 Date Issued: Monday, September 10, 2012
This is to certify that work requested to be done as shown by Permit Number P20110329
has been completed.
Location: OLD ASSEMBLY PT. Rd
Tax Map Number: 523400-239-012-0002-013-000-0000
Owner: SUSAN M CLERMONT
Applicant: SUSAN M CLERMONT
This structure may be occupied as a:
Deck By Order of Town Board
TOWN OF QUEENSBURY
P 4/1 ,,z° Y
Issuance of this Certificate of Occupancy DOES NOT relieve the property Av
owner of the responsibility for compliance with Site Plan,Variance, or
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
wo742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110329 Application Number: A20110329
Tax Map No: 523400-239-012-0002-013-000-0000
Permission is hereby granted to: SUSAN M CLERMONT
For property located at: OLD 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: SUSAN M CLERMONT Deck $750.00
28 ASSEMBLY PT. Rd Total Value $750.00
LAKE GEORGE,NY 12845-0000
Contractor or Builder's Name/Address Electrical Inspection Agency •
STEPHEN BEAN
758-2976 OR 2103513
76 BROAD St
K1NDERHOOK,NY 00000-0000
Plans&Specifications
2011-329
200 sq ft deck
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 25,2012
(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 T o ueen lry Q /�' '.`, sday,ay,August 25,2011
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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OFFICE USE ONLY ' ' '
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TAX MAP NO. „ PERMIT NO.
FEE PAID )` L ';C BLDG. &CODES APPROVAL •
•
„ •
ACCESSORY STRUCTURE BUILDING 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: •SG e((erM04- INSTALLER/BUILDER: 5 ke B, �--
ADDRESS: pZ g ,'k 1 el i 4-k 6 - ADDRESS: —2 6 /3/-0 cA,-ear erk
PHONE NOS. r0 440C/ -'12i PHONE NOS. (-5-ig) .,-i D- 35 i 3 /a 1®4,
LOCATION OF PROPERTY: a1--9491.6i• 6-�y 6 AL--- SUBDIVISION NAME: / _/
LOCATION OF PROPOSED CONSTRUCTION AND/OR(/ INSTALLATION: �.P sel r . t- /2�/
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ,S 0 NO.
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL: 1� / �� ic 1 M/-4111/
ESTIMATED COST OF CONSTRUCTION: $ iSat ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
}
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
$t ND PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
C---.-
ck 07oa 1ectd 667‘Sdv_c
3 SEASON,COVERED OR ENCLOSED PORCH* S C,1r '� 4-' 4W ck
BOATHOUSE a See
510 � 7
BOATHOUSE WITH SUNDECK I� r.-,,
DOCK (/
SHED
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 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
codese.aueensburx.net
I hav ead and agree to the above.
�. i VISIT OUR WEBSITE FOR MORE INFORMATION
Signed. A pi1U,r- 3-ems--Dated: .)vu3l ' J I) www.aueensburv.net
IS
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
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Queensbury Building & Code Enforcement - Residential Final lnspecti4
Office No. (518)761-8256 Arrive: am/pm Depart: ( p
'am/ m
Date Inspection request received: Inspector's Initials: 6449_
NAME: (q-L71,::21 PERMIT* `2-_,(-
LOCATION: `�, - li'�'t `�" DATE: `r Z-
TYPE OF STRUCTUR cZ�` 1
Comments:
Yes No N/A
4" Building Number Address visible from road G^� 0L` r• _�
Chimney Height/"B"Vent/Direct Vent Location Fresh
Fresh Air intake q , �-� �� — b4
3 inch Plumbing Vent through roof minimum 18 inches t'
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
Handrail Termination at Newell Post or Wall
lfor ' Railings 34 inches to 38 inches
eck Bn ' /Handicapped Ramp Compliant
Grate 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
Fumace/Hot Water Heater operating
Low water shut-off boiler
eitAA4:—
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum:4"Gypsum
Basement stairs closed rise>4 inches62
e
Garage Floor Pitched `
Garage fireproofing/s hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure G/
Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
,C70(/
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 FonnslResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
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TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments shall not be construed as
.. .� indicating the plans and specifications are in
1: — full compliance with the Building Codes of
•� t New York State.
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MAP REFERENCE
MAP OF A PORTION OF THE LANDS OF
LUECK, CLIFTON&GROCHMAL
ON ASSEMBLY POINT
BY:JOHN B. VAN DUSEN
DATED:JUNE 6, 1959
z ; ,)served, or believe I saA,
seS 1
L�.v*1
'„c '� I
7 4 t
GEORGE
Offt
•
1-\V
IRS S670 18' 480E
7.43
FACE OF WALL
ON LINE
L q`SO^, S67° 10' 480E LANDS N/F OF
14.47 FARRY
DOCK �� �' cto
0 ° NEW CQNSTRUCTE
DECK
~ ;� , \ E
IPF
RS 1 D
DEC`ICORNEk5
CSJ LINE
V 1
a
2.811 S190 07' 12"W
Area 10.04
Nsj° ?r 9jj 235.31+ sq ft.
rs, 0.01±'`,Acres `
PF
11
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LEGEND LANDS N/F OF
RANDLES
IRSO = IRON ROD SET/TO BESET
IPFO = IRON PIPE FOUND ��W C•
-0 0 = IRON ROD SET/TO BE SET , fi `n^
r•-
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FOc 0l35r� 1
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ate: an
� 'UNAUTHORIZED ALTIMAI M OR ADDITION T°A SANEY ++. - S' C-?� N BEARWO A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for Scale 1
VIOIATWN OE SECTION nw.SUB-DIVISIM t OE THE
NEW VOW(STATE EDUCATION LAW
ONLY CONIES FRO%THE OF TKL OF SU SURVEY . .
Ste-ves NARKED wTN AN OWOWAL aF'INE LAND SURVErDRs
sM SWL BE CONSWERID ro BE VALID TRUE COPES.•
-CRAVICY E� WAUD RM0 A°N�I"WY
WTH MPTO Sus a Clermont
C" G CO MO PREPARED RE ACCOIIDANCE wM THE
Land S u rve y o r S BY W RODE�PRA�,KEEDR LA,M�R ROIT-S 4AL
BY 7NE REM YORI(STATE ASSOCUtT1MN OF PROFFSSIONAI.
LAND SURVEYORS SAID CEATIFI ATIM WALL RUN ONLY
TO THE PERSON FOR MOH-THE SURVEY IS PREPARED,AND d
ON HS WIALF TO THE IRE COWANY,OOVEWL MTAL OI
189 Haviland Road Queensbury, New York 12804 TO""""Y AM LEN"IN nTUTION USTCO"I0M'AND Town of Queensbi y, Warren County, New York
TNH ASSINU OF THE IF?IOWO EYSTITUTION.'
(518) 792-8474 New York Lie. No. 50135 1 1 NO. DATE DESCRIPTION DWG
23 1 2-2-13 5-i-37
MAP REFERENCE
MAP OF A PORTION OF THE LANDS OF
LUECK, CLIFTON&GROCHMAL
ON ASSEMBLY POINT
BY:JOHN B. VAN DUSEN
DATED:JUNE 6, 1959
z ; ,)served, or believe I saA,
seS 1
L�.v*1
'„c '� I
7 4 t
GEORGE
Offt
•
1-\V
IRS S670 18' 480E
7.43
FACE OF WALL
ON LINE
L q`SO^, S67° 10' 480E LANDS N/F OF
14.47 FARRY
DOCK �� �' cto
0 ° NEW CQNSTRUCTE
DECK
~ ;� , \ E
IPF
RS 1 D
DEC`ICORNEk5
CSJ LINE
V 1
a
2.811 S190 07' 12"W
Area 10.04
Nsj° ?r 9jj 235.31+ sq ft.
rs, 0.01±'`,Acres `
PF
11
i
{
LEGEND LANDS N/F OF
RANDLES
IRSO = IRON ROD SET/TO BESET
IPFO = IRON PIPE FOUND ��W C•
-0 0 = IRON ROD SET/TO BE SET , fi `n^
r•-
f0
a
FOc 0l35r� 1
N
IW
ate: an
� 'UNAUTHORIZED ALTIMAI M OR ADDITION T°A SANEY ++. - S' C-?� N BEARWO A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for Scale 1
VIOIATWN OE SECTION nw.SUB-DIVISIM t OE THE
NEW VOW(STATE EDUCATION LAW
ONLY CONIES FRO%THE OF TKL OF SU SURVEY . .
Ste-ves NARKED wTN AN OWOWAL aF'INE LAND SURVErDRs
sM SWL BE CONSWERID ro BE VALID TRUE COPES.•
-CRAVICY E� WAUD RM0 A°N�I"WY
WTH MPTO Sus a Clermont
C" G CO MO PREPARED RE ACCOIIDANCE wM THE
Land S u rve y o r S BY W RODE�PRA�,KEEDR LA,M�R ROIT-S 4AL
BY 7NE REM YORI(STATE ASSOCUtT1MN OF PROFFSSIONAI.
LAND SURVEYORS SAID CEATIFI ATIM WALL RUN ONLY
TO THE PERSON FOR MOH-THE SURVEY IS PREPARED,AND d
ON HS WIALF TO THE IRE COWANY,OOVEWL MTAL OI
189 Haviland Road Queensbury, New York 12804 TO""""Y AM LEN"IN nTUTION USTCO"I0M'AND Town of Queensbi y, Warren County, New York
TNH ASSINU OF THE IF?IOWO EYSTITUTION.'
(518) 792-8474 New York Lie. No. 50135 1 1 NO. DATE DESCRIPTION DWG
23 1 2-2-13 5-i-37