2012-584 TOWN OF QUEENSBURY
tr • 4.7
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20120584 Date Issued: Wednesday, April 17, 2013
This is to certify that work requested to be done as shown by Permit Number P20120584
has been completed.
Tax Map Number: 523400-265-000-0001-032-001-0000
Location: 110 Harrisena Trl
Owner: PAMELA HARRIS
Applicant: PAMELA HARRIS
This structure may be occupied as a:
Gazebo
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the , 1
property owner of the responsibility for compliance with Site Plan, ,/�>v - iv r.
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.
1
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120584 Application Number: A20120584
Tax Map No: 523400-265-000-0001-032-001-0000
Permission is hereby granted to: PAMELA HARRIS
For property located at: 110 Harrisena TTI
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: PAMELA HARRIS Gazebo $15,000.00
1671 BAY Rd Total Value $15,000.00
LAKE GEORGE NY 12845-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-584 Gazebo 594.75 sq ft
[BUILT BEFORE submitting permit application- construction already completed]
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 17,2014
(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 of Queensbury; Wednesday,April 17,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
. I.
OFFICE USE ONLY
TAX MAP NO. c LI 5, -h-3A PERMIT NO. i A DCC 19 2012
G�
/ C
FEE PAID BLDG.&CODES APPROVAL f/ ':
r
ACCESSORY STRUCTURE BUILDING ".ERMIT APPLICATION
Use this application for any structure other than the Pfincipal 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.-NII'I SPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
OWNER: (j.YYI(�\ Q. —4C .. Y-1 INSTALLER/BUILDER:
ADDRESS: i (p 7 ( .R0 CL CO ADDRESS:
PHONE NOS. (p 1 - 3 9 (p 17 g -/OM a PHONE NOS.
LOCATION OF PROPERTY: SUBDIVISION NAME: — 1 //
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 5 oc,L.-i-�n !i, POA( /Q.eG� /_.IC_
ESTIMATED COST OF CONSTRUCTION: $ 1', 0‘1)'' ANY OTHER ACCESSORY STRUCTURES( ON PROPERTY? ill
IF YES,PLEASE LIST: IU C"l
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
sr NO PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
G / / OPEN PORCH —
Gamb, / Cz>ve 'Ccl. DECK 5gy .'156.94 !S la ' /t " •
3 SEASON,COVERED OR ENCLOSED PORCH' —
BOATHOUSE
-
BOATHOUSE WITH SUNDECK
DOCK —
SHED —
POLE BARN — __-----
DETACHED
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.
I have read and agree to t e above.
N.
QUESTIONS? CALL 761-8256 OR EMAIL
-Sistriec «i Dated: I D. 112 I I I codes(7a.queensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
l— (c; .. . 0.r v-i S www.queensbury.net
Name/Title(Printed) (1 m�
Queensbury Building & Code Enforcement - Residential F. al I,spection
Office No. (518) 761-8256 Arrive: '� ,P a r.:.art: (3..1-.U .
Date Inspection request received: Inspector's Iniss:
/
NAME: V-tloA % P r r IT#: 1
LOCATION: k In Z 1 f `'i c a't 7 I'`TE: 14_ 17 -- '3
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake f
3 inch Plumbing Vent through roof minimum 18 inches
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
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
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/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
Furnace/Hot Water Heater operating -
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum
Basement stairs closed rise>4 inches'
Garage Floor Pitched
Garage fireproofing 1%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure /V
Li
Final Electrical; Energy Saving ht Bulbs 50% V
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Pian /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codesllnspection Fomis\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
ib( ) a-598'1
DEC 19 2012
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TOWN OF QUEENSBURY
-'--BUILDING DEPARTMENT ...
TOWN OF QUE %�j�R
Based on our limited examination,compliance
with our comments shaP not oe construed as BUILDING & D•
indicating the plans and specifications are in
full compliance with the Building Codes of Reviewed B
New York State. nol/
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DEED REFERENCE -:(s).
HOWARD R,8 KATHERINE UNDERWOOD
TO
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JULIAN E. & EVELYN S. RUTSTEIN
LANDS DS N/F nO F'
5/04/1964 L. 441- P. 122
ARTHUR W. HARRIS
Concrete Founds lion
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MAP OF A SURVEY OF LANDS OF
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