2005-562 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: P20050562 Date Issued: Thursday, August 18, 2005
This is to certify that work requested to be done as shown by Permit Number P20050562
has been completed.
Tax Map Number: 523400-302-009-0001-030-000-0000
Location: 329 DIXON Rd
Owner: WAYNE & JEANNE LA LONDE
Applicant: WAYNE & JEANNE LA LONDE
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
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 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: P20050562 Application Number: A20050562
Tax Map No: 523400-302-009-0001-030-000-0000
Permission is hereby granted to: WAYNF. & TF.ANNF,i.A I,0NT)R
For property located at: 329 DIXON 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: WAYNE & JEANNE LA LONDE
329 DIXON Rd Shed/Storage Sheds $3,312.00
Total Value $3,312.00
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-562
160 SQ FT STORAGE SHED
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, July 27, 2006
(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 Quee s nesday, July 27, 2005
W
SIGNED BY for the Town of Queensbury.
r .Y
Director of Building&Code Enforcement
A
Permit No. 71
Building &Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes@aueensbur�.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 and
must appear on the application form.
Applicant/ der /�ri`j , �' Owner:
Address: Address:
Home Phone: Home Phone: 12 9 C9s 3r
Email Address: Email Address:
Cell Phone: -Eel+Phone:&- rPr
FAX Phone: FAX Phone:
'erson responsible for supervision of work with respect to building and codes compliance: JUL 2 1 2GO
Name: �/�%�� .C�9Ld•���` ��
E
Address: f7tl nG xtf ,
ocation of proposed construction: Lot No. Legal Address:
ax Map Number: 3 0 • �— /` 30 Subdivision Name:
stimated Cost of Construction: $
)oes an accessory structure currently exist on the property? _Yes If YES, list all existing accessory structures:
Proposed Construction t»fioor F z^d floor Total Proposed Height
sq.ft. I sq.ff. S .ft. ft.&in.
Open Porch
Covered or Enclose 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 �a
Pole Barn
Detached Garage 1, 2, 3 car
Other Accessory Structure:
4pplications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
'he Building and Codes Office will allow commencement of your proposed project only after
ssuance of your permit.
)eclaration: Please sign below after you have carefully read the statement:
.o the best of my knowledge, the statements contained in the application, together with the plans and
pecifications submitted, are a true and complete statement of all proposed work to be done on the described
Dremises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the
Droposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner.
=urther, 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
icensed surveyor, drawn to scale, showing actual location of all new co struction.
Date: �` ���Gf 1 Applicant/Builder Signature
the application of dated is hereby approved and,
nermission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
:orth above.
Date: -714/oC Authorized Signature:_ ". M
\Sue Hemingway\Building.Permit.FORMS\Accessory Structure Permit Application.doc V:12/28/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pn� epart: l an/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
_ Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" -�,� l
Roof Complete/Exterior Finish Complete
! Guard 30 in.or more(a)stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete J
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors �� CCQQ
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
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 �j ` L L—
Low water shut-off boiler OLt2 , (ig
Relief Valves installed/Heat Trap/Water Temp 110 C
Interior privacy/trim/doors/main entrance 36 in. CC
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/'/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, I s . ft,150 s . ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final SurveyPlot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/PermanentaEg— ,-�T e
05--o
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. 518 761-8256 ��a Arrive: am/peparvpm Z. � S
Date Inspection request received: Inspector's Initials: �✓
NAME: �Dt-_fit! PERMIT#: ,��
LOCATION: �J t� DATE:
TYPE OF STRUCTURE:
Comments
_ Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake _ �.(� ^-
3 inch Plumb Vent through roof minimum 6" CDL-� t'l S f Y
Roof Complete/Exterior Finish Complete
Guard 30 in,or more @ stairs,decks, atios � �.,,b L \� C-�-D 1-J6 F�Qkc—
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in. or more l,.)C C A JJ
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in. ''i i A)W PAR M
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wallet
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 Valves installed/Heat Trap/Water Ternp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety lzin /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/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or GIass 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 s . 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/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm art: am/pm
Date Inspection request received: _ Inspector's Initials:
NAME: A �rl PERMIT#:
LOCATION: ,td DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
'�'
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more(a)stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
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 ''/z"
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 Valves installed/Heat Trap/Water Tern 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/'/a hour fire door/door closer % '� F � �' CSi 1A 160
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 s . ft.-150 s . 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/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
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