2011-480 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: P20110480 Date Issued: Tuesday, February 02, 2016
This is to certify that work requested to be done as shown by Permit Number P20110480
has been completed.
Tax Map Number: 523400-309-009-0002-001-000-0000
Location: 200 LUZERNE Rd
Owner: HOMESTEAD VILLAGE L P
Applicant: MICHAEL J SASSONE
This structure may be occupied as a:
Porch
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the (es ,i _�/ 4
property owner of the responsibility for compliance with Site Plan, ((b«www+++RRR V
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.
*NeiN
TOWN OF QUEENSBURY
� 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110480 Application Number: A20110480
Tax Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to: MICHAEL J SASSONE
For property located at 200 LUZERNE 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: HOMESTEAD VILLAGE L P
4294 ROUTE 5 Porch $7,000.00
CALEDONIA,NY 14423 Total Value $7,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2011-480
Michael Sassone - 123 Adirondack Street-450 sq ft porch
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, October 07,2012
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T(wn of ween b�rrys 7cioyrectober 07, 2011
f .
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
rOFFICE USE ONLY IECE
TAX MAP . / / n �p2
PERMIT NO. 6L.' D' u v LS
VC/ /J�
FEE PAID 4t60. BLDG. &CODES APPROVAL ,Ain Sty 2.2 2011
ie-
TOmer- 3Eficto Y i
ACCESSORY STRUCTURE BUILDING PERMIT A -BUILDING& •
Use this application for any structure other than the Principal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences. •
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED
A VALID BUILDING PERMIT.
OWNER: Ji//C'1('e/ �7 Set jd 'j f .L INSTALLER/BUILDER: 54/ )1
ADDRESS: i� Adam 3 AdrdY (h { S` fta / ADDRESS: eicI p,k42,piJS' pyq ,�
PHONE NOS.S5 I g} 7,, 11_I — O t �' 1 PHONE NOS.
LOCATIONOFPROPERTY: T'-Oi\Q eS�to d v it IGti, SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: q rv ,�
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES t$, NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:.
ESTIMATED COST OF CONSTRUCTION: $7 6 0 0 ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? N) Q,
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
PROPOSED CONSTRUCTION in FLOOR 2ND FLOOR TOTAL PROPOSED
SQ.FT. SQ.FT. SQ.FT. HEIGHT
FT.81N.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH* .�_/'s. 9
BOATHOUSE TT
BOATHOUSE WITH SUNDECK
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 liransar1
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: - D tell
Date Inspection request received: r n Inspector's Initia . _
NAME: 44l\ N)F_\PC, tIjk Ou EZ� PE-MIT \Y �So
LOCATION: 12-2) RDCK %IJofec 1L 5c DAT • Z-2—\(n
TYPE OF STRUCTURE:
Comments:
Yes No N/A_
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh r Intane
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete I 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/him/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
Relief Valve(s) installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 14"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/34 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
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 Plan /Variance required
Flood Plain Certification,if required N �{
Okay to issue C/Cor Cl O[Temporary/Permanent] CIN
� l(
' V S \pSt3c a -5e ,.DI$ 6r newer
L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
11 -4 lEcEm
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ru1;l i 3 2011
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TOWN OF G &CO BURY 1
BUILDING & CODES
N .i s
F
TOWN OF QUEENSBURY
BUILDING & CO9 . n Jam= .
Reviewed By: ,- P
Date: ._ _IsAgr/,.
eAAei sei
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments shns all not be construed
netruedeas
indicatingulcomp)ance with tho uilding Codes of
full comp
New York State.
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"I have seen or observed, or believe I saw evidence of, iiis
all objects such as houses, wells, trees, fences, etc.,
�� _ _.. _
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OTICEGYGt1ATURE LAlE , i
KRAFT PAPER INSULATION MUST BE C
Ci ERED BY NDN-COMBUSTIBLE BARE ' 9 proposed 61crtsoed ; -
porch js...r3o .
NOTICE _., __. __ ,._. _. RE COPY
•FO A M INSULATION MUST BE COVE EP
B A 1tplINUTE THERMAL BARRVjf't
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Reviewed BY lii/i. _ / ;`
Date: ,/� - i
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