2011-162 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804,5902 (518)761-8201
Community Development- Building'& Codes (518)'761-8256
J . .. .. CERTIFICATE,, OF COMPLIANCE
Permit Number P20110162 Date Issued: Wednesday, July 13, 2011
This is to certify that work requested to be done as.shown.by Permit Number P20110162
has been completed.
Tax Map Number:. 523400-289-010-0001-015-000-0000
Location:
-29 JAY Rd .
Owner: VICTOR H. CELADON
Applicant:. VICTOR K CELADON
This structure maybe occupied as a:
Dock
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: P20110162 Application Number: A20110162
Tax Map No: 523400-289-010-0001-015-000-0000
Permission is hereby granted to: VICTOR H. CELADON
For property located at: 29 JAY 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. Tempe of Construction Value
Owner Address: VICTOR H. CELADON
1 MIDNIGHT Dr Dock $7,000.00
QUEENSBURY,NY 12804-0000 Total Value $7,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
2011-162
224 sq ft dock
$40.00 . PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,May 06,2012
(If a longer period is required,an application for an extension must be made to the code-Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town-of Queep%;7�ry- Z' rI ay,May 06,2011
SIGNED BY E �IIA1? for the Town of Queensbury.
n
Director of Building&Code Enforcement
r--__ --------------------------------
-
FFICE USE ONLY4�-
r �
TAX MA",O.1 PERMIT NO. x pppO
r yl i\
FEE P v &CODES APPROVAL .�_ SBUEZY
_______ __ _ _________________________________________ ZOO° au csr
ACCESSOR STRUCTURE BUILDING PERMIT APPLICA 10
Use this application for any structure other than the Principal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.NO INSPECTIONS
/WILL
�BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. _/-
OWNER: �LT[52 INSTALLER/BUILDER: F-Z MA21 nrC 'SkRj+6
ADDRESS: .1 M1JN161-F/ �OF• E2NslOL[�^�,/T ADDRESS: Pa 60)c 37s ,6(Z4M7-MLE , ti_
PHONE NOS. 3/0-�'7� H ft`29,9466 4 Cec PHONE NOS. .�l$- 4 q 4/- �7,3S
LOCATION OF PROPERTY: 2!R Jay /&J- (4(E(,1 LAk-6� SUBDIVISION NAME: N1 A \
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: � JAY Road (dock RePLACEMENT 1
ESTIMATED COST OF CONSTRUCTION: $•7000.ap ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? ZES
IF YES,PLEASE LIST: Pgo4 �� SIiE por-A r- S_h de__44cAE- / 94(I46F .
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: Vlc eE1',C_6'l PHONE: 4f0-2$G-GGG f
PROPOSED CONSTRUCTION 1sT FLOOR 2ND FLOOR TOTAL PROPOSED
O OS D
SQ.FT SQ.FT. SQ.FT FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH-
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK o 7-q`46o v
SHED w aTe
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 1/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 the above.
QUESTIONS? CALL 761-8256 OR EMAIL
Signed [�,/tiyYJ7 9/ (/)2_ Dated: codesp_gueensbury.net
1� J VISIT OUR WEBSITE FOR MORE INFORMATION
Namerritle(Printed) V'CTDP— e6-146(0/,/ www.gueensburV.net
& Code Enforcement - Lsrdafiat?a—rinspection'l Queensbury Bullding
Office No. (518) 761-8256 Arrive: am/pm Depart: "C--�Oam/pm
Date Inspection request recppived- Inspector's Initials:
NAME: CA PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE
Comments.
Yes No NIA /J
4" Building Number Address visible from road C /� y00
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete /c j z Y0
Platform at all exterior doors C /
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 s .ft.-1 50 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification/Sticker on Panel
Floor truss,draft stopping finished basement 1,000 s .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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/"G sum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
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
Okay to issue C/C or C/O Temporary/Permanent
LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10
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