2011-329 AlMaim TOWN OF QUEENSBURY
Itr/glir 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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
Issuance of this Certificate of Occupancy 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 Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
1
TOWN OF QUEENSBURY
43, 742 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
28 ASSEMBLY PT. Rd Deck $750.00
LAKE GEORGE,NY 12845-0000 Total Value $750.00
Contractor or Builder's Name/Address Electrical Inspection Agency •
STEPHEN BEAN
758-2976 OR 2103513
76 BROAD St
KINDERHOOK, 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 Town of ween b' ryi ' h `rsday,August 25, 2011
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
' ,
OFFICE USE ONLY ,
D-3.61 Is- - () f!�7SZ�
TAX MAP NO. PERMIT NO. '
FEE PAID `L ''l�aL/BLDG, & CODES APPROVAL ;
J
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: S-S02-i-\ C�(f ert'''"3Vit. INSTALLER/BUILDER: S (erg :` ---
ADDRESS: - 'n"NJ iy 6-1 gei'--k 6 - ADDRESS: `-) G? 131-04 4:1 '<v-e4 j' 4y,cfc'rhcr�k,
PHONE NOS. (7 0 4-M -`721 PHONE NOS. 6—ig) c)_I O - 35 13 /.1/ 64,
LOCATION OF PROPERTY: `�cc' rv'1436 f°`e4----- SUBb1VISION NAME:
n �
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: -�2 �'tA7�r'> i . V"�']�- n/`ci._,-
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? S 0 NO •
�J I
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL: AV -moil jo �-�l (7/a-9/ i/
r,
ESTIMATED COST OF CONSTRUCTION: $ 1ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
-
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
ST
HD PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK (2?00 ,1`� eV f'fo� kciyi.-c,
3 SEASON,COVERED OR ENCLOSED PORCH' 11�r ovekUp4=-6‘,.>� •,.> a (4,5- .q to date
BOATHOUSE c
BOATHOUSE WITH SUNDECK I- e/�'`"'t
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
/ codes( Queensbury.net
I ha7read and agree to the above.
VISIT OUR WEBSITE FOR MORE INFORMATION
www.aueensburv.net
Signed. phe,.-- 3 eao--Dated: v,trjcs Z.-<1 I
t
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Queensbury Building & Code Enforcement - Residential Final Inspecti
Office No. (518)761-8256 Arrive: am/pm Depart ( 2-Dam/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT —3
LOCATION: ( r2-)
DATE: �`J L )11--1
TYPE OF STRUCT1�j
greL..
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake 2,, L l —3 2c( --
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
Hand =1 Termination at Newell Post or Wall
= • - • Railings 34 inches to 38 inches
eck B -t ••s /Handicapped Ramp Compliant
Gra•e away from foundation 6 inches with 10 feet
6 inch dearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy!trim/doors/main entrance 36 inches
Bathroom 1 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(he ght)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 seated properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade •r
Gas Furnace shut-off within 30 feet or within tine of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
vit./cos/C.-
Relief Valves)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched e7'L)1
Garage fireproofing/'/hour fire door/door closer _
Gas Logs in Sealed or Glass Enclosure C/
Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
C../167)1
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent
L:1Building&Codes Forms\Building&CodessInspection Fonns1Residential Final Inspection Foran revised 100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04!13/11
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aidt' Srajj -f
N ,/ TOWN OF QUEENSBURY
BUILDING & CODES
TOWN OF QUEENSBURY
,),evieweci y: ;. ._....-4. —,`--
I .4.. Date: _Tit IA
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments shall not be construed as
I indicating the plans and specifications are in
full compliance with the Building Codes of
In 1 New York State.
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Site Plan Review RIQ9-
Site Development Data
JUN 1;
Area /Type Existing sq.ft. Propos' Total sq.`s.
Addition sci 6ZrgsUEENS ,,
ft.
A. Building footprint
B. Detached Garage
C. Accessory Structure(s)
D. Paved, gravel or other hard surfaced area
b
ks
E. Porclies IiitterV c`0 Svc i-i 1 x ®u ev & -1 /7 152,
F. Other
G. Total Non-Permeable [Add A-F]
H. Parcel Area [43,560 sq. ft./acre] 2:3 5 r
a)
I. Percentage of Impermeable Area of Site [I=G/H]
a)
n
Setback Requirements
N
Area Required` Existing Proposed N g
ooQ �
Front [1] MI E C '
o
Front [2] cEd
TES = cu
Shoreline So o m
N <
Side Yard [1] N
Side Yard [2] 2i
Rear Yard [1] 2
Rear Yard [2] `7
Travel Corridor
Height[max]
Permeability
No. of parking spaces
Town of Queensbury Planning Office- 742 Bay Road •Queensbury, NY 12804- 518-761-8220 3
MAP REFERENCE
MAP OF A PORTION OF THF I ANnS nF
LUECK, CLIFTON & t
ON ASSEMBLY
BY.- JOHN B. VAN
DATED: JUNE E
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D s'uNAu
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Land Surveyors
169 Haviland Road Queensbury, New York 12804
y,
(518) 792-8474 New York Lic. No. 50135
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MARKED 107H AN ORIDAL OF THE LAND SURVEYORS
SEAL SMALL eE CONSIDERED TO BE VALID TRUE CONES.-
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By °E���F°"�° AD��
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ON NIS KK%F To THE IRK 00"ANY. ROVFIRMENTAL
AGENCY AND L NDIRO INSIITUTKR7 LISTED HERON, AKS
TO THE ASSIGNEES OF THE LENDING WSITUTIGKL-
Map of
Susan
Town of Queensbu
a Survey made for
Clermont
y, Warren County, New York
Uate: January 6, 2010
„ ,
Scale 1 =5
- S-1
8tiEE�i, i � �
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CiI.ERMONT C2528
DWG. NO. 030098
N0.
DATE
DESCRIPTION