2011-330 eakTOWN OF QUEENSBURY
33, 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110330 Date Issued: Monday, September 10, 2012
This is to certify that work requested to be done as shown by Permit Number P20110330
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:
Dock 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.
TOWN OF QUEENSBURY
ET .4y 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110330 Application Number: a20110330
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 Dock $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
2011-330
48 sq ft dock
$40.00 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 Towtliv(Queens)3ury r11 r aay, August 25, 2011
SIGNED BY L /..114'1'N' { for the Town of Queensbury.
Director of Building&Code Enforcement
c
qq PERMIT NO.
OFFICE USE ONLY
TAX mg NO. 12- -1 ,
/�
FEE PAID L� r �LDG. & CODES APPROVAL' '
V
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 BUI ING PERMIT. - geLA-r---
OWNER: Grp C�(�lwu�.�1t INSTALLER/BUILDER: 5kekeO•
ADDRESS: 'i/ r CrYic Pt-e1 -14t ADDRESS: 7cQ 8(.646 61-, 44(16/ 160
PHONE NOS. (5-/S) '40 PHONE NOS. ( -1k) 621635 /al
LOCATION OF PROPERTY: SUBDIVISION NA� x 'M�E: ,/��
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: ry IC
, F6
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION AnnPPROVAA,oL??11 I ���
- 77 �5 0 NO
p
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL: 7�"V 'a-oil 4)60,11,41 ,/)-9/,),2//
a'
ESTIMATED COST OF CONSTRUCTION: $ /y — ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST: -"
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
sr Ho PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
•
BOATHOUSE WITH SUNDECK I
DOC
cjeck(pi
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(d)queensburs,net
I hav read and agree to the above.
VISIT OUR WEBSITE FOR MORE INFORMATION
Signed e yfiwy.. Dated:--Q
36 Zo I www.queensburv.net
is
Town of Queensbury ' Community Development Office ' 742 Bay Road, Queensbury, NY 12804
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/p D art: /f'2-Qm/pm
Date Inspection request received: Inspector's Initials:
( t
NAME: PERMIT#:
LOCATION: 441SC-it-Ca re—X) DATE: 1 '�
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
3 inch Plumbing V--
-' ro • -: -.•i imum 18 inches
•
Roof Complete/ =tenor Finish Comp! - /
-
Platform at all exte ••.•
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 6( 1/4jWiLt
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 silt 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/Insulation Certification/Sticker on Panel
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 IAA"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/94 hour fire door/door closer
Duct work Sealed properly
Gas Lojs 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/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codes1Inspection Forms\Residential Final Inspection Form revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10
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TOWN OF QUEENSBURY OF ..
BUILDING DEPARTMENT TOWN �. E t SE USS `
Based on our limited examination,compliance BUILD1NGA � ESDEP"�
with our comments shall not be construed as `'
indicating the plans and specifications are in - -
full compliance with the Building Codes of
New York State. �.eVlB 'V�" � ; . _. _ ' rr
Date! .__ k� I ` ...- -..... -.
.2o ii -3.29
TOWN OF QUEENSBURY43.'P 2/l 330
Community Development Office '^
742 Bay Road, Queensbury, NY 12804-5902 PLANS REVIEWED & STAMPED BY
TOO ZONING ADMINISTRATOR
Town of Queensbury Planning Board' r,OPIES TO FILE, BUILDING PERMIT,
RESOLUTION TO APPROVE SITE PLAN 28-2011 SUSAN;CLERTvfONIPLIANCE OFFICER &APPLICANT
e9- 026 1
A site plan application has been made to the Queensbury Planning Board for the following: Applicant has constructed a
200 +/- sq. ft. deck and proposed to reconfigure existing 120 +/- sq. ft. nonconforming dock. Hard surfacing within 50
feet of a shoreline requires Planning Board review and approval;
Planning Board provided a written recommendation to the ZBA on 4/26/2011;
ZBA approved variance request on 6/282011;
A public hearing was advertised and held on 6/28/2011 and 7/19/2011;
This application is supported with all documentation, public comment, and application material in the file of record;
1) MOTION TO APPROVE SITE PLAN NO. 28-2011 SUSAN CLERMONT, Introduced by Gretchen Steffan who moved for
its adoption, seconded by Stephen Traver:
a) Pursuant to relevant sections of the Town of Queensbury Zoning Code [Chapter 179-9-0801,the Planning Board
has determined that this proposal satisfies the requirements as stated in the Zoning Code;
b) Type II, no further action is necessary;
c) Final approved plans, in compliance with the Site Plan, must be submitted to the Community Development
Department before any further review by the Zoning Administrator or Building and Codes personnel. The
applicant must meet with Staff after approval and prior to issuance of Building Permit and/or the beginning of
any site work. Subsequent issuance of further permits, including building permits is dependent on compliance
with this and all other conditions of this resolution;
d) The limits of clearing will constitute a no-cut buffer zone, orange construction fencing shall be installed around
these areas and field verified by Community Development staff;
e) If curb cuts are being added or changed a driveway permit is required. A building permit will not be issued until
the approved driveway permit has been provided to the Planning Office;
f) Although we would like to note for the record that there are access issues for this plan and the dock permit will
be reviewed by Lake George Park Commission in October 2011 at which time navigation issues may be raised by
the neighboring wharf owners.
Duly adopted this 19th day of July 2011 by the following vote:
AYES: Mr. Sipp, Mr.Schonewolf, Mr. Ford, Mr. Krebs, Mrs.Steffan, Mr.Traver, Mr. Hunsinger
NOES: None
Cc: Stephen Bean
"Home of Natural Beauty-A Good Place to Live "
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Date: January 6, 2010
Scale 1"=5'
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CLERMONT C2528
DWG. NO. 030096
NO.
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