2011-381 TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
WI Q rY,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110381 Date Issued: Thursday, September 20, 2012
This is to certify that work requested to be done as shown by Permit Number P20110381
has been completed.
Tax Map Number: 523400-289-011-0001-017-000-0000
Location: 12 HALL RD. EXT
Owner: ADAM & REBECCA LEONARDO
Applicant: ADAM & REBECCA LEONARDO
This structure may be occupied as a:
Dock
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the c r
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.
OFFICE USE ONLY TECI:ErWtO
fAX MAP NO. PERMIT NO. ;
FEE PAID ���� BLDG.&CODES APPROVALf ' u JUL- 2 u 2011
1 UVVN Ur ��U r�3BJRY
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION BUILDING & CODES
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: r74t4 i.„—F..;79Yyr¢1 62 INSTALLER/BUILDER:
417-246-
ADDRESS: nte- ADDRESS:
PHONE NOS. <-7—cc?/Z PHONE NOS.
LOCATION OF PROPERTY: 1 Z ,1?t7 SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: /
ESTIMATED COST OF CONSTRUCTION: $ 0 ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: ,47 .-1M i1(J PHONE: '57--4(7 I 1
1ST FLOOR 2ND FLOOR TOTAL PROPOSED
PROPOSED CONSTRUCTION SQ.FT SQ.FT SQ.FT HEIGHT
FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK yf
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTUREr(�,'
*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 Uwe 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 rawn to scale showing actual location of all new construction.
I have read -••fa• - ve.
QUESTIONS? CALL 761-8256 OR EMAIL
Signed Dated: --?/2-- //( codesCu?queensburv.net
�A l VISIT OUR WEBSITE FOR MORE INFORMATION
Name/Title(Printed) "r` (�E gty tSI'2 l�" ) www.queensburY.net
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110381 Application Number: A20110381
Tax Map No: 523400-289-011-0001-017-000-0000
Permission is hereby granted to: ADAM&REBECCA LEONARDO
For property located at: 12 HALL RD. EXT
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: ADAM&REBECCA LEONARDO Dock $2,500.00
15 WESTON Dr Total Value
CLIFTON PARK,NY 12065-0000 $2,500.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-381
120 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 To eens�`ry; a u August 25,2011
fry a ` j
SIGNED BY 41;..qviA/ °V cj for the Town of Queensbury.
Director of Building&Code Enforcement
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm De rt: . /!r am/pm
Date Inspection request received: Inspector's Initials:
NAME: L`O/VVIAz o O PERMIT#: 2c ( -
LOCATION: I Z -44,(,.- R > DATE: t c
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 Vent through roof minimum 18 inches
d3aOonapiele 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/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 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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/' hour fire door/door loser
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
Okay to issue C/C or 010[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspecction Fomis\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
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