2010-571 TOWN OFQ UEENSBURY
742 BayRoad,Queensbury,NY 12804-5902
� � Q ury, (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100571 Date Issued: Friday, April 08, 2011
This is to certify that work requested to be done as shown by Permit Number P20100571
has been completed.
Tax Map Number: 523400-309-009-0002-001-000-0000
Location: 200 LUZERNE Rd
Owner: HOMESTEAD VILLAGE L P
Applicant: HOMESTEAD VILLAGE L P
This structure may be occupied as a:
Shed/ Storage Sheds
By Order of Town Board
TOWN OF Q/�UEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the ),�. / r6:'
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 128045902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100571 Application Number. A20100571
Tax Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to: HOMESTEAD VILLAGE L P
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 Shed/Storage Sheds $2,000.00
4294 ROUTE 5 Total Value
CALEDONIA,NY 14423 $2,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2010-571
144 sq ft shed
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,December 17,2011
(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 ensbury; � �Fldayfile4uber 17, 2010
SIGNED BY ' `, ,\:g for the Town of Queensbury.
Director of Building&Code Enforcement
r /
367 ..�(.._.0717 USE ONLY
TAX MAP NO. PERMIT NO. it) -57/ �t.0 :.GIG ,.
Ute'
FEE PAID U ;LDG. &CODES APPRsVAL
1• 40• • 1� �
c
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. �9 /3C6S Dnp
OWNER: t�,Ct.c,.k) J S- &c /-e INSTALLER/BUILDER: Z'c;iA-\
ADDRESS: J`1. �pI1 fie,r+ C rt& Sf ADDRESS:
PHONE NOS. (c7 cs-) 7 C ,c" ' _ PHONE NOS.
LOCATION OF PROPERTY: 0\1k Zt ar-s '13� SUBDIVISION NAME: II
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: a-� 76{n11^ctCLt _
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES 14 NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ � *Lk ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
sr No 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
DOCK
SHED ) <4 4 5%F'I, v1/4.31-7
POLE BARN � SC`
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 7614256 OR EMAIL
Queensbury Building & Code Enforcement - Residentiti Final Inspection
Office No. (518) 761-8256 Arrive: am/pm De art:( •�l i am/pm
P
Date Inspection request received: Inspector's Initials:
._
NAME: ',_) PERMIT#: / '` rl
LOCATION: ' j I, DATE:
TYPE OF STRUCTURE: /;
,1 i 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
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
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/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'/"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/34 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/0[Temporary/Permanent]
L‘\.„.4()
L:\Building&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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TOWN OF QUEENSBUR ���;�� ) ski�n �n
BUILDING DEPARTMENT BUILDING CODES ® �Ta J
Based on our limited examination,co ince , E`�`�
with our comments shall not be cons as Reviewed
indicating the plans and specifications in ...,..�.�.e..r
New compliance Stawith the Building C of Date' t 2 k fp
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