2010-083 ..0111%i TOWN OFQ UEENSBURY
cow742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100083 Date Issued: Thursday, September 29, 2011
This is to certify that work requested to be done as shown by Permit Number P20100083
has been completed.
Tax Map Number: 523400-239-012-0002-085-000-0000
Location: 69 BRAYTON Ln
Owner: AGNES & JOSEPH ROULIER
Applicant: AGNES & JOSEPH ROULIER
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 if) 4
���Pro
property owner of the responsibility for compliance with Site Plan, y44ry a
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
Fivis 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100083 Application Number: A20100083
Tax Map No: 523400-239-012-0002-085-000-0000
Permission is hereby granted to: AGNES &JOSEPH ROULIER
For property located at: 69 BRAYTON Ln
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: AGNES &JOSEPH ROULIER Dock $800.00
PO BOX 301 Total Value $800.00
CLEVERDALE,NY 12820-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-083
64 sq ft dock
$30.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, March 23, 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 T• • Quee ry; P day, March 23, 2010
SIGNED BY t iii for the Town of Queensbury.
Director of Building i Code nforcement
,-
, iZ_2,, , a.S,r OFFICE USE ONLY _..... /
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TAX MAP NO. PERMIT NO. `�,=-,IO - Ups-3 +�` ,
Z l' AR ; I; lu1J ` 1J,
FEE PAID :J0— BLDG.&CODES APPROVAL ; ' -
TOWN OFtill NSBURY
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: lou `//�- INSTALLER/BUILDER: �c a 6..---
ADDRESS:/o. /3 o x _30/l Ze&.."-,-- e6-, .u.Y ADDRESS: /Qc. /-�a x 3,5 1, z."4 ,.../. , 4.,/.//..z,
PHONE NOS. G_S'G- 3�'-YY dd PHONE NOS. --?G/ - 3-2 7( c zL�
LOCATION OF PROPERTY:C9 /iSree, xa .A."/Q,,,e SUBDIVISION NAME: v,/9
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:‘9- &79?6...) Z.a^-'-
HAS
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES CS-NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ j:-'-'4). ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? ) -5
i Ai/
IF YES,PLEASE LIST: /So'a a•.s 6:4).,j-
Ga__- 3�'-''5
CONTACT PERSON FOR BUILDING&CODES COMPLIANCF� /c .•.Z. ,' PHONE: .34/ - _-z 7
ST
ND 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 / nth
POLE BARN J}`J� / r'
DETACHED GARAGE(NO.OF CARS: ) �✓
OTHER ACCESSORY STRUCTURE: Ys/' /-:-- ''Y'9-am'— ,v�
*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
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart:l C 2Q1m/pm
Date Inspection request received: Inspector's Initials:
NAME: t, { � PERMIT#:
LOCATION: ( � DATE:
TYPE OF STRUCTURE:
" cComments:
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
dA%'"<'52— k
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
Fumace/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 1%hour fire door/door closer
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 C I 0[Temporary/Permanent]
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,Revised 04/13/11
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart:/ ` ,jam/pm
Date Inspection request received: Inspector's Initials:
NAME: 4lj
#:
LOCATION: ( DATE:
TYPE OF STRUCTU
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 Fi•' h Complete
Platform at all exterior d•• s
Handrail 4 or more risers
Guards at stairs,decks, .at es more than 30 i dies above grade
Guard at stairwell at 34 - or more
Guard at deck,porches 46 dies or more
Handrail Termination at Ne ell Post or Wall
Interior/Exterior Railing• 34 nches to 38 inc es 7Deck Bracing/Handica•pe, Ramp Compli- t
Grade away from found:do 6 inches with 0 feet
6 inch clearance to sill •!ate _
Gas Valve shut-off ex•.-ed regulator 18 nches above grade ,� (A°
Interior privacy/trim/d,ors main entra •- 36 inches
Bathroom/Kitchen wat:rtigh, A ,Safety glazing/Window n st melts sa ty glazing
Interior Smoke Detector /Cy •r• Mon xide Detectors �� Lt.__level: E ry B:•room:
Outside every bedroom - ea: «'�
Inter Connected: Batt- ba•+ up: Z�
Attic access 30 inches x .2 inche x r inches(height)in accessible area
Crawl Spaces 18 inch x 2, inch a• - s, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no win•ow
Plumbing fixtures
Foundation insulation/In- lation C ;fication/Sticker on Panel
Floor truss,draft stopping nished s: ent 1,000 sq.ft.
Emergency egress below ,rade
Gas Furnace shut-off withi 30 fe or wi lin line of site
Oil Furnace shut-off at ent :nce t• fume - -rea
Furnace/Hot Water Heater •pera'ng
Low water shut-off boiler
Relief Valve(s)installed/H at T ap/Water T:mp 110
Enclosed Stairs Sheetrock nd; side minimu '/z"Gypsum
Basement stairs closed ris >4 nches
Garage Floor Pitched ?_ 3"7
Garage fireproofing/'/,hou fir- door/door dos:r
Duct work Sealed properly
Gas Logs in Sealed or Glas a nclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof - -ptacles
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:\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
• -14.1
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Schedule A
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Page 4 of 4
la3ct, lz-02 ' . 0
Permit#5234-12-10 .
TOWN OF QUEENSB RY .,,. 1
BUILDING DEPARTK NT
Based on our limited examinatio ,compliance • ....,.
,
with our comments shall not be onstrued as
0
indicating the plans and specifi :tions are in * -
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compliance with the Buildi-I. Codes of 0
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20/0 -U ONPv York State, 0 .
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Joe Roulier
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BUIL t° & ,,,,..,y__...,:_,
r _ _.. Fax(518)656-9901
" "'" Box 301,Cleverdale,NY 12820
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