BOTH-000406-2015 TOWN OF QUEENSBURY
4k 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000406-2015 Date Issued: Wednesday, April 5, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000406-2015
has been completed.
Tax Map Number: 227.13-2-22
Location: 39 ROCKHURST RD
Owner: Marion Demarco,JOHN DEMARCO
Applicant: Warner Bay Dockage
This structure may be occupied as a: Dock 352 s.f.
By Order of Town Board
TOWN OF QUEENSJ
BURYY
Issuance of this Certificate of Compliance DOES NOT relieve the �
property owner of the responsibility for compliance with Site Plan, v
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 12804-5904 (518)761-8201
i
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000406-2015
Tax Map No: 227.13-2-22
Permission is hereby granted to: JOHN DEMARCO
For property located at: 39 ROCKHURST 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
Tyne of Construction
Owner Name: JOHN DEMARCO Dock $8,000.00
Owner Address: 39 Rockhurst RD Total Value $8,000.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Pat Collins R P'U'
186 Michigan LN
Fort Ann,NY 12827
Plans&Specifications
Dock 352 s.f.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,December 9,2016
(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 Tue er 15,2015
SIGNED BY: fiAs'_„��"�V/ �QJ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION Received
DATE Tax Map ID
TAX MAP ID Z
Permit No. }+'OO�SO�
Permit Fee Icy-
15b
ZONING
Rec Fee
HISTORIC SITE —Yes _No Approvals
SUBmyistoNNAMELot#
APPLICANT arr4 r ^ � c'//�' OWNER /VIrtn do !/e arllJ
ADDRESS _ 3q Aor_k/_ ADDRESS s CL " C
PHONE /2' 2 80g0 PHONE N7 J n - JT t7 Z-
CONTRACTOR _ po'+ &_4"4
S COST OFCONSTRUCTION(ESTIMATED): $ 9070. 00
ADDRESS: ISG /N 6 LL(4"44r) L,n OuiLDINGADDRESS:
vy
DEC 0 7 2015
PHONE: /
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE �1T w I ��n '� PHONE z3- gb y0
TYPE OF CONSTRUCTION
Check all that apply Please Indicate measurements as required below
Boathouse 10'floor sq.ft. 2ntl floor sq,ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars�)
Dock S ��
Pole Barn
Porch-open
•'Porch-3 season,Covered, Enclosed
Shed
Other Accessory Structure(s)
"Considered floor area&must comply with FAR(floor area ratio) requirements if located in the WR zone
DECLARATION: 1 acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the
application,plans and supporting materials are a true&complete statement description of the work proposed,that all work will be
performed in accordance with the NY State Building Codes, local building laws and ordinances; and in conformance with local
zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.(
,/I have read and agree to the above: Print Name: Pzt((��`� � �� �+ 3 Date: ��/5
Signature: Rd (//� Date: za/S
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
TOWN OF QUEENSBUiZY
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BUILDING & CO rr
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TOWN OF OtiEENSBUAY lei
BUILDING DEPARTMENT
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