2008-441 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTI F I CAT E OF COM P L I AN CE
Permit Number. P20080441 Date Issued: Tuesday, June 01, 2010
This is to certify that work requested to be done as shown by Permit Number P20080441
has been completed.
Tax Map Number: 523400-226-016-0001-017-000-0000
Location: 43 MASON Rd
Owner. MARK & PAMELA KELLY
Applicant: MARK & PAMELA KELLY
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
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&Cod t nforb4ment
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080441 Application Number. A20080441
Tax Map No: 523400-226-016-0001-017-000-0000
Permission is hereby granted to: MARK& PAMELA KELLY
For property located at: 43 MASON 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 Value
Owner Address: MARK& PAMELA KELLY
55 WEST Rd Dock $20,000.00
EASTON, CT 06612-0000 Total value $20,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2008-441
694 sq ft dock
$30.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 04, 2009
(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 reTtof ns
tl �}rry� day, September 04, 2008
SIGNED BY ,.r �`a for the Town of Queensbury.
Director of Building&Code Enforcement
7FFICE USE ONLY %...................
TAX MAP NO. PERMIT NO. f f
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�.��4z/
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FEE PAID BLDG.&CODES APPROVAL ;
I f r f
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: #Ak KFF iG y INSTALLER/BUILDER: rdjwk%j)r'1(OQ /_GATE-ace(pa 'e4e,
ADDRESS: J J We5f TOY 67' 0602 ADDRESS: kT &6/ 4 Lf� Q.� /1�•j' /�Y
PHONE NOS. 7f- Yo?f PHONE NOS._ES_67 3625-
LOCATION OF PROPERTY:Y3 01K&/ ic® EtE!119W3_ SUBDIVISION NAME: �--
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: Aent -L 226 4 "%,
ESTIMATED COST OF CONSTRUCTION: $ 2*0&0 ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
1ST FLOOR 2ND FLOOR TOTAL PROPOSED
PROPOSED CONSTRUCTION SO.FT. SO.FT. SQ.FT. HEIGHT
FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH'
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
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.
CQUESTIONS? CALL 761-8256 OR EMAIL
I have read and agree to the above. codes(a�queensburv.net
UR WEBSITE FOR MORE INFORMATION
Signed Dated: e www.ciueensbury.net
T071117 0 Queensbury- Community Development Office - 742 Bay Road, Queensburll, NY 12804
B 1-LGL 11-05
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart..I `I am/pm
Date inspection request received: Inspector's Initials:
NAME: PERMIT#:
LOCATION: r. !(G<Sc DATE:
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 6 inches
Roof Complete/Exterior Finish_Complete
Platform at all exterior doors
Handrail 4 or more risen__
Guards at stairs,decks,patios more than 30 inches above rade
Guard at stairwell at 34 inches or more _ � 1
Guard at deck, porches 36 inc*les or more
Handrail Termination at Newell Post or Wall_
Interior/Exterior Railin 34 inches to 38 inches
Deck Bracing/Han dicapied Ram Com tip ant
Grade away from foundatioion_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 �� J
Bathroom/Kitchen watertight _ ___�
Safety glazing/Window in stairwells safety glazing 4
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'rich access, 1 N. ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures _
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency ress 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 I
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110 \
Enclosed Stairs Sheetrock underside minimum'/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%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 in Bedrooms_
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker_^
Site Plan /Variance required
Flood Plain Certification, if re .rired
Okay to issue C/C or C 10 Temporary/Permanent 1
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L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Forrn_revised_100405.doc;Revised
January 7,2008; Revised 6,26/08
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Based on
compliance with our
en,nvnqs
not be construed as indicating the
kP REFERENCES plans and speci,icat;ons are in full
compliance wii i the uuiiding Codes of
New York State.
PLAT OF A SURVEY
FOR JANE WIBLE �Vt
BYr ANDREW G. 5TINE_
DATED, JUNE. 1970
T REVISED, JULY 1. 1970
®
MAP OF LANDS OF
':)AMUEL H. ENGLANDER
COULTER + McCORMACK
rEDx SEPTEMBER 5. 1975
EVI5EDt 5EPTEM13ER 14, 1983 8,+
20'
325
OF LANDS BELONGING TOE^
ROBERT L. EVANS
COULTER + McGORMAGK
DATED, JUNE 19. 1989
EVISED, SEPTEMBER 17. 19 T ------.
,ED REFERENCE
ABBOT + JOANNE MAR
TO
NBBOT + KATHERINE A / Q-
ED, FEBRUARY 12. 19' i e ll
OOK, 520 PAGE, 34'
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MAP OF LANDS BELONGING. TO
RO ERT L_ EVANS
BY, COULTER + McGORMAGK
DATED. JUNE 19. 1989.
LAST REVISED SEPTEMBER �7, 1996 S
DEED REFERENCE �'�n 1 ,w�•
I Or
MARY ABBOT +-JOANNE MARION
TO
MARY ABBOT + KATHERINE ABBOT
DATED,'FEBRUARY 12 lg7O /
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