2012-200 iA TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20120200 Date Issued: Friday, September 14, 2012
This is to certify that work requested to be done as shown by Permit Number P20120200
has been completed.
Tax Map Number: 523400-289-014-0001-026-000-0000
Location: 97 FITZGERALD Rd
Owner: GROVER C BARRY
Applicant: KERRY M BARRY
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 (-DJ
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 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120200 Application Number: A20120200
Tax Map No: 523400-289-014-0001-026-000-0000
Permission is hereby granted to: KERRY M BARRY
For property located at: 97 FITZGERALD 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: GROVER C BARRY
KERRY M GROVER Dock $7,t 12.00
22 GARRISON Rd Total Value S7,112.00
QUEENSBURY NY 12804-0000
Contractor or Builders Name/Address Electrical Inspection Agency
EZ MARINE
494-7381
BRANT LAKE NY 12815-0000
Plans&Specifications
2012-
192 sf dock - replacement due to winter ice damage
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, May 04, 2013
(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 o bury; Jrid.y •y 04, 2012
SIGNED BY4 for the Town of Queensbury.
Director of Building&Code Enfor -ment
Q OFFICE USE ONLY 1
TAX MAP N0. c� B`' �� / �_ aL�j> U . APR 2 6 !!� iz
OC r PERMIT NO. ,
FEE PAID TMMBIL,: ,.<.
- DG. &CODES APPROVAL Int 1i� , ^ n_,,
•
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: ikevie41 674474 7. INSTALLER/BUILDER:JZ 4 1;
fr
ADDRESS: `17 /L59p-,a // �•4 l 0.7 ADDRESS; /J 's'►T (�a4e- X /2-Sig--
PHONE
ZSig--PHONE NOS. SW- 4f -YG Yj PHONE NOS.S7 -`I9"- 7 35'1
LOCATION OF PROPERTY: 6//r- G4 SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 4'7 F. 77 eJe// &✓ee .S4/7 A'Y/z &7
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑YES }i7 NO /
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ 111S- ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST: 1
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: der l/7 /«✓✓/ PHONE: Siek"YfjO - 54.9S
ST / ND PROPOSED
PROPOSED CONSTRUCTION 1FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.8<IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK 'i ZL / 4,6
SHED 1 L `
0-jv 'eff
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.
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a queensburv.net
I have read and agree to the above.
VISIT OUR WEBSITE FOR MORE INFORMATION
Signed lkiDated:* --4 �'
n�,/2cwww.queensbury.net
r�
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Queensbury Building & Code Enforcement - Residential Fina nspection
Office No. (518) 761-8256 Arrive: am/p De art:(
Date Inspection request received: Inspector's Initials: (it,
NAME: 8,6 I-- PERMIT* /
LOCATION: 9 t-1-17- .. 1.-71e1-1,q L DATE: cp// -/'1
TYPE OF STRUCTURE: t) C �'S
Comments:
Yes No N/A
4" Building Number Address visible from road el 301[— g
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
rn,��-1
3 inch Plumbing Vent through roof minimum 18 inches - % Alt Ae)k
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 C
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%i"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%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/O[Temporary/Permanent] /
L:1Building&Codes Forms\Building&Codesllnspection Forrns\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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SWIS : 523400
Print Key : 289 . 14-1-26 l
Comment : Lake deYENSBURY .\-1)
BUIL[ G UE-'ARTMENT \/.4)N
Based on our limited examination,compliance
with our comments shag not be construed as
ind caafinq the plan;: ,,,ci oecifications are in )
- T 7-
full cornpiialice witii the Building Codes of
New York State.
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Reviewed B ' -PA-- __,S, -'7_
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C/N 0
Estimate
EZ Marine &Storage, Inc.
PO Box 375 Date Estimate #
Brant Lake, NY 12815 10/7/2011 1679
(518) 494-7381 Office
(518) 494-3054 Fax Date Called:
ezmarine@frontiernet.net Time Called: AM PM
Called By:
Notes:
Name/Address
Mike Barry
97 Fitzgerald Rd
Glen Lake, NY 12804
Year/Make/Model: L x W = Sq Feet Registration#:
Motor Year/Model: Motor Serial#: Licence Plate#:
Item Description Qty Total
D16FLAAB16 6'X16'Wide Section Aluminum Beige Truss Frame 2 4,614.00T
DSBRACLG Hewitt Docks Support Stand Bracket 2-1/2" ID Galvanized 4 148.00T
large
DGP12L 12' Large Galv Stand Pipe(2")ID pipe 2 1/2 OD 2 109.20T
DGP21L Hewitt Dock/Dock Accessories 21' Large Galvanized Pipe(2") 2 252.00T
ID Pipe 2 1/2 OD
D6HINAP 6 ft Aluminum piano Dock hinge 1 394.00T
misc.wood&screws Miscellaneous Wood screws, Lags and Lumber to make bulk 1 50.00T
head for piano hinge
Labor Direct labor: Install head wall to accept piano hinge 4 380.00T
Dock Freight Delivery of dock to E Z Marine from Hewitt 2 250.00T
Dock Installation Installation of Docks at customer site: ( 3 Men @ 1.5 hrs 4.5 450.00T
each)
Note To The Custo... Note: Any Additions or changes to Dock may result in extra 0.00T
costs.
Note To The Custo... Note: Quotation is good for 60 Days from date issued.Any 0.00T
and all permits are the responsibility of the owner to secure.
Subtotal $6,647.20
Customers Signature of Approval: Sales Tax (7.0%) $465.30
Total $7,112.50
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