2001-381 TOWN OF QUEENSBURY
447 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010381 Date Issued: Friday, April 08, 2005
This is to certify that work requested to be done as shown by Permit Number P20010381
has been completed.
Tax Map Number: 523400-289-018-0001-023-000-0000
Location: 27 FITZGERALD Rd
Owner: ANN BARODY REVOCABLE TRUST
Applicant: MICHAEL & ANN BARODY
This structure may be occupied as a:
Dock By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
11
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 E�rcem\ t
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
` r 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010381 Application Number: A20010381
Tax Map No: 523400-289-018-0001-023-000-000
Permission is hereby granted to: ANN BARODY REVOCABLE TRUST
For property located at: 27 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: ANN BARODY REVOCABLE TRUS Dock 2,000.00
14210 CAROL MANOR Dr Total Value 2,000.00
LARGO, FL 34644
Contractor or Builder's Name/ Address Electrical Inspection Agency
SCOTT THOMAS
NY
Plans & Specifications
2001-381
REBUILD EXISTING DOCK AS PER APPLICATION
$30.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday,June 22,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T wn of uee/.u ; June 22,2001
SIGNED BY for the Town of Queensbury.
Director of Building& Code Enforcement
II" TOWN OF QUEENSBURY Fee Paid
row BUILDING & CODES DEPARTMENT Permit # —
�` APPLICATION FOR: PORCHES-DECKS-
os
DOCKS & BOATHOUSES Est. Cost .
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description, plans and specifications submitted, and such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: ;fife .t,,,�„,,) 6ti, 4/
P.O. Address diArc,.A,a C� ea , 0,,rr. h�r Phone # ?9 J- Z L.7
Property Location ��,4 6 (�'Le £IGP_) , OW,,,,64ax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: C 7 Ass Address Ss- yet yl$ - WaRRe"4. Phone#
6z3-YO 8
BUILDING SPECIFICATIONS: RE P' D
Type of work to be done: Porch Deck Do . Boathouse (Circle ) 5 2001
Size of Structure to be built (square footage) : (,x,c-
Foundation Material : Width ,' Thickness TOWNOFCltjEENSLi eRY
,
6 BUILDING AA)goDE_
Depth of Footing, below grade: �� -
Size of Posts or Studs: y,,cij tc (,( x Long (2T-.
Size of Floor Joists: (�., x CIx ` Span
Decking or Flooring Material : x/ (,
How will Porch or Deck be fastened to building? /2','
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-engineered spacing): Span -
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof:
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly all buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: ft. x ft.
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s):
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ft. and ft.
If on corner, setback from side street: ft.
DECLARATION
To the best of my knowledge and belief the statements contained in this 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 Code, the Zoning Ordinance, and all other laws pertaining to the proposed work
shall be complied with, whether specified or not, and that such work is authorized by the
owner.
DATE: ci-- 2 7- 0 / SIGNATURE . -- ,
0 ner, Owner s Age , ontractor�
REVIEWED ' BY CODE ENFORCEMENT OFFICER, DATE ( 0 SIGNATURE
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 /�1
C/ Arrive: It -( am/pm Depart: am/pm
Date Inspection request received: �f/7 / J Inspector s Initials: �
NAME: ( ��l PERMIT#: - b I
LOCATION: 77 (d DATE: _
TYPE OF STRUCTURE. _
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum ''/a"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.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
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
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
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Ce�,�'t►,ation, if required
.. -Okay to iss AM; or C/0[Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
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