2002-855 glaki TOWN OF QUEENSBURY
com 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20020855 Date Issued: Friday, August 12, 2005
This is to certify that work requested to be done as shown by Permit Number P20020855
has been completed.
Tax Map Number: 523400-239-015-0001-003-000-0000
Location: 8 ROCKY SHORE Rd
Owner: SALLY KELLY
Applicant: SALLY 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&Code Enfor ent
Planning Board or Zoning Board of Appeals.
` TOWN OF QUEENSBURY
f� 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020855 Application Number: A20020855
Tax Map No: 523400-239-015-0001-003-000-0000
Permission is hereby granted to: AMERT-T,OCT CONSTRIJCTION
For property located at: 8 ROCKY SHORE 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: SALLY KELLY
3 Dock 30,000.00
0 OAKWOOD Dr
Total Value 30,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
AMERT-LOG CONSTRI JCTION
ROBERT SIJTLIFF
11 COTTON Ct
DIAMOND POINT. NY 12824-0000
Plans&Specifications
2002-*885
Construction of a 669' sq ft dock per plot plan and specifications.
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, October 28,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T f Quee ury day, October 28,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
a aifftltla cc c a
Porch, Deck, Dock, or Boathouse Permit Application
Town of Quecrrebury—Dept of CotxuL,.uty Development,742 Bay Road,Queensbury,Nlr
(S1S)761-8256
A permit must be obtained befcce beginning construction. No Permit File No. -353—
iatspecta*I will be made tint appliment has received at valid
buiidng pmiit. A$ beams spews Fec Paid
pews On this appIi�cafion must be
completed and must appear on,the appHcatien fbrm. Review�cl Ely: 4 j
Applicant; r'oeff i to a7-641/- � Owner: , - X441.1 IC"
Address: // (! ot. C,�« Address: curie ,,
. r groNd/4iT Belly 1.4 r; r0 la-141
Phuoo#�(S1k)44f- or Phone#( ). -10"1
Email Address: ,f Emil Address.
Person Responsible for Supervision of Work as Regards to Building Codes:
Nana Address: 11 taiLo Phone t fit o s gar
i \(..be N 41 rfdtgr
Pr p sty Locaei tt: Lot Number; 3 / House Number '' / teicL/ ► ,.F, rye c beieg
Subdivision Name; Tax Map Number: Rr.1s--/—3
Bated Market Milne of Construction:$ K
▪ Parch
o Deck
X Dock
a Boathouse
t) Other worktdoicaibe 4#$$oat: Ells tl Bo4T#c1as6 #Mi2r1 o-10'4 4" J k#d044-
s aemiatturetobeboa gig &pine 1. SA4peci do
OCT 8 Ain2
Submit;now with this application,:
1. Two plot plans draw to scale,prefecrably tiding a survey map. Indicate proposed
stroctute showing setback dimensions item,all property lines. Show location of
water supply and location and configuration of septic disposal area.
2. TWo sets attracting drawings. Indicate size of posiN or studs,floor joists,
decking or flooring m iteriii to be used. Show how the porch or deck will be
faster to the building. If a roof will be constructed,indicate the size of posts or
studs,roafrafter spacing and span. indicate typo of roof sloped,flat,Shed,or
other. Indicate the type of matte being used for the roof.
goer laratfn : sow sigu below-after yam bays czascla11y mad the statement
To this beat of my knowledge the BtatenientS conntknd in this sppliention,together with the plans and
spocificatiOnit�,ea s few and c011tiplute Stet off proppied work to be aeon on the
dcsedlsed ptemises and dun all provitions of th Building Code,the Zoning Orumaaaaaad all other laws
pertaining to the proposed c elaell be complied with,wbather specified or note&and that spelt work is
7cauthorized by the owlets.
Applicant's sig — 632-1.4e Date f 4 — ZoO
atah.Pereb,PGtnittlac £413412 revisal par DIE
E00 Z00 r+ VV.? 2 T�AT i�Tm
TO/TO 39 d 11IAJOIi Stu 1S LZ9Z99LSTS 61 ..91 600Z1901T0
f , Porch, Deck, Dock, or Boathouse Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. No Permit File No. :Oa-ass-
inspection will be made until applicant has received a valid Fee Paid $ .00
building permit. All applicants' spaces on this application must be Reviewed By:
completed and must appear on the application form.
/S7c vc/ya, ff
Applicant: f}me/�do G/atirSol/Fc Owner: (A�}vC -/- s*/f K/q
Address: // (...o floio� l Ce-u./C Address: r3u ovi wood ),t�'w+rf '
//f/ho4JC/l"aiV /I /yz' fau- rotiiaa N� /&Soft
Phone#(5->k)G6' - oo, l Phone#($/g ) 7 f 0'1
Email Address:Sioff'f/ ho1-fi6s/ncllwo s.ev,,,i Email Address: VA"z$.3*
Person Responsible/ for Supervision of Work as Regards to Building Codes:
Name /1 o IC r SS/rile "01E4 406- Address: l i Cc e+ Phone G 6f oo 'f
.DiI'1rleeN4 pi. 47/14zy
Property Location: Lot Number: 3 / House Number ir l kicey M yc
Subdivision Name: Tax Map Number: 03'R,15— / -3
Estimated Market Value of Construction: $ 3o K
❑ Porch
c ❑ Deck
X Dock
• ❑ Boathouse
❑ Other work(describe 4--nolt C-Z'1,tbAj 8D4T Aoacc 4 tjh*r, 141 0, l/111/1 docK 1`d
eek
Size of structure to be built 4491 square feet u SA Apei d ela
Submit along with this application:
1. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed
structure showing setback dimensions from all property lines. Show location of
water supply and location and configuration of septic disposal area.
2. Two sets of structural drawings. Indicate size of posts or studs, floor joists,
decking or flooring material to be used. Show how the porch or deck will be
fastened to the building. If a roof will be constructed, indicate the size of posts or
studs, roof rafter spacing and span. Indicate type of roof: sloped, flat, shed, or
other. Indicate the type of material being used for the roof.
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge 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 noted,and that such work is
2cauthorized by the owner.
Applicant's signature: Date:
L:\SueHemingway\Building.Permit.FORMS\Porch.Porch.Permit.doc 8/13/02 revised per DH
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/p epart: am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location yinte/�
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 3 P
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2"
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/3 hour fire door/door closer
lDuct 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 Certification,if required
Okay to issue C/C 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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