2010-209 TOWN OF QUEENSBURY
Fo,"To
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100209 Date Issued: Wednesday, May 25, 2011
This is to certify that work requested to be done as shown by Permit Number P20100209
has been completed.
Tax Map Number: 523400-239-012-0002-059-000-0000
Location: 20 HOLLY Ln
Owner: WILLIAM CROWELL III
Applicant: WILLIAM CROWELL III
This structure may be occupied as a:
Boathouse
By Order of Town Board
TOWN OF QUEENSBURY
/ /
Issuance of this Certificate of Compliance DOES NOT relieve the (..- a°,,P f
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
FoN 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100209 Application Number. A20100209
Tax Map No: 523400-239-012-0002-059-000-0000
Permission is hereby granted to: WILLIAM CROWELL III
For property located at: 20 HOLLY Ln
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: WILLIAM CROWELL III
20 HOLLY Ln Boathouse $20,000.00
LAKE GEORGE,NY 12845 Total Value $20,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
ELITE DOCK COMPANY
NY 12804-0000
Plans &Specifications
2010-209
608 sq ft boathouse with 792 sq ft dock
$50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, May 20, 2011
(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 own o ee u , / say, May 20, 2010
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
.r_i)...1-E_pa.., ,,w...n,4 _Et 7),r --
��� /Z—2 OFFICE USE ONLY ] ,,�; „_,� s .....•-, I�
TAX MAP NO. PERMIT NO. M Z07 ;1 f MAY ()f i 2010 ,,j,
FEE PAID BLDG. &CODES APPROVAL _
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION Li:.
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: WilhBtn Crowell INSTALLER/BUILDER: Elite Dock Company L.L.C.
ADDRESS: 20 Holly Lane L.G. 12845 ADDRESS: 84 Barthel In.Q.B. 12804
PHONE NOS. 487-7677 PHONE NOS. 656-3625 (Cel)796-1484
LOCATION OF PROPERTY: Assembly Point SUBDIVISION NAME: na
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: lake George
ESTIMATED COST OF CONSTRUCTION: $ 20,000 ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? na
IF YES,PLEASE LIST: na
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: Frank DeNardo PHONE: 796-1484
sr Nn PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH na
DECK na
3 SEASON,COVERED OR ENCLOSED PORCH* na
BOATHOUSE na
BOATHOUSE WITH SUNDECK 608 14.0
DOCK 792
SHED na
POLE BARN na
DETACHED GARAGE(NO.OF CARS: ) na
OTHER ACCESSORY STRUCTURE: na
*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, QUESTIONS? CALL 761-8256 OR EMAIL
showing actual location of all new construction. codesAqueensburv.net
I have read and agree to the above. VISIT OUR WEBSITE FOR MORE INFORMATION
Signed --1 _ Dated: :K//‘7 www.queensbury.net
Name/Title(Printed) F NSC ,94-1(4,11)c) Se-a. CLI7 ak ea L.GG,
Joa'ii of Queensbury - Coininaiiiti1 DtT lopu n.iit Ofhtr' • 742 Ball Road, Queensbury, NY 12804
TO WHOM IT MAY CONCERN:
/0 -Z07
I hereby authorize Frank DeNardo /Elite Dock Co. L.L.C. to
act in my behalf as my agent to obtain all necessary permits or
approvals for the followingproject ew,.2 F Pec .
PPP J t .
AVO /9c.:o /o 2.ca , to be constructed on my
property located in the Town of &e..>"4"4s%x-42/ •
tax map parcel # a 3 9 . i -4a -- 59
Date Owners Signat!ire
' 1
/0.c
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart: C� � �m/pm
Date Inspection request received: Inspector's Initials: ep-&-1.)
NAME: PERMIT#: Z " `2'3--
LOCATION:
�LOCATION: DATE:
TYPE OF STRUCTURE: — _ ,. �.1 ,, •
Comments:
Y 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
1.2221__91_mplete/Exterior Finish Com ete
Platform at all exterior doors _
Handrail 4 or more risers
_Guards at stains,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 I Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/re,ulator 18 inches above •rade
Interior privacy/trim/doors/main entrance 36 inches
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 S'aces 18 inch x 24 inch access 1 •.ft.-150 s,.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation I Insulation 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
Fumace/Hot Water Heater operating
Low water shut-off boiler -
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door doser
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pi.= Bondin.
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
410
Flood Plain Certification,if required
Okay to issue C/C or C I 0[Temporary/Permanent 1
L:\Building&Codes Forms\Building&Codes\Inspection Forms'Residential Anal Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Queensbu Building & Code Enforcement - Residential Final Inspection
rY P
Office o. (518) 761-8256 Arrive: am/pm Depart: 6 1 -C9 am/pm
Date Inspection request received: Inspector's Initials:
NAME: ( r L (L ( PERMIT#:
LOCATION: f fie,/ 17 ,,,s 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 18 inches
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 7. T-icsNI.
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more t^ '�0
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches (7 pU —
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
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/Insulation Certification/Sticker on Panel
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'/"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot PlanVC `tAC,
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/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&CodeslInspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10
I Page 1 of 1
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