90-435 / 4f
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CERTIFICATE OF COMPLIANCE
TOWN OF itUEENSBsURY
WARREN COUNTY, NEW YORK
Date j.O .fir L Jr 19 f
This is to certify that work requested to be done as shown by Permit No. 90-435
has been completed.
This structure may be occupied as a dock
Location Birch Road, Btn Lake
ARTHUR E. BROWN
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 90-435
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to ARTHUR E. BROWN
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OWNER of property located at Birch Road, Glen Lake Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a Replace existing damaged DOCK co
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
RD#1 Box 1107
Lake George NY 12845 O
2. CONTRACTOR or BUILDER'S Name
Craig F. Brown
3. CONTRACTOR or BUILDER'S Address n
5 Fifth St •
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Glens Falls NY 12801
4. ARCHITECT'S Name
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5. ARCHITECT'S Address n
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6. TYPE of Construction—(Please indicate by X)
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( ){Wood Frame ( ) Masonry ( )Steel ( )
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x
7. PLANS and Specifications CD
No. Replace 150 sq ft DOCK damaged by ice as per plot plan, specifications and
application.
8. Proposed Use ti
DOCK
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$ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 5 19 cr)
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the y'
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 5th Day of July 19 90
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SIGNED BY for the Town of Queensbury
uilding and Zo ing Inspector j C].
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APPLICATION FOR FEE PAti0
-`-_� ESTI"MATED VALUE
PORCHES - DECKS OF CONST ) . 0'0U
DOCKS & BOATHOUSES
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QUEL, . .
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.D 1` 1} ptilm L i+
OF THE FOLLOWING: 1r iJJ u/
The undersigned hereby applies for a Building Permit to do the following work llistir 3i1990
be done in accordance with the description, plans and specifications submitte and such
special conditions as may be indicated on the permit. BUILDING & CC„ `F 'F
The Owner of this property is: /t1-I�u►- ,f- rUwi _
Address: R P g0�C/i Zone Cec) e //� /o2.8I Lk----* C -
2s6Property Location: Street number or buildinglot number 3 9- -39
X /Subdivision name (if applicable) ,rc R Iv7yF PO' /776' '�
THE PERSO ,RESPONSIBL FOR SUPERVISION OF WORK AS REGARDS TO BUILDIING-�.�
CODES: LJ9 F. Cor1
Address: #5.-- St. Vemf 6 � � r Tel. 0
BUILDING SPECIFICATIONS: �Oc�
Type of work to be done: Porch Deck I oc Boathouse (circle one) e 0 lake ell,
Size of structure to be built (square footage /5p , � d jv ICeo
Foundation Material Width Thickness
Depth of footing below grade
Size of posts or studs x x Long
Size of floor joist x x Span
Decking or flooring material
How will porch or deck be fastened to building?
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW:
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
Material of Roof •
Type of siding (if any)
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ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale
and attached hereto, shag---elearly-arid--disc i all buildings, whether existing or
proposed,and indi = - all set back dimensions from proper ' es. Give street and number
or lot num. - • and indicate whether interior or corner lot. Show Lion of water supply
and locat•. and configuration of septic disposal area.
COMPLETE INFORMATION REQUIRED BELOW:
Size of property I D ft. x 260 ft.
Existing building(s) Size ia ft. x f0 ft. 6 - /xea/ \
Existing building(s) use f 7 4L.i(lwe._
Proposed building, distance from property line.
Front yard ft. Rear yard ft.
Side yards ft. and ft.
f 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
statment of all proposed work to be done an 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.
•
SIGNATURE e/i4frA4 `Owner, Owis Agen , Architect,-Contractor
TOWN OF QUEENSBURY
����►► 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
�'1:41 TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME ,f u✓- j���;.✓
LOCATION Tkvutia 21, _
DATE Er/ g/ IIT#
TYPE OF STRU TUBE 7..41(/
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL _FRAMING
- ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
- INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES ' NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS /
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK;
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE I
OTHER FLOORS CARPETED _
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL /
OK TO ISSUE C/O OR C/C L//
COMMENTS:
ARRIVE
DEPART
INSP
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME PDYTIWY /- c
LOCATION ( J\ ^X ()
4 DATE 5/ q C) PERMIT #
APPROVED
��F�TvS YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/REj,IEF VALVE
INTERIOR TRIM/PRIVACY DOOR$
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR c/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE $UILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: ! %
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ARRIVE
DEPART
INSPECTOR
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