91-324 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date l xl-xieL /119 U
This is to certify that work requested to be done as shown by Permit No. 91-324
has been completed.
This structure may be occupied as a Dock
Location CanterburvDrive
Owner Alice K. Newell
By Order Town Board
TOWN OF QUEENSBURY
1)71
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-324
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Alice K. Newell v
OWNER of property located at Canterbury Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a DOCK
rD
at the above location in accordance to application together with plot plans and other information hereto filed andp`
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNERS Address is
POB 528
Hudson Falls, NY 12839 `D
2. CONTRACTOR or BUILDERS Name
Richard Whitmore
6 Arbutus Drive '.
fD
3. CONTRACTOR or BUILDERS Address
.r.
4. ARCHITECTS Name fD
v
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( 1
7. PLANS and Specifications
No. 120 sq ft Dock as per plot plan specifications and application
8. Proposed Use
Dock
$ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Nay 20, 19 92
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 20th Day of May 1991
SIGNED BY �{/t i for the Town of Queensbury
Building and Zoning I ctor
E� RY Fee Paid fjo'
411116amiliPlk TOWN OF QtI�.-NSBU �/
� � BUILDING & CODES DEPARTMENT Permit # q'- �7
APPLICATION FOR: PORCHES-DECKS- { Est. Cost;�0�
DOCKS & BOATHOUSES
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: R )ice w e 1)
r Phone # :' ����
P.O. Address � �,.-, �:'
Property Location G{1- N Te2130 Ly w 2 . V Tax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Alli-1 L1,4,T.Nayee
Address 6 AZ-gc-r--s 012 Phone# : tJ-?ip
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck . Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : i20 4Og/COF QUEENSBU " ' Uy
Foundation Material : Width Thickness li RECEIVE
Depth of Footing, below grade:
Size of Posts or Studs: Co x ( x S Long MAY 161991 '\.
Size of Floor Joists: 2, x (o x 10 SpaeLDG & CODE DEFT,
Decking or Flooring Material : 6 E,d
How will Porch or Deck be fastened to building?
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: v
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: /G'O ft. x ft.
Existing building(s): Size ft. x ft.
Size ft. x __ ft.
Use of ExisLing building's) :
Proposed structu , distance from property line:
Front yard L.bft. Rear yard RIO 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. /
�" �+ SIGNATURE tr � ..
DATE: ��; k *+ `
Owner, Owner' s Agenc , Architect, Contractor
APPROVED BY CODE ENFORCEMENT OFFICER, DATE 5h g1 SIGNATURE .e /. D1
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECT/I)ON RECEIVED
NAME (dam tyli K. 2 P_I UQU
LOCATION eeti'arAiLt i-el AY-( •
DATE q i , I _PERMIT# Gi- 324
TYPE OF STRUCTURE o C
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _FINAL ELECTRICAL--_SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS t (-1u_11p C 1a44.0_.c/ .5/2.O l q/
APPROVAL
N/AI 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
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 1/
COMMENTS: // j
ARRIVE
DEPART
E
W
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FILE_,
COPY
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`T'WN OF OUEENSBURV
€
Ii RECEIVED
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MAY 161991
B i®G. & CODE DEPT.
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