1989-436 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 89-436
has been completed.
This structure may be occupied as a Dock
Location Glen Lake Road
Owner Mr R MrS Hobert
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 89-436
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Mr. & Mrs. Dobert
OWNER of property located at Glen Lake Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Dock
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
•
Same
2. CONTRACTOR or BUI LDER'S Name (1)
•
C.M. Elms Construction, Inc.
rTs
3. CONTRACTOR or BUILDER'S Address -i
4. ARCHITECT'S Name
5. ARCHITECT'S Address !A
S1113
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6. TYPE of Construction—(Please indicate by X) rn
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
CD
No. Dock as per plot plan, specifications, and application.
8. Proposed Use
Dock
$ 30 00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 90
(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.) G n
Dated at the Town of Queensbury this Day of ,711p1P 19 F19
SIGNED BY for the Town of Queensbury
Building and Zoni nspector ----
TOWN OF QUEENSBVRY
APPLICATION FOR
;=�� > _ PORCHES - DECKS TOWN OF QUEENSBURY
_ - DOCKS BOATHOUSES RECEIVED
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. Al_ .ER3A �9
OF THE FOLL04VING: BLDG. & CODE DEPT.
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.
The Owner of this property is:_ Mr. & Mrs. Dobert
P.O.
Address: Glen Lake Road, Queensbury, New York 12804
Property Location: G7 Pn I.AU:
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING
CODES: C.H. Elms Construction, Inc.
Address: Tel. 792-4417
BUILDING SPECIFICATIONS:
Foundation Material Width Nn _Thickness No
Depth of footing below grade None
Size of posts or studs 4 x 6 x 12 Long
Size of floor joist 2 X x 12 Span
Decking or flooring material 5/R treated
How will porch or deck be fastened to building?
no
Fixed to sea wall
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW: '
Size of posts or studs no x x Long
Roof Rafters x Spacing Span no N
Roof Trusses (Pre-Engineered spacing) no ,
Span t \
Type of Roof - Sloped - Flat - Shed - Other
Material of Roof none
Type of siding(if any) none - S
************************************************************************** ****
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. Give street and number
or lot number and indicate whether interior or corner lot. Show location of water supply
and location and configuration of septic disposal area.
COMPLETE INFORMATION REQUIRED BELOW:
Size of property j'e, ft. x /.. O ft.
Existing building(s) Size�y ft. x ye.) ft.
Home
Existing building(s) use
Proposed building, distance from property line.
Front yard t 30 ft. Rear yard 80 ft.
Side yards 12 ft. and 14 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.
SIGNATU R
Owner, Owner's Agent, Architect, Contractor
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR /INSPECTION RECEIVED
NAME f> J
LOCATION N L�;(z_ /%74,
DATE `/ J/ PERMIT S J 6/X
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN,
INSULATION:
FOUNDATION WALLS INTERIOR'. R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WA LLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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SCALE: l/ 1 APPROVED BY DRAWN BY
DATE:
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DRAWING NUMBER
,w7smNmpm 76A6.76