93-253 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date jiirte 11 19 g 5
This is to certify that work requested to be done as shown by Permit No. 9325
3
has been completed.
This structure may be used as a REPLACE EXISTING DOCK
Location CLEVERDALE RD.
Owner CORNER, KATHERINE
By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
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BUILDING PERMIT
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TOWN OF QUEENSBURY No. 93-253
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Katherine Corney
OWNER of property located at Cleverdale Road Street, Road or Ave. O1
in the Town of Queensbury,To Construct or place a Replace existing 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. (")O
1. OWNER'S Address is
175 9th Avenue 1-c
New York NY 10011
2. CONTRACTOR or BUILDER'S Name rt
John Creede
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3. CONTRACTOR or BUILDER'S Address (D
4. ARCHITECT'S Name
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5. ARCHITECT'S Address (D
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6. TYPE of Construction—(Please indicate by X) 7Zi
)Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
Replace 320 sq ft existing dock as per plot plan,
No. specifications and application. x
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8. Proposed Use H
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Dock
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$ 30 .00 PERMIT FEE PAID—THIS PERMIT EXPIRES June 4 19 94 rt.
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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
town of Queensbury before the expiration date.) W
Dated at the Town of Queensbury this 4th Day of June 19 93
SIGNED BY 44,1/...a 0 for the Town of Queensbury
yifpjng and Zoning Inspector
�'it___ TOWN OF QUEENSBURY Fee Paid 3o
F �0 BUILDING & CODES DEPARTMENT Permit # -,,,T 3
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost 41,3,66c:, -
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION,. ` 'LEASE Aft R
/? ALL OF THE FOLLOWING:
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The undersigned hereby applies for a Building Permit / do tihg followi i work which will be
done in accordance with the description, plans and spAcific o4$ submi ed, and such special
conditions as may be indicated on the permit. TWO S -;S OF IgAL P_' NS SHALL BE SUBMITTED
WITH THIS APPLICATION. '` : Town of Queensbury
Bldg.Dept
y
Owner of Property: e—ttj 6rf'//e_ Corh>e /
P.O. Address ) %leif : NeKiYec, /V) /60i/ Phone # / S.2 ] DB 7/
Property Location C IPVeY„�� ie.. Rd Tax Map #
Subdivision Name (If applicable) ,cfi0,v ii Atoth / / 'xreel
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Address Phone#
BUILDING SPECIFICATIONS: f�fa Zt
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : % 55• .t .--
Foundation Material : Width (�`1 b 1eS<y/v Thickness 3
Depth of Footing, below grade: 43' X
Size of Posts or Studs: x x Long
Size of Floor Joists: Al , x x Span
Decking or Flooring Material : g x k /6 /14%s m ("4, 4
How will Porch or Deck be fastened to building? /,/'4
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: /V//4 x x Long
Roof Rafters: AA x Spacing , Span
Roof Trusses (pre-engineered spacing) : 1"// Span
Type of Roof: Slope Flat Shed Other (Circle one)
Material of Roof: i ' A
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. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: ft. x ft.
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard ft. Rear yard 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. l 111
(7--)14,'
�//�DATE: / I6 ! l SIGNATURE /�4
Owner, ner s Agency,
Architec , Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
TOWN OF QUEENSBURY /071 U(ril
lot
BUILDING & CODE ENFORCEMENTs �
531 BAY ROAD �!
QUEENSBURY NY 1280,4 Jl�
(518)745-4447
//
ARRIVE: !� I Z DEPART: /1 .3 INSP: v"
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSP CTION REQUEST RECEIVED:
NAME D/QN / //'Q1/ 12/"" e
LOCATION
O«t/ �019 6 C j9 , �j
DATE _ (�7/3� g PERMIT # 3 z53
TYPE OF STRUCTURE aQ 4-k
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC _ INSULA ION
FINAL ELECTRICAL WOODSTOVE OR F EPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT IEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RA INGS
RELIEF VALVES
FURNACE/HOT WATER OPERA I
INTERIOR TRIM/PRIVACY DOA"
FINISH FLOORS:
BATH/KITCHEN WATERT
OTHER FLOORS SWEEP" 111
OTHER FLOORS CARPS/ ED
STAIR CLEARANCE/RA ': INGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTU• • ,
FOUNDATION IN• ATION
GARAGE FIRE ROOFING
DOOR CLOSE
FINAL ELE JP
SITE PLAN/V RIANCE REO.
FINAL SURV'Y PLOT PLAN
OK TO ISS E C/O OR C/C
6COR WORV IAA'S 2664 OLr6o
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APPROVED
Application ,-,3 4 56
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DI - 3 1993 _-
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1 REVIEWED BY
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DATE —
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TOWN Of QUEENSBURY BUILDING DEPARTMENT 12 3 4 58�89 /}oc�(��/lr F9C/L Ti t,J
Based on our limited examination,
compliance with our comments shall
not be construed as indicating the ��° A'*1 kA7-yzR/,V BORN E y
plans and specifications are in full
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compliance with the code. 0
s- et „stw� ' T/o Q uFEN.t�v2�L C/o �ARRE�v
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