89-429 r ;r v,.. -
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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 63.024., 1 19 9t
V
This is to certify that work requested to be done as shown by Permit No. 89-429
has been completed.
This structure may be occupied as a Dark
Location Lake Parkway
Owner Raina 1'hri r.n+rc11
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT •
TOWN OF QUEENSBURY t.
No. 89-429
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to REGINA CHIRICORELLI
OWNER of property located at LAKE PARKWAY Street, Road or Ave.
in the Town of Queensbury,To Construct or place a DOCK REPAIR
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
331 DELEWARE AVENUE
ALBANY, N.Y. 12209
2. CONTRACTOR or BUILDER'S Name
D.G. BUILDERS
3. CONTRACTOR or BUILDER'S Address
P.O.BOX 766
LAKE GEORGE, N.Y. 12845
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 450 sq. ft. dock repair as per plot plan, specifications, and application
8. Proposed Use
Dock Repair
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$ 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.)
Dated at the Town of Queensbury th' 5th Day of June 19 89
SIGNED BY /. J for the Town of Queensbury
Building and Zoni g nspector
:. TOWN OF QUEENSBURY 170-t (.:ft ATTON FOR BUILDING-- ANn`ZONING pi.i IT- .
R ec i ev ed
- ". .7„y i', TOWN OFQUEENSBURY
-- -Reviewed i RECEIVED
Fee Paid s:30 JUN 12 1989
BUILDING AND CODES u):PARTMEA,TT Pate Iae ued
3AY and HAVILAND ROADS- RD 1 box 98 • BLDG. & CODE DEPT•
(UEENSBURY,NEW YO1 K 12804 Pei r t No. • -
Tel . (518) 792•-5832 Ext 204
* * * * * ** _•* * f* * a it. •`
A PERMIT MUST B13 OBTAINED BEFORE BEGINNING CONSTRUCTION : NO- INSPECTIONS
WILL BE MADE UNTIL APPLICANT ((AS RECEIVED A VALID BL'ILDINC PERMIT.
All applicable spaces on thi-s 'ap;plication must be completed and the
sl rvnature of the applicant .must appear on the reverse side of this sheet . -
•
* it * * .* * * * * * * * * * * * * * * * * *,. * *_ * * * * * * * * * * *
The owner of•'thi roperty i•s : Re ' i 4 l,II1 eicoRei ) •
l' . O. Address.�71 V����Q1 2� 4S5QnhJ34ty IB�9e,J I o;a2O° TEL. $/®-�'3'b �
Property 'bi
ke_ke_ Pkti - Jell • TAX MAP NO. / // / L1
.Ras there --been any split of this property since October 1, 1988? 4t -
yes no
if yes , Planning Board Review is nece;s4r/, . -
SUBDIVISION NAME , IF APPLICABLE ��p��66JJ /� LOT NO .
...-
The person responsible for "'supervision of work as regards Building Codes. is : '
NAME` / Q P .O . ADDRESS/ ��'11 • TEL. NO.
Name of .builder 4 l:..Ju,Ic'le0 Address__QO. ipoi( 766 E./ure a:0,9i�9 Tel S/S( 66% 2C'go
Name- of .Plumber Address Tel
Name of Mason - Address Tel
NATURE Or PROPOSED hORK: Ti-
A, ZONING INFORMATION (Office use only)
(:onscruccion of a new building • �
• ZONING DESIGNATION OF PROPERTY _ : I
� •
•
Addition -to .a building. ; PERMITTED PRINCIPRL PERMITTED ACCESSORY
Alteration to a building '
(no change to 'exterior dimensions) • REVIEW REQUIRED - PLANNING BOARD ZONING BOARD'._
Ocher work (describe)' fepctilk - -# ; SITE PLAN REVIEW #t APPROVED DATE
CI-c Dacf` • VARIANCE t APPROVED DATE
GROSS AREA- O1•' .PROPOSED, •STRUCTURE . -
•
1st Floor x
sq ft-. Remarks: ' - � .
'2nd Floor sq f t . r. COMPLL1'1 I:N1 ofATLON lu:QUIRED UELOW.
Other Floors 'a" "T(�dsq ft . "Size-of_prolwrty ft X ft.
( not cellar or easement) • ' L:xi::ting building(::) 5i�e lit X fc.
s
TOTAL FLOOR AREA 'sq f t .i a — .) use
�' L•'xiscing building (s
Ei.•At, of now structure 'QS--ft x-+- fl/PG�'.l
l'uua datio
��J,� slab/crpwl/partial/full , Propo.. d building, distance from property line
'` s
(circle one) . Front, yard I t Rear yard ft -
of sto. ies ()►vbit:ahle space) j�� f c
ft. . Side yards et and
_ .: „ (grade. to; ridge) N(� It on corner, .setback from side str.eet rc-
I f .:r:,� idant i41, no. of families V.A. t
No.. of rooms;excluding baths) p7A * OCCUPANCY INFORMATION
No. of bedrooms A
P 7 F4Y .IsUILDINC -
No. of bathrooms�1 A s• //One family dwelling
Prim:ary heating system . NA Two family dwel1in9
Type of fuel V 1 �-� , Multiple dwelling / Number of units . -
.NO. of .fireplaces. to b�: installed NE? Permanent occup:u►cy;,
Will :a Wood Seove be installed?• 'J1
Y'r;ansient occupancy
Ce:nt:a tl Air conditioning? V
Business
• ,,
BUILDING STYLE, PRIMARY STRUCTURE a Industrial` •
-
• Ocher
lunch Contemporary Lon cabin ,r ..A.i;,i,.,_ aP,;.r uill u,:, h,t7
BUILDING PERMIT APPLICATION CONTINUED - geRs
BUILDING SPECIFICATIONS: a,
Type of construction, wood frame, fire safe,etc. 6)(6 1/07. ;4g —All AW
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation. wall material I- Thickness W!g'
Depth of foundation below9 grade (to bottom of footing) N5A.
Will there be a cellar? : O Heated or unheated? PP- Floor sq. footage pp- sq ft
Will there be a basement? i\rIL Will. any portion be used as living .space? pi*
(If so, what portion? ( sq.ft. - - Type of use? Ifaij-
Type of roof - sloped/ l�at/shed/other Material of roof •
Size, wood studs Wpc " spacing "o.c. length ft. '
Joists(floor beams) 1st. floor 1.r- "X 4; " spacin_ -F'i .c. span 647 ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof .trusses (pre-engineered). spacing "o.c. span . ft.
Exterior wall finish Na Of what material?
Interior wall finish V A-
lf a garage is to be attached, describe materials to be used for FIRE SEPARATION: Ali}
Is there to be an opening between garage and dwelling? (/ If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? NA- Height above roof `1" fi! ft.
Depth of chimney foundation below grade pp. ft.
Depth of fireplace hearth }eft J}f-in. r
Water supply - Municipal or private well eP 1. 4T
SEPTIC SYSTEM _ Distance from ANY private well(including djoining properties ft.
(A separate application is necessary for any repair or new installation of septic system) •
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.
Signatures
Own• , owner's t, hitect contractor
•
SPECIAL CONDITIONS OF THE PERMIT:
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