92-254 •
4.4
- CLRTIFICATE - OF COMPLIANCE
TOWN OF QUEEN,SBURY
WARREN COUNTY, NEW YORK
• Date 9 19 9�
U` d
This is to certify that works' requested to be done as shown by Permit No9.2-254
has -been completed.
Thi's structure may be used as a- dock •
- Location Mason'Road
Owner Dorothy Hodgkins
• By Order of Town Board ,
• TOWN OF QUEENSBURY
• 13-1-10 •
•
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY A:
No. 92-254 0,
WARREN COUNTY, NEW YORK '�
�i (`)
1-1
PERMISSION is hereby granted to John Hodgkins
OWNER of property located at Mason Rd, Cleverdale Street, Road or Ave.
0
in the Town of Queensbury,To Construct or place a Repair Dock to
at the above location in accordance to application together with plot plans and other information hereto filed and ?d
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
0
56 East Glenwood Drive
Latham NY 12110
2. CONTRACTOR or BUILDER'S Name
Walter R. Caprood
cu
3. CONTRACTOR or BUILDER'S Address
278 2 Broadway a
Fort Edward, NY
4. ARCHITECT'S Name
0
5. ARCHITECT'S Address 7C
CD
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 480 sq ft Dock repair as per plot plan specifications and
application
8. Proposed Use
Dock
$ 30_00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 21, 19 93
(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 21st Day of May 19 92
SIGNED BY for the Town of Queensbury
Building a d Zoning Inspect
/ _/d •
i TOWN OF QUEENSBU Fee Paid
BUILDING O CODES DEPARTMENT .soos permi t #
APPLICATION FOR: PORCHES-DE( . �0
DOCKS & BOAl, .JUS ,,� A oec' ®, Est. Cost
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCT►NI9 LE E 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: 0-79 A41. HD b'f-K:Nc C IN I IIIO
--4 �'� L� Phone # 7'�s T 71/
P.O. Address � � ctJc�a� �U�d+UG
Property Location /2D l'3U,/ 7%/IC • Tax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: ALTra �. NeRoon Address Ai it.,A ftt hone# 9 lag‘'.)3
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck lock Boathouse (Circle one)
Size of Structure to be built (square footage : tl 5 O . f r
Foundation Material: Width Thickness
Depth of Footing,.below grade:
Size of Posts or Studs: x x Long
Size of Floor Joists: x x Span
Decking or Flooring Material : 02.,Lr
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:
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 V-777 ft. and 765 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.
DATE: 5 Hilt--� SIGNATURE t3 c$ 1.
IContractor
Owner, Owner's Agenc �; Architect,
REVIEWED BY CODE ENFORCEMENT OFFICER. DATE SIGNATURE
C
�`g-/-/ TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME (/i wdzey-d. L4
LOCATION / _
DATE 1/0/4r PERMIT if 94
'�qq /d,2/Le0'.s/L//9 z_
TYPE OF STRUCTURE /!Leek Ay/Yf,ti
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: 'r
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM r 7
HEATING ROUGH-IN
INSULATION: .r
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
�
REMARKS:
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DEPART `\,
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