92-438 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK ,
Date Ort.oher 22 19 qF
9)438
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be used as a REPAIR EXISTING DOCK
Location 244 PILOT KNOB RD.
Owner WALKER. WILLIAM H.
By Order of Town Board
TAX 1,1AP NO. 18. -1-21. 2 . TOWN OF QUEENSBURY
/211,--50E7--e
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 92-438
WARREN COUNTY, NEW YORK
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1-1
PERMISSION is hereby granted to WillWilliam H. Walker 1-1
OWNER of property located at Pilot Knob Rd Street, Road or Ave.
a
in the Town of Queensbury,To Construct or place a Repair 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. - "s
1. OWNER'S Address is
1157 Rte 44/55
Clintondale NY 12515
2. CONTRACTOR or BUILDER'S Name
Same
1.
3. CONTRACTOR or BUILDER'S Address --i
O
O
4. ARCHITECT'S Name
C.
5. ARCHITECT'S Address
tD
1
6. TYPE of Construction—(Please indicate by X) CD
k
( )Wood Frame ( ) Masonry ( )Steel ( )
c+
7. PLANS and Specifications
0
No. Repair existing Dock as per plot plan specifications and �.
application
8. Proposed Use
•
Repair existing Dock
$ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 30, 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 th th D y of July 19 92
SIGNED BY for the Town of Queensbury
Building and Zoni I spector
•
�. .,k'r.,:fir'
�/ � fi ners:,<�' s avr. .:, .' 4 Fee Paid
cpi� v !Aka CODS DEPARTMENT . '4 P r R OP� , #� 9� -r3f
A � 010tO,�'�,MIORGHES-DECKS- ' " ,: , :..�. U b
iii-, DOCKS &. B0, d.OUSES � .,zst. Co,
A PERMIT MUST BE OB = 1d E BE STRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
ram-
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance „ .1th 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: )t([k .,cw 4 . Via.1Ke4/
P.O. Address Us 4e °#k-$/c CLiv4 4ale. c.Jy l a-s 1 s= Phone # ql(1-eg3- ?4f&''
Property Location 1 B0 - Koh laA. Tax Map #5.234i oo `S.-a-.S J
Subdivision Name (If applicable) ` . '
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: •
.
Name: 24..0Ne. Address Phone#
BUILDING SPECIFICATIONS: it)z-e-CU.-4-) Li'(- -441'-
0 Cito
Type of work to be done: Porch Deck Doc Boathouse (Circle one)
Size of Structure to be built (square footage): 4 X 22,I c 4 x d 4'
Foundation Material : Width Thickness
Depth of Footing, below grade:
Size of Posts or Studs: - (3 x (, .. x 7 Long
Size of Floor Joists: x ( x Span
Decking or Flooring Material : •a 0,
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 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.
DATE: SIGNATURE 9910
A ��2G
‘a"1/
wner, wner'sgencY. Ar ect, Contractor
RFVTEWED BY CODE ENFORCEMENT OFFICER_ DATE SIGNATURE
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 RRECCE�IVED
NAME o1J72 G� .G's�
LOCATION
DATE 0//Vg-- PERMIT # a)
TYPE OF STRUCTURE , ,6/ / File /
RECHECK APPROVED
,N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONT' .CTOR 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: 1.
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS ,!
JACK POSTS/MAIN BEAM, ''"
HEATING ROUGH-IN
INSULATION: ',
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 %`2.7c.)
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