99-512 . ,, ► . TOWN OF QUEENSBURY
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mtedimr 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE
OF COMPLIANCE
Permit Number: . 99512 Date Issued: Friday, February 23, 2001
This is to certify that work requested to be done as shown by Permit Number 99512
has been completed.
Tax Map Number: 523400-015-000-0001-003-000-0000
Location: 55 ROCKHURST Rd.
Owner: ANTHONY & JACQUELINE KOENIG
Applicant:. - KOENIG, ANTHONY &
This structure may be occupied as a:
EXTENSION OF .DOCK By Order of Town Board
TOWN OF QUEENSBURY
Director of Building&Code Enforcement
i
. BUILDING PERMIT .
•:VALUE_-: ,_$ 600_,+ :TOWN OF:,,,PVEENSOURY
TAX MAP NO. 15 . -1-3 . WARREN COUNTY;.NEW YORK r ,
PERMISSION is hereby granted •'• KOENIG;, .ANTHONY. & •
OWNER of property located at • 55 ROCKHURST RD. Street,Road or Ave.
} ~ , .i . Tr.V -EXTENSION- TO DOCK.
in the Town of Queensbury,To Constructor plaoe=a�'' =� ` — 32S : --F
Q
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 Oueensbury Building and Zoning Ordinance.
t.'o a E' P.O. • BOX. 28.4;: -
• ,CLEVERDALE ..:NY..•;.-1.28,20_;•.
2. CONTRACTOR or BUILDER'S Nime .
ROULIER, JOE -
g; CtitTgAceilr,,pr BUILDER'S Address
;.;CLEVERDAZEi:,,NW;1 ,__,
•4. ARCHITECT'S Name , . •
5. ARCHITECT'S Address - ,
6.TYPE of.Construction—(Please indicate by X). DOCKS.w L'. =
( )Wood Frame ( )Masonry. ( )Steel 1 ) V
7. PLANS and Specifications , • . V •
...3.2_. SQ,::, FT:., EXTENTION.TO. DOCK;--.AS; PER -PLOT: PLAN:AND:, SPECIFICATIONS
8: Proposed Use •
32. SQ. FT. EXTENSION •TO.,:DOCKr. - •
..'-';':,.. , 30;. -,: - August,---16. - 2001.L2,.
$. PERMIT FEE PAID THIS PERMIT EXPIRES`, - 19
(If a longer period is requited an application for an extension"must be made to the Building and Zoning inspector of the •
town of Queensbury before the expiration date.) •
.. .,._`.,:;16 -Augusta: , ;_ _19 9 9
Dated at the Town of Queensbury this-- Day of 19 •
SIGNED BY • for the Town of Queensbury
''Building and Z ning Inspector,
. e
•
TOWN Or QUEENSBURY F: ';' '
d
BUILDING & CODES D[:I'AR'iML`NT RECFIVFeP 11
. APPLICATION FOR: PORCHES-DECKS- = 51
- ' 'DOCKS & (l0ATr4�lS. 1 Est. Cost
A PERMIT MUST• BE OBTAINED BEFORE BEGINNING CONSI '110:. UI ',II i SWL'R ALL OF THE FOLLOWING:
The undersigned hereby applies for a- Building Permit to do-tiM: Ilowing work- which will he
done in accordance with the description, jplans and specifications subuilILed,, and such special
conditions as may be indicated on .the peimiI:. *Iwo SITS .OF STRuc:1UUAi. PLANS SHALL HE Sllni1l•I•ii:U
WITH THIS APPLICATION. ----•-•--..----...
Owner of Property: %%Co-
P.O. Address o. a `' - -
� /� ,� ��y ���.,��; //� Phone 1�,�%d'-�:se 9d'oy
Property 'Location : .���.:;-- 4A Tax MO Ii /-. /
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS .TO BUILDING CODES:
Address o o/ Lhunell s'.3,'
BUILDING SPECIFICATIONS.: 32.1,
Type of work to bb done: Porch ' Deck ® .Boathouse (Circle one),.
Size of Structdre to be built (square footage): Y Xd'_ - efxi ,e_ ,..i crsir-3e,ce/
Foundation Material : Width Thickness
Depth of Footing, below grade:
Size of Posts or Studs: x x Long
Size of Floor Joists: x /o„ x V• Span
. Decking or Flooring Material
How will Porch or .Deck be fastened to building?
,,.ci
.
If Roof Will Be Installed, 1 lled Answer Following Questions:
un
Size oflosts 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 INFOi1MATION:
TWO PLOT PLANS MUST BE PREPARED> AND SUOMiTTED, drown reasonably to scale and attached
heroto, sliowTrcycienrly aiiilil'I•s.fiiccL"ly ril''I`liiillil'ln7js. whether existing or proposed and
indicate all setback dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
of Property:Size - 0r
,.. � • . ft. x ft.
Exist'ing building(s): Size ft. x ft. •
Size ft. x. ft.
Use of Existing building(s):
Proposed' structure, .di stance from properly line
Front yard ft. Rear yard ft.
Side yards ft. and ft.
If on corner, setback from side street: aft,
• • ` 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 oilier, la.ws .pertaining] to the proposed work
shall be complied with, whether specified or not, and that such work is .authorized by the
owner.
DATE: 1'/ . •" .SIGNATURE
• •
`owner, Owner s Agency, r li tect, Contra'ctor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE S'IGNAT(iRE
TOWN OF QUEENSBURY
wletk BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: \FL"'
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTTION REQUEST RECEIVED:
NAME 64;s� . Q
LOCATION /1.00.6t1I2 r /moo -
DATE _ '��Z j I1.6 ( PERMIT # ! ( V V /7/
TYPE OF STRUCTURE i?o e,I`
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
• • N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT / \
, ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAIL .NGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY IOORS/
FINISH FLOORS: `,
✓f
BATH/KITCHEN WATERTIGHT •
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILING
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
, DOOR CLOSERS • I _
1
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO. _
FINAL SURVEY PLOT PL
OK TO ISSUE C/O OR /C .
5 -
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road /
' /°
Queensbury,NY 12804 Arrive am/pm Depavk O` n
7c,
Inspector's Initials Li
NAME: PERMIT# 7
LOCATION: C3& .)\_ DATE :
TYPE OF STRU
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is res .nsib c for
providing protection i om fr--zing
for 48 hours followi g the placement
of the concrete. JI
Materials for this p .•se on si e
Foundation/Wailpour
Reinforcement in Pia
Foundation/Dampprom
Backfill Approval
Plumbing Un ab
Plumbing Vent/Vents;n Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls I tenor R-
Foundation Walls z,tenor R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R •
-
r Vent,Attic Vent
raining
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
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• • ta�ly OF auEENvBu�, r:,:�..�:1�,`,DEPARTMENT
• Eased on our-limited examination, . ei /fe .
• compliance with our comments shall • • •}f L s r
" not be construed as indicating the •. d �'`� `' ��/
,. �� plans and specifications are in full -
Compliance with the code. •
ilia ''":*r... 41 • : : .''..; :. . ........
•
COPY �� \ ri,-k�t .
F ILE .�
• REUtE1NED i3Y
DATE ®. PAGE 4 pF 4
LGPC PERMIT #
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I I hereby certify that this map was prepared from ar
actual field survey. This certification shall run onll
Q to the persona for whom the survey was prepared, and of
I �,4 j Ile his behalf to the Title Company, Governmental Agency ant
V./
,./4 Lending Institution listed hereon. Certifications art
not' transferable to additional institutions o:
N • i S•79• . . Pu; subsequent owners.
Sm.t Ott,•E `'`"••• Ntpc J �L / Anthony J. & Jacqueline A. goenig
• L�T 69_7Z, � ` 4 i Certified To:
I Old Republic Natio nal Title Insruance C
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cy ------__ fr- 0 ,>,_
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C CC.�+ Certified By: 1" ^T 1 t a"'
(J C.o 9A ei _ �4 I Leon v...Staves .LLS NYS 35617
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`u� lg / N Dated: June 27.,`rr.s--!,
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AZ 9• �f FE'+cr<. 3•7 �� '�'�' 7 -Z. ��_ NEW YORK STATE EDUCATION LAW."
'V'77 O�j 3.a• t- .``. "ONLY COPIES FROM THE ORIGINAL OF THI
d V r SURVEY NARKED WITH AN ORIGINAL OF Ti
Shy • .ri / .+ LAND SURVEYORS SEAL SHALL I
IIAR1995CONSIDERED TO BE VALID TRUE COPIES.
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