91-026 CERTIFICATE OF COMPLIANCE
TOW 1.OF QUEENSBURY
.WARREN COUNTY, NEVI YORK
- Date / 7//a/gea ails, 5F/
This is to certify that work requested to be done as shown by Permit No. 914l26
has been completed.
This structure may be occupied as a 2 New Docks
I nration Star .Route- Pilot Knob Rd
Owner Roma .,4R .PaacP Paal w^i ea F�c.r h°r
By.Order Town Board .
TOWN OF QUEENSBURY
)2.1) 3
Director of Bldg. & Code Enforcement
BUILDING PERMIT .�
TOWN " OF QUEENSBURY
No. 91-026
WARREN COUNTY, NEW YORK * a
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PERMISSION is hereby granted to Howard & Rose Marie -Fischer
OWNER of property located at Star Route-Pilot Knob Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 2-New Docks
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
Same
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2. CONTRACTOR or BUILDER'S Name
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Same - o
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3. CONTRACTOR or BUILDER'S Address 03
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel ( ) -1
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7. PLANS and Specifications CD
No. 2-New Docks (2' x 24' Each) as per plot plan specifications and =;
Application
8. Proposed Use •
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2-New Docks Cr
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$ 60.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 5, 19 92
(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 5th Day of 5ebruar 19 91
SIGNED BY ?�' for the Town of Queensbury
Building and Zoni nspector -
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FEE PAID /loV 7'1,
APPLICATION FOR
ESTIMATED VALUE
PORCHES - DECKS
OF COST RU TION�r�.600. 00
DOCKS & BOATHOUSESIMP
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTR ( fi, N. -A SWER"ALL
OF THE FOLLOWING:
uaeNsauFi
The undersigned hereby applies for a Building Permit to do the following work whigrew llrn
be done in accordance.with the description, plans and specifications submitted, and such
special conditions as may be indicated on the permit.
AN 31 1991
The Owner of this property is: Howard and Rose Marie Fischer
P.O. �l-DC. & CODE DEPT.
Address: star Route - Pil of Knob Road, Oueensbury, NY 12804
Property Location: 16.1 Tax .Map 523400 152-1
Street number or building lot number
Subdivision name (if applicable) -
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING
CODES: '
Howard �ler?�or
Address: Same as Above Tel. 656-9981
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (circle one)
Size of 'structure to be built (square footager N/A
Foundation Material Width N/A Thickness
Depth of footing below grade • N/A
Size of posts or studs 4 x - 4 x 12 Long
Size of floor joist 2 x 8 x 24 Span
Decking or flooring material Wood
How will porch or deck be fastened to building? N/A
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW:
Size of posts or studs N/A x x Long
Roof Rafters N/A x Spacing Span
Roof Trusses (Pre-Engineered spacing)
Span N/A
Type of Roof - Sloped - Flat - Shed - Other
Material of Roof N/A •
Type of siding (if any)
********************************************************************************
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. Give street and number
or lot number and indicate whether interior or corner lot. Show location of water supply
and location and configuration of septic disposal area.
COMPLETE INFORMATION REQUIRED BELOW:
Size of property N/A ft. x ft.
Existing building(s) Size N/A ft. x ft.
Existing building(s) use N/A
Proposed building, distance from property line.
Front yard N/A ft. Rear yard ft.
Side yards N/A. ft. and ft.
If on corner setback from side street N/A 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.
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SIGNATURE /,,)dii_i2d-lz-t.-6 �e
hi Owner, Owner's Agent, rcect, Contractor
/ /
roto TOWN OF QUEENSBURY f l
Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
Building & Codes Department
INSPECTOR'S REPORT
19 �� •
A1 4A4
PROPERTY LOCATI�ONJ
C OWNER OR TENANT
BUILDING SEWAGE SIGN OTHER Of' ,& -,Zee
REMARKS:
Zeix,e-i 69,-Cet (e-Yr,ze at-e,
CONTACT THIS OFFICE WITHIN
SPECTOR
"HOME OF NATURAL BEAUTY...A GOOD PLACE TO LIVE"
SETTLED 1763
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UEENSBURY BUILDING DEPARTMENT
r �.. :4. TOWN
�t —I i="� Base on our limited examination.
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• IAHance with our comments shall
not e construed as indicatinQ�E
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f' °tntl '=
'•� ?> s "ecifications ate •� �
• t,. plans Hance with th'e e`ad`®�ter` {.
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---_ ,1 AN 31 1991
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• I �t CMG. CODS DEPT.
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