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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK -�
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Date December 27, 19 91
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This is to certify that work request Ed to be done as shown by Permit No. 91 862
has been completed.
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This structu. occupied as a Portabl Stage
111. �
Location Rt
Owner Lake George Zoological Park/David Osborn
By Order Town Board
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01-
TOWN OF QUEENSBURY
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Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-862
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Lake George Zoological Park C�
OWNER of property located at Route 9 Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Portable Stage
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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. a
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1. OWNER'S Address is O
David R. Osborn
RR5 Box 20
Queensbury, NY 12804
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2. CONTRACTOR or BUILDER'S Name —�
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Otto Eppler
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address N
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6. TYPE of Construction—(Please indicate by X)
( X Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. Portable Stage as per plot plan specifications
and application
8. Proposed Use
Portable Stage
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 26, 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 27th Day of December 19 91
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
Rs- - O JE J,v5 6' .WN
TOWN OF QUEENSBURY Fee Paid /`"
II izza BUILDING & CODES DEPARTMENT Permit #
Neminr APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE 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: ])o. ) I(d IK . 0S-VaNn
P.O. Address k�?=j ay, p�PD (NRX:(JrV NA1 1 z d4 Phone # 5t - 193-3. 9
Property Location 4 . 9 Q 09:'-rabl1VU Tax Map #
Subdivision Name (If applicable) I
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: c r)r)tj) Y. Address tX)r t' 4T) Nl J , Phone#
BUILDING SPECIFICATIONS:
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Type of work to be done: Porch e
Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : QUEENS
Foundation Material : Width Thickness Fi.ECEIVrD
Depth of Footing, below grade: /42-7 614d-j, ' 1991
Size of Posts or Studs: GP x , 9x Long j -
Size of Floor Joists: . . x 4P x -i ' C'Span
5' CODE DEPT.
Decking or Flooring Material : j% ;X
How will Porch or Deck be fastened to building? ! ,i 2- $" 7.AAlkrl.---
Roof Will Be Installed, Answer Following Questions:
Size of-Po- ts or Studs: x x Long
Roof Rafters: x pa ' Span
Roof Trusses (pre-engineeret - acing) : Span
Type of Roof:. Sloped Flat S e 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: ��` �t. 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
Owner, Owner's Agency, Architect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 1 ,to; j oc r c
LOCATION (4 .
DATE /-z/z / PERMIT # (;)
TYPE OF STRUCTURE (�MPotA-67. g9
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 t
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
)(FRAMING: }�
JACK STUDS/HEADERS!
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN B .'M
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUG 'IN
INSULATION:
FOUNDATION WALLS IN ERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: This structure was built without a
permit. In that it was intended to be
temporary,owner thought it was not needed
Framing appears to be per plans submitted and
is adequate fo& the purpose intended.
NO p i r i2- /ill SP6e-Trdittg l ui
0i12_,LA-Li�
ARRIVE :5
DEPART
IN CT
TOWN OF QUEENSBURY
Bay at Haviland Road, Queensbury,NY 12804-9725-518-792-5832
Building & Codes Department
INSPECTOR'S REPORT
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PROPERTY LOCATION
J,1)-Kbetine&s-70C)LOGICA-f—Pri-124C,
OWNER OR TENANT
BUILDING SEWAGE SIGN OTHER
REMARKS:
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P-762-frt t C-E- .37/
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CONTACT THIS OFFICE WITHIN
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"HOME OF NATURAL BEAUTY...A GOOD PLACE TO LIVE"
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