1993-050 i" ,
' CERTIFICATECOMPLIANCE
TOWN, OF QUEENSINRY
• WARREN COUNTY, NEW YORK
Date L 19 9_3
v
This is to certify that work requested to be done as shown by Permit No. 93-050
. has been completed.
This structure may be used as a dock
Location Lakeshore Drive, Assembly Point
Owner Thomas C. Sherman
9-1-9 • ' By Order of Town Board
TOWN OF QUEENSBURY
• Director of Building & Code Enforcement
—I
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93-050
WARREN COUNTY, NEW YORK ;P
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PERMISSION is hereby granted to THOMAS C_ SHFRMAN
OWNER of property located at I akeshnre Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Reconstruct 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.
Po
1. OWNER'S Address is
2130 San Diego Dr
Corona CA 91720 —,
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2. CONTRACTOR or BUILDER'S Name a
Charles F. Adamson
3. CONTRACTOR or BUILDER'S Address
RR1 Box 1286
Lake Geroge NY 12845
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) —+•
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( Wood Frame ( ) Masonry ( ) Steel ( )
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7. PLANS and Specifications
•
No. Reconstruct 8'x30' Dock as per plot plan, specifications and
application.
8. Proposed Use '
Dock
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$ 30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES March 17 19 94
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the to
town of Queensbury before the expiration date.) c-i'
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Dated at the Town of Queensbury this D of . March 19 93 `+
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SIGNED BY for the Town of Queensbury
But ing and Zo i nspector
•
5i0 7b LitliPrO
tterREK,AvIN �c * Fee Paid '0()TOWN OF QUEENSBURY
BUILDING & CODES DEPARTMENT perms t # 4J - 5 D
APPLICATION FOR: PORCHES-DEW-OF QUEENSBL,..
DOCKS & BOATHQVIE IVED Est. Cost 450 6
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCT V.1.2P E ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building P-c,r6t itelbEt �l l owi ng work which will be
done in accordance with the description, plans and specs ica ions 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: Thomas C . Sherman
P.O. Address 2130 San Diego Dr. , Corona, CA 91720 Phone # 909-279-8545
Property Loc«tior� Lakeshore _Dr._, _Assembl"y Point, Lake Georgerax Map_#__9- -9 _ _ _
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Charles F. Adamson Address R.R. 1, Box 1286 Phone#656-9870
Lake ueorge, N.Y. 12845
For Reconstruction pre—existing BUILDING SPECIFICATIONS:
pier dock Type of work to be done: Porch Deck Doc Boathouse (Circle one)
Size of Structure to be built (square footage) : 8' x 30' 240 sq. ft.
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 :
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.
lakeshore
Size of Property: i?9 ft.' x 152 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 si e 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: 3/ 5 14 SIGNATURE
0 ne , g er 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) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED (4;4%&"
NAME IN,M.69//)14 Oat/J/1744-C
LOCATION / e /f 1-4P 421
DATE 1� 0J PERMIT
TYPE OF STRUCTURE )r) e'�ne lr_o/V /60)90.4
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 J /'
FOUNDATION/DAMPROOFING ( /1.
BACKFILL APPROVAL ;"'
ROUGH PLUMBING 1 f'
PLUMBING VENT/VENTS IN Pi.ACE/f
PLUMBING UNDER SLAB t
FRAMING:
JACK STUDS/HEADERS A
BRACING/BRIDGING f
JOIST HANGERS '' `1
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS/INTERIOR RA
FOUNDATION WALLS, EXTERIOR R- \
FLOORS t R- \
WALLS I R- \
CEILING R- \
DUCT WORK OR PIPING IN UNHEATED ,`
SPACES
REMARKS:
ARRIVE AI/1/e'
DEPART X6
INS E TOR
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-,, rIG. & CODE DEPT.
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- - APPR*V E D BUILDING __ I CO -. - DEPT,
Application .....,
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/ ,Ii N OF QUEENSIBL.,
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L.i , Vol ki-4 MAR 12 1993
"--'° 0G. & CODE DEPT.
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A p p R Apv E D
Application .
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TOWN OF QUEENSBURY