94-541 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
October 22 96
This is to certify that work requested to be done as shown by Permit No. 945e11_
has been completed.
This structure may be used as a DOCK
Location BEAN RD.
Owner STONE. LAWRENCE & LOTS
By Order of Town Board
TAX MA[ NO. 152 . -i-1 TOWN OF QUEENSBURY
Director of Building & Code Enforcement
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BUILDING PERMIT . 0
ly .
TOWN OF QUEENSBURY
No. 94-541 E
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Lawrence & LoisStone1-4 Qn
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OWNER of property located at Bean Rd Kattskill Bay, NY Street, Road or Ave. C'
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in the Town of Queensbury,To Construct or place a DOCk U)
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.
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1. OWNER'S Address is
Same
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2. CONTRACTOR or BUILDER'S Name
John M. Creede
656-3019
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
No. Dock as per plot plan specifications
8. Proposed Use
Dock
30 . 00 PERMIT FEE PAID -THIS PERMIT EXPIRES December 29 , 19 95
(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 29t Day / December 19 94
SIGNED BY for the Town of Queensbury
Building and oni nspector
� TOWN OF QUEENSBURY Fee Paid _
F . BUILDING & CODES DEPARTMENT /)1
� APPLICATION FOR: PORCHES-DECKS- Permit # li �
:.y DOCKS & BOATHOUSES Est. Cost - c/ •
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 workj!fich will be
done in accordance with the description, plans and specifications submitted,',,0such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SIA1L BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: Lam re,fee. 114 ./J ,,s L.c.'s V. $i ,t 'e AO( ,BOX 3/
P.O. Address 86,c(,�/ Road 1�ftr5/�i// Aiy I Ny lagly hone # Y-2V2
Property Location 5'p V; d`A"` / 44410 Tax Map # /S - / -
Subdivision Name (If applicable) y
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: 0-0 AA, M. rtrezWe Address %'d-fe .,1c �-, Phone 3�1f�
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck (Doc Boathouse (Circle one)
Size of Structure to be built (square footage) : 536 .Sg.7�}.
Foundation Material : Width Thickness
Depth of Footing, below grade: ?
Size of Posts or Studs: x x Long /6Uc if 1.��iec(
Size of Floor Joists: x x Span T
Decking or Flooring Material : o2x 8 6, 6� ✓�ILi �S
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 . 1 other laws pertaining to the proposed work
shall be complied with, whether •ecif'ed o gt, and that such work is authorized by the
owner. Sv
DATE: (lo V I
er, Owners Agency, Architect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
44,
SEP 1994
(� , Received
' �� _ Town of
/ - Queensbury
Bldg. Dept.
s ,
TOWN OF QUEENSBURY BUILDING DEPARTMEN vdN 1I9
N
Based on our limited examination, `'Epp,
compliance with our comments shall t 1 tt5,IL
not be construed as indicating the
plans and specifications are in full
compliance with the code.
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