91-474 •r^ 11111.401••••••••• ••
CERTIFICATE OF COMPLIANCE
TOWN or QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 31 19 95
91474
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be used as a DOCK REPAIR
Location
Owner CLEVELAND, ANNE C.
By Order of Town Board
TAX tIAP NO . 45 3 39 TOWN OF QUEENSBURY
Director ofi Building & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY No. 91_474cin
WARREN COUNTY, NEW YORK w
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PERMISSION is hereby granted to Anne C. Cleveland
OWNER of property located at Hall Rd, Glen Lake
Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Dock Repair
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at the above location in accordance to application together with plot plans and other information hereto filed and M
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. o+
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1. OWNER'S Address is 7
53 Sherman Avenue a
Glens Falls, NY 12801 7
7
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2. CONTRACTOR or BUILDER'S Name c,
Tom Varmette
3. CONTRACTOR or BUILDER'S Address =
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address I—'a7r
6. TYPE of Construction—(Please indicate by X) p
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( )Wood Frame ( ) Masonry ( )Steel ( ) 7c
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7. PLANS and Specifications
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No. Dock Repair as per plot plan specifications and application i
8. Proposed Use
Dock Repair
$ 30.00 PERMIT FEE PAID—THIS PERMIT EXPIRES August 6, ,19 92
(I(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 6th Day of August 1991
SIGNED BY / for the Town of Queensbury
Building and Zoning Inspect
TOWN OF QUEENSBURY Fee Paid 30 , ��
� � BUILDING & CODES DEPARTMENT permit # 91 — 4 7�
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:
P.O. Address ri.. c t Phone # i' ' d
6
Property Location i)-4 f �� C . �� �- Lc Tax Map #
Subdivision Name (If applicable)/
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: . . �� -
Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck ( Dock Boathouse (Circle one)
Size of Structure to be built (square footage) :
Foundation Material : Width '=- Thickness >> ` --
Depth of Footing, below grade:
Size of Posts or Studs: x x Long
Size of Floor Joists: J4. 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.
Size of Property: j 3 ft. x ftWit4 OUEEN::,0 .:
Existing building(s): Size ft. x ft. D r " rTliVi i 1ii
Size ft. x ft.
Use of Existing building(s) :
JUL 11991
Proposed structure, distance from property line:
Front yard ft. Rear yard ft. BUILDING & CODE DEPT.
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: 2 SIGNATURE C {ki 4e
Owner, Owner's Agency, Architect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
o t / n„i"
TOWN OF VIEEUSE3i!RY
.,ill .am BUILDING & CODE ED ORCEMENT
s742 lira ROhD
IIV QUEENSEIURY NY 12E304
(518)745 4441
ARRIVE: 2 ' / DEPART: � v INSPJ�
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INS''PP CTION REQUEST RECEIVED:
NAME `�G(/64,O 4dV,V
LOCATION /kW /4 �C6"d ./.~-
DATE -44/5/A ' PERMIT
TYPE OF STRUCTURE` - larelg /9e{t5¢/A-_
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/RAILINGS _ .
RELIEF VALVES J—� -,
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVA'YDOORS
FINISH FLOORS:
I
_ B11TH/KITCHEN WATERT GHT 1
OTHER FLOORS SWEEPAB '
OTHER FLOORS CARPETED
STAIRCLEARANCE/RAILING
SMOKE DETECTORS r{
UAT'IROOM FANS S S
PLUMBING_FIXTURES \ .
FOUNDATION INSULATION _
GARAGE FIRE PROOFING . _ _
DOOR CLOSERS __
FINAL ELECTRICAL
SITE PLANIVARIANCE REQ. __._
FINAL SURVEY PLOT PLAN _
OK TO ISSUE C10 OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTI74;40ON RECEIVED
NAME /5112 C �`4�
LOCATION � /
DATE ��.�,//q2-- PERMIT
TYPE OF STRUCTURE r
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
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS'
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ao.2-k Z-91- aX/-49,4
ARRIVE
DEPART ir� �
OF INSICTOR
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED /
NAME 2L/ (� J u",�JC�/)e
LOCATION ✓CMS./ Li & C-
DATE /o//7/I/ PERMITS �/-474/
TYPE OF STRUCTURE ika-Oa /L-VELCz
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL-- SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS_ Z 2 6
APPROVAL
N/AI YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTW K
INTERIOR TRIM/PRIVACY QO S
FINISH FLOORS:
BATH/KITCHEN WATERTIGT
OTHER FLOORS SWEEPAB E`
OTHER FLOORS CARPET D
STAIR CLEARANCE/RAIL GS
HANDICAPPED ACCESS F
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXT RES OPERATING
GARAGE FIRE PROD ING_
DOOR CLOSERS
OTHER FIRE SEP ATION
FIRE/DEMISE W4LLS
DUMPS TER
SITE PLAN/VA LANCE REQUIREMENTS _
FINAL ELEC ICAL
OK TO ISSU C/O OR C/C
COMMENTS: r R
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