92-276 ' •
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 1219
922 •
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
Location BIRCH RD. ,OFF
Owner LEONELLI, RICHARD
By Order of Town Board
TAX MAP NO. 39 . -1-27 TOWN OF QU ENSBURY
(3ate,
Director of Building & Code Enforcement
-1
a
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 92-276
WARREN COUNTY, NEW YORK tO
PERMISSION is hereby granted to Richard Leonel l i
OWNER of property located at Birch Drive, Glen Lake Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Dock
at the above location in accordance to application together with plot plans and other information hereto filed and
0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. o
CD
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1. OWNER'S Address is —e•
V
Same
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2. CONTRACTOR or BUILDER'S Name a
J.H. Rothermel
West Mtn Rd
Queensbury, NY 12804
3. CONTRACTOR or BUILDER'S Address
A
4. ARCHITECT'S Name
5. ARCHITECT'S Address
0
C,
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
No. 340 sq ft Dock as per plot plan specifications and application
8. Proposed Use
Dock
$ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 28, 19 93
(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 28th Day of May 19 92
SIGNED BY � �� for the Town of Queensbury
Building and Zorn Inspe or
• ;
1 ra1 TOWN OF QifEENSBURY t OWN OF QUEENSBUh Fe aid 136
W
BUILDING & CODES DEPARTMENT RECEIVED
APPLICATION FOR: PORCHES-DECKS- Permit # �oc 1/)
DOCKS & BOAlMODM6 1992 Est. Cost WM9
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONMOCTWODCRIERBETANSWER 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: i) OAD L 0 E U - 1
P.O. Address ���� �� v 61..L7) LAkE7 Phone #
Property Location Tax Map # 36)-
Subdivision Name (If applicable) H PS
PERSON RESPO SIBLE FOR SUPERVISION OF WORKS\ REGARDS TO BUILDING CODES: e�
Name:
.� . j-� , A7�� �=(Zl� Address Cu. rn-1- (�� e;zi?)1 Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage): 126 2 o IQ2 = 344D 4
Foundation Material : Width -- k'-41ll� Thickness I � "
Depth of Footing, below grade: JJ
Size of Posts or Studs: 4 x ¢ x Long
Size of Floor Joists: 2 x x Span
Decking or Flooring Material : 2x 6 How will Porch or Deck be fastened to building? k\o
If Roof Will Be Inst d, Answer Followin ions:
Size of Posts Studs: x
Roof Ra rs: x Spacing Span
Roo Trusses (pre-e ' eered spacing)• Span
Type of Roof* Sloped F1 Shed Other (Circle one)
Mate ' 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: 1 co ft. x 200 ft.
Existing building(s): Size 26 ft. x //c2 ft. dJ c.&.)
Size ft. x ft.-
Use of Existing building(s): c?
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards g t./ ft. and ft.
If on corner, setback from s de 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 %�^
Thwner Owner's Agency, Architect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE \_ SIGNATURE
_792-gy56 �r v5
7, 93 y8
TOWN OF QUEENSBURY
1�iBIVO BUILDING & CODE ENFORCEMENT
BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: i, f. {V DEPART~a ,,rV' INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION
f
REQUEST RECE VED:
�If/
NAME 1 e-C c-1 _ A ti/6-7
---� r
LOCATION f j atAr ' Y3 •
DATE
4 7 PERMIT / 9 -- Z 7(D
TYPE OF CTU
FOOTINGS FOUND ION BACKFIL FRAMING
ROUGH PLUMBING SEPTIC INSUL TION
FINAL ELECTRICAL WOODSTOVE OR F REPLACE
1 /A YES NO
CHIMNEY HEIGHT/B1VENT/HEIGHT
PLUMBING VENT
1r
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RA LINGS
RELIEF VALVES
FURNACE/HOT WATER OPE' 'TING
INTERIOR TRIM/PRIVACY BOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHt
OTHER FLOORS SWEEPABL'
OTHER FLOORS CARPET 0
STAIR CLEARANCE/RAIL' GS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURE.
FOUNDATION INS. ATION
GARAGE FIRE P:OOFING
DOOR CLOSERS
FINAL ELEC a ICAL
SITE PLAN "+ARIANCE REQ.
FINAL SURVEY PLOT P N
OK TO ISSUE C/O 0 C/C