91-487 r
"t CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date /JLl CIILAll 2 19
This is to certify that work requested to be done as shown by Permit No. 91-487
has been completed.
This structure may be occupied as a Dock
Location Birch Rd - Glen Lake
Owner Arthur E. b Larue T. Brown
By Order Town Board
TOWN OF QUEENSBURY
4CI.I/,//m/
Director of Bldg. & Code Enforcement
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BUILDING PERMIT 0.
TOWN OF QUEENSBURY o
No. 91-487
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Arthur E. & LaRue T. Brown
OWNER of property located at Birch Rd — Glen Lake Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to Dock e+
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. p.
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1. OWNER'S Address is a
Box 1107
Lake George, NY 12845 00
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2. CONTRACTOR or BUILDER'S Name
Craig Brown
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 50 sq ft Addition to dock as per plot plan specifications and
application
8. Proposed Use
Dock
$ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 10, 199_
(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 th Da of Jul y a 19 91
SIGNED BY for the Town of Queensbury
Building and Zoni spect
r' TOWN OF Qii�.. IOWN OF QUEENSEL�Pt
EENSBURY RECEIVED Fee Pa i d 0
V � BUILDING & CODES DEPARTMENT permit # L ! ' x'
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSESJUL 9 1991 Est. Cost 3 Cam'°6
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTAW34E1g3MNETALL 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: Ar u Gr` ad k Roc 7 WrZL&)i _ � .
P.O. A ress6 �� `` M r Phone # ( 2ss5,5410
P perty Location 13;roil -' /4' -E % (3. 4cTax Map # v
Subdivision Name (If applicable) 3, — /-3'w I9
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: &mcx, 131—tut\ Address 'irk fb '`- ;t , t, :;( Phone#7q C)Y
BUILDING SPECIFICATIONS:
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Type of work to be done: Porch Deck Doc, Boathouse (Circle one)
Size of Structure to be built (square footage) : 5 ', eirt►b r)
Foundation Material : Width Thickness
Depth of Footing, below grade:
Size of Posts or Studs: '''''/Z6--
tuds: f/e "f z x Long
Size of Floor Joists: ' L6 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.
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Size of Property: ! 00 ft. x 0, 0 0 ft.
Existing building(s) : Size SO ft. xT4 ft.
Size ft. ft
Use of Existing building(s): l� ct
Proposed structure, distance from property line: •
Front yard ft. Rear yard °gO O 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. _ ,d ,
DATE: - \ - Al d ' C� Ci SIGNATURE /��` �'r/
er, 9er's Agen ,/;�" 1`tect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE ? 10 qJ SIGNATURE � �J
I
.vein yr MUCCIW, -
531
AY
OAD
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QUEENSBURY,BNEWRYORK
TELEPHONE (518) 792-
BUILDING INSPECTOR'S RED
FINAL INSPECTION
REQUEST FOR INSPECTION� RECEIVED J //9
NAME {( r� / 1 + t)r
LOCATION 9 �< a\calLf2ey�
DATE 1/4(//G d PERMIT# 9/-- y 7
TYPE OF STRUCTURE )1L1 —4 11,i .}c k.,
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAUELECTRICAL SEPTIC
INSULATION WOOSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION if
B VENT/LOCATION
PLUMBING VENT
ROOFING j
SIDING
DECK/PORCH/STEPS/RAIINGS '
RELIEF VALVES
FURNACE/HOT WATER OPERATIN4
BASEMENT INSULATIO/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: I •
BATH/KITCHEN TERTIGHT
OTHER FLOORS WEEPABLE \
OTHER FLOORS/CARPETED
STAIR CLEARAN'E/RAILINGS
HANDICAPPED CESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS \
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C _ 1
COMMENTS:
ARRIVE V 4,5
DEPART - .
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