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97-241 CERTIFICATE OF COMPLIANC E TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date September 30 ig 99 This is to certify that work requested to be done as shown by Permit No. 97241 has been completed. . This structure may be used as a DOCK oc. - 10 BENMOST BUR LANE --_ Owner A TAX MAP NO. 3 9 . -1-40 RAC-order stf_Iown Board (-772 J$UNSBURY Director of Building & Code Enforcement BUILDING PERMIT VALUE $ 2000TOWN OF QUEENSBURY No. 97241 TAX MAP NO. 39 . -1-40 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to CLARK. ROBERT & ANNA OWNER of property located at 71 BIRCH ROAD Street,Road or Ave. in the Town of Queensbury,To Construct or place a nnry 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. t. OWNER'S Address is 7 NEVER REST LANE LAKE GEORGE, NY 12845 2. CONTRACTOR or BUILDER'S Name CLARK, ROBERT 3. CONTRACTOR or BUILDERS Address 4. ARCHITECT'S Name 5. ARCHITECTS Address 6. TYPE of Construction—(Please indicate by X) DOCKS ( )Wood Frame ( )Masonry ( I Steel ( I 7. PLANS and Specifications 3740.SQ FT DOCK AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use DOCK 30 PERMIT FEE PAID —THIS PERMIT EXPIRES May 27 19 99 (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 27Day of May 19 97 SIGNED BY for the Town of Queensbury Building and Zoning Inspe • TOWN OF QUEENSBURY Fee Paid Q , ® G 3 BUILDING & CODES UEI'ARIMENT Permit it (177--c2 L)/ ,a. APPLICATION FOR: PORCHES-DECKS- DOCKS & BOATHOUSES Est. Cos IHZ 000. oo 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. IWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED WITIP THIS APPLICATION. Owner of Property: r\,,r.)6e.--;,�L 1- -yl-nc.., Cerra y K//;;�� P.O. Address 71 dir- c ki Rd • ,//ice 19c02 7 /J_ ), Phone II 793 -.� ,2'' Property Location `len 4/9- /-(e_ Tax Map if Subdivision Name (If applicable) PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: nkz-c Address7/ 1 Name: � �' �� y� A-�iYC�j (�d . Phone N7y���r,i • BUILDING SPECIFICATIONS: Type of work to be done: Porch Deck Dock . Boathouse (Circle one) • Size of Structure to be built (square/ footage) : ,..37 � Foundation Material : Width --���/f-�-'- Thickness 12'�d�'�. Some,, 1,.. Depth of Footing, below grade: 3` / ' `3/4-""` '� Size of Posts or Studs: y x c� - 7x ?" Long -- Size of Floor Joists: Z x y x g Span Decking or Flooring Material : 5/y Yb`' W how will Porch or Deck be fastened to building? — /"✓ A ," Tree S Di")" c'^ 3 cc',c,t,tA: ro. 1,ti , a--,a A- (2ock Citb 10,.0 DA) JL Le•k e tSG tz k If Roof Will Be Installed, Answer Following Questions: Size of Posts or Studs : x x Long i EC°E \. Roof Rafters: x Spacing Span i MAY �, 1997 Roof Trusses (pr -engineered spacing) : - _ Span '` Type of Roof: Slope)�,/� Flat Shed Other (Circle one) r® '� ' " t����,.-�i14Y �l /i s- uILDI(VG AND CODE Material of Roof: ZONING INFORMATION: TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached hereto, showing clearly and st1nct.iy all-HUTIdings, 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 Properly: /026, 70 ft. x l9 , Cu' ft. Existing building(s) : Size .942 ft. x 50' ft. Size ft. x ft. Use of Existing building(s) : _ am __^ Proposed slruaure, distance from property1Tiie: Front yard - ft. Rear yard ft. Side yards 30 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: / / 'y y 2 SIGNATURE 7tA-11--'71'-'1,' Owner, Owner's Agency, Architect, contractor REVIEWED BY CODE ENFORCEMENT OFFICER, DATE _Q7SIGNATURE TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 0 ARRIVE: 1 r ,) DEPART: AND INS FINAL INSPECTION REPORT - RESIDE AL DATE IN ECTION REQUEST RECEIVED: NAME LOCATION \ _\ '1 DATE -, 6 - ERMIT N � 7 -� / TYPE OF STRUCTURE CC •j \ FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT B VENT HE GHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STETS/RA GS RELIEF VALVES FURNACE/HOT WATER 0 ERATING INTERIOR TRIM/PRIVA Y DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C f __ /i; A--- ..--,-e L... ,,,,,/ >/ c,7" /,69-,lc ae„27 , 7V.!✓ TOWN OF QUEENSBUmR eB out lid BUILDING DEPARTMENT icomp Based a with our comments shall ! not be construed as indicating the plans and specifications are in full icompliance with the code. CVL::.2;---Lr.t 0991 '-)a"‘ \ 1-IBu SG 1 FiLE ._. - . , - - 11 , .. , . , , .,, , , A ''''Sr 1 i'''r".;S 9.* -, (' i "�. i .Dee�:, < 30" r Al 1,., _ /'1=36 ©veirldA view Jec.L OocLi //y I _ c+' Deck. 2yI XIOI Dock. 16' X g F+ Aar IZ` Sono 1)40 I L� r 1+1 Rock. Cn L onA.04 i)ts$ Pars C xi. f osIR or-it, 'r• Cr.'6 cc N Qosrs x 34 SeGtol4 • !'fa t rt1 e4C 7/ p�/ 7 v�A } !- %fret) ive01 ',tug) Jo w91 - �eix.�RX2alit 4RX „2 l $ $ +a +21 / p `� u oil N • {de s no 11 e r. x x N y clj i x I K h/ SN► 7a? 1 7 1.�i , r n 9I WIT �4X IX - C c 5/54 e/ )� ' 6'i# 9 any •� . 7? / ' r — • yy. /r�/ q, • \ r •F y - eh 1 I i., w.b�, Loci,( /lvLY , ,ftr�rt *k 2s-:R i � !' 'y`;t YNS. 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