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91-299 CERTIFICATE OF CO1 IPLIANCE TOWN OF QUEENSBURY ` WARREN COUNTY, NEW YORK Date 0019 I This is to certify that work requested to be done as shown by Permit No. 91-299 has been completed. This structure may be occupied as a Repair Dock Location Glen Lake between Ash & Birch Rd Robert & Anne Clark Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT C TOWN OF QUEENSBURY No. 91-299 WARREN COUNTY, NEW YORK c•: If I PERMISSION is hereby granted to Robert & Anne Clark OWNER of property located at Glen Lake between Ash A Birch Road Street, Road or Ave. O in the Town of Queensbury,To Construct or place a Repair nock 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. pa 1. OWNER'S Address is RR#1 Box 1812 Lake George, NY 12845 2. CONTRACTOR or BUILDER'S Name Same 'O ID) 3. CONTRACTOR or BUILDER'S Address '1 v O C1 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( 1 Wood Frame ( 1 Masonry ( )Steel ( 1 7. PLANS and Specifications No. Repair Dock as per plot plan specifications and application 8. Proposed Use Repair Dock $ 30.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Nay 17, 19 92 (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 Day of May - 19 91 SIGNED BY < ,' ' !' i for the Town of Queensbury Building and Zoning Inspe TOWN OF QUEENSBLIRY RECEIVED o acts gel TOWN OF QiJEENSBURY MAY 141991 Fee Paid BUILDING & CODES DEPARTMENT permit # �� ( I APPLICATION FOR: PORCHES-DECKS- DOCKS & BOABELU iE& CODE DEPT. 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: Robert E. & Anne M. Clark P.O. Address BR #1 Box 1812 Lake George, NY 12845 Phone # 793-3927 Property Location Glen Lake between Ash & Birch Road Tax Map # ?' 'c 3l%' Subdivision Name (If applicable) PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: Name: Robert E. Clark Address RR #1 Box 1812 Phone# 792-1560 Lake George BUILDING SPECIFICATIONS: Type of work to be done: Porch Deck (Dock) Boathouse (Circle one) Size of Structure to be built (square footage) : 120 ' /1 28 ' Foundation Material : Width Thickness Cribbing Depth of Footing, below grade: Size of Posts or Studs: x x Long Size of Floor Joists: x x Span Decking or Flooring Material : 1 " x 4" Treated Lumber 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 N/A 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: 120 ft. x g (3© ft. Existing building(s) : Size 30 ft. x 50 ft. Size ft. x ft. Use of Existing building(s) : Living Quarters Proposed structure, distance from property line: Front yard ft. Rear yard N/A ft. Side yards 40 ft. and 30 ft. If on corner, setback from side street: N/A 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. % i/ DATE: J3 /7a� y SIGNATURE �E'�'�% � l/�'�'` l • / wn r, • , Contractor APPROVED BY CODE ENFORCEMENT OFFICER, DATE /7 h/ SIGNATURE TOWN OF QUEENSBURY 531 BAY ROAD iktrap QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTIOON RECEIVED NAME .f(11- 4` e( LOCATION �cf' /�c, dui ysc2°l: s t�frc DATE /Ø/. PERMIT# /- 277" TYPE OF STRUCTURE ce c RECHECK //; FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL _FRAMING - ROUGH PLUMBING FINAL ELECTRICAL SEPTIC - INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/AI YES' NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT } ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATINb BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: ` BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS ' BATHROOM FANS/WHOL OUSE FANS ALL PLUMBING FIXTU ES OPERATING I GARAGE FIRE PROOF G - DOOR CLOSERS OTHER FIRE SEPAR TION FIRE/DEMISE WALKS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: OtAk 4apre%4C c7o c, ARRIVE 3• 30 DEPART . 5S NSP UN .\,i/ r V if J Nv !OWN OF QUEENS-BURY RECEIVED }`..1 m MAY141991 BLDG. & CODE DEPT.. 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