93-263 CERTIFICNUE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date oci-ohpr I A 19 q
This is to certify that work requested to be done as shown by Permit No. 93263
has been completed.
This structure may be used as a Dcir:K
Location l'i TV,GM.ALD DD.,
-
Owner PETROOK II , DOUGLAS ,
By Order of Town Board
TAX D.AI ND 4 t ‘. I 14 TOWN OF QUEENSBURY
Director of Building & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY •
No. 93-263
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to DOUGLAS PETROSKI
OWNER of property located at Fitzgerald Road 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is H1-3
RD#2 Box 356B o
Queensbury NY 12804 CD
2. CONTRACTOR or BUILDER'S Name
Daniel R. Barber
Sherwood Acres Corp.
3. CONTRACTOR or BUILDER'S Address p)
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(I)
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(X)Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
176 sq ft Dock as per plot plan, specifications and
No. application and in compliance with Site plan approval
#9-93 . ¢'
8. Proposed Use
Dock
30 . 00 June 7 94
PERMIT FEE PAID—THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C7
town of Queensbury before the expiration date.) 0
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Dated at the Town of Queensbury this 7th Day of June 19 93
SIGNED BY Ifkiiy d c 4 for the Town of Queensbury
ii)kling and Zoning Inspector
411111 TOWN OF QUEENSBURY Fee Paid 0
wispitaBUILDING & CODES DEPARTMENT Permit #
/ � 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 wori w`h4Divwill be
done in accordance with the description, plans and specifications submitted and s`rh special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANA SHALL BS\SUBMITTED
WITH THIS APPLICATION.
Town O,r @d r�
e`d&Cbury
Owner of Property: Pp ,) G L A T Ss
P.O. Address
aca on 1/.g- V Tax Map # /l ._ / —//
roper y
Subdivision Name (If applicable)
PERSON RESPONSIBLE FORn SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: )71r/v I F L j� Ij/egE.e. Address 0 s- 80,</ / % Phone# %> 4/?i
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock d Boathouse (Circle one)
Size of Structure to be built (square footage) : J ?>
Foundation Material : Width Thickness
Depth of Footing, below grade: , ✓ (k
Size of Posts or Studs: x x Long
Size of Floor Joists: 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: `V i ft. x ft.
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed strticyy , distance from property line:
Front yard /`11 GG'' ? ft. Rear yard 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 suc ork is author' ed by the
owner. --2h
DATE: I r l / p 93 SIGNATURE
Owner, Owner's Agency, Architect, Con ractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE - SIGNATURE r
/3
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TOWN OF QUEENSBURY
(01
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: 1 DEPART: INS
41L /6" FINAL INSPECTION REPORT - RESID T L
DA E INSPECTION11REQUEST RECEIVED: L
NAME pL( FC.� 1 . OO L ,
LOCATION F rrZ E-2AL -o
DATE __IC)MCVT PERMIT # 93145
TYPE OF STRUCTURE 03C
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 r _
r
EXTERIOR,FINISH
t
DECK/PORCfttSTFrP.f' ' _ .
________V___ •
RELIEF VALVES
FURNACE/HOT WATER OPE' 'TIN,
INTERIOR TRIM/PRIVACY 041'S
FINISH FLOORS:
BATH/KITCHEN WATERTI'. T •
OTHER FLOORS SWEEPA:LE
OTHER FLOORS CARPE-ED
STAIR CLEARANCE/RAI INGS ,
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURE%
FOUNDATION INSU ATION jil
GARAGE FIRE PR•OFING
DOOR CLOSERS
FINAL ELECTR AL
SITE PLAN/V IANCE REQ.
FINAL SUAVE PLOT PLAN
OK TO ISSUE C/O OR C/CNoT
1ipr�
TOWN OF QUEENSHURY
4 0%y
BUILDING & CODE ENFORCEMENT
742 DAY ROAD
QUEENSBURY NY I2Ro4
(518)74;-4447
ARRIVE: 7.1d DEPART: Z `S 1NSP:
FINAL INSPECTION REPORT - RES ENTIA
DATE INSPECTION REQUEST RECEIVED: l vjg 1$
NAME \ Q�
LOCATION �;-1" - HJ
DATE (a—/ C)J PERMIT 114T3 jQ
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC _ INSULATION __
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VE T/HEIGHT
PLUMBING VENT
ROOFING i
EXTERIOR FINISH i
DECK/PORCH/STEPS/RAILINGS
i,LLii,; ;',LVES
FURNACE/HOT WATER OPERAT N(
;t
INTERIOR TRIM/PRIVACY OORS}`
— — _
FINISH FLOORS: k
t
BATH/KITCHEN WATE' IGHT
\
OTHER FLOORS SWE 'ABLE \
l
OTHER FLOORS CA• 'ETED _— 1
STAIR CLEARANCE/• ILINGS
SMOKE DETECTORS -_
BATHROOM FANS '
PLUMBING FIXT,RES
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FOUNDATION LNSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
`t5K TO ISSUE C/O OR C/C _
-____
FILE ctiry
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JUN 1993 NI i
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Town of Queensbuty 44
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APPR6tED REVIEW NEEDED
'Ti Application
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„........_ . - TOWN
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--- 7--77- TOWN 0'QUEENSBURY BUILDING DEPARTMENT
Bard on our limited examination, BL .L, A1/4q )if
T Fripliance with our comments shall
--1:3 Zoning Administrator
TOWN OF OUEENSBURY not be construed as indicating the REVIEWED BY T / c, 1-7-_,
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vaseC plans and specifications are in full
compliance with the code. DATE _._, .
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