95-493 BUILDING PERMIT
VALUE $ 8000 TOWN OF QUEENSBURY 95493
TAX MAP NO. 41. -1-18, 19 & 20 No.
WARREN COUNTY, NEW YORK
MAYNARD. DONALD & KATHRYN
PERMISSION is hereby granted to
FITZGERALD RD.
OWNER of property located at Street, Road or Ave.
DOCK REPLACEMENT
in the Town of Queensbury,To Construct or place a
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
25 ORCHARD DRIVE
QUEENSBURY. NY 12804
2. CONTRACTOR or BUILDER'S Name
MAYNARD, DON
3. CONTRACTOR or BUILDER'S Address
25 ORCHARD DRIVE
QUEENSBURY. NY 12804
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
DOCKS
( )Wood Frame ( )Masonry ( 1 Steel ( )
7. PLANS and Specifications
700 SQ M. REPLACEMENT OF DOCK AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
DOCK REPLACEMENT
30 Septeaber 7 97
$ 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
town of Queensbury before the expiration date.)
8 Septeaber 95
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
ns Buil ing and Zoning I Qector
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TOWN OF QUEENSBURY Fee Paid _ 3a
BUILDING & CODES DEPARTMENT Permit #
APPLICATION FOR: PORCHES-DECKS-
DOCKS
& BOATHOUSES Est. Cost / 10(7)C c*c,
PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
he undersigned hereby applies for a Building Permit to do the following work which will be
one in accordance with the description , plans and specifications submitted, and such special
onditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
'ITN THIS APPLICATION.
wner of Property: Doh X- Mewl) 9/2f )
.0. Address 2 Oec/2,i,,U //),ee 6 tiee72S.rjc,e7, / /, Phone # 7 ?".573-2,2
roperty Location f- / c
f2G , -/� / /2 Tax Map # /-/-/Y/ /%
ubdivision Name ( If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
ame: Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck UockT Boathouse (Circle one)
Size of Structure to be built (square footage) :
Foundation Material : Width 42 Thickness RECEIVED
Depth opting, below grade: _ �� AUG 24 1995
cpsis
, Size of-Posts or &Atrrfs: C'c) x e x Long
TOWN OF QUEENSBURY
Size of Floor Joists: x x /�
?� Span B. �D►NGAND D
Decking or Flooring Material : 23(ce , i,,.
How will Porch or Deck be fastened to building? ��---
If Roof .14411 -
Be�� �,siaried, !in wer Following Questions:
Size of Posts or Studs: x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-engineered spacin ) : Span
Type of Roof: Sloped Flat Sh Other (Circle one)
Material of Roof:
ZONING INFORM TION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
reto, showing clearly and distinctly all buildings, whether existing or proposed and
dicate all set back dimensions from property lines. Show location of water supply and
cation and configuration of septic disposal area.
Size of Property: fit ft. x /9/ ft.
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard ft. Rear yard I)4r_ ft.
Side yards ft. and 74- ft.
If on corner, setback from side street: f/e- ft.
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
Tether with the plans and specifications submitted, are a true and complete statement
all proposed work to be done on the described premises and that all provisions of the
riding Code, the Zoning Ordinance, and all other laws pertaining to the proposed work
�11 be complied with, whether specified or not, and that such work is authorized by the
ler.
,421
E: � J l%Sa SIGNATURE
i�G�
Owner, Owner' s A Architect,
g icy, Contractor
IEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
TOWN OF QUEENSBURY
, ! �C BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE' DEPART: INSI':
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION� REQUEST RECEIVED:
`
NAME k AJ 2t)
LOCATION J�j rZC I` �-0 /�C�
DATE -�-/Z-2 /Lt PERMIT I / ^"/
TYPE OF STRUCTURE 00)()
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
EXTERIOR FINISH '
DECK/PORCH/STEPS/'iiAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPE ING
INTERIOR TRIM/PRIVACY 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 PL N
OK TO ISSUE C/O OR C/C
NIAP REFERENCE:
MAP OF A SURVEY MADE FOR
DAVID G. LAPOINTE
BY VAN DUSEN & STEVES
DATED NOVEMBER 29, 1982
DEED REFERENCE:
M.4RLENE GREEN TO p
PETER E. & HELVE H. RATSEP �� V
DATED JUIX 3, 1986
IN BOOK 682 PAGE 918 �1 • } �4� X\, ��, �,
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TOWN OF'OUEENSSURY
BUILDING AND CODE
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Zoning Administrator
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AUG 221995
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