98-440 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date September 28 19 98
This is to certify that work requested to be done as shown by Permit No. 98440
has been completed.
This structure may be used as a DOCK
Location 272 GLEN LAKE RD.
Owner MIR, NILOFAR
By Order of Town Board
TAX MAP NO. 39 . -1-5 / TOWN OF QU N URY
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 2300 TOWN OF QUEENSBURY No. 98440
TAX MAP NO. 39. —1-5 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MIR, NILOFAR
OWNER of property located at 272 GLEN LAKE RD. Street,Road or Ave.
in the Town of Oueensbury,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. OWNERS Address is
585 NEW LOUDON RD.
LATHAM, NY 12110
2. CONTRACTOR or BUILDERS Name
MUNK, MICHAEL
3.1c8 T 1 o W S Address
SCOTIA TTRR ET
4. ARCHITECTS Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X) DOCKS
( 1 Wood Frame 1 1 Masonry ( 1 Steel ( 1
7. PLANS and Specifications
200 sa ft DOCK AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
DOCK
30 July 21 2000
$ 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.)
21 July 1998
Dated at the Town of Queensbury this Day of 19
SIGNED BY for for the Town of Queensbury
Building Zoning inspector
�n TOWN OF QUEENSBURY Fee Paid � O`
BUILDING & CODES DEPARTMENT
APPLICATION FOR: PORCHES-DECKS- Permit # & C)
DOCKS & BOATH( ES1 7 '99f Est. Cost 6,2: ^s3
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: 42e /1/49
P.O. Address Phone # 5'(r
Property Location GC . ` /X Tax Map' # 9—/—s'
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: / i/A 7 Ale &. Address iw,nmA' S/ -$CO/%,4 Phone '7/SV.?
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage . � <,,�,
Foundation Material : Width Thickness
Depth of Footing, below grade:
Size of Posts or Studs: x x 6 Long
Size of Floor Joists: „� x x / P Span
Decking or Flooring Material : syy X
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: ft. x 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 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.
DATE: .2 '/7 ' U SIGNATURE !"� s.a ,
0 ner, Owner s 'Agenc , , Co ractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 1 V ("\- 1 SIGNATURE
k
RESIDENTIAL FINAL INSPECTION REPORT ��
k.Q� &-A-
Office No. (518)761-8256 Date inspection request received: CeM
Building& Code Enforcement I�
Dept.of Community Development Arrive am/pm Depart_L n ( c'c {�
Town of Queensbury Inspector's Initialsel
742 Bay Road
Queensbury,New York 12804
C1124 0
NAME Gt.` , \ i`/l✓!G PERMIT#
LOCATIO c---1 VA ,11�" tC DATE --
TYPE OF STRUC UC)
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet o thi line of site
Oil F shut-off at entrance to ace ea
Furnace/H Water Heater open
Relief Valve(s -
Headroom,6 ft. 6 in. on
Basement stairs,6 ft.4
Handrail exterior sta. both sides more than 3 risers
Interior privacy/ ' doors/main entrance 36"
Floor Finish
Bathroom/Kitch n watertight
Interior Handr s Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
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JUL 1 7 1998
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TOWN OF QU,ENSBURY BUILDING DEPARTMENT
..,.,N9 Based o, our limited examination,
complia .ce with our comments shag
L not be nstrued as indicating the
plans ad specifications are inlull
complia ce with the code.
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