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89-436 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 _ This is to certify that work requested to be done as shown by Permit No. 89-436 has been completed. This structure may be occupied as a Dock Location Glen Lake Road Owner Mr R MrS Hobert By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 89-436 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Mr. & Mrs. Dobert OWNER of property located at Glen Lake 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 • Same 2. CONTRACTOR or BUI LDER'S Name (1) • C.M. Elms Construction, Inc. rTs 3. CONTRACTOR or BUILDER'S Address -i 4. ARCHITECT'S Name 5. ARCHITECT'S Address !A S1113 De I- r 6. TYPE of Construction—(Please indicate by X) rn ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications CD No. Dock as per plot plan, specifications, and application. 8. Proposed Use Dock $ 30 00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 90 (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.) G n Dated at the Town of Queensbury this Day of ,711p1P 19 F19 SIGNED BY for the Town of Queensbury Building and Zoni nspector ---- TOWN OF QUEENSBVRY APPLICATION FOR ;=�� > _ PORCHES - DECKS TOWN OF QUEENSBURY _ - DOCKS BOATHOUSES RECEIVED A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. Al_ .ER3A �9 OF THE FOLL04VING: BLDG. & CODE DEPT. 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. The Owner of this property is:_ Mr. & Mrs. Dobert P.O. Address: Glen Lake Road, Queensbury, New York 12804 Property Location: G7 Pn I.AU: Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: C.H. Elms Construction, Inc. Address: Tel. 792-4417 BUILDING SPECIFICATIONS: Foundation Material Width Nn _Thickness No Depth of footing below grade None Size of posts or studs 4 x 6 x 12 Long Size of floor joist 2 X x 12 Span Decking or flooring material 5/R treated How will porch or deck be fastened to building? no Fixed to sea wall IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW: ' Size of posts or studs no x x Long Roof Rafters x Spacing Span no N Roof Trusses (Pre-Engineered spacing) no , Span t \ Type of Roof - Sloped - Flat - Shed - Other Material of Roof none Type of siding(if any) none - S ************************************************************************** **** 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. Give street and number or lot number and indicate whether interior or corner lot. Show location of water supply and location and configuration of septic disposal area. COMPLETE INFORMATION REQUIRED BELOW: Size of property j'e, ft. x /.. O ft. Existing building(s) Size�y ft. x ye.) ft. Home Existing building(s) use Proposed building, distance from property line. Front yard t 30 ft. Rear yard 80 ft. Side yards 12 ft. and 14 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. SIGNATU R Owner, Owner's Agent, Architect, Contractor TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR /INSPECTION RECEIVED NAME f> J LOCATION N L�;(z_ /%74, DATE `/ J/ PERMIT S J 6/X TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN, INSULATION: FOUNDATION WALLS INTERIOR'. R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WA LLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: *Dock lan/t /5y C-70Yre- C) ARRIVE DEPART INS CTOR AAA KiN9 L $ T tzi i i s Tce � i I N N OF QUEENSBUky TOW Bs- Tot UILDING )& REVIEWED4BY � �► GATE C� -rOWN OF QUEENSBURY 1 r O • /////� v 1 A>t a ,zoning Adminis [ate s � hc uX 1R ? KT.%.o CA w. A � L T i �► .8 a 1�5, SCALE: l/ 1 APPROVED BY DRAWN BY DATE: ac, l sr� �� JrrAkas, DRAWING NUMBER ,w7smNmpm 76A6.76