90-436 tt ' t s
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CERTIF CATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 23, 19 92
This is to certify that work requested to be done as shown by Permit No. 90-436
has been completed.
This structure may be occupied as a DOCK
Cleverdale, West Side
Location
MRS. KENNETH H. FREEBERN
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. 6c Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY No. 90-436
WARREN COUNTY, NEW YORK b
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PERMISSION is hereby granted to MRS. KENNETH H. FREEBERN
OWNER of property located at Cleverdale, West Side Street,Road or Ave. �•
in the Town of Queensbury,To Construct or place a Repair Existing 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
PO Box 182
Cleverdale NY 12820 �y
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2. CONTRACTOR or BUI LDERS Name
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James Schoonover
3. CONTRACTOR or BUILDER'S Address
Ridge Road
Queensbury NY 12804 m
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) A'
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(,d Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
No. Reapir existing damaged DOCK as per specifications and application.
8. Proposed Use
DOCK
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$ 20.00 91
PERMIT FEE PAID—THIS PERMIT EXPIRES January 5 1955.
(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.) '
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Dated at the Town of Queensbury t is 5th Day of July 19 90
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
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APPLICATION FOR FEE PAID `C -- I ;L ie-J i,(_e[t 1�.
75- ESTIMATED VALUE
--�,- PORCHES - DECKS OF CONSTRUCT •
DOCKS ac BOATHOUSES
- Airy/
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANS R 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. OWIy
�j OF QUEENSBURY
/ fi?E 1d H rke(--R / / RECEIVED
The Owner of this property is: -?
P.O.Address: AD)C / 2- JUL 0 31990
Property Location: C__467/-vL4 }l._ f L.. 3 r S'i06--)
Street number or building lot number BLDG. & ,CODED PT q
Subdivision name (if applicable)
THE PERS RESPONSIB FO SUPERVISION OF WORK AS REGARDS TO BUILDING /ii / V
7"H
CODES: A-ME� t". 0DA/061 II) 11A
Address: /L /D 6-N� /?O Tel.C� 4 73/ s
BUILDING SPECIFIC • S: /� y
Type of work to be done: Porch Deck I oc :oathouse (circle one) �2.� G � `-
Size of structure to be built (square footage
Foundation Material Width Thickness
>4i /7 Cer-c-e'.3 d'('
Depth of footing below grade � '
Size of posts or studs x x Long �y`
Size of floor joist x x Span
Decking or flooring materials de /.._,,5,,,44.,-L.,will porch or deck be fastened to building? !��-C'` ��
a.--reati7Lie-,-- -42,
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW:
Size of posts or studs x x Long *ILL, - ,0
Roof Rafters x Spacing Span r
Roof Trusses Pre-Engineered spacing) c, �
Span ,.--c-R2.-- e€0.--�
Type of Roof - Sloped - Flat - Shed - Other
Material of Roof -
Type of siding (if any) . G✓'t1-6( - n,
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. �j�'
COMPLETE INFORMATION REQUIRED BELOW: ®jam ,� 4-Z74-c ' _I
Size of property ft. x ft.
Existing building(s) Size ft. x ft. el-1Z) e-if& 1(
Existing building(s) use a
Proposed building, 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
stategnent 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.
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SIGNATURE. X.
�� Agent, Architect, Y Contractor
Owner, ner s A ,
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 1` rJ ,Aj :=t-i 3 me --- t 0 '\)
LOCATION!_\ NA(.6- (.t3 i :'} ‘),e--
DATE 2.- PERMIT # Cl`; 7 3
TYPE OF STRUCTURE 0c ( t.:_ L' -11A-f IL._
RECHECK APPROVED
. N/A YES NO
FOOTINGS/PIERS • F
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION ROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CON. RETE.
MATERIALS FOR THIS PURP E ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFINC! s
BACKFILL APPROVAL 1
ROUGH PLUMBING
PLUMBING VENT/VENTS N PLACE
PLUMBING UNDER SLAT7
FRAMING: 3
JACK STUDS/HEAD 'S
BRACING/BRIDGI;
JOIST HANGERS:`
JACK POSTS/ IN BEAM
HEATING ROUGH-SIN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R •
-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
v Shy c/zio Dam
roya </o _e__ citirk
ARRIVE
DEPART
I SPECTO
OWN OF QUEENSBURY
RECEIVED
JUL 0 3 1990
v BLDG. & CODE DEPT.
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