93-623 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date nrtrdi r ?ry 19 ag
This is to certify that work requested to be done as shown by Permit No. g 36
has been completed.
This structure may be used as a T^"'HAP14D DOCK
Location ROUTE' 9L
Owner
a]E L E, KATHARI fl Q.
By Order of Town Board
• TAX MAP NO, 3. -1-12 TOWN OF QU ENSBURY
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Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 93-623
WARREN COUNTY, NEW YORK •
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PERMISSION is hereby granted to KATHARINE 0. SEELYE
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OWNER of property located at Dunham' s Bay Street,Road or Ave. tv
in the Town of Queensbury,To Construct or place a Dock, rebuild
at the above location in accordance to application together with plot plans and other information hereto filed and
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
514 E. Allen Lane
Philadelphia PA 19119
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2. CONTRACTOR or BUILDER'S Name
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Dan Wallace
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3. CONTRACTOR or BUILDER'S Address
Brant Lake NY
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
C)Wood Frame ( ) Masonry ( )Steel ( ) U)
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7. PLANS and Specifications 1
T-shaped Dock (rebuilt) 35 lenth and 35 ft. width as
No. per plot plan, specifications and application.
8. Proposed Use
Dock
30 . 00 October 15 94 t7
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 0
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 7v
town of Queensbury before the expiration date.)
15th October 93
Dated at the Town of Queensbury this D f 19
SIGNED BY C for the Town of Queensbury
Building and Zont Inspector
1 t h ,��1213a4p$
Arlath TOWN OF QtJEENSBURY ,gyp 7,e Paid -
Ilgof, BUILDING'& CODES DEPARTMENT 40 k P, i t # gg �� •
t�3 APPLICATION FOR: PORCHES-DECKS- 9g3 !3 3
u' "� �''10. DOCKS & BOATHOU % \ 1 d Est% Cost tt IL. �'
M nece�...wed L
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTIO ; PLEI$e►ep? ER�, OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to ohe follo work which will be
done in accordance with the description, plans and specifi Z itted, and such special
conditions as' May be :indicated 'on the permit. TWO SETS OF STR RAL PLANS- SHALL BE SUBMITTED
WITH THIS APPLICATION. '' _
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Owner of Property: £c W IVA, St r ULI... Sc,
P.O. Address _ . \\1AS , G et , Phone # (2A65TS11,(3—
Property Location 1AA41A/0.4cS gdlM 1-4 e Tax Map # 3-4---1 )--
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Subdivision Name (If applicable)
PERSONRESPONSIBLE FOR.SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: )eUv\, V' ',U�.(L Address T-s-DWI t L ,kt Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be 'built (square footage) : Se_t_ S 'CiA-cA/1
Foundation Material : ' Width' Thickness
. Depth of 'Footing, below, grade: (p Fe,c GVi,
Size of Posts or Studs:' x x ' Long
Size of Floor Joists: x x Span
Decking or Flooring Material : CX.cigU(`
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: ' 100 ft. x WQ ft.
Existing building(s) : Size t V ft. x I- V ft.
Size ft. x ft.
Use of Existing building(s) : . VW-Q ,
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
_-_- ---- -Side yard-s --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: 10
1 SIGNATURE l GtS
pner's Agftcy, Archittect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
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TOWN OF QUEENSBURY BUILDING DEPARTMENT
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j Based on our limited examination,
compliance with our comments shall '
1 not be construed as indicating the 1 1
i plans and specifications are in full
compliance with the code.
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Application
. OCT I 4 1991
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