99-562 • •
Certificate of Compliance
Town of Queensbury
Warren County,New York
Date June 14 , 2000 0
99562
This is to certify that work requested to be done as shown by Penult No.
has been completed.
This structure may be used as a DOCK
RUSSELL HARRIS RD.
Location
Owner WEBER, JOHN & KATHY _
TAX MAP NO. 11 . -1-19 . 1 By Order Town Board
(,-T7NOF UE
Director of Building&Code Enforcement
BUILDING PERMIT
VALUE $ 4000 TOWN OF QUEENSBURY No. 99562
TAX MAP NO. 11 . -1-19 . 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to WEBER, JOHN & KATHY
OWNER of property located at RUSSELL HARRIS 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.
,1Eib LANE
SO. GLENS FALLS, NY 12803
2. CONTRACTOR or BUILDERS Name
WEBER, JOHN
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X) DOCKS
I Wood Frame 11 Masonry ( 1 Steel I I
7. PLANS and Specifications
175 SQ FT DOCK AS PER PLOT PLANS SPECIFICATIONS
No.
8. Proposed Use
DOCK
30 September 1 2001
$ 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 Oueensbury before the expiration date.)
1 September 1999
Dated at the Town of Queensbury this Day of 19
SIGNED BY -- �'" for the Town of Queensbury
Building and Zoning Inspector
r TOWN OF QUECNSBURY Fee Paid (.._ ).
' lialE :-
BUILDING & CODES DEPARffMENT
. APPLICATION FOR: )0 -- 5-DECKS- Peruii L 0 - ---
, DOCKS BOATHOUSES Est. Cost 4.1666
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL or THE (FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will he
done in accordance With the descr•iptionn, plans and specifications submitted, and such special
conditions as may be indicated on the permit. 1W0 SETS U1= S•fRUClURAI. PLANS SHALL In: SUBMI'IIII)
WITH THIS APPLICATION. ---
Owner of Property: Jafil r)-1,Q X '' ae.4.60A 0_793'8S
P.O. Address We L, .: (/Firm s , -0 Phone /1/1-
Property 'Location fE''uaaJ J12‘22 AV f'' J , Tax Mali 11 i/ -/—/i
si
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: 8•113_x.gs-
Name: -Z41, 4,1e4PR Address StiT,�vrriP 42/J s�r>� I IIUIIL 1/2���
BUILDING SPECIFICATIONS:
• Type of work to bb done: Porch Deck Boathouse (C ri e Lval1.-
Size of Structure to be built AUG
(square footage): 1;7� RT
Foundation Material : Width sJ Thickness /;- 3I? 1999
Depth of Footing, below grade: �/
Size or Posts or Studs: 9 x ‘ 4 x 6,2Ci-FiQ, ,p Long
Size of Floor Joists: (9-1/ x e x 3J Span
. Decking or Flooring Material : X3 �� ?�:� I y X� f`9,, I O XV ('. -
How will Porch or Deck be fastened to building?
Doc f®o kPd :272 l-Aivce
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 SUI)MiTTEI), drawn reasonably to scale and attached
hereto, showing c on7ly aniFill 1iict`ly riTiThiiilil•inijs, whether c:xIstinll 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 properly line:
Front yard .52P ft. Rear yard ft.
--Side yards r 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 tlicl. such work is authorized by the
owner. //
DATE: • /9 SIGNATURE ,::;, ,
�j -
tier, Owner's Agency, Architect, Contractor
DATE T
REVIEWED BY CODE ENFORCEMENT OFFICER, ! ' /
�(7 SIGNAiORC P--(f_.----
TOWN OF QUEENSBURY L_I<Jji(-)
.�! �► BUILDING & CODE ENFORCEMENT
j'�' � 742 BAY ROAD
/'� QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME
LOCATION /"[ /zl5 / .
DATE � �
��� G�//C.J PERMIT # 7(7- 54'92'`
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
?LUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILI S
RELIEF VALVES
FURNACE/HOT WATER OPERATING
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
LSITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
TOWN OF QUEENSBURY
_ BUILDING & CODE ENFORCEMENT
iPiAgi
`I 742 BAY ROAD
QUEENSBURY NY 12804
( (5I8) 761-825
ttr
ARRIVE: DEPART: INSP: COL-
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME G/4'64'5k.
LOCATION f _.
DATE C7 `� PERMIT I� -�7z
tt
TYPE OF STRUCT RE VO
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEI HT'S
PLUMBING VENT I'
ROOFING /
/
://
EXTERIOR FINISH
DECK/PORCH/STEPS/RAI IN .
RELIEF VALVES
FURNACE/HOT-WATER ••ERATING
INTERIOR TRIM/PRIV.CY DOORS
FINISH FLOORS:
BATH/KITCHEN W, ERTIGHT
OTHER FLOORS S EEPABLE
OTHER FLOORS ARPETED
STAIR CLEARANCE?RAILINGS
SMOKE DETECTORS!
1
BATHROOM FANS
4
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT P
OK TO ISSUE C/O OR C/C
M:\USER\MOLLY\FORM\PERMIT\DOCKMOOR LAKE GEORGE PARK COMMISSION
LGPC PERMIT NUMBER EFFECTIVE DATE
5234-1-99 {' 4Itt .72
" I h," February 24, 1999
TYPE OF PERMIT EXPIRATION DATE
• New PERMIT
❑ Renewal February 24, 2000
Under the Environmental Conservation Law (ECL)
o Modification
• Variance
✓ Article 43, Title 1, 6NYCRR 646-1.1 Article 43,Title 1, 6NYCRR 646-1.1
/\ Construction and Modification of Wharfs Placement of Moorings
Article 15, Title 5, 6NYCRR 608 Article 43,Title 1, 6NYCRR 646-1.2
Use and Protection of Waters Operation and Modification of Class A Marinas
Article 43, Title 1, 6NYCRR 646-1.4 Article 43, Title 1, 6NYCRR 646-1.4
Recreational Use New Recreational Use-Parasail
REc
r,11/4-S-69
Article 43, Title 1, 6NYCRR 646-1.4 Article 43,Title 1, 6 8-:1 4
Recreational Use-Seaplane Recreational Use-Tourrk
l
Article 43, Title 1, Section 43-0117 Operation of ferries and Article 43,Title 1, 6NYCRR 646-4 a99
certain other boats, barges and vessels restricted Stormwater Management
PERMIT ISSUED TO
TELEPHONE NUMBER
Jon Boucher for Boucher Trust (518)
ADDRESS OF PERMITTEE
PO Box 390393
Kailua-Kona HI 96739
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
Same Same
NAME OF FACILITY(AND ADDRESS IF DIFFERENT)
Private Lakefront
LOCATION
Harris Bay
COUNTY TOWN PARCEL
Warren Queensbury 11-1-19.1
DESCRIPTION OF AUTHORIZED ACTIVITY
Construction of a 5' wide, 35' long, straight stake wharf in accordance with plans attached as
Schedule A and made part of this permit and as conditioned herein.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with
the Environmental Conservation Law, the Navigation Law, all applicable regulations, the General Conditions
specified and any Special Conditions included as part of this permit.
PERMIT ADMINISTRATOR ADDRESS
Michael P. White PO Box 749, Fort George Rd, Lake George NY 12845
AUTHORIZED SIGNATURE Date
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