91-263 e' sir
CERTIF
ICATE OF COMPLIANCE\-
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ,./41.., 719 L
•
This is to certify that work requested to be done as shown by Permit No. 91_263
has been completed.
This structure may be occupied as a ®®CE
Location Rockhurst Rd
Owner Mr. & Mrs Dana Mestcott
• By Order Town Board
TOWN OF QUEENSBURY
Q./
Director of Bldg. at Code Enforcement
a
BUILDING PERMIT .�
TOWN OF QUEENSBURY Na 91-263 a
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to Mr. & Mrs Dana 1Iestcott
OWNER of property located at Rockhurst 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.
9
a
1. OWNER'S Address is
Same ft)
O
2. CONTRACTOR or BUILDER'S Name e+
Paul R Terry
3. CONTRACTOR or BUILDER'S Address 'S
C'h
4. ARCHITECT'S Name G
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( 1
rC
7. PLANS and Specifications
No. Replacement of Dock as per plot plan specifications and
application
8. Proposed Use
Dock
$ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 7, 19 92
(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.)
Dated at the Town of Queensbury this 7th Day of May 19 91
SIGNED BY • � for the Town of Queensbury
Building and Zoning Inspecto(
:/
QUEENSBURY /417,47,7/
Fee Paid ,��
TOWN OF
BUILDING & CODES DEPARTMENT permit. # QI�2�P
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES . Est. Cost 7 A
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: k -c MtS • Wgc-re0-1
P.O. Address 26eK's\--6 � �0(30 Phone # fig"/- 394
Property Location �eC -Vv.1 l oPs0 Tax Map #
Subdivision Name (If applicable)
PE ON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: •
Name: NyL.,
Address ?oCle- dse-S ( 5 -D Phone# -CS _9 -6-a
BUILDING SPECIFICATION :--- -,'- --- . - ;
Type of work to be done: Porch Deck Dock . Boathouse (Circle one)
Size of Structure to be built (square footage : Pos Pc t_ i740-(
Foundation Material : Width ?,e, 2"'B Thickness
Depth of Footing, below grade:/ �1 TOWN OF QUEENSBUR
. Size- of Posts or Studs: �� x � x g ( Long
RECEIVED
Size of Floor Joists: v� x (9° x -' R'Span MAY 3
1991
Decking or Flooring Material : "2 )c 1.
How will Porch or Deck be fastened to building? -BLDG. & CODE DEBT
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 That all provisions of the
Building Code, the Zoning Ordinance, and all other laws p-rta. ing to t , . oi 'sed work
shall be complied with, whether specified or not, and t .t - y.rk ' author zed by the
owner. - ��
DATE: �j 3= SIGNATURE
Owner, Owner s Agency, itec , ontractor
APPROVED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
•
% " TOWN OF QUEENSBURY
Bay at Haviland Road, Queensbury, NY 12 804-9 72 5-5 1 8-79 2-58 32
Building & Codes Department
INSPECTOR'S REPORT
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19
ether
PROPERTY LOCATION •
OWNER OR TENANT
BUILDING SEWAGE SIGN OTHER /6.KJ Chi
REMARKS:
7)-1,9 C/440 )6 a/ei&-/
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CONTACT THIS OFFICE WITHIN
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