94-019 CERTIFICATE OF .COMPLIANCE,:.
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Nnvenber 7 19 95
This i s to certify that work requested 'to. be done as shown by Permit No..,
has been completed. •
This structure may be used as a REBUILD EXISTING DOCK
Location SLR ;YLO ROAD ^_
Owner 1.10PEHAN o T1 RE SA J.
By Order of Town Board •
TAX HAP NO. i G-1. -37 . 4 TOWN OF QUEENSBURY
Director of Building & Code Enforcement
S ?
BUILDING PERMIT
. ro
TOWN OF QUEENSBURY z
No. 9 4-019 0
WARREN COUNTY, NEW YORK
H
PERMISSION is hereby granted to TERESA J. HOFFMAN
Seeley Road W
OWNER of property located at Street,Road or Ave.
Rebuild ExistingDock 'p
in the Town of Queensbury,To Construct or place a
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.
0
1. OWNER'S Address is
PO Box 1377 ro
Clifton Park NY 12065
2. CONTRACTOR or BUILDER'S Name
N
ri
(D
In
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
fD
O
5. ARCHITECT'S Address
(D
0
6. TYPE of Construction—(Please indicate by X)
(X)XNood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
Rebuild existing dock as per plot plan, specifications
No. and application.
8. Proposed Usetr
(D
Dock
H.
H
$ 30 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 15 1995
(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.) H-
Dated at the Town of Queensbury this 15th Day of Febr ary 19 94 C7
j O
O
SIGNED BY % for the Town of Queensbury
Building and oning Inspe
4 i
. Iplek ' TOWN OF QUEENSBURY Fee Paid
BUILDING & CODES DEPARTMENT Permit # „--0I--
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. ►ost Hkan .
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 fs- firdit'p which will be
�
done in accordance with the description, plans and specificatio � ��sub fitted,%' such special
conditions as may be indicated on the permit. TWO SETS OF ST' . RALLA S S BE SUBMITTED
WITH THIS APPLICATION. / '�'9�
c i �e�g ved► cm • '
a bes
Teresa J. Hoffman ue$Sbe t,
Owner of Property: ter, %WO P
P.O. Address P.O. Box 1377 Clifton Park, New York 12065 ��', �Phone2 ti® $-371-8683
Property Location Seeley Road Cleverdale,• New York p # 16-1-37.4
Subdivision Name (If applicable) N/A
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: .,,
Name: Jean M. Hoffman Address P.O. Box 448 Clifton Park N.d'hone# 371-8683 ;.
BUILDING SPECIFICATIONS: 14 -
Type of work to be done: Porch Deck (O.eck ) Boathouse (Circle on
Size of Structure to be built (square foota 460
Foundation Material : Width Thickness
Depth of Footing, below grade:
Size. of Posts or Studs: 6 x 6 x Long
Size of Floor Joists: 2 - x 8 x 12 Span ,
Decking or Flooring Material : 5/4 X 6
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: Epp ft. x 2a5 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 0 ft. Rear yard aaf ft. .
Side yards (d ft. and q -} ft. •
If on corner, setback from side street: ft.
d
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 • .a
)f all proposed work to be done on the described premises and that all provisions of the
3uilding Code, the Zoning Ordinance, and all other laws pertaining to the proposed work ;
;hall be complied with, whether specified or not, and that such work is authorized by the
Owner.
)ATE: Q - '1 - g`-k SIGNATURE -,,_ . A
Owner, Ow-n s Agency, Architect, Contractor
tEVIEWED' BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
„.r yet, TOWN OF OIIEFNSBIJRY
BUILDING & CONE ENIORCEMENT.
s � 742 BAY Roll)
`'� .: QUEENSBURY NY 12804
,
(518)745 4447
-.1 id t ' A
ARRIVE: , DEPART: • uV INSP:J nel--”
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INS. E�CCTIONRE UEST RECEIVED:
NAME Off"' ai` 611- COS,//►y
LOCATION 5ece-gI f6-',t Qj •
I
DATE 11 PERMIT N ��._ oil
TYPE OF STRUCTURE 0 /.
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION _
FINAL ELECTRICAL ' WOOD TOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/\VENT/HE GHT
PLUMBING VENT •
ROOFING _
EXTERIOR FINISH
. DECK/PORCH/STEPS/RAILI GS
RELIEF VALVES
FURNACE/HOT WATER OPERAT G
INTERIOR TRIM/PRIVACY DOOk '
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
SITE PLAN/VARIANCE REO•
FINAL SURVEY PLOT PLAN [
OK TO ISSUE C 0 O( / 1
.k.________\_________4 -
•
4, 4
V
Or
,...
za,
I
/
1 4----3g
i
.,\ ../.
\:;.; Iv_ is..._
‘I
t
a 3�31_ 12.3
tip ��,�� �p� -~ 16,
�r y '4��v
6'_
b
4
ic
QcoF`rvi a ,,.vw-� 1�"�
et
C5
•
•
•
•
\• 2,°m Sfa,uCi-Ac :L/ CA/r I, risadimie. — 121 rEaFE 3
KG 1Z/-7E,) vasf8/ e.tL. ILPY
\\ — — TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
,.\' compliance with our comments shall
i / not be construed as indicatingthe
plans and specifications are in full
�`'`wo 51�n s K r�a�i s j compliance with the code.
_ !
i I / 1 /
i
j^/
-
ii
---,-- . ( „i !, \ 1-0-15 s
b < . s:lig X" g 'mau ,_a�v 7. ?osT3.tiF� y', - ,
f.:� C9 �°
! Z.T D TAD ?a y ;l' f;_ �- �'�ti � cv� uap �' `�
Hsu .a a �,vf5 u G _.
m G
r
V
, O
i..
.1:
Y\:
_ Y
{f�
•ti' Sn -'j "y'
f,'