95-707 BUILDING PERMIT
VALUE $ 2500 TOWN OF QUEENSBURY 95707
TAX MAP NO. 28. -2-6. 1 No.
WARREN COUNTY, NEW YORK
POTTER, RICHARD W.
PERMISSION is hereby granted to
BAY RD.
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a REPLACE DECK
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
UPPER BAY RD.
LAKE GEORGE, NY 12804
2. CONTRACTOR or BUILDER'S Name
POTTER, RICHARD
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
DECK
( )Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
REPLMEMENT AND ADDITION OF DECK AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
REPLACE DECK
$ 56 98
PERMIT FEE PAID—THIS PERMIT EXPIRES January 5 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 Queensbury before the expiration date.)
Dated at the Town of Queensbury this 5 Day of January 19 96
{ l
SIGNED BY for the Town of Queensbury
B ing and Zoning Inspector
CO
/111` TOWN OF QUEENSBURY Fee Paid 5
BUILDING & CODES DEPARTMENT Permit # 'a" 7 )`7
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost
L- q '
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF 1HE1OLLOWING:
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 SUBMITTE
WITH THIS APPLICATION.
Owner of Property: 7,/,- /cQ,,e,e, ��' A7 f
P.O. Address 7 V/' igeX /V7( y Phone #
Property Location 0(.34v / Tax Map # ?g_ ? _ e,/
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: ;70 . , W` //e - Address .,/'/ ZoX 1f'2( Phone# ?4j-44
BUILDING SPECIFICATIONS:
Type of work to be done: Porch 4110 Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : C. 26
Foundation Material : Width Thickness dome,-ete ,/e' , s
Depth of Footing, below grade: Yf x el
Size of Posts or Studs: x y x — Long
Size of Floor Joists: 2. x x '' `
/p Span
Decking or Flooring Material : �Y � �`
How will Porch or Deck be fastened to building? . 1 "
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 build ni gs, 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 Properly: ?j,K es ft. x I/5-D ft.
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) : /16 e
Proposed structure, distance from property line:
Front yard jg o ft. Rear yard 02 /0 ft.
Side yards at/D ft. and //? ft.
If on corner, setback from side street: ft.
DECLARATION
A
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Application i
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Zoning Administrator 1
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TOWN OF QUEENSBURY ' _--
A L'UMP:1111L.N"r OP COMMUNITY DEVELOPMENT mA I- R OV
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So Application
O.- BUILDING PERMIT NUMBER '�
� JAN - 4►
[9 9 5- 707 � l \ .
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a I. BASIC/BUILDING PERMIT INFORMATION: A
Zon Ad inistrator
a• Applicant/Name & Address Agent/Name & Addres TowN F nuF�roset} '
ti,
i applicant agent
0
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t''i ' t�l!,
- TAX MAI' NUMBER:
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2. PROJECT D 4 CR PTION: _ __ _ _
--- ---- — LUZLIIS101 �._5_ tS1L .. o_.' t plan (2 copies)abiti
--- - ---
!ding plan (2)
-s, ❑ sewage disposal
energy code
3. PROPERTY INFORMATION: electrical inspection
(driveway permit
TE A : 1 , REQUIRED ACTUAL. �npleted/signed
L— HEPAID
Front Yard 5-Off- i5d/V-..
Front ( if corner) t ,
Side Yard (1) 3O �{O La NEW CONSTRUCTION
Side Yard (2) 7)fl // , ❑ ADDITION
Rear Yard /p ❑ ALTERATION
Width2j ❑ MODIFICATION
Depth CI
YES NO N/A
PROPERTY IS IN APPROVED SUBDIVISION
urine ♦ ,
Meets depth, width & square footage requirements
Preexisting, nonconforming lot with proper setbacks
Required road frontage on public road '
Has required off-street parking
Permeable area is adequate /Required: ,s. % 1
Building does not exceed maximum height / Max. {'
Required setbacks front stream, lake and/or travel corn'or
meets requirement
Buffer zones required y
Is lot in a Flood Plain Zone?
OVER 11
4. STAFPDETERMINATION:'
W As per Section(s) of theCD Zoning C= Sign Subdivision
Ordinance Ordinance Regulations
O
d `
2
W
Cl:+
41
2
M 6. REVIEW REQUIRED BY ZONING BOARD OF APPEALS:
ACTION FILE NUMBER RESOLUTION DATE
0 Use Variance
CI Area Variance
Q Sign Variance
Q Other
Comments:
6. REVIEW REQUIREDQBY PLANNING BOARD:
ACTION FILE NUMBER RESOLUTION DATE
Q Site Plan Review
CI Subdivision
Q Planned Unit Dev.
Q Other
Comments:
•
F:EVIEI rED E=�Y STAFF bA1E
C Uty11,1EN7S