2000-411 ��'` TOWN OF QUEENSBURY
2 Ba Road ueensbu NY 12804-5902 518 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: 2000411 Date Issued: Monday, August 13, 2001
This is to certify that work requested to be done as shown by Permit Number 2000411
has been completed.
Tax Map Number: 523400-266-001-0002-008-000-0000
Location: 1680 RIDGE Rd
Owner: NEAL P. HUBBELL
Applicant: HUBBELL, NEAL P.
This structure may be occupied as a:
By Order of Town Board
Deck ( TVFQUESBURY
Director of Building&Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
Building Permit No. L.o
Permission is hereby granted to
Owner of property located at
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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
Contractor or Builder's Name:
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction:
Plans and Specifications:
Proposed Use:
r
$ PERMIT FEE PAID—THIS PERMIT EXPIRES
(If a longer period is required,an application for an extension must be made to the Code Enforcement
Officer of the Town of Queensbury before the expiration date.)
Dated at the To of Queensb this Day of
SIGNED BY for the Town of Queensbury
Code Enforcement Officer
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`i' TOWN OF QUEENSBURY Fee Paid z�'�-
BUILDING & CODES DEPARTMENT _�z �' l ��
APPLICATION FOR: PORCHES-DECKS- Permit ,�
DOCKS & BOATHOUSES Est. Cost b- 2�
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: JLS AL. 14 -r5P36t,t_ coz7C9-97.K1{
P.O. Address i(,ctsa 2 L o c;c (2_k) Phone # 1q 2-c(- t`6
Property Location 1cp460 f2.r pc,t OA) Tax Map # „ 7-o2-5 -1
Subdivision Name (If applicable) ii/A
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: �40,4zL(14
Name: ;s ET At_ ca ,,,. ;,C)rc.c_ Address icnpc Rs: DGE R7 Phone#lqz-csw(
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : 3 Z G
Foundation Material : Width Thickness
Depth of Footing, below grade: ?oS7 t3C.00 <- 5 A v G2 Ap E
Size of Posts or Studs: q x y x Long - M ,� smPY
Size of Floor Joists: z x 6s x �G Span a �,
Decking or Flooring Material : )c x. co JUN Y 2000
How will Porch or Deck be fastened to building? FQE& 57 A0 O.r. ;c _ ''`
y'' j f. O t r k d .✓ L.1_.
1-0 A Got.)C G R.o(n, r1 0 Q(S Q C.-
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 z L( ft. x (O ft. Hot-s c
Size z,i ft. x 3L ft. GAeAG6
Use of Existing building(s): H0 5E r 6Ap-AG6:
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 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: /3 �O SIGNATURE ,'���:�
/ w er Owner s en
h � � A g cy r hi ect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
/�► TOWN OF QUEENSBURY ���,. „
OSTOY
� a4 BUILDING & CODE ENFORCEMENT j /
742 BAY ROAD
QUEENSBURY NY 12804
(1 (518) 761-8256
ARRIVE: =010 DEPART: 1774 IN4 I
FINAL INSPECTION REPORT - RESIDENTI,
DATE I SP CTION REQUEST RECEIVED:
IL
NAME � 11111
/
LOCATION $ ,C /
DATE "1 Dc c I PERMIT
TYPE OF STRUCTURE \--- _ r)'4Vo e , Jnr,)
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO 1
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATI '
INTERIOR TRIM/PRIVACY DOOFS
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 11 CM
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
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JUL 16 1999
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Rased on . r limited examination,
i ' complian with our comments shad —
not be . ,trued as indicating the 22+
plans and •pecificattons are in full ` 1
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