98-114 BUILDING PERMIT
x,A.trw c 000) TOWN OF QUEENSBURY Na 98114
TAX MAP NO. 39. -1-55 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to POLUNCI, JAMES & VALORIE
OWNER of property located at
17 ASH DR. Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a 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 Oueensbury Building and Zoning Ordinance.
1. OWNER'S Address is
15 NORTH ST. P.O. BOX 46
EDMESTON, NY 13335
2. CONTRACTOR or BUILDERS Name
POLUNCI, JAMES
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X) DECK
( I Wood Frame ( )Masonry ( I Steel l )
7. PLANS and Specifications
240 S¢NFT DECK AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
DECK
16 June 5 2000
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
fir 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.)
5 June 19
Dated at the Town of Oueensbury this Day f / 19
for the Town of Oueensbury
Building a oni
SIGNED BY ng
RPki/.5ed Phi r \ Oo
4 r' TOWN OF QUEENSBURY -�!/� Fee Paid `gyp
BUILDING & CODES DEPARTMENT d 1- r_j
APPLICATION FOR: PORCHES-DECKS- C� Permi t # ` { , -1-1= �
DOCKS & BOATHOU ES S Est. Cost v U
)
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: 1/4.1-(3/79eJ Ya/o ,'e 6d/Unc1 P.O. Address / 7 0t Ditiva joke Ceoy flyLf ',s y.�" �
� Phone # Kr/8�7716
Property Location '' Tax Map # 3 9- /-Z1--
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: �6 a7)
Name: �Jn -,) 9o//uylc, ' Address PG X y6 ed/r Io,7rfi/ Phone# :k,S-72C23
BUILDING SPECIFICATIONS:
/3 3 3s w: ?Fs-g43/ _
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : 2 /2
Foundation Material : Width Thickness
c �r
Depth of Footing, below grade: /.�
Size of Posts or Studs: 911 x 91) x G / Long
Size of Floor Joists: ,2 '� x x /0 / Span
Decking or Flooring Material : F r' >e G
How will Porch or Deck be fastened to building? e / I
M any(/..) c nd /o j L 1 i
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: J Q / ft. x 300 ft.
Existing building(s): Size 20 ft. x39 ft. (haw>J /U fG/ .% [
Size /O ft. x 3 y ft. ((d/c1r) (7
0Is,,.- se�of Existing building(s) : /S'F't x z Ft' (paid') J7SG Sb
lP
u . g() X�c rthed) 8 /X30) (5c/1-0/20,)jeJ /
l � - ----Proposed""structu-re,_ i stance from property 1 i e:
Front yard Rear yard 22,5 ft.
Side ft. and 15/ 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: 0.cti. 22 y 9 91 SIGNATURE - .
® r Owner s Agency ch , Co
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 6' 6 SIGNATURE -
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received: t‘41 A
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart ` '�, am/pm
Inspector's Initials, =; P
NAME: (7'C E c x\\'t;, \ PERMIT g#
LOCATIONS 5 Q DATE : --
TYPE OF STRUCTURE: C
RECHECK
N/A YESNO COMMENTS
ootin ers 'v' I I ` ' ""' ��
Monoli our Form r �! �!
Reinforcement in Place
The contractor is responsible for
providing protection from freezing T` 1 • I r j- :>,- -i =
for 48 hours following the placement
of the concret- ,i I\C -5 i',
Materials for this urpose o
Foundation/Wallpo
Reinforcement in PI.•-
Foundation/Dampproo'. I
Backfill Approval
Plumbing Under SI. •
Plumbing Vent/Ve,is in Place
Rough Plumbing
Heating Rough-
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
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\a o ' C MAY 2 i1993
441 e4°‘
15
\4#404 ° % " li
AIL E COPY11,14 ,.., v.
OF QUEENSBURY BUILDING DEPARTMENT
y S Based on our limited examination,
compliance with our comments shall
not be const tie, as in,' . the
plans and st-cifications are n full
compliance ith the code.
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