98-778 BUILDING PERMIT
VALUE $ 6000 TOWN OF QUEENSBURY No 98778
TAX MAP NO. 39. -1-27 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to FOWLER, WILFORD, JR. &
OWNER of property located at 43 BIRCH RD. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a ALTERATION TO EXISTING SCREEN PORCH
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. OWNERS Address is
NANCY 43 BIRCH RD.
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDER'S Name
CLOTHIER, DALE
3. CONTRACTOR or BUILDERS Address
3 DEER RUN
LAKE GEORGE, NY 1245
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ALTERATIONS
( )Wood Frame ( I Masonry ( )Steel ( I
7. PLANS and Specifications
180 frg ft ALTERATION TO SCREEN PORCH (WINDOWS AND INSULATION) AS
PER APPLICATION
8. Proposed Use
ALTERATION TO EXISTING SCREEN PORCH
8 December 23 19 2000
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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.)
23 December 19 1998
Dated at the Town of Queensbury this Day of
SIGNED BY � �.�- "'s J`�+^--•
for the Town of Queensbury
Building and Zoning Inspector
Q.
. 2. ..4 f TOWN OF QUEENSBURY Fee Paid2,
' '.,,„ BUILDING & CODES DEPARTMENT
APPLICATION FOR: PORCHES-DECKS- Permit 1/ 9 -,,-.. /7 j F
DOCKS & BOATHOUSES Est. Cost ( ®oc.
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: [(di i / n)cc, i bc:,,Ji i_ r:f,
P.O. Address Phone // I j 9 O
Property Location 93 Lb i c._ (... /(--.' ,L.,:‘I I Pc{ i cc ) Tax Mai //4 •-.I � 7
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
e
Name: ALE � l�'��` i et,- , Address � - � � �
'3 ijQ�i,,_ K4 r� 1i44c6 765-3
BUILDING SPECIFICATIONS:
A U
Type of work to be donee: Porch
. Deck Dock Boathouse (Circle one)
Size of Structure to be built square footage): �'XIS�r/J) �cccct�w xc,ecG, !c, ' %13 it "
Foundation Material : Width Thickness
Depth of Footing, below grade: is "� '_
Size of Posts or Studs: (',,, x x 9 / Long
Size of Floor Joists: a., x x I'I ° Span
Decking or Flooring Material : ADo p/r ,„ - 'f,,, AT )eck/e,,e
How will Porch or Deck be fastened to building? 6X0Sy,A ;
If Roof Will Be Installed, Answer Following Questions: 2c, s 7
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: /CCU ft. x / 6/0 ft.
Existing building(s) : Size ft. x ft. /.50 &c3P-T-
Size ft. x ft.
Use of Existing building(s) : St-,7/ 0,r7/
Proposed structure, distance from property line: 14,41.
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.
ic
(:)
DATE: / 1 i----6 SIGNATURE ,6
/4 i/l : , .
ne , ner s Agenc .; Ar i ct Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE _Z z . 5/5 SIGNATURE I,4
t t\ '_C\
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arriv ° Dep
Inspector's Initials
NAME: - PERMIT#
LOCATION: ?j cY' C) DATE : /
TYPE OF STRUCTURE: c4,\�— c. Y<y'v-,
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contracto is responsib for
providing pro 'on fro freezing
for 48 hours folio
of the concrete.
Materials for this se on site
Foundation/Wall
Reinforcement i lace
Foundation/D woofing
Backfill App val
Plumbing Under Slab
Plumbing VentNents in Place
Rough Plumbing
Rough-In
ation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- .34/
Walls R- t q
Ceiling R- _ :3
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing Qtp-P -t
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
CMlitlYnk--C2
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 113 t am/pm Depart am/pm
Inspector's Initial A
NAME: W-1)--c-0\rc PERMIT# aeXeS
LOCATION: D :TYPE OF STRUC \�E'n G. t r\,--,*
RECHECK
N/A YES_NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor i responsible for
providing protect n from freezing
for 48 hours follows the place nt
of the concrete.
Materials for this purpose on si
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pr� oper,Vent, Attic Vent
ng
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
/6/7 „-e( L eev-e—l/
TOWN
OF QUEENSBURIr �j1
RECEIVED CO
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MAY 151991
BLDG. & CODE DEPT.
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