92-057 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February & 19 ��
This is to certify that work requested to be done as shown by Permit No. 92057
has been completed.
This structure may be used as a PORCH & DECK
Location 1617 t OON HILL RD.
Owner STACIVICH, PATRICK D.
By Order of Town Board
TAX HAP NO . 48 . - 1.-11 TOWN OF QUEENSBURY
ZAMP
Director of Building & Code Enforcement
BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 92-057
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Marguerite Rockwell
OWNER of property located at Moon Hill Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Porch & 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
RR#1 Box 1617
Moon Hill Road
Lake George, NY 12845
2. CONTRACTOR or BUILDER'S Nametta
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Blue Haven Builders
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3. CONTRACTOR or BUILDER'S Address
151 Stein Rd
Pine Bush, NY
4. ARCHITECT'S Name
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J.
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
12
0
No. 160 sq ft Porch & 120 sq ft Deck as per plot plan specifications
and application
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8. Proposed Use
0
Porch & Deck
$ 24.00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 27, 19 93
(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 thi 27th Day ' February 19 92
SIGNED BY c / tLB, for the Town of Queensbury
I ding and Zoni Inspector
1011114 TOWN OF QUEENSBURY Fee Paid c2-11, _
4,0 BUILDING & CODES DEPARTMENT Permit # C) —05 7
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost $4,800.00
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
ione in accordance with the description, plans and specifications submitted, and such special
:onditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
4ITH THIS APPLICATION.
)wner of Property: : Patrick D. Stacavich
'.0. Address RR#1, Box 1617, Moon Hill Road, Lake George, NY 12845Phone # 761-0447
'roperty Location Moon Hill Road Tax Map # 48-1-11
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES.
game: Robert Stacavich, Blue Haven BuildersAddres5 151 Stein Rd, Pine Bush, NY Phone# 914-744-5113
BUILDING SPECIFICATIONS:
Type of work to be done. t Porch Deck bock Boathouse TO(Ci:r i�ei � .
Size of Structure to be built (square footage): 160 SF Porch T ',' o i i
Foundation Material : Width 12"dia, Peir Thickness 12" It1
Depth of Footing, below grade: per local code requirem l FE B 2 5 19
Size of Posts or Studs: treated 4" x 4" x 8' Long BUILDING & CODE DEPT.
Size of Floor Joists: 2" x 8" x 10' Span
Decking or Flooring Material :3/4" T&G plywood on porch, 5/4x6 treated on deck
How will Porch or Deck be fastened to building? lagged 2x10 header with ledger & galv.
joist hangers.
If Roof Will Be Installed, Answer Following Questions: yes, on porch only
Size of Posts or Studs: 2" x 4" x 8' Long
Roof Rafters: 2" x 6" Spacing 16" o.cSpan lot
Roof Trusses (pre-engineered spacing): Span
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof: Mineral surfaced asphalt roll roofing over 15# felt lapped, cemented,
ZONING INFORMATION: & flashed at building.
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: Triangle 419.39ft. x approx 240 ft.
Existing building(s): Size 14' ft. x 70' ft. Mobile Home
Size ft. x ft.
Use of Existing building(s): single family residence
Proposed structure, distance from property line:
Front yard 160 ft. Rear yard 65 ft.
Side yards 115 ft. and 30+ 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
)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
)wner.
)ATE: 2-17-92 SIGNATURE 41'_ �,�,�/\� - Blue Haven Builders
owner, Owner s A9 en rc e t, Contractor
tEVIEWED BY CODE ENFORCEMENT OFFICER, DATE 21R2..._SIGNATURE
TOWN OF QUEENSBURY )4.0
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804 /�7
(518)745-4447 7�jt-v ` ► f
:.: ..;V8: ✓�(/J) DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: 3--^ 9
NAME ,'"{ , 1 CA\\ 5�{ C \, t ." v c k'r'�,
\ \ e ,,11
LOCATION C & �1� �\u J
DATE ��- (`( } (PERMIT 1 l ( l r� J /
TYPE OF STRUCTURE t ,
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A TES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH\
DECK PORCH STEPS' ,ILINGS
RELIEF VALVES
FURNACE/HOT WATER ••ERATIN!
INTERIOR TRIM/PRIVA Y D'SRS
FINISH FLOORS:
BATH/KITCHEN WAT' •IIGHT
OTHER FLOORS : EEP BLE
OTHER FLI' S CARPE D
STAIR CLEARANCE/RAILI 'GS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES ! i
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR;C'/ )`
1 VI
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED LliO
NAME ._ \- -1CCnv 1' C i f? rck
LOCATION C h HI A ? C
DATE PERMIT # q
TYPE 0 STRUCTURE Qc -(4-k ' - t C-4 i
RECHECK APPROVED
.N/A YES NO
FOOTINGS/PIERS 1t.
MONOLITHIC POUR FORM
REINFORCEMENT IN PLA
THE CONTRACTOR IS RE ONSIB E
FOR PROVIDING PROTEC ION F OM
FREEZING FOR 48 HOURFOL OWING
THE PLACEMENT OF THE CO RETE.
MATERIALS FOR THIS PURP SE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLAC
FOUNDATION/DAMPROOFI G
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER S((jjgAB
FRAMING:
JACK STUDS/H DER
BRACING/BRI ING
JOIST HANG S
JACK POSTS MAIN BEAM
HEATING ROU H-IN
INSULATION
FOUNDATION WALLS Iy.NTERIOR R-
FOUNDAT��ION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMA5S: •,/" ,
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ARRIVE ., ,il' .S1/ ,
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DEPART f.f j { , i� ._-, '/_ __,.
INSPEC/OR
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/c" or- REVIEWED BY
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DATE
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