2001-664 .4 ` TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010664 Date Issued: Thursday, August 01, 2002
This is to certify that work requested to be done as shown by Permit Number P20010664
has been completed.
Tax Map Number: 523400-227-017-0001-009-001-0000
Location: 93 CLEVERDALE Rd
Owner: JEAN HOFFMAN
Applicant: JEAN HOFFMAN
This structure may be occupied as a:
By Order of Town Board
Deck TOWN OF QUEENSBURY
Director of Bui g&Code Enfor nt
TOWN OF QUEENSBURY
co.N 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010664 Application Number: A20010664
Tax Map No: 523400-227-017-0001-009-001-0000
Permission is hereby granted to: JEAN HOFFMAN
For property located at: 93 CLEVERDALE Rd
in the Town of Queensbury, to construct or place
at the above location in accordance with 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. Type of Construction Value
Owner Address: JEAN HOFFMAN Deck 1,000.00
BOX 488 LAPP Rd Total Value 1,000.00
CLIFTON PARK,NY 12065
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans & Specifications
2001-664
174 sq ft DECK AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, September 18,2002
(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 own Que sb ; ► y,ay September 18,2001
SIGNED BY t ` for the Town of Queensbury.
Director of Building&Code Enforcement
•
Li.-U
am, TOWN OF QUEENSBURY Fee Paid L�
BUILDING & CODES DEPARTMENT Permit # ate)—V6
APPLICATION FOR: PORCHES-I=
DOCKS & 0' • �� ® ; ost
SEP _ 4 nn
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. 'tEPSE ANSWER ALL OF THE FOLLOWING:
TOWN OFQ
The undersigned hereby applies for a Building .iikfik� Yellowing work which will be
done in accordance with the description, plans ancT� ns 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: Jean M. Hoffman
P.O. Address P.O. Box 448, Clifton Park, NY 12065 Phone # 371-8683
Property Location 93 Cleverdale Rd. , Cleverdale, NY 12820 Tax Map # 12.3.27-1
•
- Subdivision Name (If applicable) N/A
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Jean M. Hoffman Address same as above Phone#
•
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : 174 sq. ft.
Foundation Material : Width Thickness 8" sonotube
Depth of Footing, below grade: 4`
Size of Posts or Studs: 6" x 6" x Long
Size of Floor Joists: 2" x 8" x 6` Span
Decking or Flooring Material : 5/4 x 6"
How will Porch or Deck be fastened to building?
2 x 10 PT with Lag Bolts
If Roof Will Be Installed, Answer Following Questions: N/A
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: 7 .27 acres gun<
N/A Existing building(s) : Size ft. x ft.
Size ft. x ft.
N/A Use of Existing building(s) :
Proposed structure, distance from property line:
N/A 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 th t suc work is authorized by the
owner.
DATE: August 28, 2001 SIGNATURE • ---- m
n Owner s AAc , to , Contractor
REVIEWED' BY CODE ENFORCEMENT OFFICER, DATE r SIGNATURE`
/1111111K '' TOWN OF QUEENSBURY
-01WAn► BUILDING & CODE ENFORCEMENT
s TO 742 BAY ROAD
/� QUEENSBURY NY 12804
(. (518) 7611-8256
ARRIVE: DEPART: 73t INSP:l/IFINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTIO EQQQU�E9STi,RECEIVED:
NAME F'r�•vr7/�'
LOCATION ?j 04 'a A)
DATE 7/'al l 0 ?/ PERMIT N WWI/
TYPE OF STRUCTURE D eCK
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
p/A YES NO
CHIMNEY 11EIGhITLR_VENT/t1EIGHT _ -
MLUMLI.ING VENT__
ROOFING. - - .
EXTERIOR_MIMI . ' %if
DECKLPQRCH/STEPS/RAI- ,GR------
REL LEL VAkVEI ----
FIJENACEiH.O.T WATER @, ,G
INTL"RIOR JRIAGp.ItIVACI 1200; -. __.
mum FLOORS:. _ _._ -
.AT IKV3CHEN 111A11►AT6 IGN't _
-_OtIiER_. 1 I3R_CARPITE! — — -
S TAM_CLEARANCC/RAILINGS__---__---- — __�
Sk1ORP: PR`tkQTORR___-________. — ----- _____ _--
PLUMRIN® 'IXTUAR ____— -- ______ __- -... __-
A..Ot1NDA 'ION tNSULAP --- _ --—.-
GARAGE_.F'_IRE_1AOOFING___ _-_____— _-_-,--__..__.. _______
_
I OtIIi_CLOLIERB__.- ----- -- _ — -
FINAL...t CTRLCAI, -- - -_______ ----------,_
SID E_ILANIVARIANC__REM__ ____ -----.-----
FINAL MUMMY PLOT PLAN_ ___- l/
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TOWN OF QUEENISBURY
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I Pr, BUILDING & q10 D -___T.
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uj G 03 0 ; i . 1 I REVIEWED BY ' - /1C-'0
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0 o‘b,„(.7.!r QUEENSBURY iiiiIWING DEPARTMENT
Baaed on our limited examination,
compliance with our comments shall
not be construed as indicating the • .
plans and specifications are in fi ill
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compliance with the code
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